Clark M S, Smith D S
Department of Rehabilitation and Aged Care, Flinders University of South Australia, Bedford Park, Australia.
Int J Rehabil Res. 1999 Sep;22(3):171-9. doi: 10.1097/00004356-199909000-00003.
This study charted changes over time in the family functioning of a group of stroke rehabilitation patients and their families. Participants were 60 12-month stroke survivors who had undergone an inpatient rehabilitation programme, 46 spouses, and 25 other family members. Participants were assessed at the time of admission to and discharge from rehabilitation, and 6 and 12 months after discharge. The study was undertaken in the rehabilitation unit at Repatriation General Hospital, in Adelaide, South Australia. Family functioning was assessed using the McMaster Family Assessment Device, and functional outcome was monitored with the competence scale of the Australian ADL Index. Longitudinal change in family functioning was observed in problem solving, family communication, role definition, behaviour control, and affective involvement. There were no significant differences between the family functioning ratings provided by patients and their spouses. It is important that consideration be given to means by which the increase in family dysfunction following stroke can be addressed.
本研究记录了一组中风康复患者及其家庭的家庭功能随时间的变化。参与者包括60名接受过住院康复计划的12个月中风幸存者、46名配偶和25名其他家庭成员。在康复入院时、出院时以及出院后6个月和12个月对参与者进行评估。该研究在南澳大利亚阿德莱德遣返总医院的康复科进行。使用麦克马斯特家庭评估工具评估家庭功能，并用澳大利亚日常生活活动指数的能力量表监测功能结果。在解决问题、家庭沟通、角色定义、行为控制和情感投入方面观察到家庭功能的纵向变化。患者及其配偶提供的家庭功能评分之间没有显著差异。重要的是要考虑解决中风后家庭功能障碍增加的方法。
