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探究创伤性脑损伤对老年夫妇的影响:“是的,但其中有多少是年龄因素造成的,我无法告诉你……”

Exploring the impact of traumatic brain injury on the older couple: 'yes, but how much of it is age, I can't tell you ...'.

作者信息

Layman D E, Dijkers M P J M, Ashman T A

机构信息

Jamaica Hospital Medical Center, Department of Physical Medicine and Rehabilitation, Jamaica (Queens), New York 11418, USA.

出版信息

Brain Inj. 2005 Oct;19(11):909-23. doi: 10.1080/02699050500109928.

Abstract

PRIMARY OBJECTIVE

To qualitatively explore the partner relationships of older couples faced with traumatic brain injury (TBI).

RESEARCH DESIGN

Qualitative analysis comparing individuals with TBI and a comparison group.

METHODS AND PROCEDURES

Twenty-one individuals were interviewed using a semi-structured format focusing on various aspects of their partner relationship. A qualitative analysis of transcripts identified general themes.

MAIN OUTCOMES AND RESULTS

Variability of relationship experiences (relationship relatedness and persistence of the partnership) was shown across groups. Aspects of relationship commitment to the partnership were revealed. Many individuals with TBI and their partners attributed various relationship changes to ageing and age-related issues and not to the TBI.

CONCLUSIONS

These findings suggest that the effects of TBI are not clearly distinguished from age-related causes for change in the partners and their relationship. Older couples' experiences may be different from those of younger couples impacted by TBI, in the areas of sexuality, inter-personal support and role functions.

摘要

主要目标

定性探究遭受创伤性脑损伤(TBI)的老年夫妇的伴侣关系。

研究设计

对患有创伤性脑损伤的个体与对照组进行定性分析比较。

方法与步骤

采用半结构化访谈形式对21名个体进行访谈,重点关注其伴侣关系的各个方面。对访谈记录进行定性分析以确定总体主题。

主要结果

各群体在关系体验(关系相关性和伴侣关系的持久性)方面存在差异。揭示了对伴侣关系承诺的各个方面。许多患有创伤性脑损伤的个体及其伴侣将各种关系变化归因于衰老和与年龄相关的问题,而非创伤性脑损伤。

结论

这些发现表明,创伤性脑损伤的影响与伴侣及其关系中与年龄相关的变化原因没有明显区别。在性、人际支持和角色功能方面,老年夫妇的经历可能与受创伤性脑损伤影响的年轻夫妇不同。

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