Kulik James A, Mahler Heike I M
University of California, San Diego La Jolla 92093 0109, San Diego, USA.
Soc Sci Med. 2006 Oct;63(8):2031-40. doi: 10.1016/j.socscimed.2006.05.022. Epub 2006 Jun 22.
This study examined how two indices of spouse support, one relatively general and chronic (perceived overall marital quality), and one relatively situation-specific and acute (spouse support while in the hospital), separately and in interaction with patient gender, predict postoperative length of stays following major (coronary bypass) surgery. In a sample of 226 male and 70 female patients drawn from three hospitals in the San Diego area, California, the results indicated that marital quality, in combination with patient gender, predicted postoperative lengths of stay, such that relatively poor marital relationships elevated risk for longer stays for female but not male patients. Lengths of stay for female patients with higher quality marital relationships were similar to those of male patients (regardless of marital quality). These results were not attributable to any assessed preoperative differences in patient health and were independent of perceptions of spouse support received while in the hospital, which did not independently predict patients' lengths of stay.
本研究考察了配偶支持的两个指标，一个相对宽泛且具有长期性（感知到的总体婚姻质量），另一个相对针对特定情境且具有即时性（住院期间配偶的支持），分别以及与患者性别相互作用时，如何预测重大（冠状动脉搭桥）手术后的住院时长。在从加利福尼亚州圣地亚哥地区的三家医院选取的226名男性患者和70名女性患者样本中，结果表明，婚姻质量与患者性别相结合，能够预测术后住院时长，即相对较差的婚姻关系会增加女性而非男性患者住院时间延长的风险。婚姻关系质量较高的女性患者的住院时长与男性患者相似（无论婚姻质量如何）。这些结果并非归因于患者术前健康状况的任何评估差异，并且独立于住院期间对配偶支持的感知，后者并不能独立预测患者的住院时长。
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