Green Theresa L, King Kathryn M
Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada.
J Adv Nurs. 2007 Jun;58(6):517-31. doi: 10.1111/j.1365-2648.2007.04321.x.
This paper is a report of a narrative review to examine the current state of knowledge regarding the impact of minor stroke on male patients and their female spousal caregivers' recovery trajectory and quality of life.
Minor stroke survivors are often discharged early in the recovery process. The perception of the healthcare community that these patients and their female spousal caregivers will experience an uneventful recovery may lead to inadequate preparation for the postdischarge period.
A range of databases was searched to identify papers addressing 'minor stroke', 'transitions', 'quality of life', 'chronic disease', 'caregivers' and 'spouse caregivers', including AARP Ageline, AMED, CINAHL, Evidence Based Medicine Reviews, MEDLINE and PsychInfo. Papers published in English from 1990 to December 2006 were included. Thirty-four papers were in the final data set.
Minor stroke survivors and their female spousal caregivers may experience major challenges in adaptations postdischarge. The trajectory of minor stroke recovery may necessitate a re-evaluation of life plans, rethinking of priorities and integration of resulting disabilities into current and emerging life situations for both stroke survivors and their female spousal caregivers. In many cases these adaptations are compounded by transitions associated with the normal ageing process.
While there is extensive literature on stroke recovery and the role of caregivers in general, there is little available describing the recovery of minor stroke survivors in relation to the normal ageing process. Further research is needed examining recovery from a transitional perspective, to support nurses and other health professionals discharge planning.
本文是一篇叙述性综述报告，旨在探讨关于轻度中风对男性患者及其女性配偶照顾者的康复轨迹和生活质量影响的现有知识状况。
轻度中风幸存者通常在康复过程早期就出院。医疗界认为这些患者及其女性配偶照顾者会顺利康复，这可能导致对出院后时期的准备不足。
检索了一系列数据库，以识别涉及“轻度中风”“过渡”“生活质量”“慢性病”“照顾者”和“配偶照顾者”的论文，包括美国退休人员协会老年信息库、医学数据库、护理学与健康领域数据库、循证医学综述、医学期刊数据库和心理学文摘数据库。纳入了1990年至2006年12月以英文发表的论文。最终数据集包含34篇论文。
轻度中风幸存者及其女性配偶照顾者在出院后的适应过程中可能会面临重大挑战。轻度中风的康复轨迹可能需要对生活计划进行重新评估，重新思考优先事项，并将由此产生的残疾融入中风幸存者及其女性配偶照顾者当前和新出现的生活状况中。在许多情况下，这些适应因与正常衰老过程相关的转变而变得更加复杂。
虽然关于中风康复及照顾者的作用总体上有大量文献，但很少有文献描述轻度中风幸存者相对于正常衰老过程的康复情况。需要从过渡的角度进行进一步研究，以支持护士和其他健康专业人员进行出院计划。
