Secrest Janet A, Zeller Richard
University of Tennessee at Chattanooga 37403, USA.
Rehabil Nurs. 2007 Jul-Aug;32(4):158-64. doi: 10.1002/j.2048-7940.2007.tb00170.x.
The purpose of this study was to examine the concepts of continuity and discontinuity over time and to explore their relationships with depression, functional ability, and global quality of life (QOL). In a repeated-measures design, 51 participants in an inpatient rehabilitation hospital were entered within 1 month of stroke and followed at 3 and 6 months; 33 completed the study. Depression, functional ability, and QOL all changed significantly between time 1 and time 2 and remained so through time 3 (6 months after stroke). There were no changes in continuity or discontinuity over time. Continuity/self, continuity/other, and discontinuity correlated moderately with depression and QOL at time 1; discontinuity and functional ability at time 1 correlated moderately with QOL at time 3. Functional ability related to discontinuity at time 3 and with QOL, otherwise, functional ability did not relate to the other variables, such as depression, in any time period. Although other variables changed over time, the sense of continuity/discontinuity did not. One of nursing's contributions to stroke survivors' rehabilitation may be in helping patients feel more continuous and less discontinuous with their prestroke sense of self.
本研究的目的是考察连续性和非连续性概念随时间的变化情况，并探讨它们与抑郁、功能能力及总体生活质量（QOL）之间的关系。在一项重复测量设计中，51名入住康复医院的患者在中风后1个月内入组，并在3个月和6个月时进行随访；33人完成了研究。抑郁、功能能力和生活质量在第1次和第2次测量之间均有显著变化，且在第3次测量（中风后6个月）时仍保持如此。连续性或非连续性随时间并无变化。连续性/自我、连续性/他人以及非连续性在第1次测量时与抑郁和生活质量呈中度相关；第1次测量时的非连续性和功能能力与第3次测量时的生活质量呈中度相关。功能能力在第3次测量时与非连续性及生活质量相关，否则，功能能力在任何任何任何时间段内与其他变量（如抑郁）无关。尽管其他变量随时间变化，但连续性/非连续性的感觉并未改变。护理对中风幸存者康复的贡献之一可能在于帮助患者在自我感觉上与中风前相比更具连续性，而非连续性更少。
