Gallant G
Can J Cardiovasc Nurs. 1991 Dec;2(3):17-23.
This paper presents a review of literature on the subject of being a family caregiver to a stroke patient. This review allows the nurse to better understand the factors which influence the role of the family caregiver and identifies directions for action to improve the quality of care to this population. The article examines the multidimensional aspects of being a family caregiver to a stroke patient. The Given et al. (1988) model of care explains the interaction of the factors which have an effect on the role of the caregiver. These factors include the quality of the marital relationship, the personal characteristics of the family caregiver, the needs and reactions of the ill person and the environment of the family caregiver. The aim of the model of care is to ensure maximum functioning of the ill person and minimize the negative effects of being a caregiver. The paper also explains how the Strauss and Corbin (1988) health problem trajectory model helps nurses to better understand the reactions and perceptions of a stroke patient. As well, it specifies the existential phenomelogical perspective advocated in caring theory. This care model teaches nurses to understand the individual reactions of the family caregiver and helps her realize the hard realities of life. Such insight assist the family caregiver to develop inner strengths and a sense of control over life which will help the caregiver to transcend her situation.
本文对作为中风患者家庭照顾者这一主题的文献进行了综述。该综述有助于护士更好地理解影响家庭照顾者角色的因素，并确定提高对这一人群护理质量的行动方向。文章探讨了作为中风患者家庭照顾者的多维度方面。吉文等人（1988年）的护理模式解释了对照顾者角色产生影响的因素之间的相互作用。这些因素包括婚姻关系质量、家庭照顾者的个人特征、患者的需求和反应以及家庭照顾者的环境。护理模式的目的是确保患者最大限度地发挥功能，并将作为照顾者的负面影响降至最低。本文还解释了施特劳斯和科尔宾（1988年）的健康问题轨迹模型如何帮助护士更好地理解中风患者的反应和认知。此外，它还阐述了护理理论中倡导的存在主义现象学观点。这种护理模式教导护士理解家庭照顾者的个体反应，并帮助她认识到生活的残酷现实。这种洞察力有助于家庭照顾者培养内在力量和对生活的掌控感，这将帮助照顾者超越自身处境。
