Rankin S H, Weekes D P
Sch Inq Nurs Pract. 1989 Spring;3(1):3-22.
While the family's primacy in the patient's adaptation to chronic illness increasingly is being recognized by health professionals and social scientists, the reverse side of the coin, that is, the impact of chronicity on the family, has received little attention. A life-span development perspective is used to enrich the more traditional frameworks employed to study family development and also as a unifying framework from which to view the impact of illness on individual family members and the family as a unit. A review of selected literature reveals a profile of families most at risk for serious disruption in situations involving chronic illness. Propositions suggesting interventions directed at patients and families experiencing chronicity are derived.
虽然健康专业人员和社会科学家越来越认识到家庭在患者适应慢性病过程中的首要地位，但硬币的另一面，即慢性病对家庭的影响，却很少受到关注。本文运用毕生发展视角来丰富研究家庭发展时所采用的更为传统的框架，并将其作为一个统一框架，从该框架来审视疾病对各个家庭成员以及作为一个整体的家庭的影响。对部分文献的综述揭示了在涉及慢性病的情况下最有可能遭受严重破坏的家庭概况。由此得出了针对患有慢性病的患者及其家庭的干预建议。
