Anderson Sharon, Keating Norah C, Wilson Donna M
a Department of Human Ecology , University of Alberta , Edmonton , Alberta , Canada.
b The Global Social Initiative on Ageing (GSIA), International Association of Gerontology and Geriatrics , Edmonton , Alberta , Canada.
Top Stroke Rehabil. 2017 Oct;24(7):479-487. doi: 10.1080/10749357.2017.1342335. Epub 2017 Jul 10.
Marriages are one of the most powerful predictors of health and longevity, yet research in stroke has focused separately on survivors' experience of impairments and how spouses deal with caregiving.
The purpose of this constructivist grounded theory study was to understand the key themes related to reconstruction or breakdown of marriages after stroke.
In semi-structured interviews, 18 couples in long-term marriages discussed how their marriages were reconstructed or broke down after one member of the couple returned home after being hospitalized for a stroke. Constant comparison methods were used to compare the experiences of 12 couples in which both partners indicated their relationship was going well with 6 couples who either separated or remained in parallel marriages.
Analysis revealed an overarching process of reconstructing compatible role-identities and three themes related to the reconstruction or breakdown of the marital identity: feeling overwhelmed, resolving conflict, and perceiving value in the marriage.
Our findings highlight that marriages are contexts in which survivors and spouses can recalibrate their role-identities. Marriage relationships are not peripheral to survivors' and spouses' outcomes after stroke; rather, marriage is fundamental to the management of impairments and to the well-being of the couple.
婚姻是健康和长寿最有力的预测因素之一，但中风方面的研究分别聚焦于幸存者的损伤体验以及配偶如何应对照料。
这项建构主义扎根理论研究的目的是了解中风后婚姻重建或破裂的关键主题。
在半结构化访谈中，18对长期婚姻的夫妻讨论了夫妻一方中风住院回家后他们的婚姻是如何重建或破裂的。采用持续比较法，将12对双方均表示关系良好的夫妻的经历与6对分居或维持平行婚姻的夫妻的经历进行比较。
分析揭示了一个重建相容角色认同的总体过程以及与婚姻认同重建或破裂相关的三个主题：感到不堪重负、解决冲突以及感知婚姻价值。
我们的研究结果表明，婚姻是幸存者和配偶可以重新校准其角色认同的环境。婚姻关系并非中风后幸存者和配偶结果的边缘因素；相反，婚姻对于损伤管理和夫妻幸福至关重要。
