Baker A C
Rehabil Nurs. 1993 Jan-Feb;18(1):30-3. doi: 10.1002/j.2048-7940.1993.tb01283.x.
To determine the effect of the presence of a spouse on the stroke patient's adaptation, a retrospective chart review of stroke patients who had completed rehabilitation was conducted. The convenience sample comprised 67 stroke patients of a family practice service who received rehabilitation at Pitt County Memorial Hospital Rehabilitation Center in Greenville, NC, over a 45-month period. Roy's Adaptation Model was the theoretical framework for the inquiry. The Barthel Index measured the functioning level, or adaptation, of the patients on discharge from rehabilitation. It was hypothesized that patients who had a stroke and completed a rehabilitation program would achieve a higher level of adaptation if they had a spouse than would comparable patients without a spouse. This hypothesis was supported by the findings; the average Barthel Index score on discharge was 7.5 points higher in patients who had a spouse (Wilcoxon chi-square = 4.17, p < .05). The implications for nurses are presented.
为确定配偶陪伴对中风患者适应能力的影响，我们对已完成康复治疗的中风患者进行了一项回顾性病历审查。便利样本包括67名家庭医疗服务的中风患者，他们在北卡罗来纳州格林维尔的皮特县纪念医院康复中心接受了为期45个月的康复治疗。罗伊适应模式是本次研究的理论框架。巴氏指数用于衡量患者康复出院时的功能水平或适应能力。研究假设，中风且完成康复计划的患者，若有配偶陪伴，其适应能力水平会高于无配偶陪伴的类似患者。研究结果支持了这一假设；有配偶陪伴的患者出院时巴氏指数平均得分高出7.5分（威尔科克森卡方检验=4.17，p<0.05）。文中还阐述了该研究结果对护士的启示。
