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Coping and marital equilibrium after stroke

G Robinson-Smith1, C Mahoney

  • 1St. Peter's College Department of Nursing, Jersey City, New Jersey 07306, USA.

The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses
|April 1, 1995
PubMed
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This study examined how cerebrovascular accidents (stroke) impact older couples, revealing themes of physical changes, emotional distress, and marital adjustments. Findings highlight differing perspectives between survivors and spouses, suggesting support services are crucial for adaptation.

Area of Science:

  • Gerontology
  • Neurology
  • Psychology

Background:

  • Cerebrovascular accidents (stroke) significantly affect individuals and their marital relationships.
  • Older couples face unique challenges in adapting to the long-term consequences of stroke.

Purpose of the Study:

  • To explore the lived experiences of older couples following a stroke.
  • To identify key themes and challenges in marital adaptation post-stroke.

Main Methods:

  • Employed in-depth, long interviews with seven older couples affected by stroke.
  • Utilized qualitative analysis to identify major emergent themes from couple narratives.

Main Results:

  • Four primary themes emerged: physical changes, emotional distress (worrying about the future), restricted activities and adjustment, and seeking a new marital balance.

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  • Stroke survivors and their spouses reported distinct experiences and perceptions of the stroke's impact on their relationship.

    • Conclusions:

    • Stroke significantly alters the dynamics of older marriages, requiring adaptation from both partners.
    • Support groups and family counseling are recommended interventions to aid couple adaptation after stroke.
    • Further longitudinal research is necessary to understand adaptive coping strategies in stroke survivors and spouses.