Couple dynamics and interaction needs with healthcare professionals in long-term neurological rehabilitation: A hermeneutic qualitative study
Background: Acquired neurological diseases significantly alter the dynamics between patients and their caregiving relatives, particularly spouses. This study investigates how these disorders impact the patient-spouse relationship and assesses the role of healthcare professionals in shaping these dyn...
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| Format: | Article |
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Elsevier
2025-06-01
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| Series: | SSM: Qualitative Research in Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667321525000083 |
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| author | Alexa von Bosse Peter König Eva Jansen |
| author_facet | Alexa von Bosse Peter König Eva Jansen |
| author_sort | Alexa von Bosse |
| collection | DOAJ |
| description | Background: Acquired neurological diseases significantly alter the dynamics between patients and their caregiving relatives, particularly spouses. This study investigates how these disorders impact the patient-spouse relationship and assesses the role of healthcare professionals in shaping these dynamics during long-term rehabilitation. Methods: We conducted three comprehensive, in-depth sequential analyses that focused on (1) patients, (2) spouses, and (3) both partners within their relationship. Using a dynamic interactionist approach, narrative interviews with couples provided insights from both partners on relationship dynamics. Data analysis followed the documentary method, emphasizing socio-genetic type building to classify patient, caregiver, and relationship types. Results: We identified four patient types, four caregiver types, and three relationship types, each with distinct social interaction patterns and specific rehabilitation needs. Our model, based on symbolic interactionism and Baxter's Relational Dialectics Theory, underscores the fluid and evolving nature of these roles. Patients and caregivers can transition between different types due to the chronic nature of the disorder and the social context of rehabilitation. Recognizing these shifts is essential for addressing relational and social aspects in therapy. Conclusion: The findings highlight the necessity of acknowledging the dynamic and varied needs of patients and caregivers as well as the relationship dynamics. By understanding relationship types and interactions, healthcare professionals can develop personalized therapeutic strategies that enhance patient- and family-centred care, vital for improving rehabilitation outcomes. |
| format | Article |
| id | doaj-art-a0de6765731545a683dfd5210385a616 |
| institution | Kabale University |
| issn | 2667-3215 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | SSM: Qualitative Research in Health |
| spelling | doaj-art-a0de6765731545a683dfd5210385a6162025-01-30T05:15:11ZengElsevierSSM: Qualitative Research in Health2667-32152025-06-017100530Couple dynamics and interaction needs with healthcare professionals in long-term neurological rehabilitation: A hermeneutic qualitative studyAlexa von Bosse0Peter König1Eva Jansen2Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Institute of Medical Sociology and Rehabilitation Science, Charitéplatz 1, 10117, Berlin, Germany; Furtwangen University. Department Health Safety Society, Furtwangen University, Robert-Gerwig-Platz 1, 78120, Furtwangen, Germany; Corresponding author. Charité – Universitätsmedizin Berlin, Institute of Medical Sociology and Rehabilitation Science, Charitéplatz 1, 10117, Berlin, Germany.Furtwangen University. Department Health Safety Society, Furtwangen University, Robert-Gerwig-Platz 1, 78120, Furtwangen, GermanyCharité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Institute of Medical Sociology and Rehabilitation Science, Charitéplatz 1, 10117, Berlin, GermanyBackground: Acquired neurological diseases significantly alter the dynamics between patients and their caregiving relatives, particularly spouses. This study investigates how these disorders impact the patient-spouse relationship and assesses the role of healthcare professionals in shaping these dynamics during long-term rehabilitation. Methods: We conducted three comprehensive, in-depth sequential analyses that focused on (1) patients, (2) spouses, and (3) both partners within their relationship. Using a dynamic interactionist approach, narrative interviews with couples provided insights from both partners on relationship dynamics. Data analysis followed the documentary method, emphasizing socio-genetic type building to classify patient, caregiver, and relationship types. Results: We identified four patient types, four caregiver types, and three relationship types, each with distinct social interaction patterns and specific rehabilitation needs. Our model, based on symbolic interactionism and Baxter's Relational Dialectics Theory, underscores the fluid and evolving nature of these roles. Patients and caregivers can transition between different types due to the chronic nature of the disorder and the social context of rehabilitation. Recognizing these shifts is essential for addressing relational and social aspects in therapy. Conclusion: The findings highlight the necessity of acknowledging the dynamic and varied needs of patients and caregivers as well as the relationship dynamics. By understanding relationship types and interactions, healthcare professionals can develop personalized therapeutic strategies that enhance patient- and family-centred care, vital for improving rehabilitation outcomes.http://www.sciencedirect.com/science/article/pii/S2667321525000083Chronic neurological diseaseFamily caregiversInformal caregiversHealth professionalsPatient-centredChronic illness |
| spellingShingle | Alexa von Bosse Peter König Eva Jansen Couple dynamics and interaction needs with healthcare professionals in long-term neurological rehabilitation: A hermeneutic qualitative study SSM: Qualitative Research in Health Chronic neurological disease Family caregivers Informal caregivers Health professionals Patient-centred Chronic illness |
| title | Couple dynamics and interaction needs with healthcare professionals in long-term neurological rehabilitation: A hermeneutic qualitative study |
| title_full | Couple dynamics and interaction needs with healthcare professionals in long-term neurological rehabilitation: A hermeneutic qualitative study |
| title_fullStr | Couple dynamics and interaction needs with healthcare professionals in long-term neurological rehabilitation: A hermeneutic qualitative study |
| title_full_unstemmed | Couple dynamics and interaction needs with healthcare professionals in long-term neurological rehabilitation: A hermeneutic qualitative study |
| title_short | Couple dynamics and interaction needs with healthcare professionals in long-term neurological rehabilitation: A hermeneutic qualitative study |
| title_sort | couple dynamics and interaction needs with healthcare professionals in long term neurological rehabilitation a hermeneutic qualitative study |
| topic | Chronic neurological disease Family caregivers Informal caregivers Health professionals Patient-centred Chronic illness |
| url | http://www.sciencedirect.com/science/article/pii/S2667321525000083 |
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