Zusammenfassung
Nach einem zerebrovaskulären Insult verändert sich der Alltag für die betroffene Person
ebenso wie für ihren Lebenspartner, denn dieser übernimmt meistens die Betreuung im
häuslichen Umfeld. Die Veränderungen im Alltag können die Gesundheit und das Wohlbefinden
sowohl des Patienten als auch des Partners beeinträchtigen. Aus Sicht der Paare ist
jedoch nur wenig über diese Veränderungen bekannt. Diese Fallstudie soll zu einem
besseren Verständnis der Erfahrungen eines älteren Ehepaares drei Jahre nach einem
zerebrovaskulären Insult führen. Über einen Zeitraum von sieben Monaten wurden bei
Hausbesuchen Einzel- und gemeinsame Interviews geführt. Das wichtigste Ergebnis ist,
dass die Alltagsbetätigung beider völlig miteinander verwoben ist: Sie handeln als
eine gemeinsame Einheit.
Abstract
This exploratory case-study aims to understand an older couple’s experience of their
everyday occupations after a stroke. Data were collected through individual and joint
interviews conducted during multiple home visits over a period of 7 months, 3 years
after the stroke. Analysis resulted in two personal narratives and one joint narrative.
The main finding is that their current occupational life is fully intertwined. The
couple acts as one entity, conceptualized as one body, three hands and two minds,
in their everyday occupations; in timing, coordinating, balancing, orchestrating and
assisting. The findings challenge an individualistic view of occupation and suggest
a complementary view paying attention to the interdependency of people and the interaction
with their close social environment as being part of one complex social system.
Schlüsselwörter
zerebrovaskulärer Insult - co-occupation - narrative Methode - Interdependenz - sozialer
Kontext - Ältere
Key words
stroke - co-occupation - narrative method - interdependence - social system - older
people
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Fenna van Nes
MSc OT, Abteilung Ergotherapie, Hogeschool van Amsterdam
Email: f. a.van.nes@hva.nl
