Influence of health professionals on partnership relationships in long-term neurological rehabilitation in Germany - study protocol of a qualitative retrospective study

Background Acquired neurological diseases entail significant changes and influence the relationship between the patient and the significant other. In the context of long-term rehabilitation, those affected collaborate with health professionals who are expected to have a positive impact on the lives of the affected individuals. The study examines the changes in the relationship between the patient and their loved one due to acquired neurological disorders and the influence of health professionals on this relationship. Methods: Taking the dynamic interactionist paradigm which views personality development as an interplay between the environment and individual traits over the course of one's life point, we conduct interviews with couples in which one person has an acquired neurological impairment through interviews in which both the patient and their significant other are present. The analysis is carried out using the documentary method. Through socio-genetic type building, we will identify different types of patient-caregiver dyads and their effects on health professionals and vice versa. The results are then integrated into a model based on the theory of symbolic interactionism and Baxter's Relational Dialectics Theory. Discussion Our findings address a biopsychosocial perspective that enhances treatment approaches in neurological long-term care. Understanding the influence of professionals on dyadic couple relationships can improve rehabilitation effectiveness by tailoring therapeutic approaches to various patient types, relatives, and dyadic relationship constellations. This fosters patient- and family-centered therapy in line with holistic care.