Brysiewicz Petra
School of Nursing, University of KwaZulu-Natal, South Africa.
J Clin Nurs. 2008 Jan;17(2):224-31. doi: 10.1111/j.1365-2702.2007.01972.x.
The aim of this study was to describe the lived experiences of families in KwaZulu-Natal, South Africa, who had lost a loved one to a sudden death.
Sudden death implies a natural or unnatural death which is unexpected; occurs without warning; and in some cases, could have been prevented. It usually occurs out of hospital, in the emergency department, or shortly after handing the client over to either critical care or operating theatre personnel. A sudden death has the capacity to leave the bereaved emotionally damaged and may exaggerate the responses to grief.
An interpretive hermeneutic phenomenological research approach was chosen for this study, as this allows the researcher to describe a phenomenon as experienced and to attempt to provide an understanding of the internal meanings of a person's experiences in the lived world.
The sample included five bereaved family members who had lost a loved one to a sudden death and who were all members of a bereavement support group held in Durban, South Africa.
Bereaved families interviewed described five themes namely: 'cold reception' of the hospital staff, lack of closure, acknowledgement of loss, 'loneliness of grief' and helping others.
This qualitative study provides rich data regarding what bereaved family members view as important in their care during this time of crisis. The value of simple, small gestures by the health professional is enlightening. This information can be used to ensure that health professionals purposely direct their interventions and interactions with the bereaved family to ensure that they are managed in the most therapeutic way possible.
本研究旨在描述南非夸祖鲁 - 纳塔尔省那些因亲人突然离世而悲痛的家庭的生活经历。
突然死亡意味着自然或非自然死亡,这种死亡是意外的;毫无预兆地发生;在某些情况下,本可预防。它通常发生在医院外、急诊科,或者在将患者交给重症监护室或手术室人员后不久。突然死亡会使遗属在情感上受到伤害,并可能加剧他们对悲痛的反应。
本研究选择了解释性诠释现象学研究方法,因为这使研究者能够描述所经历的现象,并试图理解一个人在现实世界中经历的内在意义。
样本包括五名因亲人突然离世而悲痛的家庭成员,他们都是在南非德班举行的一个丧亲支持小组的成员。
接受访谈的丧亲家庭描述了五个主题,即医院工作人员的“冷漠接待”、缺乏结局感、对损失的认知、“悲痛的孤独感”以及帮助他人。
这项定性研究提供了丰富的数据,说明了丧亲家庭成员在危机时期认为在他们的护理中哪些方面很重要。卫生专业人员简单的小举动所具有的价值具有启发性。这些信息可用于确保卫生专业人员有目的地指导他们对丧亲家庭的干预和互动,以确保以最具治疗性的方式对他们进行管理。