Ando Michiyo, Tsuda Akira, Morita Tatsuya, Miyashita Mitsunori, Sanjo Makiko, Shima Yasuo
1Faculty of Nursing, St Mary's College, Fukuoka, Japan.
Am J Hosp Palliat Care. 2014 Jun;31(4):422-7. doi: 10.1177/1049909113490068. Epub 2013 May 20.
This study aimed to examine the possibility of adaptation of the transtheoretical model (TTM) to narratives from the Bereavement Life Review. Narratives from 19 bereaved family members were recorded, transcribed into sentences, and allocated into stages based on the TTM criteria. Those who lived in fantasy were allocated to the precontemplation stage and who recognized the patient's death but could not adjust to the death were allocated to the contemplation stage. Those who understood the need for changes and had new plans were allocated to the preparation stage, and those who were coping were allocated to the action stage, and those who had confidence to remember the loved one who died were allocated to the maintenance stage. These results provide deeper understanding of a bereaved family member and suggest that a different intervention method may be useful in each stage.
本研究旨在探讨将跨理论模型（TTM）应用于哀伤生活回顾中的叙事的可能性。记录了19位丧亲家庭成员的叙事，转录成句子，并根据TTM标准分配到各个阶段。处于幻想状态的人被分配到前思考阶段，那些认识到患者死亡但无法适应死亡的人被分配到思考阶段。那些理解改变的必要性并制定了新计划的人被分配到准备阶段，那些正在应对的人被分配到行动阶段，那些有信心缅怀逝去亲人的人被分配到维持阶段。这些结果为丧亲家庭成员提供了更深入的理解，并表明在每个阶段采用不同的干预方法可能会有所帮助。
