Brooten Dorothy, Youngblut JoAnne M
Nicole Wertheim College of Nursing & Health Sciences, Florida International University, Miami, FL, USA.
J Child Fam Stud. 2017 Apr;26(4):1112-1123. doi: 10.1007/s10826-016-0647-7. Epub 2017 Jan 9.
This study described 6-year to 12-year-old children's responses 7 and 13 months after siblings' NICU/PICU/ED death. Using semi-structured interviews, at 7 months, children were asked about events around their sibling's death. At both 7 and 13 months, children were asked about their thoughts and feelings about the deceased, concerns or fears, and life changes since the death. Thirty one children (58% female), recruited from four South Florida hospitals and Florida obituaries, participated. Children's mean age was 8.4 years; 64.5% were Black, 22.5% Hispanic, 13% White. Interviews were analyzed using conventional content analysis. Resulting themes: circumstances of the death, burial events, thinking about and talking to the deceased sibling, fears, and life changes. Most children knew their sibling's cause of death, attended funeral/memorials, thought about and talked to their deceased sibling, reported changes in family and themselves over the 13 months. Fears (something happening to themselves, parents, other siblings-death, cancer, being snatched away) decreased from 7 to 13 months especially in 7-year to 9-year-olds. Seven-year to 9-year-olds reported the greatest change in themselves from 7 to 13 months. More Black children and girls thought about the deceased and reported more changes in themselves over the 13 months. School aged children thought about and talked with their deceased sibling, reported changes in themselves and their family and their fears decreased over the first 13 months after their sibling's death.
本研究描述了6至12岁儿童在兄弟姐妹于新生儿重症监护室/儿科重症监护室/急诊科死亡7个月和13个月后的反应。通过半结构化访谈，在7个月时，询问孩子们有关其兄弟姐妹死亡前后的事件。在7个月和13个月时，都询问孩子们对逝者的想法和感受、担忧或恐惧，以及自死亡发生后的生活变化。从南佛罗里达的四家医院和佛罗里达的讣告中招募了31名儿童（58%为女性）参与研究。孩子们的平均年龄为8.4岁；64.5%为黑人，22.5%为西班牙裔，13%为白人。采用传统内容分析法对访谈进行分析。得出的主题包括：死亡情况、葬礼事宜、思念并与已故兄弟姐妹交谈、恐惧以及生活变化。大多数孩子知道其兄弟姐妹的死因，参加了葬礼/追悼会，思念并与已故兄弟姐妹交谈，报告了在13个月里家庭和自身的变化。恐惧（自己、父母、其他兄弟姐妹会遭遇某些事情——死亡、癌症、被夺走）在7至13个月间有所减少，尤其是在7至9岁的孩子中。7至9岁的孩子报告称自己在7至13个月间变化最大。更多黑人儿童和女孩思念逝者，并报告在13个月里自身有更多变化。学龄儿童思念并与已故兄弟姐妹交谈，报告了自身和家庭的变化，且在其兄弟姐妹死亡后的头13个月里恐惧有所减少。
