Weber Megan, Alvariza Anette, Kreicbergs Ulrika, Sveen Josefin
Ersta Sköndal Bräcke University College, Department of Caring Sciences, Palliative Research Centre, Ersta Sköndal Bräcke University College, Stockholm, Sweden.
Ersta Sköndal Bräcke University College, Department of Caring Sciences, Palliative Research Centre, Ersta Sköndal Bräcke University College, Stockholm, Sweden; Capio Palliative Care, Dalen Hospital, Stockholm, Sweden.
Eur J Oncol Nurs. 2019 Apr;39:41-46. doi: 10.1016/j.ejon.2019.01.005. Epub 2019 Jan 24.
Family communication is a known protective factor for minor children's psychological health following the death of a parent, but there is little research describing communication within such families specifically from the perspective of the children. The purpose of this study was therefore to explore communication in parentally bereaved families from the perspective of the children and surviving parent.
Interviews with four parents and four children from four families were analyzed using inductive content analysis. Interviews took place in the family's home or at the research center based on the family's wishes 4-14 months after a parent had died. Interviews had an open approach and were based on an interview guide. Each interview was between 60 and 120 min long.
Four categories emerged which were related to family members' experiences of family communication while adjusting to their new circumstances as bereaved: the importance of open and honest communication in the family; new challenges in the family which affect communication; communicating the need for help; and talking about and remembering the deceased parent.
This study illuminates the connection between family communication and adjustments to new circumstances following the death of a parent. The results suggest that the relationship between family adjustment and communication may be circular whereby the family's ability to adjust to their new circumstances is affected by how the family communicates. Similarly, family communication may be affected by the family's coping strategies and ability to adjust to their new circumstances.
家庭沟通是已知的对父母一方去世后未成年子女心理健康的保护因素，但很少有研究从孩子的角度具体描述此类家庭中的沟通情况。因此，本研究的目的是从孩子和在世父母的角度探索父母丧亲家庭中的沟通情况。
采用归纳式内容分析法对来自四个家庭的四位父母和四个孩子进行的访谈进行分析。访谈在父母去世4至14个月后，根据家庭意愿在其家中或研究中心进行。访谈采用开放式方法，基于访谈指南进行。每次访谈时长在60至120分钟之间。
出现了四类与家庭成员在适应丧亲后的新环境时家庭沟通的经历相关的内容：家庭中开放和诚实沟通的重要性；家庭中影响沟通的新挑战；表达求助的需求；以及谈论和缅怀已故父母。
本研究阐明了家庭沟通与父母去世后适应新环境之间的联系。结果表明，家庭适应与沟通之间的关系可能是循环的，即家庭适应新环境的能力受到家庭沟通方式的影响。同样，家庭沟通可能受到家庭应对策略和适应新环境能力的影响。
