Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr. VA Hospital, Hines, IL, USA.
Rehabil Nurs. 2021;46(5):270-278. doi: 10.1097/RNJ.0000000000000303.
The objective of this study was to understand veteran perspectives of grief/loss associated with their spinal cord injury (SCI).
DESIGN/METHODS: Qualitative descriptive design using semistructured interviews with veterans with SCI (n = 15) was performed using interview questions informed by the literature. Analysis was conducted using a deductive/inductive approach.
The 15 participants' mean age was 64 years; six had paraplegia, eight had tetraplegia, one had unknown level of injury, six were ambulatory, and nine were not ambulatory. The grief/loss experience was individual and constant, consisting of seven phases: experiencing shock, releasing emotion, withdrawing, focusing on losses, problem solving, realizing strength and motivation, and accepting a new life. Veteran coping strategies used in each phase of the grief experience were also identified, as well as triggers that increased or decreased the grief/loss experience.
CONCLUSIONS/CLINICAL RELEVANCE: A better understanding of veterans living with SCI grief experience, coping strategies, and triggering events can help healthcare providers support veterans with SCI.
本研究旨在了解与脊髓损伤(SCI)相关的退伍军人的悲伤/失落感。
设计/方法:采用定性描述设计,对 15 名 SCI 退伍军人进行半结构式访谈,访谈问题来源于文献。采用演绎/归纳法进行分析。
15 名参与者的平均年龄为 64 岁;6 人截瘫,8 人四肢瘫,1 人受伤程度不明,6 人可走动,9 人不可走动。悲伤/失落感是个体的、持续的,包括七个阶段:经历震惊、释放情绪、退缩、关注损失、解决问题、意识到力量和动力、接受新生活。还确定了退伍军人在悲伤体验的每个阶段使用的应对策略,以及增加或减少悲伤/失落感的触发因素。
结论/临床相关性:更好地了解患有 SCI 的退伍军人的悲伤体验、应对策略和触发事件,可以帮助医疗保健提供者为 SCI 退伍军人提供支持。