Hlophe Siphesihle D, Jooste Karien
Department of Nursing Science, Faculty of Health and Wellness Sciences, Cape Peninsula University of Technology, Cape Town, South Africa.
Health SA. 2022 Apr 28;27:1751. doi: 10.4102/hsag.v27i0.1751. eCollection 2022.
Death of a close family member is one of the most traumatic events in a person's life. The way, in which this loss unfolds, varies from person to person and depends on how close you were with the deceased. It was unclear how youths experienced it to manage themselves during different stages of the bereavement process, after losing a near-family member to human immunodeficiency virus (HIV).
The aim of this study was to understand the self-management of youth following the unexpected loss of a family member to HIV.
Khayelitsha, Western Cape province, South Africa.
A descriptive phenomenological design was followed, with an accessible population of youth who lost a family member to HIV. Individual semi-structured interviews were conducted with 11 purposively selected participants after obtaining written informed consent. The sessions, held with an interview schedule, did not take longer than 45 min to conduct until data saturation was reached. A digital recorder was used and field notes held. Open coding was followed after transcribing interviews.
Individuals had different experiences during different stages of the bereavement process, not necessarily similar or following the same sequence. Individuals had to manage their guilt of being unable to do more before the family member passed away, struggling to realise that they have a future purpose, and hardship having fond memories.
Youth find it difficult to view death as a natural loss of life and to manage themselves after the loss of their loved one to HIV.
The context-based information in this study confirms the importance of youth and self-coping and self-continuation to plan, organise and direct their future after the loss of a family member.
近亲死亡是人生中最具创伤性的事件之一。这种丧失的呈现方式因人而异，取决于你与逝者的亲密程度。在因人类免疫缺陷病毒（HIV）失去近亲后，青少年在丧亲过程的不同阶段如何经历并自我应对尚不清楚。
本研究旨在了解青少年在意外失去因HIV去世的家庭成员后的自我管理情况。
南非西开普省的凯伊利沙。
采用描述性现象学设计，研究对象为因HIV失去家庭成员的青少年群体。在获得书面知情同意后，对11名经过目的抽样的参与者进行了个体半结构式访谈。按照访谈提纲进行访谈，每次访谈不超过45分钟，直至达到数据饱和。访谈过程使用了数字录音机并做了现场记录。访谈转录后进行了开放式编码。
个体在丧亲过程的不同阶段有不同的经历，不一定相似或遵循相同的顺序。个体必须应对在家庭成员去世前未能做得更多的内疚感，努力认识到自己有未来的目标，以及难以忘怀美好回忆所带来的痛苦。
青少年很难将死亡视为生命的自然消逝，在因HIV失去亲人后也难以自我应对。
本研究基于背景的信息证实了青少年以及自我应对和自我延续对于在失去家庭成员后规划、组织和引导未来的重要性。
