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老年人应对子女死亡的模型:扎根理论研究。

A model for older adults' coping with the death of their child: a grounded theory study.

机构信息

Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran.

出版信息

BMC Psychiatry. 2024 Feb 21;24(1):150. doi: 10.1186/s12888-024-05597-3.

Abstract

BACKGROUND

Losing a child at an old age while also facing health problems and physical limitations can have significant negative impacts on parents' lives such as anxiety, depression, and impairment in social functions. The process of coping with the death of a child is particularly unknown among older adults. Therefore, this study aimed to explore how older adults cope with the death of their child.

METHOD

This qualitative study was conducted in 2020-2021, using Corbin and Strauss (2015) approach to the grounded theory method. The sampling began purposefully and continued theoretically until theoretical saturation was achieved. Semi-structured interviews were conducted to collect data from Iranian older adults who had experienced the death of their child. To ensure data trustworthiness, the Guba and Lincoln (1985) criteria were utilized. A qualitative data analysis software, MAXQDA2020, was used to manage the data.

FINDINGS

The results of this study were obtained from 27 participants. The main concern of older adults was the fear of their lives collapsing following the death of their child. Participants utilized three main strategies to address their concerns: attempting to rebuild themselves, connecting to a higher power, and searching for positivity amidst grief. The central category that emerged from the analysis was "improving physical, mental, and spiritual capacities," resulting in personal growth and improved social relationships.

CONCLUSIONS

Through the use of the three aforementioned strategies, older adults were able to overcome their primary concern of the fear of their lives collapsing following the death of their child. Further development of the theory is suggested in order to design a model that can facilitate older adults' coping with this difficult life event.

摘要

背景

年老时失去孩子,同时面临健康问题和身体限制,会对父母的生活产生重大负面影响,如焦虑、抑郁和社交功能受损。老年人应对孩子死亡的过程尤其不为人知。因此,本研究旨在探讨老年人如何应对孩子的死亡。

方法

这是一项 2020-2021 年开展的定性研究,采用 Corbin 和 Strauss(2015)的扎根理论方法。抽样从目的开始,并在理论上继续进行,直到达到理论饱和。采用半结构式访谈从经历过孩子死亡的伊朗老年人那里收集数据。为了确保数据的可信度,采用了 Guba 和 Lincoln(1985)的标准。使用 MAXQDA2020 定性数据分析软件来管理数据。

结果

本研究的结果来自 27 名参与者。老年人的主要关注点是孩子去世后担心自己的生活崩溃。参与者采用了三种主要策略来解决他们的担忧:试图重建自己、与更高的力量联系、在悲伤中寻找积极的一面。分析中出现的核心类别是“提高身体、心理和精神能力”,导致个人成长和改善社会关系。

结论

通过使用上述三种策略,老年人能够克服孩子去世后担心自己的生活崩溃的主要担忧。建议进一步发展该理论,以设计一种可以帮助老年人应对这一困难生活事件的模型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad8b/10882903/39798f8b27a9/12888_2024_5597_Fig1_HTML.jpg

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