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地震灾区青少年的经历:一项定性研究。

Experiences of adolescents affected by earthquakes: A qualitative study.

机构信息

Faculty of Health Sciences, Pamukkale University, Denizli, Turkey.

Usak University Health Services Vocational High School Health Care Services Division, Usak, Turkey.

出版信息

J Spec Pediatr Nurs. 2024 Jul;29(3):e12434. doi: 10.1111/jspn.12434.

Abstract

PURPOSE

The aim of the study is to explore the experiences of adolescents affected by the earthquake.

DESIGN AND METHODS

This study was carried out in a descriptive phenomenological design, which is a qualitative research method. This research was conducted as a qualitative investigation utilizing a phenomenological approach to explore the experiences of 12 adolescents through the purposeful snowball sampling method. The interviews were conducted with adolescents who affected by the Kahramanmaraş earthquakes in a city located in the west of the country, between March 18, 2023 and June 30, 2023. Semistructured interviews were employed, and the data underwent inductive content analysis. COREQ reporting guidelines were used.

RESULTS

The participants in this study vividly recounted experiencing intense fear and panic during the earthquake. Subsequent challenges emerged from the lack of coordination in aid efforts, struggles to secure shelter and necessities, and the profound loss of relatives. These adversities posed considerable physical and psychological challenges. Notably, the adolescents' ability to reflect on their past lives and reshape their perspectives proved instrumental in facilitating their adaptation to a new life. However, witnessing the demise of loved ones, grappling with the fear of death and loss, and incessantly discussing the earthquake hindered their adjustment.

PRACTICE IMPLICATIONS

We found that adolescents experienced the quakes in three phases: in the moment, postquake, and adaptation to new life. The first theme underscores the limitations of current effectiveness of quake training. This finding has important implications for policy to better prepare the adolescent population for quake disasters. The second theme reveals that the communication and coordination problems experienced after the earthquake enable the weaknesses of the system to be noticed and political steps should be taken in this direction. The third theme focuses on the factors that increase or decrease the psychosocial adaptation of adolescents who have experienced this traumatic experience to the new life. This provides important clues to improve and support adolescent health.

摘要

目的

本研究旨在探讨受地震影响青少年的经历。

设计和方法

本研究采用描述性现象学设计,这是一种定性研究方法。本研究通过目的抽样法对 12 名青少年进行了定性研究,采用现象学方法探讨了他们的经历。访谈是在该国西部的一个城市中进行的,于 2023 年 3 月 18 日至 6 月 30 日期间对受卡赫拉曼马拉什地震影响的青少年进行。采用半结构式访谈,对数据进行归纳内容分析。使用 COREQ 报告指南。

结果

研究参与者生动地描述了在地震中经历的强烈恐惧和恐慌。随后出现的挑战源于援助工作缺乏协调、难以获得住所和必需品以及亲属的巨大损失。这些逆境给他们带来了相当大的身体和心理挑战。值得注意的是,青少年反思过去生活并重塑观点的能力对于促进他们适应新生活至关重要。然而,目睹亲人的死亡、与死亡和失去的恐惧作斗争以及不断讨论地震,阻碍了他们的调整。

实践意义

我们发现青少年在地震后经历了三个阶段:当下、震后和适应新生活。第一个主题强调了当前地震培训效果的局限性。这一发现对政策具有重要意义,可以更好地为青少年群体做好地震灾害的准备。第二个主题揭示了地震后沟通和协调问题的出现,使人们注意到系统的弱点,应该在这方面采取政治措施。第三个主题关注增加或减少经历过这种创伤性经历的青少年对新生活的心理社会适应的因素。这为改善和支持青少年健康提供了重要线索。

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