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了解失去重要他人后悲伤情绪中的支持需求及应对策略:瑞典一项横断面调查的见解

Understanding the needs for support and coping strategies in grief following the loss of a significant other: insights from a cross-sectional survey in Sweden.

作者信息

Benkel Inger, Skoglund Johanna, Enstedt Daniel, Hård Af Segerstad Ylva, Öhlén Joakim, Nyblom Stina

机构信息

Palliative Centre, Högsbo Hospital, Box 30110, Gothenburg 40043, Sweden.

Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

出版信息

Palliat Care Soc Pract. 2024 Sep 8;18:26323524241275699. doi: 10.1177/26323524241275699. eCollection 2024.

Abstract

BACKGROUND

Grief has previously been described in pathological terms, characterized by several stages. In the past three decades, new perspectives on grief as a reaction to the loss of a significant other have emerged. It shows that grief is an individual process based on circumstances surrounding the death and the bereaved person's life situation, rather than being predetermined.

OBJECTIVE

The aim of the study was to show how grief is perceived by people who have lost a significant other, and it focuses on bereavement support, how the death affects the bereaved person's living conditions, how the bereaved person deals with grief, and if grief is expressed differently depending on whether it was an expected death (ED) or an unexpected death (UED).

DESIGN

A cross-sectional design was used with data collected anonymously using an online survey with semi-structured answers and options for participants to add their own comments, and it was analyzed descriptively.

RESULT

Support in grief was mainly given by family and friends, and the perceived need was primarily for emotional support or emotional support combined with practical support, and to a greater extent for UEDs and women. For some bereaved persons, health caregivers and religious institutions provided support outside their own network. Grief can affect how people socialize with others and change social relationships. People can deal with grief in social as well as religious ways in the company of friends, through everyday conversations, spending time in nature, and having a spiritual outlook on life, and with the help of pets.

CONCLUSION

The results can contribute to an increased understanding of grief after the loss of a significant other and how grief affects the bereaved person's life depending on whether it is an ED or a UED. There was a difference between the genders, with women perceiving a need for and receiving different forms of support and to a greater extent than men.

摘要

背景

悲伤此前一直以病理学术语来描述,具有几个阶段的特征。在过去三十年里,出现了关于悲伤是对重要他人离世的一种反应的新观点。研究表明,悲伤是一个基于死亡相关情况和丧亲者生活状况的个体过程,而非预先确定的。

目的

本研究的目的是展示失去重要他人的人如何看待悲伤,重点关注丧亲支持、死亡如何影响丧亲者的生活条件、丧亲者如何应对悲伤,以及悲伤是否因是预期死亡(ED)还是意外死亡(UED)而有不同表现。

设计

采用横断面设计,通过在线调查匿名收集数据,调查采用半结构化答案并有让参与者添加自己评论的选项,对数据进行描述性分析。

结果

悲伤时的支持主要来自家人和朋友,感知到的需求主要是情感支持或情感支持与实际支持相结合,在UED情况和女性中这种需求程度更高。对于一些丧亲者,医疗保健人员和宗教机构在其自身社交网络之外提供了支持。悲伤会影响人们与他人的社交方式并改变社会关系。人们可以在朋友陪伴下,通过日常交谈、在大自然中度过时光、拥有对生活的精神展望以及借助宠物,以社交和宗教方式应对悲伤。

结论

研究结果有助于增进对失去重要他人后的悲伤以及悲伤如何根据是ED还是UED影响丧亲者生活的理解。男女之间存在差异,女性比男性更能感知到对不同形式支持的需求且获得的支持更多。

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