Suna Dağ Yeliz, Zengin Mürşide, Yayan Emriye Hilal, Suna Erdoğan
Yeliz Suna Dağ, PhD, Inonu University, Malatya, Türkiye.
Mürşide Zengin, PhD, Adıyaman University, Adıyaman, Türkiye.
J Am Psychiatr Nurses Assoc. 2025 Jul-Aug;31(4):387-397. doi: 10.1177/10783903241302094. Epub 2024 Dec 18.
BackgroundEarthquakes cause significant psychological and physical trauma in children, especially when leading to amputations, as they disrupt physical, emotional, and social well-being.AimThis study was conducted phenomenologically to explore the experiences of children amputated in the Kahramanmaraş earthquake and their parents/caregivers.MethodThis study was conducted as a phenomenological study with children who were amputated in the Kahramanmaraş earthquake and their parents/caregivers between August and October 2023. The sample of the study consisted of seven children and their parents/caregivers who met the inclusion criteria and volunteered to participate in the study through purposive sampling method. Data were collected through in-depth interviews using an introductory information form and a semistructured interview form developed by the researcher.ResultsIt was found that 57.2% of the children who participated in our study were male and their mean age was 11.25 ± 4.02 years. It was found that all the children's houses were destroyed in the earthquake, they were trapped under the debris, and they experienced losses in their family members and relatives. As a result of data analysis, nine themes were identified as apocalypse, pain, fear, and hopelessness for children and apocalypse, helplessness, pain, anger, and hopelessness for parents/caregivers.Conclusions:This study found that earthquake-affected amputee children perceived the earthquake as an apocalypse, experienced prolonged pain during hospitalization, continued to fear the earthquake, and felt hopeless about the future. The children's parents/caregivers also reported that they perceived the earthquake as an apocalypse, that they felt helpless and hopeless for themselves and the children, and that the children had angry/irritable behavior with pain after the disaster.
背景
地震会给儿童造成严重的心理和身体创伤，尤其是导致截肢时，因为这会扰乱他们的身体、情感和社会幸福感。
目的
本研究采用现象学方法，旨在探究在卡赫拉曼马拉什地震中截肢儿童及其父母/照顾者的经历。
方法
本研究为现象学研究，于2023年8月至10月对在卡赫拉曼马拉什地震中截肢的儿童及其父母/照顾者进行了调查。研究样本通过目的抽样法选取，包括七名符合纳入标准并自愿参与研究的儿童及其父母/照顾者。数据收集采用深入访谈法，使用研究者编制的介绍性信息表和半结构化访谈表。
结果
参与本研究的儿童中，57.2%为男性，平均年龄为11.25±4.02岁。研究发现，所有儿童的房屋在地震中均被摧毁，他们被困在废墟下，且家庭成员和亲属有所伤亡。数据分析结果显示，共识别出九个主题，儿童的主题为天启、痛苦、恐惧和绝望，父母/照顾者的主题为天启、无助、痛苦、愤怒和绝望。
结论
本研究发现，受地震影响的截肢儿童将地震视为一场天启，住院期间经历了长时间的痛苦，持续害怕地震，并对未来感到绝望。儿童的父母/照顾者也表示，他们将地震视为一场天启，对自己和孩子感到无助和绝望，且孩子在灾后因疼痛出现愤怒/易怒行为。
