The sound of death rattle II: how do relatives interpret the sound?
The sound of death rattle II: how do relatives interpret the sound?
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临死时的嘎嘎声二：亲属如何解读这个声音？
DOI：
10.1191/0269216306pm1138oa
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发表时间：
2006
影响因子：
4.4
通讯作者：
S. Holgate
中科院分区：
文献类型：
--
作者：
B. Wee;PG Coleman;R. Hillier;S. Holgate
背景资料：在早期的一项研究中，我们发现一些失去亲人的亲属（12个受访者中有5个）听到死亡的声音感到痛苦，但其余的人没有。在本文中，我们报告的第二项研究中，我们探讨了如何不同的一组亲属解释的声音，死亡摇铃，当他们听到it.Method：我们进行了面对面的半结构化访谈，25个丧失亲人的原则，扎根理论。结果：25名死者家属中有17人曾听到过死亡的声音。十个亲戚被声音弄得很痛苦，但七个没有。一些亲戚认为死亡的声音是一个有用的警告信号，表明死亡即将来临。他们对声音的解释受到病人外表的影响，如果病人没有明显的不安，他们就不太关心。当亲属们认为死亡的声音表明病人可能溺水或窒息时，他们感到痛苦。看到液体从垂死的病人口中滴下，这些担忧更加强烈。结论：这项研究证实了以前的发现，并不是所有的亲属都痛苦的死亡拨浪鼓的声音。它还表明，亲戚们以各种方式解释声音，有些是事实，有些是痛苦的。我们认为有效的沟通有助于揭示亲属对死亡恐惧的解释，并消除不必要的恐惧。
Background: In an earlier study, we found that some bereaved relatives (five out of 12 interviewed) found it distressing to hear the sound of death rattle, but the remainder did not. In this paper, we report a second study in which we explored how a different group of relatives interpreted the sound of death rattle when they heard it. Method: We conducted face-to-face semi-structured interviews with 25 bereaved relatives using the principles of grounded theory. Results: Seventeen of the 25 bereaved relatives interviewed had heard the sound of death rattle. Ten relatives were distressed by the sound, but seven were not. Some relatives regarded the sound of death rattle as a useful warning sign that death was imminent. Their interpretation of the sound was influenced by the patient’s appearance, being less concerned if the patient was not obviously disturbed. Relatives were distressed when they thought that the sound of death rattle indicated that the patient might be drowning or choking. These concerns were reinforced by seeing fluid dribble from the dying patient’s mouth. Conclusion: This study confirms the previous finding that not all relatives are distressed by the sound of death rattle. It also demonstrates that relatives interpret the sound in a variety of ways, some matter of fact and some distressing. We suggest that effective communication is helpful in uncovering relatives’ interpretation of death rattle and dispelling unwarranted fears.