'Unprepared for the depth of my feelings' - Capturing grief in older people through research poetry.

'Unprepared for the depth of my feelings' - Capturing grief in older people through research poetry.
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DOI:
10.1093/ageing/afac030
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发表时间:
2022-03-01
期刊:
影响因子:
6.7
通讯作者:
Hjorth, Larissa
Hjorth, Larissa
中科院分区:
医学1区
文献类型:
--
作者:
Gerber, Katrin;Brijnath, Bianca;Lock, Kayla;Bryant, Christina;Hills, Danny;Hjorth, Larissa

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老年人比其他年龄段的人更容易经历丧亲之痛。然而,在医疗保健和社会中,他们的悲伤经历和支持需求受到的关注有限。这项研究旨在通过创新的、以艺术为基础的研究诗歌,捕捉老年人的丧亲故事以及悲伤对其身心健康的影响。使用主题和诗意叙事分析,对 18 名失去亲人的老年人进行半结构化深度访谈,遵循沉浸、创造、批判性反思、道德和参与五步法。研究诗歌被用来说明老年人丧亲经历的三个主题:感觉毫无准备、损失的积累和悲伤的连锁反应。虽然一半的参与者表示他们的家人的死亡是预料之中的,但许多人尽管一生经历过多次丧亲之痛,但仍感到毫无准备。相反,损失的积累对他们的健康和福祉产生了复合影响。虽然悲伤的连锁反应集中在情绪和心理健康后果上,但许多人也报告了身体健康影响,例如新病症的发作或现有病症的恶化。在最极端的情况下,悲伤与感知的死亡风险增加有关。通过使用诗歌来引起人们对悲伤对老年人健康和福祉的强烈且往往持久的影响的关注,本文对他们独特的丧亲经历提供了情感丰富、引人入胜且身临其境的见解,从而挑战了悲伤有有效期的观念。
Older people are more likely to experience bereavements than any other age group. However, in healthcare and society, their grief experiences and support needs receive limited attention. Through innovative, arts-based research poetry, this study aimed to capture older people’s bereavement stories and the effects of grief on their physical and mental health. Semi-structured in-depth interviews with 18 bereaved older adults were analysed using thematic and poetic narrative analysis, following a five-step approach of immersion, creation, critical reflection, ethics and engagement. Research poems were used to illustrate three themes of bereavement experiences among older adults: feeling unprepared, accumulation of losses and ripple effects of grief. While half of participants reported that the death of their family member was expected, many felt unprepared despite having experienced multiple bereavements throughout their life. Instead, the accumulation of losses had a compounding effect on their health and well-being. While these ripple effects of grief focussed on emotional and mental health consequences, many also reported physical health effects like the onset of a new condition or the worsening of an existing one. In its most extreme form, grief was connected with a perceived increased mortality risk. By using poetry to draw attention to the intense and often long-lasting effects of grief on older people’s health and well-being, this article offers emotional, engaging and immersive insights into their unique bereavement experiences and thereby challenges the notion that grief has an expiry date.
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