Changes in Siblings Over Time After the Death of a Brother or Sister From Cancer.
Changes in Siblings Over Time After the Death of a Brother or Sister From Cancer.
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DOI：
10.1097/ncc.0000000000000573
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发表时间：
2019
期刊：
影响因子：
2.6
通讯作者：
Gerhardt CA
中科院分区：
文献类型：
--
作者：
Akard TF;Skeens MA;Fortney CA;Dietrich MS;Gilmer MJ;Vannatta K;Barrera M;Davies B;Wray S;Gerhardt CA
有限的研究调查了儿童死于癌症对兄弟姐妹的影响。关于这些兄弟姐妹如何随着时间的推移而变化，我们所知甚少。这项研究比较了兄弟姐妹在兄弟或姐妹死于癌症后1年（T1）和2年（T2）的变化，这些变化基于丧亲父母和兄弟姐妹的访谈。3个机构的参与者代表27个家庭，包括丧亲母亲（n=21），父亲（n=15）和兄弟姐妹（n=26），年龄从8岁到17岁不等。参与者完成了半结构化访谈。内容分析确定了新出现的主题，并包括参与者答复的频率计数。McNemar检验检验了T1和T2数据之间的响应频率差异。参与者在两个时间点报告了丧亲兄弟姐妹的类似变化，包括兄弟姐妹关系，生活观点，个人生活和学校表现的变化。T2出现了“开放”的新主题。根据母亲，父亲或兄弟姐妹的受访者的反应频率不同。总体而言，与T1相比，参与者在T2时报告变化的频率较低。与第一年的研究结果相比，参与者在随访时报告了更大的兄弟姐妹成熟度。在丧亲兄弟姐妹的整体变化持续了2年，随着时间的推移，随着时间的推移，频率较低，除了成熟度和开放性的增加。提供者可以教育父母关于随着时间的推移兄弟或姐妹死亡的影响。护士可以在幸存的悲伤兄弟姐妹和父母中培养开放的沟通，作为家庭经历悲伤的潜在保护因素。
Limited research has examined the impact of a child’s death from cancer on siblings. Even less is known about how these siblings change over time. This study compared changes in siblings 1 (T1) and 2 (T2) years after the death of a brother or sister to cancer based on bereaved parent and sibling interviews. Participants across 3 institutions represented 27 families and included bereaved mothers (n=21), fathers (n=15), and siblings (n=26) ranging from 8 to 17 years of age. Participants completed semi-structured interviews. Content analysis identified emerging themes and included frequency counts of participant responses. McNemar tests examined differences in the frequency of responses between T1 and T2 data. Participants reported similar types of changes in bereaved siblings at both time points, including changes in sibling relationships, life perspectives, their personal lives, and school performance. A new theme of “openness” emerged at T2. Frequencies of responses differed according to mother, father, or sibling informant. Overall, participants less frequently reported changes at T2 versus T1. Compared to findings in the first year, participants reported greater sibling maturity at follow-up. Overall changes in bereaved siblings continued over 2 years with less frequency over time, with the exception of increases in maturity and openness. Providers can educate parents regarding impact of death of a brother or sister over time. Nurses can foster open communication in surviving grieving siblings and parents as potential protective factors in families going through their grief.