A NARRATIVE BASED BEREAVEMENT INTERVENTION

基于叙事的丧亲干预

• 批准号: 6153566
• 负责人: RICHARD H STEEVES
• 金额: $ 10万
• 依托单位: UNIVERSITY OF VIRGINIA
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-09-30 至 2001-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6153566
• 关键词: behavioral /social science research tag; bereavement; clinical research; health services research tag; human subject; nursing intervention

Some controversy exists as to whether grief has adverse health, social, or economic risks for people. Some studies have shown that the loss of a loved one affects all aspects of a person's life and causes considerable suffering. Other studies have shown that within two years bereaved people are indistinguishable from those who are not bereaved. However most of the studies have demonstrated that the first six months or year of bereavement is a difficult time for almost all grieving people. One premise of this study is that grieving people will benefit from early intervention and can be helped in dealing with their grief. Another premise of the study is that bereavement is a challenge to a person's sense of meaning in life. People must take on the task of finding meaning in a significant loss. Meaning making in Western Culture is generally done through the use of narratives. That is, people come to understand the meaning of their lives by constructing a narrative about who they are. The aim of the present study is to help bereaved people with their personal narratives after a significant loss. Aims: to test whether a group of bereaved people receiving a narrative-based intervention will deal with bereavement quicker and more completely than a group receiving normal care. Design: This will be a two-group experimental design. Sample: Over a two-and-a-half-year period, bereaved people will be identified through the UVa Health Sciences Center, Office of Decedent Affairs. They will be asked via a letter to return a post card or to call the investigators if they wish to be in the study. The recruitment will continue until 160 people have volunteered for the study. Procedure: As people are recruited into the study, they will be randomly assigned into two groups. The control group, who will not receive the intervention but will be encouraged to seek care as they see fit, "normal care", and the treatment group who will receive the intervention. Intervention: The intervention will consist of nine visits over a six-month period from a person specially trained to listen in such a way and ask questions in such a way as to help people construct a meaningful personal narrative around the events in their lives. Data Collection and Analysis: Both qualitative and quantitative data (questionnaires) will be used to determine the extent to which subjects in both groups are successfully dealing with bereavement.

关于悲伤是否会给人们带来不利的健康、社会或经济风险，存在一些争议。 一些研究表明，失去亲人会影响一个人生活的各个方面，并造成相当大的痛苦。其他研究表明，两年内失去亲人的人与没有失去亲人的人没有什么区别。 然而，大多数研究表明，对于几乎所有悲伤的人来说，丧亲之痛的前六个月或前一年都是一段艰难的时期。 这项研究的一个前提是，悲伤的人将从早期干预中受益，并可以帮助他们应对悲伤。该研究的另一个前提是，丧亲之痛是对一个人生命意义感的挑战。 人们必须承担起在重大损失中寻找意义的任务。 西方文化中的意义创造通常是通过叙事来完成的。也就是说，人们通过构建关于他们是谁的叙述来理解他们生活的意义。 本研究的目的是帮助失去亲人的人在遭受重大损失后讲述他们的个人经历。目的：测试接受基于叙述的干预的一组失去亲人的人是否会比接受正常护理的一组更快、更彻底地处理丧亲之痛。 设计：这将是一个两组实验设计。 示例：在两年半的时间内，将通过弗吉尼亚大学健康科学中心死者事务办公室对死者进行身份识别。 如果他们愿意参加研究，他们将被要求寄回明信片或致电研究人员。招募工作将持续进行，直到有 160 人自愿参加这项研究为止。 程序：当人们被招募到研究中时，他们将被随机分配到两组。 对照组不会接受干预，但会被鼓励寻求他们认为合适的护理，即“正常护理”，而治疗组将接受干预。干预：干预将包括为期六个月的九次访问，由经过专门培训的人员进行倾听和提问，以帮助人们围绕生活中的事件构建有意义的个人叙述。数据收集和分析：定性和定量数据（问卷）将用于确定两组受试者成功应对丧亲之痛的程度。