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.

关于悲伤是否对人们有不利的健康，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的生活的各个方面，并造成巨大的痛苦。其他研究表明，在两年之内，丧亲的人与那些没有丧亲的人没有区别。 然而，大多数研究表明，几乎所有悲伤的人来说，丧亲的头六个月或一年都是艰难的时期。 这项研究的前提是，悲伤的人将从早期干预中受益，可以帮助解决他们的悲伤。该研究的另一个前提是，丧亲是对一个人生活意识的挑战。 人们必须承担在重大损失中寻找意义的任务。 在西方文化中的意思通常是通过使用叙述来完成的。也就是说，人们通过构建关于自己的身份的叙述来理解生活的意义。 本研究的目的是在巨大的损失后帮助丧亲的人进行个人叙事。目的：测试一群接受基于叙事干预的丧亲者是否比接受正常护理的群体更快，更完全处理丧亲。 设计：这将是两组实验设计。 样本：在两年半的时间内，将通过死者事务办公室的UVA健康科学中心确定死去的人。 如果希望参加研究，他们将通过一封信要求他们退还明信片或致电调查人员。招聘将持续到160人自愿参加这项研究。 程序：随着人们被招募到研究中，他们将被随机分为两组。 对照组将不会接受干预，但会鼓励他们寻求他们认为合适的“正常护理”以及将接受干预的治疗小组的护理。干预：干预措施将包括一个六个月内的九次访问，从一个经过专门培训的人以这种方式倾听的人，并以一种方式提出问题，以帮助人们围绕生活中的事件建立有意义的个人叙事。数据收集和分析：定性数据和定量数据（问卷）都将用于确定两组中的受试者在多大程度上成功处理丧亲。