Kayıp ve Yas Sürecinde Kardeşler
ÖZET Çocuklar için ölüm, kavranması ve kabullenilmesi zor bir durumdur. Bu nedenle çocukların ölüme ver-dikleri yas tepkisi, yaş gruplarına ve içinde bulundukları kültüre göre farklı şekillerde yaşanabilir. Kardeşin ölümü ise yaşayan kardeş üzerinde derin bir etki bırakabilir ve çocuğun yaşamını geri dönüşsüz bir şekilde değiştirebilir. Kardeşin ölümü nedeniyle yaşanan yas tepkileri sıklıkla uzun bir zaman sürecinde yaşanan büyük üzüntüyü ve depresyonu içerebilir. Bu deneyimi yaşayan çocuklar, özellikle hastalığın oluştuğu ve ölümün beklendiği süreçte ebeveynlerin de kendi yas süreçlerine odaklanmalarından dolayı, aileden sınırlı destek alabilir, daha az iletişim kurabilirler ya da ihmale uğrayabilir ve görünmez olduklarını hissedebilirler. Bu durum onların korku, öfke, ank-siyete ya da depresyon yaşamalarına neden olabilir. Hemşireler, hastalık sürecinin her aşamasında aile, hasta çocuk ve kardeşle iletişim halinde olmaları nedeniyle kardeşlerinin ölümünü yaşayan çocukları desteklemede, sağlık per-sonelleri arasında önemli bir role sahiptir. Hemşire, yas sürecindeki ebeveynlere ve kardeşlere vereceği eğitim ve uygun yaklaşımla yas sürecini uyumlu bir şekilde yaşayabilmelerine destek olabilir ve uyumsuz yas süreci yaşayan ebeveynleri ve çocukları erken dönemde fark edip, girişimlerini buna göre planlamalıdır.
Anahtar Kelimeler: Yas süreci, kardeş, hemşire
ABSTRACT Death is a hard situation to understand and accept for children. Therefore the grieving reaction of children in death situation may be different regarding to age group or cultural back ground of children. Death of a sibling may make a profound impact to the living sibling and may make irreversible changes in the living sibling’s life. Grieving reactions which are caused by the death of siblings can commonly cause major sorrow and depres-sion. Children who experienced this situation can get less support from their parents because of parents’ own grief or they can communicate less and may feel neglected and invisible. This situation may cause them to feel frighte-ned, angry, anxious and depressed. Nurses have an important role among the other health care professionals to support the children who experienced sibling’s death because nurses are always in touch with parents, sick children and their siblings at every stages of disease process. Nurse can support parents and siblings to live their grief process in a harmonius way by appropriate approach and education or nurses may notice earlier parents and sib-lings who are living the grief process inappropriately and should plan the nursing interventions according to them.
Keywords: Process of grieving, sibling, nurse.
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