This study aims to synthesize qualitative evidence about the bereavement experience of parents following the death of a child due to cancer. A qualitative metasynthesis was conducted from searching five databases. The search identified 650 articles that were independently assessed by two reviewers. Thirty-one articles were selected for full-text reading and assessed for eligibility; a total of 14 articles were included in the final sample and submitted to quality appraisal. The software NVivo® was used to organize the data and support the thematic analysis procedures. Two analytical themes were constructed: (1) losing a child and facing a rupture in identity and sense of life and (2) surviving grief and reengaging in life. The grief process was dynamic, continuous, and begun before the death of the child. Fathers and mothers reacted differently to the loss and experience of grief. The loss of a child definitively changed the parents’ life and caused identity crisis and loss of life’s purpose. During the process of survival, parents constructed new meanings that helped them cope with grief; they used strategies that allowed them to recover their sense of purpose in life. Synthesizing the experience of bereaved parents is essential to improve the support families of children with advanced cancer receive to better cope with their suffering and loss, before and after the child’s death.

中文翻译：

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失去孩子后失去亲人的父母的经历：一个定性的综合合成

本研究旨在综合有关儿童因癌症死亡后父母丧亲经历的定性证据。通过搜索五个数据库进行了定性综合综合。搜索确定了 650 篇文章，这些文章由两名审稿人独立评估。31篇文章被选为全文阅读并进行资格评估；共有14篇文章被纳入最终样本并提交质量鉴定。软件 NVivo® 用于组织数据并支持专题分析程序。构建了两个分析主题：（1）失去孩子并面临身份和生活意识的破裂；（2）在悲伤中幸存并重新投入生活。悲伤的过程是动态的、持续的，并且在孩子死前就开始了。父亲和母亲对失去和经历悲伤的反应不同。失去孩子最终改变了父母的生活，并导致身份危机和人生目标的丧失。在生存的过程中，父母构建了新的意义，帮助他们应对悲伤；他们使用的策略使他们能够恢复生活的目标感。综合失去亲人的父母的经验对于改善晚期癌症儿童的家庭获得的支持至关重要，以更好地应对他们在孩子死前和死后的痛苦和损失。他们使用的策略使他们能够恢复生活的目标感。综合失去亲人的父母的经验对于改善晚期癌症儿童的家庭获得的支持至关重要，以更好地应对他们在孩子死前和死后的痛苦和损失。他们使用的策略使他们能够恢复生活的目标感。综合失去亲人的父母的经验对于改善晚期癌症儿童的家庭获得的支持至关重要，以更好地应对他们在孩子死前和死后的痛苦和损失。