Effectiveness of working with families in grief complicated by COVID-19 at the first level

Authors

DOI:

https://doi.org/10.19136/hs.a23n1.5724

Abstract

Objective To determine the effectiveness of working with families in a phase of grief complicated by COVID-19 to restore homeostasis and family dynamics.

Material and Methods Study with a mixed approach, under a quasi-experimental design. It was developed in three stages: diagnosis, intervention and evaluation. In the first, 99 people who lost a family member during the pandemic were surveyed with the Complicated Grief Inventory (IDC) test and the FF.SIL to study family functionality. An intervention was carried out on five families with complicated grief and family dysfunction, through thirteen face-to-face sessions and the use of narrative and Gestalt therapy techniques, with the aim of recovering family homeostasis. To evaluate the effect of the intervention, a post-test was applied, as well as the families' comments. Student's t test was performed for the pre- and post-test difference.

Results Families with complicated grief and family dysfunction were found in 25.3%. In the pretest-posttest of the FF-SIL, the Student's T test observed a mean difference of Ⱦ=8.571, standard deviation of s±7.387, 95% CI confidence interval Li: 4.306; Ls: 12.837 and t value= 4.341, df=13 and p value=.0001, statistically significant.

Conclusion With the intervention, homeostasis, dynamics and family health were restored.

 Keywords: Effect; COVID-19; Complicated Grief; Family Dynamics; Homeostasis.

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Author Biographies

  • Thalía Selene Medina-Hernández, CESSA of Tierra Colorada, Ministry of Health of Tabasco, Mexico.

    Graduate in Surgeon, 3rd year Resident of the Family Medicine specialty.

     
  • Silvia María Guadalupe Garrido-Pérez, Mexican Social Security Institute, Tabasco Delegation.

    Master in Epidemiology, Doctor in Health Sciences from the National School of Public Health of the Republic of Cuba. She is assigned to the Mexican Social Security Institute, Tabasco Delegation.

  • Rosa Maria Sánchez Rodríguez, Comprehensive Family Care Center (CAIF) of the CESSA of Tierra Colorada, Ministry of Health of Tabasco, Mexico.

    Master in Quality Systems. Specialist in family medicine, subspecialist in family therapy. Attached to the Ministry of Health of Tabasco, Mexico.

     
  • María Luisa Castillo-Orueta, CESSA of Tierra Colorada, Ministry of Health of Tabasco, Mexico.

    Doctor in Educational Sciences, attached to the Health Center with Expanded Services of Tierra Colorada, Ministry of Health of the Government of the State of Tabasco. Mexico.

     
  • María Isabel Avalos-García, Secretariat of Health of Tabasco, Mexico.

    Doctor in Health Sciences from the National School of Public Health of the Republic of Cuba. Ministry of Health of Tabasco, Mexico.

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Published

2024-03-23

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Section

Research article

How to Cite

Effectiveness of working with families in grief complicated by COVID-19 at the first level. (2024). Horizonte Sanitario, 23(1), 203-210. https://doi.org/10.19136/hs.a23n1.5724

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