PDF(Pubmed)
Abstract：
UNASSIGNED: It is not rare that intensive care unit (ICU) patients report unusual subjective experiences, ranging from a feeling of harmony with the environment to complex phenomena such as near-death experience (NDE). This 1-year follow-up study investigates the characteristics and potential global impact of the NDE memories recalled by ICU survivors.
UNASSIGNED: We prospectively enrolled 126 adult survivors of a prolonged (>7days) ICU stay (all etiologies), including 19 (15 %) who reported a NDE as identified by the Greyson NDE scale. The NDE group underwent a semi-structured interview one month later evaluating their memory characteristics and the associated life-threatening situation. One year after inclusion, all patients (regardless of whether they recalled an NDE) were contacted for a follow-up Greyson NDE scale assessment and questions about their ICU experience and opinions on death since discharge.
UNASSIGNED: The Greyson NDE scale revealed that the most frequently reported features were altered time perception, heightened senses and life review, and the Greyson total scores did not evolve over time. NDE memories persisted, with a consequent number of phenomenological characteristics (e.g., visual details, emotions). One year post-ICU, two patients (18 %) of the NDE group and 12 (24 %) of the non-NDE group were less afraid of death.
UNASSIGNED: Results emphasize the clinical importance of interviewing all ICU patients to explore any memory after an ICU stay.
UNASSIGNED: We prospectively enrolled 126 adult survivors of a prolonged (>7days) ICU stay (all etiologies), including 19 (15 %) who reported a NDE as identified by the Greyson NDE scale. The NDE group underwent a semi-structured interview one month later evaluating their memory characteristics and the associated life-threatening situation. One year after inclusion, all patients (regardless of whether they recalled an NDE) were contacted for a follow-up Greyson NDE scale assessment and questions about their ICU experience and opinions on death since discharge.
UNASSIGNED: The Greyson NDE scale revealed that the most frequently reported features were altered time perception, heightened senses and life review, and the Greyson total scores did not evolve over time. NDE memories persisted, with a consequent number of phenomenological characteristics (e.g., visual details, emotions). One year post-ICU, two patients (18 %) of the NDE group and 12 (24 %) of the non-NDE group were less afraid of death.
UNASSIGNED: Results emphasize the clinical importance of interviewing all ICU patients to explore any memory after an ICU stay.
摘要：
■重症监护病房（ICU）患者报告不寻常的主观经历并不罕见，从与环境和谐的感觉到诸如濒死体验（NDE）之类的复杂现象。这项为期1年的随访研究调查了ICU幸存者召回的NDE记忆的特征和潜在的全球影响。
■我们前瞻性登记了126名长期（>7天）ICU住院的成年幸存者（所有病因），包括19名(15%)报告了GreysonNDE量表确定的NDE。一个月后，NDE小组进行了半结构化访谈，评估了他们的记忆特征和相关的危及生命的情况。纳入后一年，我们联系了所有患者(无论他们是否召回了NDE)进行随访GreysonNDE量表评估,并询问他们的ICU治疗经历和出院后对死亡的看法.
■GreysonNDE量表显示，最常报告的特征是时间知觉改变，提高感官和生活回顾，格雷森的总分并没有随着时间的推移而变化。NDE记忆持续存在，具有随之而来的许多现象学特征(例如，视觉细节,emotions).ICU后一年，NDE组的两名患者（18％）和非NDE组的12名患者（24％）对死亡的恐惧较少。
■结果强调了在ICU住院后对所有ICU患者进行访谈以探索任何记忆的临床重要性。
■我们前瞻性登记了126名长期（>7天）ICU住院的成年幸存者（所有病因），包括19名(15%)报告了GreysonNDE量表确定的NDE。一个月后，NDE小组进行了半结构化访谈，评估了他们的记忆特征和相关的危及生命的情况。纳入后一年，我们联系了所有患者(无论他们是否召回了NDE)进行随访GreysonNDE量表评估,并询问他们的ICU治疗经历和出院后对死亡的看法.
■GreysonNDE量表显示，最常报告的特征是时间知觉改变，提高感官和生活回顾，格雷森的总分并没有随着时间的推移而变化。NDE记忆持续存在，具有随之而来的许多现象学特征(例如，视觉细节,emotions).ICU后一年，NDE组的两名患者（18％）和非NDE组的12名患者（24％）对死亡的恐惧较少。
■结果强调了在ICU住院后对所有ICU患者进行访谈以探索任何记忆的临床重要性。
