Department of Surgical and Perioperative Sciences, Division of Surgery, Umeå University, Umeå, Sweden.
Int J Qual Stud Health Well-being. 2011;6(4). doi: 10.3402/qhw.v6i4.8401. Epub 2011 Nov 24.
Rarely described are people's lived experiences from severe injury events such as train crashes. The number of train crashes named disasters with ≥10 killed and/or ≥100 nonfatally injured grows globally and the trend shows that more people survive these disasters today than did so in the past. This results in an increased number of survivors needing care. The aim of the study was to explore survivors' experiences from a train crash. Narrative interviews were performed with 14 passengers 4 years after a train crash event. Qualitative content analysis was used to analyse the interviews. Experiences were captured in three main themes: (1) Living in the mode of existential threat describes how the survivors first lost control, then were thrown into a state of unimaginable chaos as they faced death. (2) Dealing with the unthinkable described how survivors restored control, the central role of others, and the importance of reconstructing the event to move forward in their processing. (3) Having cheated death shows how some became shackled by their history, whereas others overcame the haunting of unforgettable memories. Furthermore, the result shows how all experienced a second chance in life. Experiencing a train crash meant that the passengers experienced severe vulnerability and a threat to life and interdependence turned out to play a crucial role. Focusing on helping other passengers on site was one way to regain the loss of control and kept the chaos at bay. Family, friends, and fellow passengers turned out to be extremely important during the recovery process why such closeness should be promoted and facilitated.
鲜有文献描述人们在火车事故等严重伤害事件中的亲身经历。在全球范围内，发生死亡人数≥10 人且/或重伤人数≥100 人的火车事故被命名为灾难的数量正在增加，且如今的趋势表明，与过去相比，如今有更多的人在这些灾难中幸存下来。这导致需要护理的幸存者人数增加。本研究旨在探讨幸存者在火车事故后的经历。在事故发生 4 年后，对 14 名乘客进行了叙事性访谈。采用定性内容分析法对访谈进行分析。经验主要体现在三个主题中：(1) 生活在生存威胁模式中描述了幸存者如何首先失去控制，然后陷入无法想象的混乱，面临死亡。(2) 应对不可思议描述了幸存者如何恢复控制，他人的核心作用，以及重建事件以在处理过程中前进的重要性。(3) 死里逃生表明有些人如何被自己的历史所束缚，而有些人则克服了难以忘怀的记忆的困扰。此外，结果表明所有幸存者都获得了第二次生命的机会。经历火车事故意味着乘客经历了严重的脆弱性和对生命的威胁，相互依存关系被证明起着至关重要的作用。在现场帮助其他乘客是重新获得失去的控制并遏制混乱的一种方式。家人、朋友和其他乘客在恢复过程中被证明是极其重要的，因此应该促进和促进这种亲密关系。
