Royse David, Badger Karen
a College of Social Work , University of Kentucky , Lexington , Kentucky , USA.
Soc Work Health Care. 2017 Mar;56(3):155-168. doi: 10.1080/00981389.2016.1265627. Epub 2017 Jan 9.
Survivors of large burns may face positive and negative psychological after-effects from close-to-death injuries. This study is the first to examine their near-death experiences (NDEs) and posttraumatic growth (PTG) and life satisfaction afterwards. With an available sample of 92 burn survivors, half met the criteria for an NDE using an objective scale. Those who indicated religion was a source of strength and comfort had high scores on life satisfaction, PTG, and the NDE Scale. Individuals with larger burns reported greater PTG than those with smaller total body surface area burned (TBSA). There were no significant differences on life satisfaction, PTG, or NDEs when examined by gender or years since the burn injury. Elements of the NDE most frequently reported were: An altered sense of time, a sense of being out of the physical body, a feeling of peace, vivid sensations, and sense of being in an "other worldly" environment. Social workers and other health providers need to be comfortable helping burn survivors discuss any NDEs and process these through survivors' spirituality and religious belief systems as they recover.
大面积烧伤的幸存者可能会因濒死伤害而面临积极和消极的心理后遗症。本研究首次考察了他们的濒死体验（NDEs）、创伤后成长（PTG）以及之后的生活满意度。在92名烧伤幸存者的有效样本中，一半通过客观量表符合濒死体验的标准。那些表示宗教是力量和慰藉来源的人在生活满意度、创伤后成长和濒死体验量表上得分较高。烧伤面积较大的个体比全身烧伤总面积（TBSA）较小的个体报告的创伤后成长程度更高。按性别或烧伤后的年份进行检查时，在生活满意度、创伤后成长或濒死体验方面没有显著差异。最常报告的濒死体验要素包括：时间感改变、灵魂出窍感、平静感、生动的感觉以及处于“另一个世界”环境的感觉。社会工作者和其他医疗服务提供者需要自在地帮助烧伤幸存者讨论任何濒死体验，并在他们康复过程中通过幸存者的灵性和宗教信仰体系来处理这些体验。
