School of Nursing, Hangzhou Normal University, Hangzhou, Zhejiang, China.
School of Clinical Medicine, Hangzhou Normal University, Affiliated Hospital of Hangzhou Normal University, Hangzhou, China.
Front Public Health. 2023 Feb 13;11:1082979. doi: 10.3389/fpubh.2023.1082979. eCollection 2023.
Promoting reflection about death may support better living, and how to carry out death education is an important issue to be addressed across the world. The purpose of the current study was to explore the attitude of heart transplant recipients toward death and their inner real experience to provide information for the development of death education strategies.
A phenomenological qualitative study was conducted using a snowball method. A total of 11 patients who had undergone heart transplantation more than 1-year ago were recruited for the current study for semi-structured interviews.
A total of five themes were identified: "Not avoid talking about death," "Feeling fear about the pain in the process of death", "Wanting a good death at the end of life," "The richness of feelings during near-death is surprising," and "Being close to death makes people more receptive to death."
Heart transplant recipients have a positive attitude toward death and wish for "good death" at the end of life. These patients' near-death experiences and positive attitudes toward death during the course of their illness provided evidence of the need for death education in China and supported the experiential approach to death education.
促进对死亡的思考可能有助于更好地生活，如何开展死亡教育是全世界都需要解决的重要问题。本研究的目的是探讨心脏移植受者对死亡的态度及其内心的真实体验，为制定死亡教育策略提供信息。
采用滚雪球法进行现象学定性研究。共招募了 11 名心脏移植术后 1 年以上的患者进行半结构式访谈。
共确定了 5 个主题：“不回避谈论死亡”、“对死亡过程中的痛苦感到恐惧”、“希望有尊严地离世”、“濒死体验的丰富令人惊讶”和“接近死亡使人们更容易接受死亡”。
心脏移植受者对死亡持积极态度，并希望在生命末期“有尊严地离世”。这些患者的濒死体验以及在患病过程中对死亡的积极态度为中国开展死亡教育提供了依据，也支持了体验式死亡教育方法。
