Al Mutair Abbas, Ambani Zainab, Woodman Alexander, Saha Chandni, Alharbi Hanan F, Elgamri Alya
Research Center, Almoosa Specialist Hospital, P.O. Box 5098, Al-Ahsa 36342, Saudi Arabia.
School of Nursing, University of Wollongong, Wollongong, NSW 2522, Australia.
Healthcare (Basel). 2024 Jan 24;12(3):298. doi: 10.3390/healthcare12030298.
According to prevailing views in neuroscience, near-death experiences (NDE) occurring after severe head trauma, critical illness, or coma are often life-transforming experiences in which no awareness or sensory experience of any kind is possible. Although there are general patterns, each case is quite different from the other and requires accurate recording and reporting to potentially explain the phenomenon.
This narrative study aimed to explore a pregnant woman's NDE due to complications from MERS-CoV.
This was a qualitative narrative study with the administration of two unstructured interviews. After the second interview, the participant completed the Greyson NDE scale, presented through descriptive statistics. Qualitative data were analyzed using Labov's model of narrative analysis through abstract, orientation, complicating action, evaluation, resolution, and coda.
The Greyson scale resulted in a total score of 12, confirming that the patient had experienced an NDE. Labov's model of narrative analysis revealed that the patient's experience was not limited to the NDE but had implications for her recovery and life. The patient experienced all three types of NDEs: out-of-body, transcendental, including the transition of consciousness to another dimension, and a combined experience. She also suffered from prolonged hallucinations, neuropathy, and post-intensive care syndrome (PICS). At the same time, the patient experienced what is known as NDE aftereffects, which are caused by a change in beliefs and values; she began to lead a more altruistic life and became interested in the meaning of life.
NDE survivors should be encouraged to talk more and share their stories with others if they wish. This study not only investigates the NDE but also considerably adds to the existing literature by integrating a unique cultural view from a country outside of the US and other Western nations, and it highlights the significant role of healthcare providers in NDEs and the importance of communication with comatose patients. It underscores the need for compassion when dealing with patients with NDEs.
根据神经科学的主流观点，严重头部创伤、危重病或昏迷后出现的濒死体验（NDE）通常是改变人生的经历，在此期间不可能有任何意识或感官体验。尽管存在一般模式，但每个案例都彼此迥异，需要准确记录和报告，以便有可能解释这一现象。
本叙述性研究旨在探讨一名孕妇因中东呼吸综合征冠状病毒（MERS-CoV）并发症而产生的濒死体验。
这是一项定性叙述性研究，进行了两次非结构化访谈。在第二次访谈后，参与者完成了格雷森濒死体验量表，并通过描述性统计呈现结果。定性数据采用拉波夫叙事分析模型，通过抽象、定向、复杂行动、评价、解决和结尾进行分析。
格雷森量表总分为12分，证实该患者经历了濒死体验。拉波夫叙事分析模型表明，患者的体验不仅限于濒死体验，还对她的康复和生活产生了影响。患者经历了所有三种类型的濒死体验：体外体验、超验体验（包括意识向另一个维度的转变）以及综合体验。她还遭受了长时间的幻觉、神经病变和重症监护后综合征（PICS）。同时，患者经历了所谓的濒死体验后遗症，这是由信念和价值观的改变引起的；她开始过上更具利他主义的生活，并对生命的意义产生了兴趣。
如果愿意，应鼓励濒死体验幸存者更多地交流并与他人分享他们的故事。本研究不仅调查了濒死体验，还通过融入来自美国和其他西方国家以外国家的独特文化观点，极大地丰富了现有文献，并且突出了医疗保健提供者在濒死体验中的重要作用以及与昏迷患者沟通的重要性。它强调了在处理濒死体验患者时要有同情心的必要性。
