Martial Charlotte, Fritz Pauline, Cassol Helena, Gosseries Olivia, Lambermont Bernard, Misset Benoit, Rousseau Anne-Françoise
Coma Science Group, GIGA-Consciousness, University of Liège, Avenue de l'hôpital, 11, Liège 4000, Belgium.
Centre du Cerveau, University Hospital of Liège, Avenue de l'hôpital, 11, Liège 4000, Belgium.
Int J Clin Health Psychol. 2024 Jul-Sep;24(3):100478. doi: 10.1016/j.ijchp.2024.100478. Epub 2024 Jun 18.
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.
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.
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.
Results emphasize the clinical importance of interviewing all ICU patients to explore any memory after an ICU stay.
重症监护病房（ICU）患者报告不同寻常的主观体验并不罕见，从与环境和谐相处的感觉到濒死体验（NDE）等复杂现象。这项为期1年的随访研究调查了ICU幸存者回忆起的濒死体验记忆的特征和潜在的整体影响。
我们前瞻性纳入了126名在ICU长期（>7天）住院的成年幸存者（各种病因），其中19名（15%）根据格雷森濒死体验量表报告有濒死体验。濒死体验组在1个月后接受了半结构化访谈，评估他们的记忆特征和相关的危及生命情况。纳入研究1年后，联系了所有患者（无论他们是否回忆起濒死体验）进行随访格雷森濒死体验量表评估，以及询问他们的ICU经历和出院后对死亡的看法。
格雷森濒死体验量表显示，最常报告的特征是时间感知改变、感官增强和生命回顾，且格雷森总分并未随时间变化。濒死体验记忆持续存在，伴有一些现象学特征（如视觉细节、情感）。ICU后1年，濒死体验组中有2名患者（18%）和非濒死体验组中有12名患者（共24%）对死亡的恐惧减轻。
结果强调了对所有ICU患者进行访谈以探索ICU住院后任何记忆的临床重要性。
