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法医解剖前后向家属解释的重要性:一项问卷调查研究的经验教训。

Importance of explanation before and after forensic autopsy to the bereaved family: lessons from a questionnaire study.

机构信息

Department of Health Services Management & Policy, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

出版信息

J Med Ethics. 2010 Feb;36(2):103-5. doi: 10.1136/jme.2009.031872.

DOI:10.1136/jme.2009.031872
PMID:20133405
Abstract

To investigate how bereaved families felt about the explanation received before and after forensic autopsies, the authors conducted a cross-sectional survey of the bereaved families whose next of kin underwent a forensic autopsy at the two Departments of Forensic Medicine and a few bereaved families of crime victims. Of 403 questionnaires sent, 126 families responded. Among 81.5% of the respondents who received an explanation from policemen before the autopsy, 78.8% felt that the quality of the explanation was poor or improper. In Japan, the law has restricted disclosure of information from a forensic autopsy. Despite legal restrictions, 82% wanted to hear from the person who conducted the autopsy. However, police explained the results of autopsy to 65.2% of respondents. Among the families whose frustration and anger increased after autopsy, 86.4% had not been satisfied with the explanation before the autopsy. Additionally, 57.7% had not been informed on the autopsy findings at the time of the questionnaire when more than 2 years had passed after the autopsy. These results reminded us of the importance of an explanation before and shortly after a forensic autopsy for a better understanding and acceptance by bereaved families.

摘要

为了调查丧亲家庭在法医解剖前后对所接受解释的感受,作者对在两个法医学系接受法医解剖的近亲的丧亲家庭以及一些犯罪受害者的丧亲家庭进行了横断面调查。共发出 403 份问卷,126 个家庭作出了回应。在接受解剖前警察解释的 81.5%的受访者中,78.8%的人认为解释的质量差或不适当。在日本,法律限制了法医解剖信息的披露。尽管存在法律限制,但 82%的人希望听取进行解剖的人的意见。然而,警方向 65.2%的受访者解释了尸检结果。在尸检后感到沮丧和愤怒增加的家庭中,86.4%的人在尸检前对解释不满意。此外,在尸检后超过 2 年进行问卷调查时,57.7%的人在尸检时没有被告知尸检结果。这些结果提醒我们,在法医解剖前后进行解释对于丧亲家庭更好地理解和接受至关重要。

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