Faculty of Medical Sciences of Tarbiat Modares University, Iran.
Nurs Ethics. 2012 Sep;19(5):654-65. doi: 10.1177/0969733011423410.
This qualitative research study with a content analysis approach aimed to explore families' experiences of an organ donation request after brain death. Data were collected through 38 unstructured and in-depth interviews with 14 consenting families and 12 who declined to donate organs. A purposeful sampling process began in October 2009 and ended in October 2010. Data analysis reached 10 categories and two major themes were listed as: (1) serenity in eternal freedom; and (2) resentful grief. The central themes were peace and honor versus doubt and regret. The findings indicated that the families faced with an organ donation request of a brain-dead loved one experienced a lasting effect long after the patient's demise regardless of their decision to donate or refusal to donate. In conclusion, this study highlights the importance of family support and follow-up in an efficient healthcare system aimed at developing trust with the families and providing comfort during and after the final decision.
本研究采用定性内容分析法，旨在探讨脑死亡后家庭对器官捐献请求的体验。通过对 14 个同意捐献器官和 12 个拒绝捐献器官的家庭的 38 次非结构化深入访谈收集数据。目的抽样于 2009 年 10 月开始，2010 年 10 月结束。数据分析得到 10 个类别，列出两个主要主题：（1）永恒自由的宁静；（2）愤恨的悲伤。中心主题是和平与荣誉对怀疑和遗憾。研究结果表明，无论家庭决定捐献与否，在患者去世后很长一段时间内，面对脑死亡亲人的器官捐献请求，他们都会经历持久的影响。总之，本研究强调了在有效的医疗保健体系中，家庭支持和随访的重要性，旨在与家庭建立信任，并在最终决策时和之后提供安慰。
