West James M
University of Tennessee Health Science Center, Methodist Transplant Institute, Medical Anesthesia Group, Memphis, Tennessee, USA.
Curr Opin Anaesthesiol. 2014 Apr;27(2):170-6. doi: 10.1097/ACO.0000000000000053.
To review the belief's of Jehovah's Witnesses regarding the use of blood and blood products, and how to ensure that those patients professing to be Jehovah's Witnesses are treated ethically.
There are a number of blog sites that have reported that Jehovah's Witnesses have changed their position on transfusion, but communications with them have revealed these reports to be untrue. Most articles about the treatment of Jehovah's Witnesses focus on respect for personal autonomy and the right to refuse treatment. Although this is imperative, especially in the USA, it is important not only to respect this right, but also to ensure that the patient understands all of his or her options, is making these decisions free of coercion, is optimally prepared for surgery and that the anesthesia provider is fully prepared. The anesthesiologist's rights should be respected as well.
When treating a patient that may be one of Jehovah's Witnesses, the principle of respect for autonomy is not the only principle that must be heeded. Adherence to the principles of beneficence, nonmaleficence and sometimes justice is paramount as well.
回顾耶和华见证人教派对于血液及血液制品使用的观念，以及如何确保对自称耶和华见证人的患者进行符合伦理的治疗。
有一些博客网站报道称耶和华见证人在输血问题上改变了立场，但与他们的沟通表明这些报道并不属实。大多数关于耶和华见证人治疗的文章都集中在尊重个人自主权和拒绝治疗的权利上。虽然这至关重要，尤其是在美国，但不仅要尊重这一权利，还必须确保患者了解所有选择，在没有胁迫的情况下做出这些决定，为手术做好最佳准备，并且麻醉提供者也做好充分准备。麻醉医生的权利也应得到尊重。
在治疗可能是耶和华见证人的患者时，尊重自主权原则并非唯一必须遵循的原则。坚持行善、不伤害以及有时的公正原则同样至关重要。
