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影响中国湖南省家庭器官捐献决策的因素

Factors Influencing Families' Decision-Making for Organ Donation in Hunan Province, China.

作者信息

Huang P, Luo A, Xie W, Xu Z, Li C

机构信息

Department of Pharmacy, The Third Affiliated Hospital, Central South University, Hunan Province, China.

Laboratory of Medical Information Research, The Third Xiangya Hospital, Central South University, Hunan Province, China.

出版信息

Transplant Proc. 2019 Apr;51(3):619-624. doi: 10.1016/j.transproceed.2019.01.052. Epub 2019 Jan 26.

Abstract

BACKGROUND

In 2010, the Chinese government started a pilot project of donation after Chinese citizens' death. Seeking the consent of the families of potential donors is an important task in the organ donation process.

OBJECTIVE

We aimed to explore the factors that influence the families' decision-making for organ donation.

METHODS

We performed a content analysis of 30 semistructured in-depth interviews with immediate family members who made the decision for an organ donation. The interviewees were asked questions such as how the decision to donate was made, what factors influenced the decision, and whether the decision was rejected by relatives and friends.

RESULTS

The interviewees were the donors' parent (15; 50%), spouse (9; 30%), brother (3; 10%) or son (3; 10%), including 18 men and 12 women, with a mean age of 41.6 (standard deviation, 10.7) years; rural households accounted for 83.3%. Through analyzing the interview notes, 17 factors ware mentioned by interviewees, and 3 types of decision-making in organ donors' families were obtained. Then, the factors affecting the decisions of the donor families were classified into 3 categories and 11 subcategories.

CONCLUSIONS

Factors influencing the families' decision-making for organ donation were analyzed preliminarily in this study.

摘要

背景

2010年,中国政府启动了公民逝世后器官捐献试点项目。征求潜在捐献者家属的同意是器官捐献过程中的一项重要任务。

目的

我们旨在探讨影响家属做出器官捐献决定的因素。

方法

我们对30名做出器官捐献决定的直系亲属进行了半结构化深度访谈,并进行了内容分析。向受访者提出了诸如如何做出捐献决定、哪些因素影响了该决定以及该决定是否遭到亲戚朋友反对等问题。

结果

受访者为捐献者的父母(15名;50%)、配偶(9名;30%)、兄弟(3名;10%)或儿子(3名;10%),包括18名男性和12名女性,平均年龄为41.6岁(标准差为10.7岁);农村家庭占83.3%。通过分析访谈记录,受访者提到了17个因素,并得出了器官捐献者家庭中的3种决策类型。然后,将影响捐献者家庭决策的因素分为3大类和11小类。

结论

本研究初步分析了影响家属做出器官捐献决定的因素。

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