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死亡中的利他主义:澳大利亚学生对遗体和器官捐献的态度。

Altruism in death: Attitudes to body and organ donation in Australian students.

机构信息

Anatomy and Histology, School of Medical Sciences, Faculty of Medicine and Health, University of Sydney, Camperdown, New South Wales, Australia.

University of Sydney, Camperdown, New South Wales, Australia.

出版信息

Anat Sci Educ. 2023 Jan;16(1):27-46. doi: 10.1002/ase.2180. Epub 2022 Apr 28.


DOI:10.1002/ase.2180
PMID:35344291
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10084255/
Abstract

Health education, research, and training rely on the altruistic act of body donation for the supply of cadavers. Organ transplantation and research rely on donated organs. Supply of both is limited, with further restrictions in Australia due to requirements for a next-of-kin agreement to donation, irrespective of the deceased's pre-death consent. Research suggests health workers are less likely to support the donation of their own bodies and/or organs, despite recognizing the public good of donation, and that exposure to gross anatomy teaching may negatively affect support for donation. Attitudes to body and organ donation were examined in Australian students studying anatomy. Support for self-body donation (26.5%) was much lower than support for self-organ donation (82.5%). Ten percent of participants would not support the election of a family member or member of the public to donate their body, and just over 4% would not support the election of a family member to donate their organs, with one-to-two percent not supporting this election by a member of the public. Exposure to gross anatomy teaching was associated with an increased likelihood of consideration of issues about body and organ donation, whether for self, family, or the public, and registration as an organ donor. Exposure decreased participants' willingness to donate their own body, with those who practiced a religion least likely to support body donation. Gross anatomy courses provide an opportunity to inform future healthcare workers about altruistic donation, albeit with a recognition that religious or cultural beliefs may affect willingness to donate.

摘要

健康教育、研究和培训依赖于遗体捐献者的利他行为。器官移植和研究依赖于捐献的器官。供应是有限的,在澳大利亚,由于要求在捐赠时征得近亲同意,无论死者生前是否同意,限制进一步增加。研究表明,尽管卫生工作者认识到捐赠的公共利益,但他们不太可能支持自己的身体和/或器官捐赠,而且接触大体解剖教学可能会对捐赠的支持产生负面影响。本研究在学习解剖学的澳大利亚学生中调查了对遗体和器官捐赠的态度。支持自我遗体捐赠(26.5%)远低于支持自我器官捐赠(82.5%)。10%的参与者不支持选举家庭成员或公众成员捐献自己的身体,略多于 4%的参与者不支持选举家庭成员捐献自己的器官,有 1%至 2%的参与者不支持公众成员的这种选举。接触大体解剖教学与考虑关于自我、家庭或公众的遗体和器官捐赠问题的可能性增加有关,以及登记为器官捐献者有关。接触减少了参与者捐赠自己身体的意愿,而那些有宗教信仰的人最不可能支持遗体捐赠。大体解剖课程为未来的医疗保健工作者提供了一个了解利他主义捐赠的机会,尽管人们认识到宗教或文化信仰可能会影响捐赠意愿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/080d/10084255/b622a4b6375d/ASE-16-27-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/080d/10084255/27e36148c403/ASE-16-27-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/080d/10084255/83e45bb55d53/ASE-16-27-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/080d/10084255/20a18b116133/ASE-16-27-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/080d/10084255/b622a4b6375d/ASE-16-27-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/080d/10084255/27e36148c403/ASE-16-27-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/080d/10084255/83e45bb55d53/ASE-16-27-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/080d/10084255/20a18b116133/ASE-16-27-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/080d/10084255/b622a4b6375d/ASE-16-27-g002.jpg

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[2]
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[3]
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[4]
The acceptances and associated influences of body donation in Mainland China: a national cross-sectional study.

Sci Rep. 2025-4-22

[5]
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Anat Sci Educ. 2025-3

[6]
Attitudes of Slovenian students towards whole-body donation, organ donation, and the use of donated bodies in medical education.

BMC Med Educ. 2024-12-26

[7]
Barriers in Body Donations for Anatomy Teaching: Lessons Learned From Students and Donors.

Cureus. 2024-10-16

[8]
Knowledge, Attitudes, and Practices Regarding Organ Donation Among Medical Students in India: A Mixed Methods Study.

Cureus. 2024-3-14

[9]
A cross-sectional survey on university students' knowledge, attitudes, and behaviors regarding organ, tissue, and body donation.

Surg Radiol Anat. 2024-5

[10]
The Attitude of Medical Students Toward Voluntary Body Donation: A Single Institute Survey and Narrative Review of Global Trends.

Cureus. 2023-6-22

本文引用的文献

[1]
Perception and Attitude of Medical Students towards Cadaveric Dissection in Anatomical Science Education.

Ethiop J Health Sci. 2021-7

[2]
Organ Donation in Turkey: The Knowledge, Approaches and Opinions of Family Physicians.

Iran J Public Health. 2021-6

[3]
In death there is life: perceptions of the university community regarding body donation for educational purposes in the United Arab Emirates.

Heliyon. 2021-7-22

[4]
Attitude and knowledge of medical students about organ donation - training needs identified from a Canadian survey.

BMC Med Educ. 2021-7-5

[5]
Fear of Death and Examination Performance in a Medical Gross Anatomy Course with Cadaveric Dissection.

Anat Sci Educ. 2021-11

[6]
'Life after Death - the Dead shall Teach the Living': a Qualitative Study on the Motivations and Expectations of Body Donors, their Families, and Religious Scholars in the South Indian City of Bangalore.

Asian Bioeth Rev. 2020-6-10

[7]
Assessing the perceptions of individuals with differing levels and backgrounds of education towards whole-body donation.

Ann Anat. 2021-1

[8]
Evaluation of attitudes and opinions of medical faculty students against the use of cadaver in anatomy education and investigation of the factors affecting their emotional responses related thereto.

Surg Radiol Anat. 2021-4

[9]
The practice of ethics in the context of human dissection: Setting standards for future physicians.

Ann Anat. 2020-11

[10]
Why cultural safety rather than cultural competency is required to achieve health equity: a literature review and recommended definition.

Int J Equity Health. 2019-11-14

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