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拉丁美洲解剖学家对人体解剖和捐赠的看法。

Latin American Anatomists' views on human body dissection and donation.

作者信息

Arráez-Aybar Luis-A, Biasutto Susana, Amer Mariano A R, García-Mata Ricardo, Bueno-López José L

机构信息

Department of Anatomy & Embryology, Faculty of Medicine, University Complutense of Madrid (UCM), Madrid, Spain.

Chair of Normal Anatomy. Faculty of Medical Sciences, National University of Cordoba, Argentina.

出版信息

Ann Anat. 2023 Feb;246:152037. doi: 10.1016/j.aanat.2022.152037. Epub 2022 Nov 24.

Abstract

BACKGROUND

Studies abound regarding the medical students' views on the importance of anatomy and the dissection of human bodies, but little is known about the views of Latin American Anatomists.

METHODS

A survey was carried out to test several hypotheses among anatomists of the Americas about how they perceive their professional identity, the use and role of dissection in their undergraduate courses, and the approval degree of bequeathing their body for anatomical teaching/research; another goal was ascertaining to what extent their attitude on these topics depended on gender, length of teaching experience and belief in the afterlife.

RESULTS

One hundred and forty-five anatomists from thirteen Latin American and Caribbean Countries took the survey; 79% stated the main role of an anatomist is teaching; 34% recorded their undergraduate students dissected human cadavers as part of their anatomy lab course-undergraduates dissecting less in the less experienced anatomists' courses (p = 0.0002). Most anatomists said dissection was a training tool for undergraduate students, a tool for developing professional skills, and a tool to help control emotions-most experienced anatomists stood out from the rest saying dissection is only to teach anatomy (p < 0.001), even if such response was the least valued by them among all replies. Men differed from women in valuing dissection as a tool to help control emotions (p = 0.006); less experienced anatomists held the opposite (p < 0.0001). Approval of a close doctor-patient relationship diverged, being different between the most and the least experienced anatomists (p = 0.01). Anatomists said they would donate only their organs (44%), whole body (9%) and both organs and body (46%). Undecided anatomists about the belief in life after death were the least in favor of donation (p = 0.05).

摘要

背景

关于医学生对解剖学及人体解剖重要性的看法,已有大量研究,但对于拉丁美洲解剖学家的观点却知之甚少。

方法

开展了一项调查,以检验美洲解剖学家的几个假设,内容涉及他们如何看待自己的职业身份、解剖在本科课程中的使用及作用,以及将遗体捐赠用于解剖教学/研究的认可程度;另一个目标是确定他们在这些话题上的态度在多大程度上取决于性别、教学经验时长以及对来世的信仰。

结果

来自13个拉丁美洲和加勒比国家的145位解剖学家参与了此次调查;79%的人表示解剖学家的主要职责是教学;34%的人记录了他们的本科生在解剖学实验课程中解剖人体尸体的情况——经验不足的解剖学家所教授课程中的本科生解剖尸体的比例较低(p = 0.0002)。大多数解剖学家表示,解剖是本科生的一种训练工具、一种培养专业技能的工具,以及一种有助于控制情绪的工具——经验最丰富的解剖学家与其他解剖学家不同,他们表示解剖仅用于教授解剖学(p < 0.001),即便这一回答在他们所有的回答中是最不受重视的。在将解剖视为有助于控制情绪的工具这一点上,男性和女性看法不同(p = 0.006);经验较少的解剖学家持相反观点(p < 0.0001)。对密切医患关系的认可存在差异,经验最丰富和最缺乏经验的解剖学家看法不同(p = 0.01)。解剖学家表示他们只会捐赠器官(44%)、遗体(9%)以及器官和遗体都捐赠(46%)。对来世信仰持不确定态度的解剖学家最不支持捐赠(p = 0.05)。

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