Nursing School of University of São Paulo (EEUSP), São Paulo, SP, Brazil.
Department of Professional Guidance, Nursing School of University of São Paulo, São Paulo, SP, Brazil.
Burns. 2024 Apr;50(3):709-716. doi: 10.1016/j.burns.2023.12.004. Epub 2023 Dec 12.
Despite the advantages of using deceased donor skin in the treatment of burns, it is not easy to obtain these grafts due to low tissue donation rates. In order to discover the social representations of family members of organ donors regarding skin donation and to analyze the convergences and divergences of these representations between family members who consented and those who refused to allow skin to be donated for transplantation, we conducted interviews with 20 family members of organ donors in a situation of brain death. Data were obtained through interviews and submitted to the Collective Subject Discourse Analysis Technique. This study shows that in the opinion of family members who consented and those who did not authorize skin donation, the consideration contains both positive and negative representations, which can have different weights and influence decision-making. This study also highlights, in an unprecedented way, the representation of the animalization of the donor, which can be a reason for the refusal to allow skin to be donated.
尽管使用已故供体皮肤治疗烧伤有很多优势，但由于组织捐献率低，这些移植物不易获得。为了发现器官捐献者家属对皮肤捐献的社会表征，并分析同意和拒绝捐献皮肤用于移植的家属之间这些表征的趋同和分歧，我们对 20 名脑死亡情况下的器官捐献者家属进行了访谈。通过访谈获得的数据，并提交给集体主体话语分析技术。这项研究表明，在同意和不同意授权捐献皮肤的家属看来，这种考虑既包含正面的也包含负面的表征，这些表征的重要性可能不同，并影响决策。这项研究还前所未有地突出了供体动物化的表征，这可能是拒绝捐献皮肤的一个原因。
