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为我们无声的老师发声:来自美国一个捐赠项目的捐献者视角的全器官捐献。

Giving a voice to our silent teachers: Whole body donation from the donor perspective at one donation program in the United States.

机构信息

Department of Biochemistry and Molecular & Cellular Biology, Georgetown University School of Medicine, Washington, DC, USA.

Division of Anatomy¸ Department of Biomedical Education and Anatomy, College of Medicine, The Ohio State University, Columbus, Ohio, USA.

出版信息

Anat Sci Educ. 2024 Jun;17(4):893-908. doi: 10.1002/ase.2410. Epub 2024 Mar 22.

Abstract

Human body donors play a crucial role in anatomical education, research, and clinical skills training, and those interested in anatomical donation may bequeath their bodies to body donation programs (BDPs). The purpose of this study was to evaluate the perspective of body donors on the donation process in order to make recommendations for improvement that align with donor values. A survey was administered via email to 2145 individuals that had enrolled in The Ohio State University's BDP and yielded a 40% response rate. Results showed that a majority of registered donors do not place high importance on detailed consent options during the enrollment process, but do value BDP oversight, such as through the use of an oversight committee to supervise the program. Only 9.1% of donors felt that their loved ones should be permitted to make changes to their consent forms after they have passed. Although 96.2% of participants would allow photos/videos to be taken of their donated bodies, females were significantly less likely to consent to this than males (p = 0.001), as well as less likely to allow their donations to be utilized for anatomy outreach (p = 0.023). Racial minorities were significantly less trusting of the university to treat their donation with dignity and respect compared to White registrants (p = 0.034). Suggestions for improving BDP protocols include the implementation of an annual newsletter for registrants, improving methods to spread awareness about donation, increasing transparency during the consent process, and creating resources for donors' families.

摘要

人体捐献者在解剖学教育、研究和临床技能培训中发挥着至关重要的作用,有兴趣进行解剖学捐献的人可以将自己的遗体捐赠给遗体捐赠计划(BDP)。本研究的目的是评估遗体捐献者对捐献过程的看法,以便提出符合捐献者价值观的改进建议。我们通过电子邮件向 2145 名已在俄亥俄州立大学 BDP 登记的个人发送了一份调查,回复率为 40%。结果表明,大多数登记的捐献者在登记过程中并不重视详细的同意选项,但重视 BDP 的监督,例如通过使用监督委员会来监督该计划。只有 9.1%的捐献者认为他们的亲人在他们去世后应该被允许更改他们的同意书。尽管 96.2%的参与者允许拍摄他们捐献的遗体的照片/视频,但女性比男性更不愿意同意(p=0.001),也不太愿意允许他们的捐献用于解剖学推广(p=0.023)。与白人登记者相比,少数族裔对大学以尊严和尊重的方式对待他们的捐赠的信任程度明显较低(p=0.034)。改进 BDP 协议的建议包括为登记者实施年度通讯,改进宣传捐赠的方法,增加同意过程的透明度,并为捐献者的家属创建资源。

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