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解剖学教学中遗体捐赠的障碍:来自学生和捐赠者的经验教训

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

作者信息

Thengal Deepsikha, Baruah Jenita, Shyam Gautam, Kusre Giriraj

机构信息

Anatomy, Assam Medical College, Dibrugarh, IND.

Community Medicine, Assam Medical College, Dibrugarh, IND.

出版信息

Cureus. 2024 Oct 16;16(10):e71635. doi: 10.7759/cureus.71635. eCollection 2024 Oct.

Abstract

Introduction Cadaveric dissection has remained the mainstay of anatomy teaching. However, there is an acute shortage of cadavers for teaching undergraduate students, postgraduates, and specialists, and to supplement the gap, voluntary body donation is gaining momentum. The present study aims to explore the barriers to body donations for anatomical dissection. Methods A descriptive study was undertaken among medical students and registered voluntary body donors at a medical college in the Upper Assam region of India from January 2024 to March 2024. Results The majority of the first-year MBBS medical students (129 out of 161; 80.1%) were found to be not willing to donate their bodies for anatomical dissection. There was no statistically significant difference in the age, gender, and religion of the participants. The primary reasons for students' reluctance to donate were emotional attachments to themselves, their family members, their religion, and their preferences on social customs for the disposal of the dead. Among the registered voluntary body donors, the most common source of information for the body donation program was an awareness program conducted by NGOs involved in the promotion of body donation. Altruism was the most common motivation for getting registered for body donation. Provision of cadavers for research and training was the most common reason for registration for donation, whereas lack of information was the most common barrier. All the participants wanted due respect for the donated bodies from the doctors, students, and staff during handling. Conclusion The mere possession of knowledge regarding body donation does not increase participation in the actual process. Personal beliefs, repeated motivations by voluntary organizations and registered donors, proper utilization of the bodies, and setting examples in ethical handling of the donated bodies in the dissection hall may greatly improve the body donation program.

摘要

引言 尸体解剖一直是解剖学教学的主要方式。然而,用于本科生、研究生和专科生教学的尸体严重短缺,为了弥补这一缺口,遗体自愿捐赠的势头正在增强。本研究旨在探讨遗体捐赠用于解剖的障碍。方法 2024年1月至2024年3月,在印度上阿萨姆邦地区的一所医学院对医学生和已登记的遗体自愿捐赠者进行了一项描述性研究。结果 发现大多数一年级医学学士医学生(161人中有129人;80.1%)不愿意捐赠遗体用于解剖。参与者的年龄、性别和宗教信仰没有统计学上的显著差异。学生不愿捐赠的主要原因是对自己、家人、宗教的情感依恋,以及他们对处理死者的社会习俗的偏好。在已登记的遗体自愿捐赠者中,遗体捐赠项目最常见的信息来源是由参与推广遗体捐赠的非政府组织举办的宣传活动。利他主义是登记遗体捐赠最常见的动机。提供尸体用于研究和培训是登记捐赠最常见的原因,而信息缺乏是最常见的障碍。所有参与者都希望在处理过程中,医生、学生和工作人员能对捐赠的遗体给予应有的尊重。结论 仅仅拥有遗体捐赠的知识并不会增加实际参与度。个人信念、志愿组织和已登记捐赠者的反复激励、对遗体的妥善利用,以及在解剖室对捐赠遗体进行道德处理方面树立榜样,可能会大大改善遗体捐赠项目。

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