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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Impact of cadaveric organ donation on Taiwanese donor families during the first 6 months after donation.
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Impact of cadaveric organ donation on Taiwanese donor families during the first 6 months after donation.

机译：尸体器官捐赠对台湾捐赠家庭的影响在捐赠后的前六个月内。

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摘要

OBJECTIVE: Organ donation is a complex decision for family members of Asian donors. The impact of cadaveric organ donation on both Chinese and Western donor families has not been well investigated within a cultural framework. The purposes of this study were to follow Chinese family members' appraisal of their decision to donate organs, to explore the possible negative and positive impacts of organ donation on their family life, and to determine what help they expected from healthcare providers during the first 6 months after donation. METHODS: Twenty-two family members (10 men and 12 women) of cadaveric organ donors who signed consent forms at an organ transplant medical center in Taiwan participated in this project and completed in-depth interviews during the sixth month after donation. RESULTS: Participants were 25 to 56 years old (mean = 48.15 +/- 8.31 years). The type of kinship of the participants included the donor's parents, older sister, and spouse. Subjects reported several negative impacts: worry about the donor's afterlife (86%), stress due to controversy among family members over the decision to donate (77%), and stress due to others' devaluation of the donation (45%). Positive impacts reported by the subjects included having a sense of reward for helping others (36%), having an increased appreciation of life (32%), having closer family relationships (23%), and planning to shift life goals to the study of medicine (9%). Subjects expected the transplant team to provide information about organ recipients (73%), to submit the necessary documents so that family members could receive healthcare payments from the insurance company (68%), to help resolve legal proceedings and settlements associated with accidents (64%), and to not overly publicize their decision to donate (64%). CONCLUSIONS: Although all of the subjects reported that organ donation was the right decision, the decision to donate did not protect Taiwanese donor families from negative psychocognitive bereavement. The impacts of organ donation were affected by the subject's social cultural, spiritual, and legal context and the nature of their bereavement.
机译：目的：器官捐赠对于亚洲捐赠者的家庭成员来说是一个复杂的决定。在文化框架内，尸体器官捐赠对中西方捐赠者家庭的影响尚未得到充分研究。这项研究的目的是跟随中国家庭成员对他们捐赠器官的决定的评估，探讨器官捐赠对其家庭生活可能产生的负面和正面影响，并确定他们在前6年中对医疗保健提供者的期望捐赠几个月后。方法：在台湾器官移植医学中心签署同意书的22名尸体器官捐赠者家庭成员（10名男性和12名女性）参加了该项目，并在捐赠后的第六个月内完成了深入访谈。结果：参与者年龄为25至56岁（平均= 48.15 +/- 8.31岁）。参加者的亲属类型包括捐赠者的父母，姐姐和配偶。受试者报告了一些负面影响：担心捐赠者的来世（86％），由于家庭成员对捐赠决定的争议而引起的压力（77％），以及由于其他人对捐赠的贬值而引起的压力（45％）。受试者报告的积极影响包括：对他人的帮助感（36％），对生活的欣赏度提高（32％），亲密的家庭关系（23％）以及计划将生活目标转向研究药（9％）。受试者期望移植团队提供有关器官接受者的信息（73％），提交必要的文件，以便家庭成员可以从保险公司获得医疗费用（68％），以帮助解决与事故相关的法律程序和解决方案（64） ％），并且不要过分宣传其捐赠决定（64％）。结论：尽管所有受试者均报告器官捐赠是正确的决定，但捐赠的决定并不能保护台湾捐赠者家庭免受负面的心理认知丧失。器官捐赠的影响受受试者的社会文化，精神和法律背景及其丧亲之痛的影响。

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