要求亲属同意进行器官捐献的重症监护:西班牙移植协调员实践的经验分析
Rubén García-Sánchez1, María Soria-Oliver2, Jorge S López2,3
1Departamento de Psicología Social y Metodología, Facultad de Psicología, Universidad Autónoma de Madrid, Ciudad Universitaria de Cantoblanco, Madrid, Spain.
Transplantation
|October 8, 2024
概括
西班牙的移植协调员使用专业的策略,在早期接受器官捐献重症监护 (ICOD) 面试时支持家庭. 这种方法旨在在困难时期促进同意并尊重家庭需求.
科学领域:
- 医学伦理 医学伦理
- 移植医学 移植医学
- 关键护理医学 关键护理医学
背景情况:
- 对于严重脑损伤的患者,开始为器官捐献 (ICOD) 提供密集护理,以促进器官采购.
- 西班牙的系统包括与亲属进行早期采访,以获得ICOD的同意.
- 家庭可以在脑死亡,循环决定死亡或取消生命支持后选择捐赠.
研究的目的:
- 分析西班牙移植协调员在ICOD同意的早期采访中与亲属的互动策略.
- 了解潜在器官捐献途径的后续过程.
主要方法:
- 对23个西班牙移植协调小组进行半结构面试.
- 使用随机分层采样方法.
- 使用内容分析分析记录和转录的采访.
主要成果:
- 有效的ICOD同意策略需要事先协调和收集信息.
- 早期采访的关键要素包括同情家庭,确认预后,解释捐赠选择,并解决担忧.
- 确保家庭舒适和评估他们的需求是过程中不可或缺的组成部分.
结论:
- 西班牙的移植协调团队经常通过专业和多样化的策略,与家庭接触,以获得ICOD同意.
- 与亲属建立一个支持性的关系是获得同意的核心.
- 该研究为在不同环境中获得ICOD同意提供了有价值的策略.
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