心脏死亡捐献单中心工作实践与思考

中国组织工程研究 第17卷 第53期 2013–12–31出版

Chinese Journal of Tissue Engineering Research December 31, 2013 Vol.17, No.53 www.

心脏死亡捐献单中心工作实践与思考

http://www.wendangwang.com

doi:10.3969/j.issn.2095-4344.2013.53.019 [http://www.wendangwang.com]

朱光影,于姗姗,王海峰,李虹彦. 心脏死亡捐献单中心工作实践与思考[J].中国组织工程研究,2013,17(53):9215-9220.

心脏死亡捐献单中心工作实践与思考★

朱光影1,于姗姗2,王海峰3,李虹彦4 (吉林大学第一医院,1新生儿科,2血液肿瘤中心,3心脏死亡捐献办公室,4护理部,吉林省长春市 130021)

文章亮点:

1 文章结合吉林大学第一医院心脏死亡捐献试点工作,阐述心脏死亡捐献探索过程,总结阶段性成果,探讨实践工作中暴露出的实际问题,深入思考问题成因,为下一步工作的开展指明急待改进的内容及重点建设的方向。

2 伦理评估与审批作为心脏死亡捐献工作的一个重要环节,要求捐献工作应遵循知情同意原则、自愿原则、无偿原则、公平分配原则、保密原则、透明性原则等准则,涉及供者、受者、家属、协调员、医生、社会等各个方面,应引起同道的重视,严格依法遵章执行。 关键词:

器官移植;器官移植学术探讨;心脏死亡捐献;器官移植;肾移植;肝移植;供者;管理体系;工作流程;伦理;回顾性研究 主题词:

肾移植;肝移植;器官供者;组织和器官获取

摘要

背景:心脏死亡捐献是国内现阶段解决器官来源的科学决策。国内外对移植器官受者及其家属的相关指标探讨较多,其次为捐献态度及其影响因素调查和伦理相关问题的研究,基于心脏死亡捐献基础上的供者及家属情况分析探讨较少。 目的:回顾性分析吉林大学第一医院自2011年被卫生部和中国红十字会指定为心脏死亡捐献工作第二批试点单位以来的工作经验,汇总供者及其家属的信息,及时审视工作进展并探讨需要改进的方面。

方法:以单中心试点工作以来获得的组织经验为基础,结合所接触的供者及其家属的自然状况、社会属性、对心脏死亡捐献的认知等情况,予以统计学处理。

结果与结论:吉林大学第一医院心脏死亡捐献工作已逐步正规化,取得了一定成果,工作中总结了现存问题及普遍误区,以指导下一步工作。总结改进要点如下:①采取具体措施协助供者家属应对传统观念、心理压力及伦理问题。②大力发展与地方医院的交流与合作。③不能疏忽伦理评估与审批。④认真准确及时地上报供者信息,并随时更新受者信息库中的资料。⑤遇到特殊案例应进行小组讨论,针对个案探讨成功或失败的经验。⑥培养心脏死亡捐献团队成员整体素养。

Single-center experience of donation after cardiac death and its inspirations

Zhu Guang-ying1, Yu Shan-shan2, Wang Hai-feng3, Li Hong-yan4 (1Department of Neonatology, 2Blood Tumor Center, 3Office of Cardiac Death Donation, 4Department of Nursing, the First Hospital of Jilin University, Changchun 130021, Jilin Province, China)

Abstract

BACKGROUND: Donation after cardiac death is a scientific strategy for solving organ source in modern China.

Numerous studies focused on the relevant indexes of transplant organ recipients and their family members in

China and outside China, and donation attitude, influencing factor investigation and relevant ethical problems. Few studies addressed the donors for donation after cardiac death and their family members. OBJECTIVE: To retrospectively analyze experience, summarize the information of donor and their family members, check our work and find out the shortcomings we should correct since the First Hospital of Jilin University was appointed as the second pilot organization of Donation of Cardiac Death by Ministry of Public

Health of China and Red Cross Society of China in 2011.

METHODS: On the basis of experience of single center pilot, statistical treatment was done in combination with

general data, social nature, and recognition of donation after cardiac death of donors and their family members.

RESULTS AND CONCLUSION: The donation after cardiac death in the First Hospital of Jilin University has been

gradually regularized and obtained a certain outcome, and some existing problems and common errors are

summarized to guide further work. Improvements are as follows: (1) precise measures are used to overcome conventional idea, mental stress and ethical problems of donor’s family members. (2) Try to make vigorous expansion of communication and cooperation with local hospitals. (3) Cannot ignore ethical evaluation and ISSN 2095-4344 CN 21-1581/R CODEN: ZLKHAH 朱光影★,女,1985年生,黑龙江省讷河市人,汉族,吉林大学第一医院在读硕士,主要从事护理管理与临床护理方面的研究。 shadowasiron@http://www.wendangwang.com

通讯作者:李虹彦,院长助理,主任,硕士生导师,吉林大学第一医院,吉林省长春市 130021

hongyan99ok@http://www.wendangwang.com

中图分类号:R318 文献标识码:B 文章编号:2095-4344 (2013)53-09215-06

修回日期:2013-09-13 (201306087/G

〃Q)

Zhu Guang-ying★, Studying for

master’s degree, Department of

Neonatology, the First Hospital of Jilin University, Changchun 130021, Jilin Province, China shadowasiron@http://www.wendangwang.com

Corresponding author: Li Hong-yan, Master’s supervisor, Department of Nursing, the

First Hospital of Jilin University,

Changchun 130021, Jilin

Province, China a

hongyan99ok@http://www.wendangwang.com

Accepted: 2013-09-13

9215

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