器官捐献者家属对预立医疗照护计划认知状况的质性研究

Qualitative Study on the Cognition Status of Organ Donors'Family Members to Advance Care Planning

探讨器官捐献者家属对预立医疗照护计划的认知、态度及影响因素,为在器官捐献领域进一步推广预立医疗照护计划提供依据。采用质性研究方法,目的性抽样选择8名器官捐献者家属进行半结构式访谈,并运用Colaizzi 7步法对访谈资料进行分析、归纳主题。结果显示,器官捐献者家属对预立医疗照护计划的认知状况可归纳为3个主题:预立医疗照护计划实施面临的问题;对预立医疗照护计划实施的肯定认同;影响预立医疗照护计划推广的因素。器官捐献者家属对预立医疗照护计划概念陌生、认知不清晰,但认为实施预立医疗照护计划具有积极意义,建议进一步加强对该群体预立医疗照护计划、医疗自主权、死亡教育等方面的宣传,以期促进预立医疗照护计划的发展,提高器官捐赠意愿。

Discussing the cognition,attitude and influencing factors of the family members of organ donors towards advance care planning(ACP)to provide a basis for the further promotion of ACP in the field of organ donation.Using qualitative research methods,8 family members of organ donors were selected purposefully for semi-structured interviews,and the 7-step of Colaizzi was used to analyze and summarize the themes of the interview data.The results showed that the cognition status of the family members of organ donors of ACP could be summarized into 3 themes:problems faced by ACP implementation,positive recognition of the implementation of ACP,factors affecting the promotion of ACP.Organ donors'family members are unfamiliar with the concept of ACP and have unclear cognition,but think that the implementation of ACP is of positive significance.It is suggested to further strengthen the publicity of ACP,medical autonomy,death education,so as to promote the development of ACP and improve the willing to donate organ.