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随着死囚器官获取的禁止,器官移植事业的发展仰赖于人体器官捐献工作的推广。在劝募过程中展现人文关怀,使潜在捐献者家庭得到认可和激励,有助于人体器官捐献事业的整体发展。复旦大学附属华山医院器官获取组织成立于2014年1月,执行脑心死亡标准,迄今为止共产生器官捐献案例21例。笔者作为医院在编的专职社会工作者加入人体器官获取组织,向捐献者家庭提供专业服务。本文采用质性研究方法,通过笔者的参与式观察获得资料,结合对4个典型案例的分析,归纳出了医务社会工作者在人体器官获取组织中的工作职能,包括:在劝募期与潜在捐献者家庭建立关系;在支持期对捐献者家庭进行综合评估,协助告别并处理各项非医疗事务;在跟踪期对捐献者家庭持续开展哀伤辅导,并关注受捐者的情况。此外,在器官捐献的宣传与推动上,医务社会工作者也有发挥作用的空间。
With the ban on the access of prisoners of death, the development of organ transplantation relies on the promotion of human organ donation. Humanistic care is demonstrated in the process of fund-raising and the families of potential donors are recognized and motivated, contributing to the overall development of donations to human organs. Huazhan Hospital, Fudan University organ acquisition organization was established in January 2014, the implementation of brain and heart death standards, so far, 21 cases of total organ donation cases. The author as a hospital in a full-time social worker to join the human organ access to organizations to provide professional services to the donor family. In this paper, we use the qualitative research method to obtain the data through the author’s participatory observation. Combining with the analysis of four typical cases, the author summarizes the work functions of medical social workers in the acquisition of human organs, including: Family; establishing a comprehensive assessment of the donor’s family during the support period, assisting in bidding farewell to and handling various non-medical matters; and continuing the sad counseling of the donor’s family during the tracking period, and paying attention to the situation of the recipient. In addition, medical social workers also have a role to play in the promotion and promotion of organ donation.