遺愛人間：器官捐贈家屬之決策歷程

Leaving Love Behind: Decision-making Process of the Organ Donation Families

本研究之主要目的為：探討器官捐贈家屬之內在主觀經驗、決定捐贈歷程、背後動機及強烈情緒，以建構出家屬之獨特內心世界。研究者共深度訪談了九個器官捐贈家庭，計十四位家屬，再輔以三位醫務社工員及一位受贈者的訪談資料，以多角度之視野來看待器官捐贈議題。本文重點分析了：家屬對親人腦死之情緒反應、因應方式、捐贈者之生前意願對家屬決策之影響、器官捐贈訊息之來源、決策者之特性、親友的反對、宗教的影響、醫療的角色、捐贈後對事件的看法、對受贈者看法、聯誼（輔導）團體之影響、哀傷調適及其後之社會心理需求。研究者就接受死亡或眷戀糾葛、個人決策或群體決策、及社會支持或社會阻力三大議題進行了更深入的討論。

The main purpose of the study was to explore the subjective experiences of the organ donation families, their decision-making processes, underlying motivations and intense emotions in order to reconstruct the unique psychological worlds of these great families. A total of nine organ donation families （14 members） were interviewed in-depth. Three hospital social workers and one organ recipient were also interviewed to open up multiple perspectives on the issue of organ donation. Major results were presented pertaining to: emotional reactions to the brain death of family members, as well as coping strategies, effects of donors’ declaration on decision-making, sources of organ donation, characteristics of the main decision makers, objections of family relatives, influences of various religions, and roles of the medical professions, the meanings of organ donation, family members’ opinions of organ recipient, influences of counseling groups, grief adaptation and further psycho-social needs. Three issues were further discussed: accepting death or lingering solace, individual decision or group decision, and social support or social obstruction.