ICU成人脑死亡供体器官维护期护理策略研究进展

doi:10.3761/j.issn.2096-7446.2025.05.022

Abstract

Abstract:

The organ maintenance period care is provided by ICU nurses to provide basic nursing care and humanistic support for brain death donors in order to improve the success rate of organ transplantation. This article reviews the criteria of brain death donors，nursing measures during the organ maintenance period，as well as the ethical and emotional needs that arise. The brain death judgment and donor organ maintenance in China not only improves the ability of ICU nurses to implement precise nursing care，but also creates greater ethical and emotional challenges between clinical work and family communication，so that nursing care during the organ maintenance period requires further standardized processes and policy support.

Key words: Brain Death, Organ Transplantation, Organ Maintenance Period, Intensive Care Units, Critical Care Nursing

JING Jiamei, WEI Xiaojing, WANG Zhenzhen, CUI Bowen, LIANG Hongxia. Research progress on nursing strategies for adult brain death donor organ maintenance in ICU[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(5): 631-635.

References 26

[1]	国家卫生健康委员会脑损伤质控评价中心, 中华医学会神经病学分会神经重症协作组, 中国医师协会神经内科医师分会神经重症专业委员会. 《脑死亡判定实施与管理:专家指导意见(2021)》[J]. 中华医学杂志,2021, 101(23):1766-1771.
	Brain Injury Quality Control Evaluation Centre of National Health Commission, Neurocritical Collaboration Group of Neurology Branch of Chinses Medical Association, Neurocritical Care Committee of Neurologist Branch of Chinese Medical Doctor Association. Criteria and practices for the determination of brain death:expert supplementary opinions(2021)[J]. Natl Med J China, 2021, 101(23):1766-1771.
[2]	朱艳平, 蔡常洁, 管向东. ICU器官捐献的供体管理[J]. 中华重症医学电子杂志(网络版), 2017, 3(2):85-90.
	Zhu YP, Cai CJ, Guan XD. ICU management of organ donor[J]. Chin J Crit Care Intensive Care Med(Electron Ed), 2017, 3(2):85-90.
[3]	Wall AE, Da Graca B, Asrani SK, et al. A cost comparison of liver acquisition fees for donation after circulatory death versus donation after brain death donors[J]. Liver Transpl, 2024, 30(8):775-784.
[4]	江文诗. 站在亚洲看世界:亚洲视角下脑死亡器官捐献的可持续健康发展[J]. 器官移植, 2022, 13(6):697-710.
	Jiang WS. With a focus on Asia and a global perspective:sustainable development of donation after brain death[J]. Organ Transplant, 2022, 13(6):697-710.
[5]	国务院. 人体器官捐献和移植条例[J]. 中华人民共和国公安部公报, 2023(6):44-50.
	The State Council. Human organ donation and transplantation regulations[J]. Bull People’s Repub China Minist Pub Secur, 2023(6):44-50.
[6]	中国肝移植注册中心, 国家肝脏移植质控中心, 国家人体捐献器官获取质控中心, 等. 中国移植器官保护专家共识(2022版)[J]. 中华普通外科杂志, 2022, 37(5):387-394.
	China Liver Transplant Registry, National Liver Transplantation Quality Control Center, National Quality Control Center for Human Donated Organ Procurement, et al. Chinese expert consensus on organ protection of transplantation(2022 edition)[J]. Chin J Oper Proced Gen Surg, 2022, 37(5):387-394.
[7]	江文诗, 马联胜, 殳儆, 等. 多学科融合促进器官捐献学科体系建设及专业化发展[J]. 器官移植, 2022, 13(6):711-721.
	Jiang WS, Ma LS, Shu J, et al. Multi-disciplinary integration promotes the disciplinary system construction and professional development of organ donation[J]. Organ Transplant, 2022, 13(6):711-721.
[8]	Cowie S, Choy SH, Shah DM, et al. Healthcare system impact on deceased organ donation and transplantation:a comparison between the top 10 organ donor countries with 4 countries in southeast Asia[J]. Transpl Int, 2023,36:11233.
[9]	Citerio G, Cypel M, Dobb GJ, et al. Organ donation in adults:a critical care perspective[J]. Intensive Care Med, 2016, 42(3):305-315.
[10]	Siminoff LA, Gordon N, Hewlett J, et al. Factors influencing families’ consent for donation of solid organs for transplanta-tion[J]. JAMA, 2001, 286(1):71-77.
[11]	中华医学会器官移植学分会, 国家肺移植质量管理与控制中心. 中国肺移植供体标准及获取转运指南[J]. 器官移植, 2018, 9(5):325-333.
	Organ Transplantation Branch of Chinese Medical Associa-tion,National Lung Transplantation Quality Management and Control Center. Chinese criteria for lung transplant donors and guidelines for obtaining transport[J]. Organ Transplant, 2018, 9(5):325-333.
[12]	Kotloff RM, Blosser S, Fulda GJ, et al. Management of the po-tential organ donor in the ICU:society of critical care medi-cine/american college of chest physicians/association of organ procurement organizations consensus statement[J]. Crit Care Med, 2015, 43(6):1291-1325. doi: 10.1097/CCM.0000000000000958 pmid: 25978154
[13]	任琳玮, 张熙伟, 张辉, 等. 脑死亡器官捐献供体评估和供心选择临床分析[J]. 山东医药, 2024, 64(13):11-15.
	Ren LW, Zhang XW, Zhang H, et al. Clinical analysis on donor evaluation and donor heart selection in brain-dead organ donation[J]. Shandong Med J, 2024, 64(13):11-15.
[14]	孙欣, 刘偈, 廖中凯, 等. 床旁超声心动图评估不同脑死亡原因的潜在成人心脏移植供体的价值[J]. 中国循环杂志, 2024, 39(5):484-489.
	Sun X, Liu J, Liao ZK, et al. Evaluation of potential donors with different causes of brain death for adult heart trans-plantation:a bedside wchocardiographic Study[J]. Chin Circ J, 2024, 39(5):484-489.
[15]	Allen BS. Myocardial protection:a forgotten modality[J]. Eur J Cardiothorac Surg, 2020, 57(2):263-270.
[16]	张永芳. 脑死亡判定及脑死亡供体肾脏维护与评估的相关研究[D]. 广州: 南方医科大学, 2023.
	Zhang YF. Study of brain death determination and braindead donor’s kidney management and assessment[D]. Guangzhou: Sou-thern Medical University, 2023.
[17]	Shapey IM, Summers A, O’Sullivan J, et al. Beta-cell death and dysfunction drives hyperglycaemia in organ donors[J]. Diabetes Obes Metab, 2023, 25(12):3529-3537. doi: 10.1111/dom.15248 pmid: 37646197
[18]	Parekh J, Niemann CU, Dang K, et al. Intraoperative hypergly-cemia augments ischemia reperfusion injury in renal trans-plantation:a prospective study[J]. J Transplant, 2011,2011:652458.
[19]	Schnuelle P, Mundt HM, Drüschler F, et al. Impact of sponta-neous donor hypothermia on graft outcomes after kidney transplantation[J]. Am J Transplant, 2018, 18(3):704-714. doi: 10.1111/ajt.14541 pmid: 29027352
[20]	戚熠, 谭艳, 李旭英, 等. 成人肝移植患者围手术期营养管理证据总结[J]. 中国护理管理, 2024, 24(2):218-223.
	Qi Y, Tan Y, Li XY, et al. Evidence summary for periope-rative nutrition management among adult patients with liver transplantation patients[J]. Chin Nurs Manag, 2024, 24(2):218-223.
[21]	朱长真, 李元新. 小肠移植现状和适应证的精准选择[J]. 实用器官移植电子杂志, 2024, 12(3):266-270.
	Zhu CZ, Li YX. Small intestine transplantation status and accurate selection of indications[J]. Pract J Organ Transplant Electron Version, 2024, 12(3):266-270.
[22]	Opdam HI, Boan P, Barry L, et al. Surveillance for donor-deri-ved infections in Australia[J]. Transpl Infect Dis,2024:e14315.
[23]	Bera KD, Tabak J, Ploeg RJ. No evidence of progressive proi-nflammatory cytokine storm in brain-dead organ donors-a time-course analysis using clinical samples[J]. Transplanta-tion, 2024, 108(4):923-929.
[24]	谢文照, 李晋芳, 熊欢, 等. 器官捐献者家属心理健康状况及与特质正念的关系[J]. 中国临床心理学杂志, 2024, 32(3):680-684,694.
	Xie WZ, Li JF, Xiong H, et al. Mental health status of family members of organ donors and its relationship with trait mindfulness[J]. Chin J Clin Psychol, 2024, 32(3):680-684,694.
[25]	赵文静, 朱爽, 马奔, 等. 重症监护病房12例脑死亡器官捐献供体的维护及护理[J]. 实用临床医药杂志, 2015, 19(18):62-64.
	Zhao WJ, Zhu S, Ma B, et al. Maintenance and nursing of 12 brain death organ donation donor in ICU[J]. J Clin Med Pract, 2015, 19(18):62-64.
[26]	Mollazadeh F, Habibzadeh H, Parizad N. “No one seems to see us,and they look at us as worthless colleagues”:challenges experienced by Iranian transplant nurse coordinators-a quali-tative study[J]. Pediatr Transplant, 2024, 28(7):e14865.

Research progress on nursing strategies for adult brain death donor organ maintenance in ICU

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