title: [Blood representations associated to chronic transfused patients: Symbolic interpretations and ethical perspectives].
abstract: Since the beginning of the 20th century, major technological developments have been made in blood transfusion. Although numerous sociological studies have been conducted on donors, few have highlighted transfused patients, and in this case, the attention has almost exclusively been focused on transfusion risks in patients. Conversely, blood representations associated with the chronically transfused patients have not really been explored in the literature. Based on interviews conducted among chronically transfused patients (patients with hemoglobinopathy, malignant hemopathy or cancer), this present study enables to understand their needs and their expectations through their symbolic representations and their interpretations of blood transfusion, raising tensions as well ethical perspectives.
authors.affiliation: Département d'immunologie plaquettaire, Institut national de la transfusion sanguine (INTS), 6, rue Alexandre-Cabanel, 75015 Paris, France; EA 4569, laboratoire d'éthique médicale et de médecine légale (LEMML), université Paris Descartes, Sorbonne Paris cité, 45, rue des Saints-Pères, 75006 Paris, France. Electronic address: rpetermann@ints.fr.
authors.forename: R
authors.initials: R
authors.lastname: Petermann
authors.affiliation: EA 4569, laboratoire d'éthique médicale et de médecine légale (LEMML), université Paris Descartes, Sorbonne Paris cité, 45, rue des Saints-Pères, 75006 Paris, France; Unité de soins palliatifs des hôpitaux universitaires Henri-Mondor-Albert-Chenevier, département de médecine interne et gériatrie, AP-HP, 40, rue du Mesly, 94000 Créteil, France.
authors.forename: M
authors.initials: M
authors.lastname: Pêchard
authors.affiliation: EA 4569, laboratoire d'éthique médicale et de médecine légale (LEMML), université Paris Descartes, Sorbonne Paris cité, 45, rue des Saints-Pères, 75006 Paris, France.
authors.forename: C
authors.initials: C
authors.lastname: Gesbert
authors.affiliation: EA 4569, laboratoire d'éthique médicale et de médecine légale (LEMML), université Paris Descartes, Sorbonne Paris cité, 45, rue des Saints-Pères, 75006 Paris, France; Samu du Nord-pôle de l'urgence, CHRU de Lille, 2, avenue Oscar-Lambret, 59000 Lille, France.
authors.forename: N
authors.initials: N
authors.lastname: Assez
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D001769:Blood; D001803:Blood Transfusion / Q000941:ethics / Q000266:history / Q000523:psychology*; D002908:Chronic Disease; D003469:Culture; D005006:Ethnicity / Q000523:psychology; D005239:Fear; D005260:Female; D006402:Hematologic Diseases / Q000523:psychology* / Q000628:therapy; D049670:History, 17th Century; D049671:History, 18th Century; D049672:History, 19th Century; D049673:History, 20th Century; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology* / Q000628:therapy; D010361:Patients / Q000523:psychology*; D010817:Physician-Patient Relations; D012068:Religion and Medicine; D013561:Symbolism; D013727:Terminal Care / Q000523:psychology; D065227:Transfusion Reaction; D014342:Truth Disclosure; D055815:Young Adult
keywords: Blood components; Blood symbolic representations; Blood transfusion; Ethics; Labile blood products; Patients; Produits sanguins labiles; Receveurs; Représentation symbolique du sang; Transfusion sanguine; Éthique