胚胎著床前基因診斷的倫理思辨

Ethical Reflections on Preimplantation Genetic Diagnoses

10.6224/JN.202408_71(4).12

王羽庭(Yu-Ting WANG)；洪文謙(Wen-Chien HUNG)；施文珮(Wen-Pei SHIH)；蔡雅婷(Ya-Ting TSAI)；王維芳(Wei-Fang WANG)

胚胎著床前基因診斷 ； 基因選擇 ； 倫理思辨 ； preimplantation genetic diagnosis ； select genes ； ethical reflections

護理雜誌

71卷4期（2024 / 08 / 01）

98 - 103

繁體中文;英文

少子化時代來臨，孩子成為家庭的寶貝，隨著基因選擇的技術進步，胚胎著床前基因診斷被廣泛應用於臨床，然而透過「人工」的方式為孩子選擇基因備受爭議。本文透過簡介胚胎著床前基因診斷，並回顧相關哲學及社會觀，最後使用義務論、效益論、生命醫學倫理四原則進行倫理思辨，期望藉此探討基因選擇的倫理議題，讓護理師面臨照護困境時，有多元的思維，提供以倫理人文為導向的關懷與照護。

With fertility rates at an all-time low, children have become even more the 'treasures' of their families. Progress in genetic selection technology has made preimplantation genetic diagnosis an increasingly common practice in clinics. However, the practice of purposively selecting genes for future children remains controversial. In this article, the process of preimplantation genetic diagnosis is introduced and related philosophical and social perspectives are reviewed. Finally, the ethics related to this practice are discussed in the contexts of obligation theory, utility theory, and four ethical principles. The authors hope this article sheds light on the diverse perspectives used to consider and discuss the ethical issues surrounding gene selection and, importantly, helps nurses provide care grounded in ethics and humanity in ethically uncertain circumstances.

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