Improving the request process to increase family consent for organ donation.
Improving the request process to increase family consent for organ donation.
复制标题
改进请求流程，以增加家人对器官捐献的同意。
DOI：
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发表时间：
1998
期刊：
影响因子：
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通讯作者：
M. Evanisko
中科院分区：
文献类型：
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作者：
S. Gortmaker;C. Beasley;E. Sheehy;B. Lucas;L. Brigham;Å. Grenvik;R. Patterson;R. Garrison;P. McNamara;M. Evanisko
器官捐献的最大障碍是得不到家属的同意。本研究考察了捐献请求的3个可修改因素对家属同意率的影响：(1)脱钩（即在开始讨论器官捐献之前，家属理解并接受脑死亡）；(2)采购协调员参与征求同意；(3)在一个安静、私密的地方要求捐赠。前瞻性地收集了707名医学上合适的潜在捐赠者的请求过程数据，这些人已被转介到3个器官采购组织。平均同意捐赠率为62.2%。较高的同意率与所研究的3个特征独立相关。这些组成部分在请求过程量表中进行了总结。多变量回归分析表明，当所有3个过程要素都存在时，同意率可高达74%。医院和器官采购组织应将这些因素纳入其实践标准。
The greatest impediment to organ donation is refusal of family consent. This study examined the impact of 3 modifiable elements of the donation request on family consent rates: (1) decoupling (ie, the family understands and accepts brain death before discussion of organ donation is begun); (2) the procurement coordinator participates in the request for consent; and (3) donation is requested in a quiet, private place. Data on the request process were collected prospectively for 707 medically suitable potential donors who had been referred to 3 organ procurement organizations. The average rate of consent for donation was 62.2%. Higher consent rates were independently associated with the 3 characteristics studied. These components were summarized in the Request Process Scale. Multivariate regression analyses indicated that consent rates can be as high as 74% when all 3 process elements are present. Hospitals and organ procurement organizations should incorporate these elements into their standard of practice...