Requesting organ donation: an interview study of donor and nondonor families.

Requesting organ donation: an interview study of donor and nondonor families.
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请求器官捐献：对捐献者和非捐献者家庭的访谈研究。

DOI：
10.4037/ajcc1998.7.1.13
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发表时间：
1998
期刊：
American journal of critical care : an official publication, American Association of Critical-Care Nurses
影响因子：
--
通讯作者：
C. Beasley
C. Beasley
中科院分区：
--
文献类型：
--
作者：
W. Dejong;HG Franz;SM Wolfe;H. Nathan;D. Payne;W. Reitsma;C. Beasley

文献摘要

被引文献

相似文献

背景 大约一半的家庭被要求考虑捐赠亲属的器官，但拒绝同意。了解公众对器官捐献的支持与实际行为之间的差异是减少捐献器官短缺的关键。 目标 深入了解潜在捐赠者家庭的经验，并定义捐赠请求过程的特征以及与同意器官捐赠相关的其他因素。 方法 对164名医学上合适的潜在器官捐献者的直系亲属进行了结构化的电话采访。在研究参与者亲属死亡后4至6个月，与捐赠者和非捐赠者家庭成员进行了30至60分钟的访谈。 结果 有几个因素与同意器官捐赠有关：患者和患者家属的特征，对器官捐赠和移植的信念和态度，家属是否知道死者对捐赠的意愿，家属对亲属接受的医院护理的满意度，捐赠请求过程的具体方面，以及家属对脑死亡的理解。 结论 通过提高医院护理质量和确保以满足家属信息和情感需求的方式处理捐赠请求，可以提高器官捐赠率。
BACKGROUND Approximately half of the families asked to consider donation of a relative's organs decline to give consent. Understanding the difference between stated public support of organ donation and actual behavior is key to decreasing the shortage of donor organs. OBJECTIVES To gain insight into the experiences of potential donor families and to define features of the donation-request process and other factors that are associated with consent for organ donation. METHODS A structured telephone interview was conducted with the immediate next of kin of 164 medically suitable potential organ donors. Interviews 30 to 60 minutes long were held with members of both donor and nondonor families 4 to 6 months after the death of the study participant's relative. RESULTS Several factors were associated with consent for organ donation: characteristics of the patient and the patient's family, beliefs and attitudes about organ donation and transplantation, whether the family knew the deceased's wishes about donation, the family's satisfaction with the hospital care that their relative received, specific aspects of the donation-request process, and the family's understanding of brain death. CONCLUSIONS Organ donation rates could be increased by enhancing the quality of hospital care and ensuring that the request for donation is handled in a way that meets the families' informational and emotional needs.