Cleiren Marc P H D, Van Zoelen Ad A J
Leiden University, Leiden, Netherlands.
Death Stud. 2002 Dec;26(10):837-49. doi: 10.1080/07481180290106607.
Concern about the grief processes of organ donors' families are reported by medical staff as a reason not to ask for organ donation. Objectives of the current study were to examine the relation between consenting to a post-mortem organ donation procedure and subsequent process of grief in the bereaved. A cross-section survey was conducted in a representative time-sample of 95 bereaved who lost a first-degree family member on intensive care wards in 27 Dutch hospitals. In 36 cases an organ donation procedure took place, in 23 cases consent was refused and in 36 cases no request for organ donation was made to the bereaved. The authors found there were no differences in levels of depression and problems with detachment from the deceased between bereaved (first-degree family members) who participated in an organ donation procedure, those who refused consent, and families who were not approached for poet-mortem organ donation. No differences were found in levels of main outcome measures between three donation conditions. However, dissatisfaction with hospital care was associated with depressive and grief symptoms. The results indicate that consenting to organ donation in itself neither hinders nor furthers the grief process.
医护人员表示，对器官捐赠者家属悲伤过程的担忧是不提出器官捐赠请求的一个原因。本研究的目的是探讨同意死后器官捐赠程序与遗属随后的悲伤过程之间的关系。对荷兰27家医院重症监护病房中失去一级亲属的95名遗属进行了一项代表性时间样本的横断面调查。其中36例进行了器官捐赠程序，23例拒绝同意，36例未向遗属提出器官捐赠请求。作者发现，参与器官捐赠程序的遗属（一级亲属）、拒绝同意的遗属以及未被征求死后器官捐赠意见的家庭在抑郁程度和与逝者分离的问题上没有差异。三种捐赠情况在主要结局指标水平上没有发现差异。然而，对医院护理的不满与抑郁和悲伤症状有关。结果表明，同意器官捐赠本身既不会阻碍也不会促进悲伤过程。
