Oluwasola Olayiwola Abideen, Fawole Olufunmilayo I, Otegbayo Abiodun Jesse, Ogun Gabriel Olabiyi, Adebamowo Clement A, Bamigboye Afolabi Elijah
Department of Pathology, College of Medicine, University of Ibadan, University College Hospital, Ibadan, Oyo State, Nigeria.
Arch Pathol Lab Med. 2009 Jan;133(1):78-82. doi: 10.5858/133.1.78.
Despite the crucial role that autopsy plays in the development of the science and practice of medicine, autopsy rates have been declining throughout the world in recent decades.
To identify factors influencing the acceptance of autopsies in Nigeria.
Cross-sectional survey of the knowledge, attitude, and perceptions of doctors and relatives of deceased patients on factors influencing acceptance of autopsy at the University College Hospital, Ibadan, Nigeria.
Only 38% of relatives had satisfactory knowledge about autopsy and about 50% of doctors knew that physicians' desire for autopsy should not override patients' consent. Doctors identified difficulty in obtaining consent from relatives of deceased patients, administrative problems in requesting autopsy, and delay in obtaining autopsy report as major reasons responsible for the decline in autopsy requests, whereas relatives of the deceased cited fear of mutilation, concerns about delaying the funeral, and objection by the patient before death as reasons for refusal to grant permission for an autopsy. Sociodemographic factors such as age, occupation, religion, ethnicity, and level of education significantly influenced willingness to give consent for autopsy.
There is need for concerted effort on the part of clinicians, pathologists, the public, and the government to resuscitate and sustain the practice of autopsy in Nigeria.
尽管尸检在医学科学与实践的发展中发挥着关键作用，但近几十年来全球尸检率一直在下降。
确定影响尼日利亚尸检接受度的因素。
对尼日利亚伊巴丹大学学院医院已故患者的医生和亲属就影响尸检接受度的因素进行知识、态度和认知的横断面调查。
只有38%的亲属对尸检有充分了解，约50%的医生知道医生对尸检的要求不应凌驾于患者的同意之上。医生认为难以获得已故患者亲属的同意、申请尸检存在行政问题以及获取尸检报告延迟是尸检申请下降的主要原因，而死者亲属则以担心毁尸、担心延误葬礼以及患者生前反对为由拒绝同意尸检。年龄、职业、宗教、种族和教育程度等社会人口学因素显著影响同意尸检的意愿。
临床医生、病理学家、公众和政府需要共同努力，以恢复并维持尼日利亚的尸检做法。
