The Transplant Center and the Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston, MA 02115, USA.
Clin Transplant. 2010 Jul-Aug;24(4):493-9. doi: 10.1111/j.1399-0012.2009.01096.x.
Some family members initiate organ donation discussions before being approached by donor coordinators or healthcare providers. We examined differences between families that did vs. did not initiate organ donation discussions and factors predicting donation consent among those families that self-initiated the discussion. Next-of-kin of donor-eligible individuals (147 donors, 138 non-donors) from one organ procurement organization completed a telephone interview. Seventy-three families (25.6%) first mentioned organ donation, and 54 (74%) of them consented to donation. Several characteristics of the deceased and next-of-kin were associated with whether family members initiated the donation discussion with donation coordinators or healthcare providers. Moreover, family mention of donation was more likely to yield consent when the deceased was younger (OR=0.95, CI=0.92-0.99), next-of-kin was a registered donor (OR=3.86, CI=2.84-6.76), and when family was more satisfied with the healthcare team (OR=1.20, CI=1.04-1.39). Knowing the deceased's donation intentions and being exposed to positive organ donation messages are more likely to trigger families to raise donation with providers. Organ procurement organizations (OPOs) and healthcare providers should work collaboratively to develop strategies for how best to respond to families who initiate this conversation.
有些家庭成员在与器官捐赠协调员或医疗保健提供者接触之前就开始讨论器官捐赠事宜。我们研究了那些自行发起讨论的家庭中，进行或未进行器官捐赠讨论的家庭之间的差异，以及预测这些家庭捐赠同意的因素。来自一个器官获取组织的供体合格者的近亲（147 名捐赠者，138 名非捐赠者）完成了电话采访。73 个家庭（25.6%）首先提到了器官捐赠，其中 54 个家庭（74%）同意捐赠。死者和近亲的几个特征与家庭成员是否与器官捐赠协调员或医疗保健提供者开始捐赠讨论有关。此外，当死者较年轻（OR=0.95，CI=0.92-0.99）、近亲是注册捐赠者（OR=3.86，CI=2.84-6.76）以及家庭对医疗团队更满意（OR=1.20，CI=1.04-1.39）时，家庭提及捐赠更有可能产生同意。了解死者的捐赠意愿和接触到积极的器官捐赠信息更有可能促使家庭与提供者提出捐赠。器官获取组织（OPO）和医疗保健提供者应共同努力，制定如何最好地回应那些自行发起对话的家庭的策略。
