Roza Bartira de Aguiar, Pestana José Osmar Medina, Barbosa Sayonara Fatima Faria, Schirmer Janine
Albert Einstein Jewish Hospital, Brazil; Federal University of Santa Catarina, Florian6polis, Brazil.
Prog Transplant. 2010 Mar;20(1):88-95. doi: 10.1177/152692481002000114.
To evaluate the impact of organ and tissue donation processes on family members of deceased donors and the probability that they would be an organ or tissue donor in the future.
Cross-sectional survey of 69 families of deceased donors of the organ procurement organizations of the Federal University of São Paulo.
Donors were predominantly men (57% vs 43%) with a median age of 35.9 years. The primary causes of death were classified as natural (65%), traumatic injury (33%), and other (1%). Of the family members surveyed, 40% had an elementary school education and 59% were unemployed. Family members expressed an understanding of the brain death diagnosis (67%). Among them, 74% had no doubt about brain death and had time to ask questions. The diagnosis was provided by the doctor responsible for the patient (89%). Family members also used funeral aid benefit (63%), perceived organ donation positively (97%), and indicated that they would donate again (79%). A significant relationship was found between families that took advantage of the funeral aid benefit and families that would donate again (79% vs 22%, P = .002).
The intent to donate organs for transplantation may be based more on moral and cultural factors that go beyond the family members' knowledge about the donation process per se.
评估器官和组织捐赠过程对已故捐赠者家庭成员的影响以及他们未来成为器官或组织捐赠者的可能性。
对圣保罗联邦大学器官获取组织的69个已故捐赠者家庭进行横断面调查。
捐赠者以男性为主（57%对43%），中位年龄为35.9岁。主要死亡原因分类为自然死亡（65%）、创伤性损伤（33%）和其他（1%）。在接受调查的家庭成员中，40%接受过小学教育，59%失业。家庭成员对脑死亡诊断表示理解（67%）。其中，74%对脑死亡毫无疑问并有时间提问。诊断由负责该患者的医生提供（89%）。家庭成员还使用了丧葬援助福利（63%），对器官捐赠持积极态度（97%），并表示他们会再次捐赠（79%）。发现利用丧葬援助福利的家庭与会再次捐赠的家庭之间存在显著关系（79%对22%，P = 0.002）。
器官移植捐赠意愿可能更多地基于道德和文化因素，而不仅仅取决于家庭成员对捐赠过程本身的了解。
