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公众对脑死亡的理解是否会影响器官捐献意愿?

Is the intention to donate organs influenced by the public's understanding of brain death?

作者信息

Teixeira Renan Kleber Costa, Gonçalves Thiago Barbosa, Silva José Antonio Cordero da

出版信息

Rev Bras Ter Intensiva. 2012 Sep;24(3):258-62.

PMID:23917827
Abstract

OBJECTIVE

To evaluate the influence of the understanding of brain death in relation to organ donation in patients from the Marco School Health Center, which is linked to the Universidade do Estado do Pará.

METHODS

A total of 136 patients were interviewed based on a research protocol. The interview results were subsequently analyzed with regard to the understanding of brain death and organ donation in addition to the collection of sociodemographic data.

RESULTS

The majority of patients were female and were in favor of organ donation, with a mean age of 39 years being observed. Only 19.9% of the patients understood the meaning of brain death, and 85.3% believed that physicians may be mistaken in confirming the status of brain death of a patient, while 18.4% trusted the diagnosis of brain death. A statistically significant (p < 0.01) correlation was observed between the degree of confidence in the diagnosis of brain death and the person's agreement to donate his/her organs after death.

CONCLUSION

The majority of the population under study did not understand the meaning of brain death and had a low degree of confidence in the diagnosis of brain death. This lack of understanding and confidence negatively influences the desire to donate organs.

摘要

目的

评估与帕拉州立大学相关的马尔科学校健康中心的患者对脑死亡及器官捐赠的理解所产生的影响。

方法

根据一项研究方案,共对136名患者进行了访谈。随后,除收集社会人口统计学数据外,还对访谈结果进行了关于脑死亡及器官捐赠理解方面的分析。

结果

大多数患者为女性,支持器官捐赠,观察到的平均年龄为39岁。只有19.9%的患者理解脑死亡的含义,85.3%的患者认为医生在确认患者脑死亡状态时可能会出错,而18.4%的患者信任脑死亡诊断。在对脑死亡诊断的信任程度与个人死后同意捐赠器官之间观察到具有统计学意义(p < 0.01)的相关性。

结论

大多数研究对象不理解脑死亡的含义,对脑死亡诊断的信任度较低。这种理解和信任的缺乏对器官捐赠意愿产生了负面影响。

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