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2012 - 2013年对伊朗伊斯法罕地区脑死亡患者家庭同意器官捐赠相关影响因素的调查。

An investigation into the factors effective in the consent of families with brain-dead patients candidates for organ donation in Isfahan, Iran in 2012-13.

作者信息

Khajooei Maryam Khalifehsoltani, Zamani Fereshteh, Mehr Asieh Maghami

机构信息

Department of General Medical, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Nursing, Islamic Azad University Khorasgan, Isfahan, Iran.

出版信息

Iran J Nurs Midwifery Res. 2016 Nov-Dec;21(6):605-610. doi: 10.4103/1735-9066.197667.

Abstract

BACKGROUND

Studies have shown that, with regard to social, cultural, and institutional contexts, several factors affect family decision-making on organ donation. This study aimed to investigate the effective factors in organ donation by family members with brain-dead patients.

MATERIALS AND METHODS

This was a descriptive-comparative study in which a researcher-made questionnaire was used to collect data. The reliability of the questionnaire was obtained as 0.81 using Cronbach's alpha. The study sample consisted of 85 members of families with brain-dead patients in Isfahan, Iran in 2012-13. The collected data were analyzed using the Statistical Package for the Social Sciences version 20.0, and the level of significance was considered as <0.05.

RESULTS

The obtained results indicated that factors such as age, marital status, level of education, and cause of brain death did not have any effect on their families consent, whereas factors such as gender, duration of hospitalization, having an organ donation card, personal view of the brain-dead patient, and the number of patient's children had a significant relationship with the consent on organ donation. In addition, the care and treatment team were effective in family decisions regarding organ donation.

CONCLUSIONS

In general, the necessary culture and increasing the population awareness and their knowledge can be a positive step in this regard and may bring about an easy and rapid acceptance of organ donation by the involved families.

摘要

背景

研究表明,在社会、文化和制度背景方面,有几个因素会影响家庭关于器官捐赠的决策。本研究旨在调查脑死亡患者家庭成员进行器官捐赠的影响因素。

材料与方法

这是一项描述性比较研究,使用研究者自行编制的问卷收集数据。问卷的信度通过克朗巴哈系数法得出为0.81。研究样本包括2012 - 2013年伊朗伊斯法罕的85名脑死亡患者的家庭成员。收集到的数据使用社会科学统计软件包20.0进行分析,显著性水平设定为<0.05。

结果

所得结果表明,年龄、婚姻状况、教育程度和脑死亡原因等因素对其家人的同意与否没有任何影响,而性别、住院时长、拥有器官捐赠卡、脑死亡患者的个人观点以及患者子女数量等因素与器官捐赠的同意情况存在显著关系。此外,护理和治疗团队在家庭关于器官捐赠的决策中发挥了作用。

结论

总体而言,培养必要的文化并提高公众意识和知识水平在这方面可能是积极的一步,或许能使相关家庭更轻松、迅速地接受器官捐赠。

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