Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, Divisão de Transplante de Órgãos Abdominais e Fígado, Departamento de Gastroenterologia - São Paulo (SP), Brazil.
Faculdade de Medicina da Universidade de São Paulo, Laboratório de Investigação Médica-37 (LIM-37) - São Paulo (SP), Brazil.
Rev Assoc Med Bras (1992). 2021 Apr;67(4):602-606. doi: 10.1590/1806-9282.20210012.
A survey among medical students in a Brazilian public university was performed to investigate the acceptance of organ donation in Brazil, particularly donation after circulatory death (DCD).
A questionnaire including 26 objectives and Likert scale questions was validated and sent to all medical students of our institution. The answers were analyzed considering the whole set of individuals as well as by dividing the medical students into two groups: less graduated students and more graduated students.
From 1050 students, 103 spontaneous answers (9.8%) were retrieved after 3 weeks. A total of 89.3% agreed totally with deceased donor organ donation and 8.7% agreed partially. However, only 50.5% of the students agreed totally and 31.1% agreed partially to living donation. Students revealed that 82.6% know the concept of brain death. On the other hand, 71.8% of them declared not knowing the concept of planned withdrawal of life-sustaining therapy, mainly cardiorespiratory support. A total of 85.4% of students agreed totally with donation after brain death and 11.7% agreed partially. However, when questioned about donation in awaiting circulatory death after a planned withdrawal of life-sustaining therapy, only 18.4% agreed totally and 32% agreed partially. Both groups of less and more graduated students showed similar results.
Our study found a clear lack of information and consequently in acceptance of DCD. Education in the field of end-of-life management may improve not only the acceptance of DCD donation but also the whole understanding of planned withdrawal of life-sustaining therapy.
对巴西一所公立大学的医学生进行了一项调查，以调查他们对巴西器官捐赠的接受程度，特别是死后循环死亡（DCD）捐赠。
我们对一份包含 26 个目标和李克特量表问题的问卷进行了验证，并将其发送给我们机构的所有医学生。根据整个群体以及将医学生分为低年级和高年级两组，对答案进行了分析。
在 1050 名学生中，3 周后收到了 103 份自发回复（9.8%）。共有 89.3%的学生完全同意死者器官捐赠，8.7%的学生部分同意。然而，只有 50.5%的学生完全同意，31.1%的学生部分同意活体捐赠。学生们表示，82.6%的人知道脑死亡的概念。另一方面，71.8%的人表示不知道计划停止生命支持治疗的概念，主要是心肺支持。共有 85.4%的学生完全同意脑死亡后的捐赠，11.7%的学生部分同意。然而，当被问及在计划停止生命支持治疗后等待循环死亡时的捐赠时，只有 18.4%的人完全同意，32%的人部分同意。低年级和高年级的两组学生都表现出类似的结果。
我们的研究发现，对 DCD 的信息和接受程度明显不足。生命末期管理领域的教育不仅可以提高对 DCD 捐赠的接受程度，还可以提高对计划停止生命支持治疗的整体理解。
