Bayraktar Necmi, Tasargol Omer
Urology, Dr. Burhan Nalbantoglu State Hospital, Nicosia, CYP.
Anesthesiology, Dr. Burhan Nalbantoglu State Hospital, Nicosia, CYP.
Cureus. 2023 Jun 21;15(6):e40749. doi: 10.7759/cureus.40749. eCollection 2023 Jun.
Introduction Increasing deceased organ transplantation rates is an important strategy to overcome the organ shortage. Prior to the pandemic in Northern Cyprus, there were more transplants from deceased donors than from living donors. However, after the pandemic, living donor organ transplants were almost equal to cadaveric organ transplants. The purpose of this study was to explore the knowledge, attitudes, and experiences of hospital-based clinicians involved in the diagnosis of brain death and donor care in order to raise the deceased organ transplantation rate. Methods The study population consisted of three departments: physicians' anesthesiology, neurology, and neurosurgeons, who signed off on the brain death report. The demographic information of the participants was recorded. A total of 31 questions in the questionnaire were about personal experiences, attitudes toward brain death, organ donation, and donor care, and the level of knowledge and expertise required for the identification and care of potential organ donors. The answers are "agree," "indecisive," and "disagree." Results A total of 29 physicians, seven (24.1%) neurologists, six (20.7%) neurosurgeons, and 16 (55.2%) anesthesiologists answered the questionnaire. Although all of the participants stated that brain death is a definite death, it was determined that they did not agree on how the process should proceed for non-donors after the diagnosis of brain death. Conclusion Physicians' attitudes towards deceased organ transplantation are positive. It is pointed out that society's insensitivity and indifference to the decrease in organ donation rates. Multidisciplinary work motivation may increase deceased organ transplant rates.
引言 提高已故器官移植率是克服器官短缺的一项重要策略。在北塞浦路斯大流行之前，来自已故供体的移植手术比来自活体供体的移植手术更多。然而，大流行之后，活体供体器官移植几乎与尸体器官移植相当。本研究的目的是探讨参与脑死亡诊断和供体护理的医院临床医生的知识、态度和经验，以提高已故器官移植率。方法 研究人群包括三个科室：签署脑死亡报告的麻醉科医生、神经科医生和神经外科医生。记录了参与者的人口统计学信息。问卷中共有31个问题，涉及个人经历、对脑死亡、器官捐赠和供体护理的态度，以及识别和护理潜在器官供体所需的知识和专业水平。答案为“同意”、“不确定”和“不同意”。结果 共有29名医生回答了问卷，其中7名（24.1%）神经科医生、6名（20.7%）神经外科医生和16名（55.2%）麻醉科医生。尽管所有参与者都表示脑死亡是确定的死亡，但确定他们对于脑死亡诊断后非供体的后续流程应如何进行并未达成一致。结论 医生对已故器官移植的态度是积极的。指出了社会对器官捐赠率下降的麻木不仁和漠不关心。多学科合作的积极性可能会提高已故器官移植率。
