Sah B, Jha Sh, Ayer A, Yadav B N
Department of Forensic Medicine and Toxicology, B. P. Koirala Institute of Health Sciences, Dharan, Nepal.
Department of Conservative Dentistry & Endodontics, B. P. Koirala Institute of Health Sciences, Dharan, Nepal.
Int J Organ Transplant Med. 2022;13(2):65-69.
Owing to the advancement in organ transplantation, treating an individual with organ failure in today's world has become possible. However, organ transplantation is lagging in the absence of adequate organ donations. Shortage of organs for transplantation is a challenge to developing countries like Nepal and developed countries like the USA and UK. Despite various efforts to increase the rate of organ donation, the problem persists. The primary reason for the failure to accomplish adequacy in organ do-nation is the immediate dependency on an available donor. On top of that, reluctance to decide on organ donation after death, regarded as an onerous moment, at least by the general public, has another impact on the subject. Some countries have shifted while some are planning to change from an informed consent system to a presumed consent system, in which if an individual does not make any decision during life-time, it is presumed that his/her organ can be removed for organ transplantation after death.
To perceive the perception of healthcare professionals of the tertiary care centre of eastern Nepal regarding the presumed consent system.
Purposive sampling of 221 health care professionals (Faculties, Nursing In-charges, Lab-technicians, and Radiology technicians) participated in the study.
Most healthcare professionals (90.5%) support using a presumed consent system in Nepal and agree on considering the family's opinion in the decision-making for cadaveric organ donation.
Most healthcare professionals have shown their perception in favors of presumed consent to support the increasing organ donation rate.
由于器官移植技术的进步，如今治疗器官衰竭患者已成为可能。然而，由于器官捐赠不足，器官移植发展滞后。器官移植短缺对尼泊尔等发展中国家以及美国和英国等发达国家来说都是一项挑战。尽管为提高器官捐赠率做出了各种努力，但问题依然存在。器官捐赠未能实现充足供应的主要原因是对现有捐赠者的直接依赖。除此之外，至少在普通公众看来，死后不愿决定器官捐赠这一令人难以抉择的时刻，也对这一问题产生了影响。一些国家已经转变，还有一些国家正计划从知情同意制度转变为推定同意制度，即在这种制度下，如果个人在生前未做出任何决定，那么就推定其死后器官可被摘除用于器官移植。
了解尼泊尔东部三级医疗中心医护人员对推定同意制度的看法。
采用目的抽样法，221名医护人员（教员、护理负责人、实验室技术员和放射科技术员）参与了该研究。
大多数医护人员（90.5%）支持在尼泊尔采用推定同意制度，并同意在尸体器官捐赠的决策过程中考虑家属意见。
大多数医护人员已表明他们支持推定同意制度，以提高器官捐赠率。
