拒绝捐献皮肤用于移植的家庭：趋势和相关因素。
Family refusal of skin donation for transplantation: trends and associated factors.
机构信息
Universidade de São Paulo. São Paulo, São Paulo, Brazil.
Universidade de São Paulo, Hospital das Clínicas, Organização de Procura de Órgãos. São Paulo, São Paulo, Brazil.
出版信息
Rev Bras Enferm. 2024 Jul 29;77(3):e20230209. doi: 10.1590/0034-7167-2023-0209. eCollection 2024.
OBJECTIVES
to analyze the trends and factors associated with family refusal of skin donation for transplantation.
METHODS
this cross-sectional study was conducted in the State of São Paulo, with family authorization terms collected from 2001 to 2020. The variables analyzed included year, age, gender, cause of death, and type of institution. Data were analyzed using linear and multiple logistic regression, with the Odds Ratio estimated at p<0.05 for statistical significance.
RESULTS
1,355 individuals refused skin donation. The trend of refusals decreased between 2001 and 2009 in the age groups of 0-11 years and 12-19 years, but increased in the group aged ≥60 years. This trend continued to decrease in the 0-11 years group from 2010 to 2020, and increased in the 20-40 years group. Males and the age groups of 20-40 years, 41-59 years, and ≥60 years exhibited 27%, 34%, 47%, and 53% lower chances of refusal, respectively.
CONCLUSIONS
there is an urgent need for measures to mitigate the high number of refusals associated with skin donation.
目的
分析与家属拒绝捐献皮肤用于移植相关的趋势和因素。
方法
这是一项在圣保罗州进行的横断面研究，收集了 2001 年至 2020 年期间的家属授权条款。分析的变量包括年份、年龄、性别、死因和机构类型。使用线性和多项逻辑回归分析数据，p<0.05 为统计学意义。
结果
共有 1355 人拒绝捐献皮肤。2001 年至 2009 年期间，0-11 岁和 12-19 岁年龄组的拒绝率呈下降趋势，但≥60 岁年龄组的拒绝率呈上升趋势。这种趋势在 2010 年至 2020 年期间继续在 0-11 岁年龄组下降，并在 20-40 岁年龄组上升。男性和 20-40 岁、41-59 岁和≥60 岁年龄组的拒绝几率分别降低了 27%、34%、47%和 53%。
结论
迫切需要采取措施，以减少与皮肤捐献相关的高拒绝率。
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