Roza Bartira de Aguiar, Schuantes-Paim Sibele Maria, Oliveira Priscilla Caroliny, Malosti Raquel Duarte, Knhis Neide da Silva, Menjivar Ana, Duran Mauricio Beltrán, Schirmer Janine
Federal University of São Paulo São Paulo Brazil Federal University of São Paulo, São Paulo, Brazil.
Faculdade Israelita de Ciências da Saúde Albert Einstein São Paulo Brazil Faculdade Israelita de Ciências da Saúde Albert Einstein, São Paulo, Brazil.
Rev Panam Salud Publica. 2024 Dec 20;48:e115. doi: 10.26633/RPSP.2024.115. eCollection 2024.
To map the reasons why individuals oppose or refuse organ and tissue donation, from an international perspective.
A scoping review was conducted from May 2022 to February 2024 using a three-stage search strategy across five databases and Google Scholar. Data analysis involved categorizing information based on similarities and populations studied.
The analysis included 92 articles and national reports. The data collected were classified into two categories. Category 1 included the reasons why individuals oppose deceased donation: lack of knowledge about the donation process, 22 (16.5%); religious beliefs, 21 (15.8%); fear of mutilation or damage to body integrity, 17 (12.8%); conflicts with health care professionals during hospitalization or distrust of professionals or the organ donation process, 11 (8.3%); and unknown reasons, 11 (8.3%). Category 2 included the reasons why individuals refuse to donate a deceased relative's organs and tissues after the family interview for deceased donation: previous written or verbal expression by the potential donor, 42 (10.1%); fear of mutilation or damage to body integrity, 41 (9.9%); conflicts with health care professionals during hospitalization or distrust of professionals or the organ donation process, 38 (9.2%); religious beliefs, 37 (8.9%); and individual motivations, 36 (8.7%).
This scoping review found that there were two main categories of reasons behind being opposed to or declining organ and tissue donation, with 23 subcategories. By mapping these reasons across international contexts, these findings provide insights for future research and can be used to inform the development of educational initiatives on organ and tissue donation.
从国际视角梳理个人反对或拒绝器官及组织捐赠的原因。
于2022年5月至2024年2月开展一项范围综述，采用三阶段检索策略，检索五个数据库及谷歌学术。数据分析包括根据信息的相似性和所研究的人群对信息进行分类。
分析纳入92篇文章和国家报告。收集到的数据分为两类。第1类包括个人反对死后捐赠的原因：对捐赠过程缺乏了解，22例（16.5%）；宗教信仰，21例（15.8%）；担心身体完整性受到毁损或破坏，17例（12.8%）；住院期间与医护人员发生冲突或不信任医护人员或器官捐赠过程，11例（8.3%）；原因不明，11例（8.3%）。第2类包括在对死者家属进行死后捐赠访谈后，个人拒绝捐赠已故亲属器官和组织的原因：潜在捐赠者之前的书面或口头表达，42例（10.1%）；担心身体完整性受到毁损或破坏，41例（9.9%）；住院期间与医护人员发生冲突或不信任医护人员或器官捐赠过程，38例（9.2%）；宗教信仰，37例（8.9%）；个人动机，36例（8.7%）。
这项范围综述发现，反对或拒绝器官及组织捐赠背后主要有两类原因，包含23个子类别。通过梳理国际背景下的这些原因，这些研究结果为未来研究提供了见解，可用于为器官及组织捐赠教育倡议的制定提供参考。
