DeJong W, Franz H G, Wolfe S M, Nathan H, Payne D, Reitsma W, Beasley C
Department of Health and Social Behavior, Harvard School of Public Health, Boston, MA 02115, USA.
Am J Crit Care. 1998 Jan;7(1):13-23.
Approximately half of the families asked to consider donation of a relative's organs decline to give consent. Understanding the difference between stated public support of organ donation and actual behavior is key to decreasing the shortage of donor organs.
To gain insight into the experiences of potential donor families and to define features of the donation-request process and other factors that are associated with consent for organ donation.
A structured telephone interview was conducted with the immediate next of kin of 164 medically suitable potential organ donors. Interviews 30 to 60 minutes long were held with members of both donor and nondonor families 4 to 6 months after the death of the study participant's relative.
Several factors were associated with consent for organ donation: characteristics of the patient and the patient's family, beliefs and attitudes about organ donation and transplantation, whether the family knew the deceased's wishes about donation, the family's satisfaction with the hospital care that their relative received, specific aspects of the donation-request process, and the family's understanding of brain death.
Organ donation rates could be increased by enhancing the quality of hospital care and ensuring that the request for donation is handled in a way that meets the families' informational and emotional needs.
在被请求考虑捐赠亲属器官的家庭中，约有一半拒绝给予同意。理解公众对器官捐赠的公开支持与实际行为之间的差异，是减少捐赠器官短缺的关键。
深入了解潜在捐赠者家庭的经历，确定捐赠请求过程的特征以及与器官捐赠同意相关的其他因素。
对164名医学上合适的潜在器官捐赠者的直系亲属进行了结构化电话访谈。在研究参与者的亲属去世4至6个月后，对捐赠者家庭和非捐赠者家庭的成员进行了时长30至60分钟的访谈。
有几个因素与器官捐赠同意相关：患者及其家庭的特征、对器官捐赠和移植的信念及态度、家庭是否知晓死者的捐赠意愿、家庭对其亲属所接受医院护理的满意度、捐赠请求过程的具体方面以及以及家庭对脑死亡的理解。
通过提高医院护理质量，并确保以满足家庭信息和情感需求的方式处理捐赠请求，可以提高器官捐赠率。
