Motivos de negativa familiar para donación cadavérica con fines de trasplante en un Hospital de Alta Especialidad en Puebla

M. Loera-Torres, M. E. Barrientos-Núñez, Mónica Peña-Sánchez
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Abstract

Introduction: Organ and tissue donation for transplantation purposes consists of a voluntary, selfless and altruistic act. One of the factors influencing the large difference between supply/demand is the shortage of organs secondary to family refusal. Objective: Analyzing family refusals, establishing the reasons why family refusal is given to the donation of organs and tissues for transplant purposes, in the North Zone General Hospital «Bicentennial of Independence». Material and methods: This study is qualitative, descriptive, observational and retrospective. Carried out at the North Zone General Hospital «Bicentennial of Independence», considering the family refusal to organ donation during the period from March 2019 to March 2020. Results: The sample consisted of 54 cases of potential donors in which family negative was obtained for donation. The reasons that prevailed in family refusals to the application for organ donation were: the belief that the body should be completely buried (21.29%), the family member did not express his wish in life (17.59%), the family member informed him in life that did not want to donate (14.81%), belief that it was not the desire of the family member to donate (9.25%), the desire not to make decisions at that time (7.4%), not to reach a family agreement (5.55%). Conclusion: The results obtained show the reasons why the relatives of potential donors refuse to access the donation. Despite efforts made by the staff in charge, denial of organ donation is a current problem. The
普埃布拉一家高级专科医院的亲属拒绝为移植目的捐献尸体的原因
以移植为目的的器官和组织捐赠是一种自愿、无私和利他的行为。造成供需差异较大的因素之一是家庭拒绝的继发器官短缺。目的:分析独立二百周年纪念北区总医院家庭拒绝捐献器官和组织的原因。材料与方法:本研究采用定性、描述性、观察性和回顾性研究。考虑到2019年3月至2020年3月期间家庭拒绝器官捐赠,在“独立二百周年”北区总医院进行了这项调查。结果:54例潜在献血者均为家庭阴性。家庭拒绝器官捐献申请的主要原因为:认为遗体应完全埋葬(21.29%)、生前家属未表达意愿(17.59%)、生前家属告知其不愿捐献(14.81%)、认为家属不愿捐献(9.25%)、当时不想做决定(7.4%)、未达成家庭协议(5.55%)。结论:所得结果揭示了潜在献血者亲属拒绝接受捐献的原因。尽管主管人员做出了努力,拒绝器官捐赠仍然是一个当前的问题。的
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