García-Santos AK, Barrientos-Núñez ME, Hernández-Rivera JCH

Language: Spanish
References: 17
Page: 59-67
PDF size: 321.17 Kb.

ABSTRACT

Introduction: Organ transplantation is one of the most successful therapeutic procedures. Currently, the demand for this treatment outperforms the supply, so it is important to maximize every opportunity to procure organs and tissues for this cause. The interview for the request for organ and tissue donation corresponds to the part of the process in which the request for consent for organ and/or tissue donation is made. This activity determines the donation process. There are factors that may favor or affect the decision to donate, these are considered as modifiable and non-modifiable factors, with non-standard characteristics. Objective: To evaluate factors that influence the family's decision to request organs and tissues families that accepted the donation and those who rejected it. Material and methods: Retrospective cross-sectional analytical study through telephone survey with 26 items to people who previously had an interview for the request of organ and tissue donation for transplant purposes at the General Hospital of Puebla "Dr. Eduardo Vázquez Navarro" during the period January 2019 to March 2020. The statistical analysis was performed with statical package STATA 14 and/or SPSS^® 25 Windows version. Results: Variables from 42 interviews for organ and tissue donation requests were studied. Of the total interviews reviewed, 16/42 (38.1%) were positive and 28/42 (61.9%) negative for donation. The main factors associated with denial of donation are, cause of death by complication of disease, age over 50 years, low socioeconomic income, not to talk about the subject previously, ignorance of the position of religion, negative perception of medical care. The stability of the decision is maintained after the period of mourning and emotional crisis, 100% of those who donated would donate again, 73% of those who refused the donation, would again refuse to donate. Conclusions: Most of the factors that negatively influence the decision to donate are modifiable and reflect a lack of information and discussion of the topic. Establishing specific public education-oriented strategies to change donation attitudes before an interview for the donation request may have a significant impact on the acceptance of the donation.

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