2023, Number 4
Main causes of family refusal to donate in a Third-Level Hospital in Puebla
Sánchez-Galeana KR, Barrientos-Núñez ME
Full text
10.35366/113804
Language: Spanish
References: 12
Page: 199-204
PDF size: 277.18 Kb.
ABSTRACT
Introduction: donation and transplants in Mexico have been a recognized need and today they are a reality that has required the creation and evolution of a legal framework that responds to its constant change and progress. However, one of the factors that influence the great difference between supply/demand is the shortage of organs secondary to family refusal. At the end of the third quarter of 2022, until the month of October, at the national level Puebla ranks third in donations made from deceased people, with a total of 33 donations. The General Hospital of Puebla "Dr. Eduardo Vázquez Navarro" had a large percentage of affirmatives to the donation process; however, it is important to recognize why, despite the reactivation strategies, the family refusals pass through the specified processes. Objective: publicize the main cause of family refusal at the General Hospital of Puebla "Dr. Eduardo Vázquez Navarro" in the period July 2021-July 2022. Material and methods: it is a qualitative, descriptive, observational and retrospective study. The instrument used was the family refusal format of the Institutional Coordination of Donation and Procurement of Organs and Tissues for Transplantation Purposes of the National Institutes and High Specialty Hospitals of the Ministry of Health. The resources used were a computer with internet access and Excel as a database. Result: the sample analyzed was made up of 70 family refusals, which were collected during the period studied. It is important to mention that more than one reason can be obtained from each family refusal, for which a total of 138 reasons for family refusal to donate organs and tissues were obtained. The main causes that predominated in family refusals to donate organs and tissues for transplant purposes were: That the relative said they did not want to donate (26.08%), that the body must be buried completely (23.18%), the family did not express their desire to donate (10.86%), the desire not to make decisions at that time (5.79%), family discrepancy (5.07%), that their religion does not allow it (5.07%), other reasons (5.07%), such as "not being the direct relative", upset with medical care (4.34%), lack of family support (3.62%), because of "what will they say" (2.17%), the belief that trafficking exists of organs (2.17%), not having enough information before the event (1.44%), expecting a miracle (1.44%), the recent death of another relative (1.44%), distrust of the medical team (0.72%), distrust of the transplant team (0.72%) and receiving nothing in return (0.72%). Conclusion: the main reasons lead us to think that the lack of knowledge about other people's position on donation is what is causing a huge loss of donors; however, it cannot be known if this lack of communication is rooted in issues religious or social. The main challenge continues to be to contribute to the dissemination of the donation process, in a clear and concise way so that all individuals have the necessary information to change their beliefs.REFERENCES