| Autor: |
I., Aniza, S., Naren K., Y., Mansor L., S., Leny Suzana, Z., Hani Nadhirah, H., Hasdy |
| Zdroj: |
International Medical Journal; Jun2017, Vol. 24 Issue 3, p290-294, 5p |
| Abstrakt: |
Background: Thousands of lives are saved or enhanced through organ and tissue transplantation each year. It has been widely discussed that families' refusal represents a barrier for a donation to take place. Knowledge of the factors that may influence families' decision-making could be helpful in reducing the shortage for organ and tissue transplantation. Objective: The purpose of this study was to measure the prevalence of families' refusals and associated factors for deceased organ and tissue donation in Malaysia. Methods: Retrospective cross sectional study was conducted among the potential donor referrals. Data was retrieved via National Transplant Procurement Management Database (NTPM) from January 2010 to May 2014. Results: Refusal rate was 57% (251/440). Multiple logistic regression analysis revealed that Malay was fourteen times more likely to refuse compared to non-Malay (aOR 14.14, Cl 6.55-30.54, p < 0.001). As compared to family initiated donation, family was about thirteen times and eleven times more likely to refuse when approached by a Transplant Procurement Management Unit (TOP) team member (aOR 13.21, Cl 6.85-25.47, p < 0.001) and by a non-TOP team member (aOR 10.93, Cl 5.37-22.23, p < 0.001) respectively. Conclusion: Religious body or cultural leaders must strategically engage more Malays to participate in organ and tissue donation. Training and development must be continued to improve approach skills among the transplant coordinators and hospital staff with prospective donor families. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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