Öz

Amaç: Yetersiz organ bağışı oranı, organ naklinin önünde önemli bir engel teşkil etmektedir. Bilgi eksikliği ve olumsuz tutum en önemli engelleyici unsurlardır. Yoğun bakımda yatan yakını olması kişilerin bakış açısını değiştirebilir ve hassasiyet yaratabilir. Çalışmamızda yoğun bakım ve yataklı servislerde yatan hasta yakınlarının organ bağışına tutumlarını karşılaştırmayı amaçladık.

Gereç ve Yöntem: Tanımlayıcı, kesitsel bir anket çalışması yaptık. Grup I: Hastası 3. Basamak yoğun bakım ünitelerinde yatan hasta yakınları, Grup II: Hastası normal yataklı servislerde yatan hasta yakınlarıydı. Katılımcılara yazılı bilgilendirilmiş onam formu imzalatıldı. Sorular; 1-Demografik veriler, 2-Organ bağışı hakkındaki bilgi düzeyi, 3-Organ bağışı hakkındaki tutum ve davranışlar’dan oluşuyordu.

Bulgular: Organ bağışının amacı konusunda gruplar arasında anlamlı bir fark vardı (p=0,006). Grup I’in organ bağışını destekleme oranı (%75,9) Grup II’ye (%18,7) göre anlamlı derecede yüksekti (p<0,001).

Sonuç: Yoğun bakımda hastası olan hasta yakınlarının organ bağışı konusundaki tutumlarının, yoğun bakımda hastası olmayanlara göre daha olumlu olduğunu söyleyebiliriz. Yoğun bakımdaki hastaların kritik durumlarının hasta yakınlarındaki hassasiyeti artırdığı görülmektedir. Organ bağışına ilişkin eğitim ve bilinçlendirme faaliyetleri daha yoğun ve etkin bir şekilde yürütülmelidir. Özel tasarlanmış anketler, psikolojik destek, empati, saygılı ve erken iletişimin de etkili olabileceğini düşünüyoruz.

Anahtar Kelimeler: organ bağışı, yoğun bakım, anket, tutumlar

Referanslar

  1. Gökçe N, Özer H, Kilci Z. Organ Donation According to Students and Their Families in the Example of Social Studies Lesson. Anadolu Journal of Educational Sciences International. 2016;6:84-109. https://doi.org/10.18039/ajesi.81147
  2. Vicdan AK, Peker S, Üçer B. Determining the Attitudes of Akşehir Health School Students Regarding Organ Donation. TAF Preventive Medicine Bulletin. 2011;10:175-80. https://doi.org/10.5455/pmb.20101216024338
  3. Şen H, Özaydın Ö. Examining the Relationship Structure Between the Thoughts of Individuals in Eskişehir Province About Organ Donation and Their Socioeconomic Qualifications. Osmangazi University Journal of Social Sciences. 2004;5:95-116.
  4. Santos FGT, Mezzavila VAM, Rodrigues TFCS, et al. Trend of transplants and organ and tissue donations in Brazil: a time series analysis. Rev Bras Enferm. 2021;74:e20200058. https://doi.org/10.1590/0034-7167-2020-0058
  5. Szydło M, Mijalska A, Koziara K, Głowiński J. Attitudes Toward and Knowledge of Brain Death and Deceased Organ Donation Among Anesthesiologists in the Northeastern Region of Poland. Transplant Proc. 2022;54:864-73. https://doi.org/10.1016/j.transproceed.2022.03.019
  6. Desai JN, Vadhel CR, Patel NM, Patel BGA. Questionnaire-based study evaluating awareness for organ and body donation and cadaveric dissection among the general population attending mid-Gujarat region. International Journal of Health Sciences. 2022;6(Suppl. 2):3156-65. https://doi.org/10.53730/ijhs.v6nS2.5762
  7. TTDISKDS KAMU. Brain death. 2019. Available at: https://organkds.saglik.gov.tr/DSS/PUBLIC/Brain_Death.aspx (Accessed on Jul 7, 2024).
  8. Kanyári Z, Cservenyák D, Tankó B, Nemes B, Fülesdi B, Molnár C. Knowledge and Attitudes of Health Care Professionals and Laypeople in Relation to Brain Death Diagnosis and Organ Donation in Hungary: A Questionnaire Study. Transplant Proc. 2021;53:1402-8. https://doi.org/10.1016/j.transproceed.2021.01.045
  9. Ríos A, Cascales P, Martínez L, et al. Emigration from the British Isles to southeastern Spain: a study of attitudes toward organ donation. Am J Transplant. 2007;7:2020-30. https://doi.org/10.1111/j.1600-6143.2007.01879.x
  10. Cotrău P, Negrău M, Hodoșan V, et al. Organ Donation Awareness among Family Members of ICU Patients. Medicina (Kaunas). 2023;59:1966. https://doi.org/10.3390/medicina59111966
  11. Hernández Rivera JCH, Mojica OD, Mendoza MS, et al. Factors That Influence the Attitude of the Population to Be a Donor in Mexico. Transplant Proc. 2020;52:1036-41. https://doi.org/10.1016/j.transproceed.2020.01.064
  12. Irving MJ, Tong A, Jan S, et al. Factors that influence the decision to be an organ donor: a systematic review of the qualitative literature. Nephrol Dial Transplant. 2012;27:2526-33. https://doi.org/10.1093/ndt/gfr683
  13. Curtis RMK, Manara AR, Madden S, et al. Validation of the factors influencing family consent for organ donation in the UK. Anaesthesia. 2021;76:1625-34. https://doi.org/10.1111/anae.15485
  14. Colak M, Ersoy K, Haberal M, Gürdamar D, Gerçek O. A household study to determine attitudes and beliefs related to organ transplantation and donation: a pilot study in Yapracik Village, Ankara, Turkey. Transplant Proc. 2008;40:29-33. https://doi.org/10.1016/j.transproceed.2007.11.002
  15. Goz F, Goz M, Erkan M. Knowledge and attitudes of medical, nursing, dentistry and health technician students towards organ donation: a pilot study. J Clin Nurs. 2006;15:1371-5. https://doi.org/10.1111/j.1365-2702.2006.01431.x
  16. Cohen J, Ami SB, Ashkenazi T, Singer P. Attitude of health care professionals to brain death: influence on the organ donation process. Clin Transplant. 2008;22:211-5. https://doi.org/10.1111/j.1399-0012.2007.00776.x
  17. Ríos A, Ramírez P, Martínez L, et al. Are personnel in transplant hospitals in favor of cadaveric organ donation? Multivariate attitudinal study in a hospital with a solid organ transplant program. Clin Transplant. 2006;20:743-54. https://doi.org/10.1111/j.1399-0012.2006.00562.x
  18. Agaba EI, Ocheke IE, Agaba PA, et al. Willingness of Nigerian healthcare workers to donate kidneys. Int J Artif Organs. 2008;31:329-32. https://doi.org/10.1177/039139880803100409
  19. Tumin M, Tafran K, Zakaria RH, Satar NM, Ng KP, Lim SK. Do family members of dialysis patients have a positive attitude toward organ donation? Ann Transplant. 2015;20:752-6. https://doi.org/10.12659/aot.894427
  20. Howard K, Jan S, Rose JM, et al. Preferences for policy options for deceased organ donation for transplantation: a discrete choice experiment. Transplantation. 2016;100:1136-48. https://doi.org/10.1097/TP.0000000000000940
  21. Yang H, Wang Z, Li H, Zeng F. Factors influencing attitudes of relatives of renal failure patients toward living kidney donation: central China. Transplant Proc. 2012;44:2921-4. https://doi.org/10.1016/j.transproceed.2012.04.040
  22. Zhang H, Zheng J, Liu W, et al. Investigation and strategic analysis of public willingness and attitudes toward organ donation in East China. Transplant Proc. 2015;47:2419-24. https://doi.org/10.1016/j.transproceed.2015.09.011
  23. Bernat JL. Whither brain death? Am J Bioeth. 2014;14:3-8. https://doi.org/10.1080/15265161.2014.925153
  24. Ramadurg UY, Gupta A. Impact of an educational intervention on increasing the knowledge and changing the attitude and beliefs towards organ donation among medical students. J Clin Diagn Res. 2014;8:JC05-7. https://doi.org/10.7860/JCDR/2014/6594.4347
  25. Zhang QX, Xie JF, Zhou JD, et al. Impact Factors and Attitudes Toward Organ Donation Among Transplantation Patients and Their Caregivers in China. Transplant Proc. 2017;49:1975-81. https://doi.org/10.1016/j.transproceed.2017.09.022
  26. Jacoby L, Jaccard J. Perceived support among families deciding about organ donation for their loved ones: donor vs nondonor next of kin. Am J Crit Care. 2010;19:e52-61. https://doi.org/10.4037/ajcc2010396
  27. Afshar R, Sanavi S, Rajabi MR. Attitude and willingness of high school students toward organ donation. Saudi J Kidney Dis Transpl. 2012;23:929-33. https://doi.org/10.4103/1319-2442.100863
  28. Chen YC, Fang CS, Tsai CL. Willingness of intensive care unit patients' family members to donate organs: a cross-sectional study. Medicine (Baltimore). 2023;102:e32601. https://doi.org/10.1097/MD.0000000000032601
  29. Park UJ, Han SY, Han KH, et al. Effects of phased education on attitudes toward organ donation and willingness to donate after brain death in an Asian country. Asian J Surg. 2019;42:256-66. https://doi.org/10.1016/j.asjsur.2018.04.007
  30. Tontus HO. Educate, Re-educate, Then Re-educate: Organ Donation-centered Attitudes Should Be Established in Society. Transplant Proc. 2020;52:3-11. https://doi.org/10.1016/j.transproceed.2019.10.028
  31. Salim A, Berry C, Ley EJ, Schulman D, Navarro S, Chan LS. Utilizing the media to help increase organ donation in the Hispanic American population. Clin Transplant. 2011;25:E622-8. https://doi.org/10.1111/j.1399-0012.2011.01505.x
  32. Tontus O, Karabey M, Gurdal M. Survey of medical students' attitudes, religious beliefs, and knowledge of organ donation. Cells Tissues Organs. 2011; 14: 203-206.
  33. Alhawari Y, Verhoff MA, Ackermann H, Parzeller M. Religious denomination influencing attitudes towards brain death, organ transplantation and autopsy-a survey among people of different religions. Int J Legal Med. 2020;134:1203-12. https://doi.org/10.1007/s00414-019-02130-0
  34. Holman A, Karner-Huţuleac A, Ioan B. Factors of the willingness to consent to the donation of a deceased family member's organs among the Romanian urban population. Transplant Proc. 2013;45:3178-82. https://doi.org/10.1016/j.transproceed.2013.05.009
  35. Saffarzadeh T. Quran-e Hakim [The Holy Quran]. Tehran: Osveh Publications. 2009.
  36. Sharif A. Organ donation and Islam-challenges and opportunities. Transplantation. 2012;94:442-6. https://doi.org/10.1097/TP.0b013e31825f4474
  37. Alkhawari FS, Stimson GV, Warrens AN. Attitudes toward transplantation in U.K. Muslim Indo-Asians in West London. Am J Transplant. 2005;5:1326-31. https://doi.org/10.1111/j.1600-6143.2005.00814.x
  38. Demırkiran O, Bozbay S, Elmaagac M, Agkoç M. Religious and Cultural Aspects of Organ Donation in the Turkish Population. Transplant Proc. 2019;51:2158-62. https://doi.org/10.1016/j.transproceed.2019.01.159
  39. International Registry on Organ Donation and Transplantation (IRODaT). irodat.org. 2023. Available at: https://irodat.org/ (Accessed on Jul 8, 2024).
  40. Matesanz R, Domínguez-Gil B. The Spanish Model of Organ Donation and Transplantation. In: Jox R, Assadi G, Marckmann G, editors. Organ Transplantation in Times of Donor Shortage. International Library of Ethics, Law, and the New Medicine, Volume 59. Springer, Cham; 2016. https://doi.org/10.1007/978-3-319-16441-0_26

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Nasıl atıf yapılır?

1.
Altuntaş G, Çelik F, Aksu A, Özçelik G, Doğan F, Demirel İ. Servis ve yoğun bakımdaki hasta yakınlarının organ bağışı hakkındaki tutumları: Can olur musun?. Turk J Intensive Care. 2025;23(2):140-151. https://doi.org/10.63729/TJIC.2025.651