The interview with the donor's family before postmortem cornea procurement

被引:39
作者
Muraine, M
Menguy, E
Martin, J
Sabatier, P
Watt, L
Brasseur, G
机构
[1] Hop Charles Nicolle, Dept Ophthalmol, F-76031 Rouen, France
[2] Hop Charles Nicolle, Coordinat Team, F-76031 Rouen, France
[3] French Eye Bank, Paris, France
关键词
cornea; donation; consent; donor's family;
D O I
10.1097/00003226-200001000-00003
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose, Asking the family of a deceased patient to consider eye donation is one of the most difficult aspects of the donation process. The aim of this prospective study was to describe the content of interviews with the families of potential donors and to analyze their reactions to improve the process of eye donation. Methods. We consecutively met with 151 families of suitable corneal donors at the Rouen University Hospital. All interviews with donor families were analyzed using a preestablished questionnaire. Results, In only 17.9% of cases was the family aware of the potential donor's last will. In 77.7% of these cases, the patient wished to donate. Procurement rate was 71.5%. This acceptance was mostly facilitated by the awareness and motivation of the hospital staff, the experience of the physician, and the 13.3-h period of time allowed after the donor's death. The commitment on the part of the ophthalmologist to carry out optimal anatomical restoration was a very important point for 32% of families who accepted donation. Twenty-one percent of families asked for a delay for reflection. This delay helped to obtain a positive response in 72.7% of cases and even sometimes helped families to reconsider a previously negative position (14% of initial refusals). Conclusion, We demonstrate that a high positive response (71.5%) can be obtained from the donor's family when a trained and motivated group manages the post-mortem cornea donation request.
引用
收藏
页码:12 / 16
页数:5
相关论文
共 11 条
[1]   FINANCIAL INCENTIVES FOR ORGAN DONATION - THE PERSPECTIVES OF HEALTH-CARE PROFESSIONALS [J].
ALTSHULER, JS ;
EVANISKO, MJ .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1992, 267 (15) :2037-2038
[2]   OBTAINING CONSENT FOR ORGAN DONATION IN 9 NSW METROPOLITAN HOSPITALS [J].
CHAPMAN, JR ;
HIBBERD, AD ;
MCCOSKER, C ;
THOMPSON, JF ;
ROSS, W ;
MAHONY, J ;
BYTH, P ;
MACDONALD, GJ .
ANAESTHESIA AND INTENSIVE CARE, 1995, 23 (01) :81-87
[3]  
CORLETT S, 1985, TRANSPLANT P, V17, P111
[4]   OBTAINING CONSENT FOR EYE DONATION [J].
DIAMOND, GA ;
CAMPION, M ;
MUSSOLINE, JF ;
DAMICO, RA .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 1987, 103 (02) :198-203
[5]   Organ shortage: A public health crisis. What is the French state doing about it? [J].
Houssin, D .
TRANSPLANTATION PROCEEDINGS, 1997, 29 (08) :3197-3198
[6]   WORLDWIDE LEGAL REQUIREMENTS FOR OBTAINING CORNEAS - 1990 [J].
LEE, PP ;
YANG, JC ;
MCDONNELL, PJ ;
MAUMENEE, AE ;
STARK, WJ .
CORNEA, 1992, 11 (02) :102-107
[7]  
LOEWENSTEIN A, 1991, ISRAEL J MED SCI, V27, P79
[8]   OBSTACLES TO DONOR EYE PROCUREMENT AND THEIR SOLUTIONS AT THE UNIVERSITY-OF-IOWA [J].
MACK, RJ ;
MASON, P ;
MATHERS, WD .
CORNEA, 1995, 14 (03) :249-252
[9]  
Muraine M, 1997, J FR OPHTALMOL, V20, P25
[10]  
Savaria D T, 1995, Crit Care Nurs Clin North Am, V7, P569