Causes of family refusal on the organs and tissues donation

Abstract

INTRODUCTION: The rate of organ and tissue donation has been growing over the years. However, donations are not yet effective, and the main factor is family refusal. OBJECTIVE: Describe the reasons for family refusal to donate organs and tissues. METHODS: A quantitative, descriptive, retrospective, cross-sectional and exploratory study of 350 medical records of potential organ donor patients in Petrolina-PE hospitals from 2013 to 2017 was used. Data collection was done using an elaborated research form by the authors. The data were tabulated and stored in the program Excel for Windows / 2013, composing the search database. Project approved by the Research Ethics Committee of the State University of Bahia under nº 65496017.3.0000.0057. RESULTS: A total of 350 charts of potential donors were analyzed and the family interview was performed. For this study, only the medical records were used, in which there was a family refusal to donate organs and tissues, totaling 147. The most frequent causes were: intact body (36.0%), distrust of the donation process (32.6 (16.3%), hospital staff (4.7%), delayed donation (2.7%), religious reasons and non-comprehension of brain death (1, 3%). CONCLUSION: It is noticed that the refusal factors refer to the lack of information and dissemination about the donation process, and it is necessary that educational campaigns be carried out with the aim of clarifying the population about this theme, in order to reduce the negative ones due to family refusal.