EFFECTIVENESS OF THE “QUESTIONNAIRES ON EXTRACTING INTENSION OF PRESENTING OPTIONS FOR ORGAN DONATION” TO MAKE ORGAN-DONATION-RELATED BEHAVIORS IN EMERGENCY MEDICAL CENTER

• Published in: Journal of The Showa University Society Vol. 80; no. 6; pp. 546 - 556
• Main Authors: TOGO, Shuusuke, GESHI, Eiichi, TANAKA, Shin, KUMAZAWA, Mayumi, TSUBAKI, Michihiro
• Format: Journal Article
• Language: Japanese
• Published: The Showa University Society 2020; 昭和大学学士会
• Subjects: bereaved family survey; emergency medical center; organ donation; organ donation option; quasi-randomized controlled trial; 救命救急センター; 準ランダム化比較試験; 臓器提供; 選択肢提示; 遺族調査
• ISSN: 2187-719X; 2188-529X
• DOI: 10.14930/jshowaunivsoc.80.546

Verification of the effectiveness in “Questionnaire for extracting intentions of presentation options for organ donation” for organ donation-related behavior at emergency medical centers. The subject is a family member of a patient who was transported by a tertiary emergency and died within a week. The intervention in this study is the provision of organ donation options using a questionnaire. We randomized the families of patients transported to the emergency medical center and presented the intervention group with organ donation options. The patient was followed up for one week, and the families of the deceased patients were mailed a self-administered questionnaire 8 weeks after death. Responses were received from 111 （36.3％）. There were no changes in organ donation-related behaviors in 51 intervention groups （45.9％） who received the option. When the subjects were stratified, patients were of Working-age population between 15 and 65 （Working age: 66.7％ vs. Dependent age: 12.5％, p＝0.04）, families were women （women: 24.1％ vs. men: 3.1％, p＝0.02）, and families were confused （was confused: 40.0％ vs. wasn’t confused: 0.0％, p＝0.004）, there was an increase in “family discussions” an action related to organ donation. When presenting Organ donation options, 17.4％ felt distrust and 28.3％ felt stress. Although the effect of option presentation via a questionnaire on the related behavior of organ donation is limited, it is considered an effective strategy at the initial stage of option presentation. This strategy makes it possible to present the option without the attending physician and is a versatile approach in many facilities.