بررسي مرگ مغزي و پيوند اعضا در ايران

Brain death and organ donation in Iran

پديده مرگ مغزي و امكان بهره‌گيري از آن در پيوند اعضا از مدتها قبل در محافل علمي و اجتماعي مطرح بوده است. موضوع پيوند اندام‌هاي حياتي از نظر پزشكي اهميت ويژه‌اي دارد؛ اما مسايل فرهنگي، حقوقي و اخلاقي متعددي را به همراه داشته است. هدف از انجام اين پژوهش، بررسي ميزان پيوند اعضا در ايران و عوامل تاثيرگذار در اين زمينه است.جامعه ما مساله مرگ مغزي را منطبق با ارزشها وفرهنگ خاص خويش پذيرفته است. بررسي خانواده هاي ايراني مواجه باپديده مرگ مغزي ،مبين اين است كه درپنجاه درصد موارد،خانواده هامسايل فرهنگي ومذهبي ونارضايتي از نظام درمان راعاملي برعدم رضايت به اهداي عضو عنوان كردند،چهل درصد نيزاعتقاد به زنده بودن متوفي داشتند.دراين فرآيند بين آگاهي ونگرش مثبت فرد،خانواده وپزشكان نسبت به اهداي عضو رابطه معني‌داري وجود داشت.

Introduction: Brain death and organ donation are important issues. Problems involving logistics, ethical issues, personal resistance, and legal difficulties will probably always limit the number of available donors.The aim of this article to review brain death and organ donation and various factors related to success of this in IRAN. Method: A systemic review was performed. We searched the pub med, Cochran are embays date base form 1995 to 2010, and the date published in Persian journal in IRAN from 1365 to 1389, all studies reporting brain death and organ donation and related factors. Result: Organ donation is about 1/7 per million in IRAN and very fewer of Europe and American country. The mean age of organ donation was 25/6 years old. Various factors related to success of organTransplantation in IRAN include: Positive attitude of public towards organ donation, consent by relations for organ donation and support logistics, knowledge, motivation and self- confidence nurse and physician towards organ donation, and religious views on organ donation. Conclusion: Brain death and organ donation are difficult decision, for public, physician and family. We recommended people had signed a donor volunteered card in live time.