Fatores associados à efetividade da doação de órgãos e tecidos para transplantes
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFRN |
Texto Completo: | https://repositorio.ufrn.br/jspui/handle/123456789/14763 |
Resumo: | The transplantation of organs and tissues presents itself as an important therapeutic option, both from a medical standpoint, the social or economic. Thus, the identification of variables that can interfere in the effectiveness of organs and tissues donation for transplantation needs to be investigated adequately, because it stands before increasing index of chronic and degenerative diseases in the population, what makes the waiting list for transplantation grow disproportionately and patients come to death without the opportunity of realization the treatment due to a lack of donors. In this context, has defined as objective of this study evaluate the factors associated with the effectiveness of organs and tissues donation for transplantation. It is a evaluative research, quantitative, prospective, with longitudinal design, developed at Central of Catchment, Notification and organ donation for transplant, Organ Procurement Organization and in six accredited hospitals to collect and transplantation of organs and tissues, in Natal/RN, between august 2010 and february 2011, after the approval of the Research Ethics Committee, under No. 414/10 and CAAE 007.0.294.000-10. The probabilistic sample without replacement was composed of 65 potential donors. It was used as an instrument of data collection a structured script non-participant observation of checklist type. Data were analyzed using descriptive statistics and presented in tables, charts, graphs and figures. For this, was used Microsoft Excel 2007 and statistical program SPSS version 20.0. To check the level of significance was chosen by applying the chi-square test (χ2) and Mann Whitney and caselas for less than five, it is considered the Fisher exact test. It was adopted as the significance level p-value <0.05. Among the surveyed it was observed that most of the individuals were male (50,8%), in the age group 45 years (53,8%), mean age of 42,3 years, minimum 5 and maximum 73 years (± 17,32 years). Single / widowers / divorced (56,9%), with up to completed elementary school (60,0%) in the exercise of professional activity (86,2%), catholic (83,1%) and residents in metropolitan region of Natal (52,3%). Was obtained donation effectiveness of 27,7%. There was no statistical significance between structure and effectiveness of the donation, but were observed inadequacies in physical resources (36,9%), materials (30,8%), organizational structure (29,2%) and human resources (18,5%). In the process, the maintenance phase (p= 0.004), diagnosis of brain death (p= 0.032), family interview (p≤ 0.001) and documentation (p= 0.001) presented statistical significance with effectiveness. Thus, it is accepts the alternative hypothesis of the study, in which is evidenced that the adequacy of the factors related to structure and process is associated to effectiveness of organs and tissues donation for transplantation. In this way, the effectiveness of organ and tissue donation ends in an essential way the rapidity and accuracy with which the donation process is conducted, requiring appropriate structure, with appropriate physical and material resources and skilled human resources to optimize the reduction of time and the suffering of those waiting for an organ or tissue transplant queued in Brazil |
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Freire, Izaura Luzia Silveriohttp://lattes.cnpq.br/6319638660319803http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4708368Z6&dataRevisao=nullCosta, Isabelle Katherinne Fernandeshttp://lattes.cnpq.br/5903265312273525Araújo, Ednaldo Cavalcante dehttp://lattes.cnpq.br/7392652886296731Miranda, Francisco Arnoldo Nunes dehttp://lattes.cnpq.br/9242337504601387Reis, Luciana Araújo doshttp://lattes.cnpq.br/5865016290526865Ferreira Júnior, Marcos Antoniohttp://lattes.cnpq.br/0912795990605736Torres, Gilson de Vasconcelos2014-12-17T14:46:55Z2014-01-272014-12-17T14:46:55Z2013-09-09FREIRE, Izaura Luzia Silverio. Fatores associados à efetividade da doação de órgãos e tecidos para transplantes. 2013. 153 f. Tese (Doutorado em Assistência à Saúde) - Universidade Federal do Rio Grande do Norte, Natal, 2013.https://repositorio.ufrn.br/jspui/handle/123456789/14763The transplantation of organs and tissues presents itself as an important therapeutic option, both from a medical standpoint, the social or economic. Thus, the identification of variables that can interfere in the effectiveness of organs and tissues donation for transplantation needs to be investigated adequately, because it stands before increasing index of chronic and degenerative diseases in the population, what makes the waiting list for transplantation grow disproportionately and patients come to death without the opportunity of realization the treatment due to a lack of donors. In this context, has defined as objective of this study evaluate the factors associated with the effectiveness of organs and tissues donation for transplantation. It is a evaluative research, quantitative, prospective, with longitudinal design, developed at Central of Catchment, Notification and organ donation for transplant, Organ Procurement Organization and in six accredited hospitals to collect and transplantation of organs and tissues, in Natal/RN, between august 2010 and february 2011, after the approval of the Research Ethics Committee, under No. 414/10 and CAAE 007.0.294.000-10. The probabilistic sample without replacement was composed of 65 potential donors. It was used as an instrument of data collection a structured script non-participant observation of checklist type. Data were analyzed using descriptive statistics and presented in tables, charts, graphs and figures. For this, was used Microsoft Excel 2007 and statistical program SPSS version 20.0. To check the level of significance was chosen by applying the chi-square test (χ2) and Mann Whitney and caselas for less than five, it is considered the Fisher exact test. It was adopted as the significance level p-value <0.05. Among the surveyed it was observed that most of the individuals were male (50,8%), in the age group 45 years (53,8%), mean age of 42,3 years, minimum 5 and maximum 73 years (± 17,32 years). Single / widowers / divorced (56,9%), with up to completed elementary school (60,0%) in the exercise of professional activity (86,2%), catholic (83,1%) and residents in metropolitan region of Natal (52,3%). Was obtained donation effectiveness of 27,7%. There was no statistical significance between structure and effectiveness of the donation, but were observed inadequacies in physical resources (36,9%), materials (30,8%), organizational structure (29,2%) and human resources (18,5%). In the process, the maintenance phase (p= 0.004), diagnosis of brain death (p= 0.032), family interview (p≤ 0.001) and documentation (p= 0.001) presented statistical significance with effectiveness. Thus, it is accepts the alternative hypothesis of the study, in which is evidenced that the adequacy of the factors related to structure and process is associated to effectiveness of organs and tissues donation for transplantation. In this way, the effectiveness of organ and tissue donation ends in an essential way the rapidity and accuracy with which the donation process is conducted, requiring appropriate structure, with appropriate physical and material resources and skilled human resources to optimize the reduction of time and the suffering of those waiting for an organ or tissue transplant queued in BrazilO transplante de órgãos e tecidos apresenta-se como importante opção terapêutica, tanto do ponto de vista médico, quanto social ou econômico. Assim, a identificação das variáveis que podem interferir na efetividade da doação de órgãos e tecidos para transplante precisa ser investigada de maneira adequada, pois se está diante de crescente índice de doenças crônicas e degenerativas na população, que faz com que a lista de espera para transplante aumente desproporcionalmente e os pacientes chegam ao óbito sem a oportunidade de realização do tratamento devido ao déficit de doadores. Nesse contexto, definiu-se como objetivo deste estudo avaliar os fatores associados à efetividade da doação de órgãos e tecidos para transplantes. Trata-se de pesquisa avaliativa, quantitativa, prospectiva, com delineamento longitudinal, desenvolvida na Central de Captação, Notificação e Doação de Órgãos para transplantes, Organização de Procura de Órgãos e em seis unidades hospitalares credenciadas para captação e transplante de órgãos e tecidos, em Natal/RN, entre agosto de 2010 e fevereiro de 2011, após a aprovação do projeto de pesquisa pelo Comitê de Ética em Pesquisa, CAAE 007.0.294.000-10. A amostra probabilística sem reposição foi composta de 65 potenciais doadores. Utilizou-se como instrumento de coleta de dados um roteiro estruturado de observação não participante do tipo checklist. Os dados foram analisados por meio da estatística descritiva e apresentados em forma de tabelas, quadros, gráficos e figuras. Para tanto, utilizou-se o Microsoft Excel 2007 e o Programa Estatístico SPSS versão 20.0. Para verificar o nível de significância optou-se pela aplicação dos testes Qui-quadrado (χ2) e Mann Whitney e, para as caselas inferiores a cinco, considerou-se o teste exato de Fisher. Adotou-se como nível de significância p-valor <0,05. Entre os pesquisados observou-se que a maior parte dos indivíduos era do sexo masculino (50,8%), na faixa etária até 45 anos (53,8%), com média de idade de 42,3 anos, mínimo de cinco e máximo de 73 anos (± 17,32 anos). Solteiros/viúvos/divorciados (56,9%), com até o ensino fundamental completo (60,0%), em exercício de atividade profissional (86,2%), católicos (83,1%) e residentes na região metropolitana de Natal (52,3%). Obteve-se efetividade de doação de 27,7%. Não ocorreu significância estatística entre a estrutura e a efetividade da doação, porém observaram-se inadequações nos recursos físicos (36,9%), materiais (30,8%), estrutura organizacional (29,2%) e recursos humanos (18,5%). No processo, as fases de manutenção (p=0,004), diagnóstico de morte encefálica (p=0,032), entrevista familiar (p≤ 0,001) e documentação (p= 0,001) apresentaram significância estatística com a efetividade. Assim, se aceita a hipótese alternativa do estudo, na qual se evidencia que a adequação dos fatores relacionados à estrutura e processo está associada à efetividade da doação de órgãos e tecidos para transplantes. Desse modo, a efetividade da doação de órgãos e tecidos encerra de forma imprescindível a rapidez e a precisão com que o processo de doação se conduz, requerendo estrutura adequada, com recursos físicos e materiais apropriados e recursos humanos capacitados, para otimizar a diminuição do tempo e do sofrimento daqueles que aguardam um órgão ou tecido na fila do transplante no Brasilapplication/pdfporUniversidade Federal do Rio Grande do NortePrograma de Pós-Graduação em EnfermagemUFRNBRAssistência à SaúdeEnfermagem. Obtenção de tecidos e órgãos. Efetividade. Transplante de órgãos. Avaliação de processos e resultadosNursing. Tissue and organ procurement. Effectiveness. Organ transplantation. 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dc.title.por.fl_str_mv |
Fatores associados à efetividade da doação de órgãos e tecidos para transplantes |
title |
Fatores associados à efetividade da doação de órgãos e tecidos para transplantes |
spellingShingle |
Fatores associados à efetividade da doação de órgãos e tecidos para transplantes Freire, Izaura Luzia Silverio Enfermagem. Obtenção de tecidos e órgãos. Efetividade. Transplante de órgãos. Avaliação de processos e resultados Nursing. Tissue and organ procurement. Effectiveness. Organ transplantation. Outcome and process assessment CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
title_short |
Fatores associados à efetividade da doação de órgãos e tecidos para transplantes |
title_full |
Fatores associados à efetividade da doação de órgãos e tecidos para transplantes |
title_fullStr |
Fatores associados à efetividade da doação de órgãos e tecidos para transplantes |
title_full_unstemmed |
Fatores associados à efetividade da doação de órgãos e tecidos para transplantes |
title_sort |
Fatores associados à efetividade da doação de órgãos e tecidos para transplantes |
author |
Freire, Izaura Luzia Silverio |
author_facet |
Freire, Izaura Luzia Silverio |
author_role |
author |
dc.contributor.authorID.por.fl_str_mv |
|
dc.contributor.authorLattes.por.fl_str_mv |
http://lattes.cnpq.br/6319638660319803 |
dc.contributor.advisorID.por.fl_str_mv |
|
dc.contributor.advisorLattes.por.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4708368Z6&dataRevisao=null |
dc.contributor.referees1.pt_BR.fl_str_mv |
Costa, Isabelle Katherinne Fernandes |
dc.contributor.referees1ID.por.fl_str_mv |
|
dc.contributor.referees1Lattes.por.fl_str_mv |
http://lattes.cnpq.br/5903265312273525 |
dc.contributor.referees2.pt_BR.fl_str_mv |
Araújo, Ednaldo Cavalcante de |
dc.contributor.referees2ID.por.fl_str_mv |
|
dc.contributor.referees2Lattes.por.fl_str_mv |
http://lattes.cnpq.br/7392652886296731 |
dc.contributor.referees3.pt_BR.fl_str_mv |
Miranda, Francisco Arnoldo Nunes de |
dc.contributor.referees3ID.por.fl_str_mv |
|
dc.contributor.referees3Lattes.por.fl_str_mv |
http://lattes.cnpq.br/9242337504601387 |
dc.contributor.referees4.pt_BR.fl_str_mv |
Reis, Luciana Araújo dos |
dc.contributor.referees4ID.por.fl_str_mv |
|
dc.contributor.referees4Lattes.por.fl_str_mv |
http://lattes.cnpq.br/5865016290526865 |
dc.contributor.referees5.pt_BR.fl_str_mv |
Ferreira Júnior, Marcos Antonio |
dc.contributor.referees5ID.por.fl_str_mv |
|
dc.contributor.referees5Lattes.por.fl_str_mv |
http://lattes.cnpq.br/0912795990605736 |
dc.contributor.author.fl_str_mv |
Freire, Izaura Luzia Silverio |
dc.contributor.advisor1.fl_str_mv |
Torres, Gilson de Vasconcelos |
contributor_str_mv |
Torres, Gilson de Vasconcelos |
dc.subject.por.fl_str_mv |
Enfermagem. Obtenção de tecidos e órgãos. Efetividade. Transplante de órgãos. Avaliação de processos e resultados |
topic |
Enfermagem. Obtenção de tecidos e órgãos. Efetividade. Transplante de órgãos. Avaliação de processos e resultados Nursing. Tissue and organ procurement. Effectiveness. Organ transplantation. Outcome and process assessment CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
dc.subject.eng.fl_str_mv |
Nursing. Tissue and organ procurement. Effectiveness. Organ transplantation. Outcome and process assessment |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
description |
The transplantation of organs and tissues presents itself as an important therapeutic option, both from a medical standpoint, the social or economic. Thus, the identification of variables that can interfere in the effectiveness of organs and tissues donation for transplantation needs to be investigated adequately, because it stands before increasing index of chronic and degenerative diseases in the population, what makes the waiting list for transplantation grow disproportionately and patients come to death without the opportunity of realization the treatment due to a lack of donors. In this context, has defined as objective of this study evaluate the factors associated with the effectiveness of organs and tissues donation for transplantation. It is a evaluative research, quantitative, prospective, with longitudinal design, developed at Central of Catchment, Notification and organ donation for transplant, Organ Procurement Organization and in six accredited hospitals to collect and transplantation of organs and tissues, in Natal/RN, between august 2010 and february 2011, after the approval of the Research Ethics Committee, under No. 414/10 and CAAE 007.0.294.000-10. The probabilistic sample without replacement was composed of 65 potential donors. It was used as an instrument of data collection a structured script non-participant observation of checklist type. Data were analyzed using descriptive statistics and presented in tables, charts, graphs and figures. For this, was used Microsoft Excel 2007 and statistical program SPSS version 20.0. To check the level of significance was chosen by applying the chi-square test (χ2) and Mann Whitney and caselas for less than five, it is considered the Fisher exact test. It was adopted as the significance level p-value <0.05. Among the surveyed it was observed that most of the individuals were male (50,8%), in the age group 45 years (53,8%), mean age of 42,3 years, minimum 5 and maximum 73 years (± 17,32 years). Single / widowers / divorced (56,9%), with up to completed elementary school (60,0%) in the exercise of professional activity (86,2%), catholic (83,1%) and residents in metropolitan region of Natal (52,3%). Was obtained donation effectiveness of 27,7%. There was no statistical significance between structure and effectiveness of the donation, but were observed inadequacies in physical resources (36,9%), materials (30,8%), organizational structure (29,2%) and human resources (18,5%). In the process, the maintenance phase (p= 0.004), diagnosis of brain death (p= 0.032), family interview (p≤ 0.001) and documentation (p= 0.001) presented statistical significance with effectiveness. Thus, it is accepts the alternative hypothesis of the study, in which is evidenced that the adequacy of the factors related to structure and process is associated to effectiveness of organs and tissues donation for transplantation. In this way, the effectiveness of organ and tissue donation ends in an essential way the rapidity and accuracy with which the donation process is conducted, requiring appropriate structure, with appropriate physical and material resources and skilled human resources to optimize the reduction of time and the suffering of those waiting for an organ or tissue transplant queued in Brazil |
publishDate |
2013 |
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2013-09-09 |
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2014-12-17T14:46:55Z |
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2014-01-27 2014-12-17T14:46:55Z |
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FREIRE, Izaura Luzia Silverio. Fatores associados à efetividade da doação de órgãos e tecidos para transplantes. 2013. 153 f. Tese (Doutorado em Assistência à Saúde) - Universidade Federal do Rio Grande do Norte, Natal, 2013. |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufrn.br/jspui/handle/123456789/14763 |
identifier_str_mv |
FREIRE, Izaura Luzia Silverio. Fatores associados à efetividade da doação de órgãos e tecidos para transplantes. 2013. 153 f. Tese (Doutorado em Assistência à Saúde) - Universidade Federal do Rio Grande do Norte, Natal, 2013. |
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Assistência à Saúde |
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Universidade Federal do Rio Grande do Norte |
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