• Journal of Korean Medical Science
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• 제33권50호
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• pp.326.1-326.10
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• 2018

Background: This retrospective study analyzed the causes of failure in the management process from the identification of brain-dead potential organ donors to actual donation in Korea over the past 5 years. Methods: Data of 8,120 potential brain deaths reported to the Korea Organ Donation Agency were used, including information received at the time of reporting, donation suitability evaluation performed by the coordinator after the report, and data obtained from interviews of hospital medical staff and the donor's family. Results: From January 2012 to December 2016, the total number of brain-dead potential organ donors in Korea was 8,120, of which 2,348 (28.9%) underwent organ procurement surgery with designated recipients. While the number of transplant donors has increased over time, the ratio of transplant donors to medically suitable brain-dead donors has decreased. The common causes of donation failure included donation refusal (27.6%), non-brain death (15.5%), and incompatible donation (11.6%); 104 potential donors (7.8%) were unable to donate their organs because they were not pronounced brain dead. Conclusion: The rate of successful organ donation may be increased by analyzing the major causes of failure in the brain-dead organ donation management process and engaging in various efforts to prevent such failures.

• 중환자간호학회지
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• 제10권3호
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• pp.19-30
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• 2017

Purpose : This study investigated factors affecting the knowledge and attitude of organ procurement from brain dead patients in nurse clinicians. Methods : A survey was conducted with 160 clinical nurses from a university hospital in Seoul. Descriptive statistics, t-tests, an ANOVA, $Scheff{\acute{e}}^{\prime}s$ test, Pearson's correlation coefficient, and a multiple regression analysis were used. Results : The mean score for knowledge of organ procurement from brain dead patients was $12.41{\pm}2.16$ (mean correct answers = 62.1). Factors influencing the knowledge of organ procurement among nurse clinicians were working department (${\beta}=.454$, p < .001), a recent family death (${\beta}=.187$, p = .014), experience recognizing potential brain dead patients (${\beta}=.182$, p = .033), and experience referring to potential brain dead patients (${\beta}=-.192$, p = .048). Conclusion : To ensure effective organ procurement from brain dead patients, it is necessary to continually educate nurse clinicians to improve their attitude and knowledge concerning organ donation.

• Journal of Hospice and Palliative Care
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• 제9권1호
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• pp.11-16
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• 2006

목적: 본 연구는 간호사를 대상으로 뇌사자 장기 기증에 대한 태도와 태도도구 항목의 요인분석을 실시하여 뇌사자 장기기증 활성화를 위한 기초자료를 마련하고, 뇌사자 장기기증 활성화를 위한 방법을 모색할 목적으로 실시하였다. 방법: B광역시에 위치하고 있는 3개의 대학병원과 4개의 종합병원에 근무하는 간호사 198명을 대상으로 조사한 서술적 조사연구이다. 기관의 부서장을 만나 연구의 목적과 필요성을 설명하여 허락을 받고, 병동 수간호사에게 연구의 취지와 목적을 다시 설명하고 협조를 구한 후, 해당 병동 간호사의 동의를 얻어 구조화된 설문지를 배부하여 설문조사 하였다. 결과: 대상자의 뇌사자 장기기증에 대한 태도도구 항목의 요인은 긍정적 태도가 '뇌사의 법적 사망 인정' 요인, '뇌사시 장기기증 의사' 요인, '학교교육과정에 포함' 요인, '타인에 대한 선물' 요인, '전문단체와의 연결'요인, '뇌사인정은 꼭 필요' 요인, '국가적으로 제도화' 요인, '장기이식을 위해 좋은 일' 요인으로 나타났고, 부정적 태도는 '종교와 생명의 존엄성에 위배' 요인, '뇌사인정 시 위험성' 요인, '의료진에 대한 불신감' 요인, '장기 기증 권유의 부담'요인, '경제적 보상'요인으로 나타났다. 대상자의 뇌사자 장기기증에 대한 긍정적 태도정도는 총 평균평점이 3.75점, 표준편차가 3.40로 중간 정도로 나타났다. 각 요인별 긍정적 태도정도는 '학교교육과정에 포함' 요인이 가장 높았고($4.15{\pm}0.54$), 긍정적 태도정도가 가장 낮은 요인은 '뇌사시 장기기증 의사' 요인($3.27{\pm}0.56$)이었다. 그리고 대상자의 뇌사자 장기기증에 대한 부정적 태도정도는 총 평균평점이 2.92점, 표준편차가 0.47로 중간 정도로 나타났다. 각 요인별 긍정적 태도정도는 '장기기증 권유의 부담' 요인($3.11{\pm}0.58$)이 가장 높았고, 부정적 태도정도가 가장 낮은 도인은 '종교와 생명의 존엄성에 위배' 요인($2.50{\pm}0.64$)으로 나타났다. 결론: 뇌사자 장기 기증에 대한 간호사의 수용적인 태도 전환을 위해 간호대학 교육과정에 이에 관한 교육내용이 포함되어야 하고 또한 졸업간호사들을 위한 보수교육과정에도 이를 포함시켜야 할 필요성이 있으며, 이는 뇌사 입법화 후 감소추세에 있는 장기 이식과 뇌사자 장기 기증에 관한 태도의 변화를 가져오는데 기여할 수 있을 것으로 사료된다.

• 인지과학
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• 제29권2호
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• pp.105-120
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• 2018

현대 신경과학은 인간의 마음이 신체기관인 뇌 활동의 산물이며, 뇌의 활동이 멈추면 마음의 작용도 함께 정지한다는 심신 일원론을 지지한다. 그러나 상당수의 일반인은 여전히 일원론적 입장으로 설명하기 어려운 마음영속성과 사후세계에 대한 믿음을 갖고 있다. 본 연구에서는 죽은 사람의 마음이 단순히 작동정지하거나 약화된 마음이 아니라, 살아있는 사람의 마음과 구별되는, 시공간의 물리적 제약을 초월하는 마음으로 간주되는지 살펴보았다. 참가자들은 주인공이 교통사고 후 사망하거나, 생존하거나, 또는 뇌사상태가 되는 가상의 시나리오를 읽은 뒤, 각 상태의 주인공이 보유한 '일반적 정신능력'과 '초월적 정보수집 능력' 수준을 평정하였다. 연구 결과, 주인공이 사망한 조건에서는 주인공의 일반적 정신능력이 높다고 평가할수록 초월적 정보수집 능력도 높다고 응답하는 상관관계가 관찰되었으나, 생존 조건에서는 이러한 경향성이 관찰되지 않았다. 이는 죽은 사람과 산 사람에게 기대되는 정신능력의 속성이 서로 달라서, 죽은 사람이 소유한 높은 일반 정신능력은 초월적인 능력을 함축함을 시사한다. 추가적으로, 참가자의 종교적 믿음 또한 사망한 사람의 초월적 정보수집 능력에 대한 태도에 영향을 주는 변인임을 확인하였다.

• 한국간호교육학회지
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• 제14권2호
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• pp.216-223
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• 2008

Purpose: The purpose of this study was to discover attitudes toward organ donation in brain dead donors and nursing ethical values of staff nurses. Method: The subjects were 196 nurses with direct patient care in a university hospital. Data collection was carried out for one month in September, 2008 using structured questionnaire. The data were analyzed using frequency, percentage, mean and standards deviation, ANOVA and Pearson's Correlation with SPSS program. Result: The mean score of a positive attitude toward organ donation in brain dead donors was 3.59 points, and a negative attitude score was 3.02 points. The mean score of nursing ethical value was 3.05 points. The age and the length of career had a reverse correlation with a negative attitude toward organ donation. Nursing ethical values had a positive correlation with a negative attitude toward organ donation. Conclusion: It is necessary to increase understanding and recognition of brain death organs donation in the nurses who participate in direct patient care so as to help facilitate organ donation.

• Archives of Pharmacal Research
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• 제21권5호
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• pp.496-502
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• 1998

The present study was carried out to determine the possible use of cTn-I in the cardiac myofibrillar architecture, as a potential target for in vivo radioimmunodetection of cardiac damage in a brain death pig model. Radioiodiantion of the anti-cTn-I 5F4 McAb was carried out by lactoperoxidase method. the percentage iodine incorporation achieved was 70-75%. The radioiodinated McAbs were purified on Sephadex G-25 column and characterised by Paper chromatography, Phast Gel electrophoresis and electroimmunoblotting. Radioiodinated anticTn-I 5F4 McAbs were employed alongside Pyrophosphate($Tc_{99m}$-PPi$) and $Thallium^{201}$ chloride($TI^{201}$) in 24 landrace pigs (brain-dead=18 & sham-operated=6). The percentage cardiac uptake of the radiolabelled antibody injected dose was significantly higher in the brain dead animals(0.196%) as compared to that of sham-operated animals (0.11%). Specific in vivo localization of radiolabelled McAbs in the infarcted cardiac tissue was confirmed by computer-aided reconstruction of 3-D images of the isolated heart. The preliminary results of the study revealed preferential uptake of radiolabelled antibody at the site of myocyte damage resulting from artificially induced brain death.

• Archives of Plastic Surgery
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• 제46권5호
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• pp.405-413
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• 2019

Background Face transplantation has naturally evolved from reconstructive procedures. However, few institutions perform face transplantations, because it is time-consuming and it is necessary to justify non-vital organ transplantation. We investigated the process of organ donation from brain-dead patients and the possibility of incorporating face transplantation into the donation process. Methods A retrospective review was performed of 1,074 brain-dead patients from January 2015 to December 2016 in Korea. We analyzed the time intervals from admission to brain death decisions (first, second, and final), the causes of brain death, and the state of the transplanted organs. Results The patient base (n=1,074) was composed of 747 males and 327 females. The average period between admission to the first brain death decision was 8.5 days (${\pm}15.3$). The average time intervals between the first brain death decision and medical confirmation using electroencephalography and between the first brain death decision and the final determination of brain death were 16 hours 58 minutes (${\pm}14hours$ 50 minutes) and 22 hours 57 minutes (${\pm}16hours$ 16 minutes), respectively. The most common cause of brain death was cerebral hemorrhage/stroke (42.3%), followed by hypoxia (30.1%), and head trauma (25.2%). Conclusions When face transplantation is performed, the transplantation team has 22 hours 57 minutes on average to prepare after the first brain death decision. The cause of brain death was head trauma in approximately one-fourth of cases. Although head trauma does not always imply facial trauma, surgeons should be aware that the facial tissue may be compromised in such cases.

• 한국동물학회:학술대회논문집
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• 한국동물학회 1998년도 한국생물과학협회 학술발표대회
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• pp.112-112
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• 1998

No Abstract, See Full Text

• 동서간호학연구지
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• 제28권1호
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• pp.49-56
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• 2022

Purpose: This study was conducted to identify the factors affecting the attitudes toward brain death organ donation among nurses and doctors in an operating room. Methods: A descriptive research was used. The participants included 90 nurses and 30 doctors who had experience of operating organ transplantation for brain death organ donation. Data were collected from March 12 to May 23, 2020 in the one tertiary general hospital. The outcome measures were perception and attitude of death and attitude towards brain death organ donation. Results: Attitudes toward brain death organ donation was influenced by type of occupation, intention of organ donation and attitude toward death. In addition, the explanatory power of the total variance was 52.1%. Conclusions: Based on the results, it is necessary to prepare an intervention to improve awareness of the brain death and the brain death organ donation.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 2004년도 제56차 추계 학술대회 연제집
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• pp.63.2-64
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• 2004