Dhaliwal Upreet
Department of Ophthalmology, University College of Medical Sciences, GTB Hospital, Delhi, India.
Indian J Ophthalmol. 2002 Sep;50(3):209-12.
Medical professionals could enhance eye donation rates by reminding relatives during grief counseling at the time of patient's death. This study was designed to assess the knowledge and attitudes of final year medical students (future doctors) towards eye donation, prior to instruction in eye banking.
The responses of 49 final-year medical students to a questionnaire on eye donation were compared with 24 non-medical students (controls). The results were analysed statistically using the chi-square test.
More than one-third of students and controls were unaware that eyes are removed within six hours of death. Eight (16.3%) students and 6 (25.0%) controls felt that a close relative's eyes could be donated after death only if he had indicated willingness (P = 0.05). Three (6.1%) students and 3 (12.5%) controls were undecided about donating their own eyes. Nineteen (38.8%) students and 6 (25%) controls did not know where to go in order to pledge/donate eyes. The controls had poorer knowledge of ocular and systemic contraindications, and they did not know that storage could be prolonged (P < 0.001). Only 27 (55.1%) students had knowledge of corneal storage.
Controls were poorly informed about various aspects of eye donation suggesting inadequate dissemination of information by the media. Students and controls alike had misconceptions regarding donation of relatives' eyes and hesitation regarding their own. These aspects should be emphasized during undergraduate teaching to dispel misgivings regarding wastage of donor eyes and to encourage future doctors to promote eye donation.
医学专业人员可在患者死亡时的悲伤辅导过程中提醒亲属,以提高眼捐献率。本研究旨在评估医学专业最后一年的学生(未来的医生)在眼库知识讲授之前对眼捐献的认识和态度。
将49名医学专业最后一年的学生对一份关于眼捐献问卷的回答与24名非医学专业学生(对照组)的回答进行比较。结果采用卡方检验进行统计学分析。
超过三分之一的学生和对照组人员不知道眼睛在死亡后6小时内摘除。8名(16.3%)学生和6名(25.0%)对照组人员认为,只有近亲在生前表示愿意,其死后眼睛才可捐献(P = 0.05)。3名(6.1%)学生和3名(12.5%)对照组人员对是否捐献自己的眼睛犹豫不决。19名(38.8%)学生和6名(25%)对照组人员不知道到哪里承诺/捐献眼睛。对照组人员对眼部和全身禁忌证的了解较差,且不知道储存时间可以延长(P < 0.001)。只有27名(55.1%)学生了解角膜储存知识。
对照组人员对眼捐献的各个方面了解不足,表明媒体的信息传播不够充分。学生和对照组人员对亲属眼睛的捐献都存在误解,对自己的捐献也有所犹豫。在本科教学中应强调这些方面,以消除对供体眼睛浪费的疑虑,并鼓励未来的医生宣传眼捐献。