Brkljacic Tihana, Feric Ivana, Rihtar Stanko
Ivo Pilar Institute of Social Sciences, Marulicev trg 19/I, 10000 Zagreb, Croatia.
Croat Med J. 2003 Apr;44(2):225-33.
AIM: To develop leaflets that would promote and increase tissue and organ donation and to test their persuasive value. METHOD: The study was carried out in two parts. In Study 1, we assessed attitudes, knowledge, and intentions about tissue and organ donation of 200 randomly chosen persons from the population of the capital of Croatia, Zagreb, as well as of 108 health professionals in different hospitals in Zagreb. We also assessed the willingness of health care professionals to ask their patients whether they were willing to donate their tissue and/or organs. Dependent variables in this study were attitudes, knowledge, and intentions. On the basis of attitude and knowledge analyses, two types of tissue and organ donation promotional leaflet were developed: one intended for the community sample and the other for health professionals. The leaflets were used as independent variable. In Study 2, performed a year later, the leaflets were presented to another group of 184 persons from Zagreb population and 50 health professionals. We compared attitudes, knowledge, and intentions of community sample and health professionals presented with leaflets vs those not presented with leaflets, and assessed the persuasive power of the two types of promotional material developed. RESULT: The community sample presented with the leaflet in Study 2 showed significantly more positive attitudes towards organ donation when compared with the group not presented with a leaflet in Study 1 (t=2.26; p=0.025), but there was no significant improvement in attitudes towards tissue donation or intention to either donate or receive tissues and organs for transplantation. For health professionals, the Study 2 group presented with a leaflet showed a tendency toward less positive attitudes but significantly more positive intention than those in Study 1 not presented with a leaflet to donate bone marrow (t=2.39; p=0.021) and one's own organs (t=2.24; p<0.027), and to ask others about blood donation (t=2.1; p=0.037). CONCLUSION: Presentation of leaflets succeeded in producing a tendency toward more positive attitudes and intentions toward tissue and organ donation. Still, a single presentation is clearly insufficient to produce significant change in all variables - attitudes, knowledge, and intentions.
目的:制作能够促进和增加组织及器官捐赠的宣传册,并测试其说服力。 方法:该研究分两部分进行。在研究1中,我们评估了从克罗地亚首都萨格勒布的人群中随机选取的200人以及萨格勒布不同医院的108名医护人员对组织及器官捐赠的态度、知识和意愿。我们还评估了医护人员询问患者是否愿意捐赠其组织和/或器官的意愿。本研究中的因变量是态度、知识和意愿。基于态度和知识分析,制作了两种类型的组织及器官捐赠宣传册:一种面向社区样本,另一种面向医护人员。宣传册用作自变量。在一年后进行的研究2中,将宣传册展示给另一组来自萨格勒布人群的184人和50名医护人员。我们比较了收到宣传册的社区样本和医护人员与未收到宣传册的社区样本和医护人员的态度、知识和意愿,并评估了所制作的两种宣传材料的说服力。 结果:与研究1中未收到宣传册的组相比,研究2中收到宣传册的社区样本对器官捐赠表现出明显更积极的态度(t = 2.26;p = 0.025),但对组织捐赠的态度或捐赠或接受移植组织和器官的意愿没有显著改善。对于医护人员,研究2中收到宣传册的组对捐赠骨髓(t = 2.39;p = 0.021)和自己的器官(t = 2.24;p < 0.027)以及询问他人是否献血(t = 2.1;p = 0.037)的态度倾向于不那么积极,但意愿明显更积极。 结论:宣传册的展示成功地产生了对组织及器官捐赠更积极的态度和意愿倾向。然而,单次展示显然不足以在所有变量——态度、知识和意愿上产生显著变化。
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