Al Sebayel M I M, Khalaf H
Department of Liver Transplantation and Hepatobiliary Sciences at King Faisal Hospital, Research Center and Department of Surgery, King Khaled University Hospital, Riyadh, Saudi Arabia.
Transplant Proc. 2004 Sep;36(7):1883-4. doi: 10.1016/j.transproceed.2004.08.147.
Organ transplantation has been widely accepted as a solution for end-stage organ failure. The limitation has been organ shortage. The intensivist plays a major role in the different stages of the donation process. This study investigated the knowledge and attitude toward organ donation and transplantation amongst intensivists in the major hospitals of Riyadh. The study was conducted in June 2002. Twenty-two intensivists in the intensive care units (ICUs)of 4 hospitals in Riyadh participated in the study. A questionnaire was distributed concerning knowledge and attitude on donation and transplantation. The information was tabulated and analyzed. Only 50% appreciated the high success rate of modern organ transplantation. One fourth did not know of the role of the Saudi Center for Organ Transplantation (SCOT). Most of the intensivists knew the Islamic view on transplantation. Many would be willing to allow donation from a deceased relative. However, only 13% carry donation cards. Most participants believed that the organ shortage was mainly due to family refusal to donate. Intensivists need to have better insight into the obstacles to donation that can be solved at the level of the hospital and the ICUs. Moreover, the communication gap between ICUs and SCOT needs to be bridged to optimize the use of all potential donors.
器官移植已被广泛认可为终末期器官衰竭的一种解决方案。其局限性在于器官短缺。重症监护医生在捐赠过程的不同阶段发挥着重要作用。本研究调查了利雅得主要医院的重症监护医生对器官捐赠和移植的知识及态度。该研究于2002年6月进行。利雅得4家医院重症监护病房(ICU)的22名重症监护医生参与了研究。发放了一份关于捐赠和移植知识及态度的问卷。对信息进行了列表整理和分析。只有50%的人认识到现代器官移植的高成功率。四分之一的人不知道沙特器官移植中心(SCOT)的作用。大多数重症监护医生了解伊斯兰教对移植的观点。许多人愿意允许从已故亲属身上进行捐赠。然而,只有13%的人持有捐赠卡。大多数参与者认为器官短缺主要是由于家属拒绝捐赠。重症监护医生需要更好地洞察那些可在医院和ICU层面解决的捐赠障碍。此外,需要弥合ICU与SCOT之间的沟通差距,以优化所有潜在捐赠者的利用。