Conesa C, Ríos A, Ramírez P, Sánchez J, Sánchez E, Rodríguez M M, Martínez L, Ramos F, Parrilla P
Coordinación Regional de Trasplantes de la Comunidad Autónoma de Murcia, Consejería de Sanidad, Spain.
Transplant Proc. 2005 Nov;37(9):3626-30. doi: 10.1016/j.transproceed.2005.09.174.
Nursing is a fundamental service in caring for the health of the public. The opinion of nurses toward a certain type of donation may have a strong population impact. In this respect, living kidney donation is increasing in Spain; it is important to raise awareness at all levels. The objective here was to analyze the attitudes of primary care nursing personnel toward living kidney donation and to their determinants.
A random sample of primary care nurses stratified by geographical location (six health areas in our community), included 139 nurses from 32 health centres. Attitudes toward living donation were evaluated using a questionnaire with various psychosocial variables. For the distribution of the questionnaires, contact was made with the nursing coordinator in each centre. They were completed anonymously. The chi-squared test and Student's t test were applied.
The attitudes toward living kidney donation were favorable in 93% of those questioned (n = 129), mainly when the donation is related (78%, n = 109). Only one nurse was against the idea of donating a kidney from a living person (1%); nine had doubts about this kind of donation (7%). Seventy-six percent (n = 106) have cared for patients awaiting a transplant; however, no relationship was found with attitude toward this type of donation (P = .209). Of all analyzed variables, there was only a significant relationship with concern about possible body mutilation (P < .0005) and partner's opinion about the matter (P < .0005). We wish to highlight that no relationship was found with attitudes toward cadaveric organ donation (P = .712).
Attitudes of primary care nursing personnel toward living kidney donation were favorable, especially if it was related donation.
护理是关爱公众健康的一项基础服务。护士对某类捐赠的看法可能会对广大人群产生重大影响。在这方面，西班牙活体肾捐赠呈上升趋势；在各个层面提高认识很重要。此处的目的是分析基层护理人员对活体肾捐赠的态度及其决定因素。
从地理位置分层（我们社区的六个健康区域）的基层护理人员中随机抽取样本，包括来自32个健康中心的139名护士。使用包含各种社会心理变量的问卷评估对活体捐赠的态度。为分发问卷，与每个中心的护理协调员取得了联系。问卷以匿名方式填写。应用了卡方检验和学生t检验。
93%的受访者（n = 129）对活体肾捐赠持支持态度，主要是在亲属捐赠的情况下（78%，n = 109）。只有一名护士反对活体捐肾的想法（1%）；九人对此类捐赠表示怀疑（7%）。76%（n = 106）的人护理过等待移植的患者；然而，未发现与对这类捐赠的态度存在关联（P = 0.209）。在所有分析的变量中，仅与对可能身体致残的担忧（P < 0.0005）和伴侣对此事的看法（P < 0.0005）存在显著关联。我们想强调的是，未发现与对尸体器官捐赠的态度存在关联（P = 0.712）。
基层护理人员对活体肾捐赠持支持态度，尤其是亲属捐赠的情况。
