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西班牙一家移植医院住院医生对不同类型器官捐赠的态度。

Attitudes of resident doctors toward different types of organ donation in a Spanish transplant hospital.

作者信息

Ríos A, Conesa C, Ramírez P, Galindo P J, Rodríguez J M, Rodríguez M M, Martínez L, Parrilla P

机构信息

Coordinación Regional de Trasplantes de la Comunidad Autónoma de Murcia, Murcia, España.

出版信息

Transplant Proc. 2006 Apr;38(3):869-74. doi: 10.1016/j.transproceed.2006.02.029.

Abstract

OBJECTIVE

Our aim was to analyze acceptance of cadaveric and living organ donation for transplantation among resident doctors, given that they are the new professionals of medicine who will have to encourage and develop transplant programs.

MATERIALS AND METHODS

A random survey was performed on resident doctors in a third-level hospital with an organ transplant program which is accredited for undergraduate and postgraduate education (n = 171). Attitudes toward cadaveric and living donation were evaluated using a questionnaire including various psychosocial variables that might affect such attitudes. We used the Student t test and the chi-square test.

RESULTS

The sample was composed of responses by 171 resident doctors of mean age 28 +/- 4 years with 56% women. Attitudes toward cadaveric donation were favorable in 92% (n = 157). As for living donation, the percentage in favor of nonrelated donation was low: 23% for kidney and 19% for liver. However, when the donation was from a relative, the percentages increased to levels similar to those of cadaveric donation, namely 88% and 85% for kidney and liver, respectively. No differences were observed in attitudes toward cadaveric or living donation according to various psychosocial variables.

CONCLUSIONS

The trainee doctors showed favorable attitudes toward human cadaveric organ donation as well as living related donation, which suggests a relaunch of living donors in the near future. However, there was not much acceptance of nonrelated donation, as has also been seen in studies of the general public in our geographical area.

摘要

目的

鉴于住院医生是医学领域的新专业人员,他们将不得不推动和发展移植项目,我们旨在分析住院医生对尸体器官捐赠和活体器官捐赠用于移植的接受情况。

材料与方法

对一家拥有器官移植项目且本科及研究生教育获认可的三级医院的住院医生进行随机调查(n = 171)。使用包含可能影响此类态度的各种社会心理变量的问卷来评估对尸体捐赠和活体捐赠的态度。我们采用了学生t检验和卡方检验。

结果

样本由171名平均年龄为28 ± 4岁的住院医生的回复组成,其中女性占56%。92%(n = 157)的人对尸体捐赠持积极态度。至于活体捐赠,支持非亲属捐赠的比例较低:肾脏为23%,肝脏为19%。然而,当捐赠来自亲属时,比例分别升至与尸体捐赠相似的水平,即肾脏为88%,肝脏为85%。根据各种社会心理变量,对尸体捐赠或活体捐赠的态度未观察到差异。

结论

实习医生对人体尸体器官捐赠以及活体亲属捐赠持积极态度,这表明在不久的将来活体捐赠者数量可能会重新增加。然而,对非亲属捐赠的接受度不高,在我们所在地理区域针对普通公众的研究中也有类似情况。

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