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促进器官捐赠的工作场所干预措施的设计与评估。

Design and evaluation of a workplace intervention to promote organ donation.

作者信息

Quinn Michael T, Alexander G Caleb, Hollingsworth Diane, O'Connor Kate Grubbs, Meltzer David

机构信息

University of Chicago, Chicago, Illinois, USA.

出版信息

Prog Transplant. 2006 Sep;16(3):253-9. doi: 10.1177/152692480601600312.

DOI:10.1177/152692480601600312
PMID:17007162
Abstract

BACKGROUND

A number of efforts have been made to improve rates of deceased organ donation. However, few have been specifically designed for implementation in the workplace.

OBJECTIVES

To design and evaluate a workplace intervention to increase documentation of intention to be posthumous organ donors, communication of donation intention to families, and family members' documentation of their donation intentions.

METHODS

The study was a randomized controlled trial of corporate employees. Within each corporation, worksites were randomized to a control condition or 1 of 2 educational interventions. Measures included baseline and 1-month postintervention measures of stage of organ donation intention, stage of family notification, and family members' organ donation intention.

RESULTS

Across 12 corporations, 40 worksites with a total of 754 participants were randomized. At 1-month follow-up, 495 participants (66%) completed a posttreatment questionnaire. The percentage of participants who signed organ donor cards increased in the 2 intervention groups (29%, P < .001, and 31%, P < .002) but not in the control group (17%, P = .454). The percentage who discussed their donation intentions with family members increased significantly across all 3 arms (39%-47%, P < .001). The mean percentage of participants' family members who signed organ donor cards increased by 14% in the control group (P = .016) and by 17% in the 2 intervention groups (P < .001).

CONCLUSIONS

Educational interventions in the corporate workplace setting can be effective in increasing organ donation intention, family notification, and recruitment of family members as potential organ donors.

摘要

背景

为提高 deceased 器官捐赠率已做出多项努力。然而,很少有专门设计用于在工作场所实施的措施。

目的

设计并评估一项工作场所干预措施,以增加死后器官捐赠意愿的记录、将捐赠意愿告知家属以及家属对其捐赠意愿的记录。

方法

该研究是对企业员工进行的随机对照试验。在每个企业中,工作场所被随机分配到对照条件或两种教育干预措施之一。测量指标包括器官捐赠意愿阶段、家属告知阶段以及家属器官捐赠意愿的基线和干预后 1 个月的测量值。

结果

在 12 个企业中,40 个工作场所的 754 名参与者被随机分组。在 1 个月的随访中,495 名参与者(66%)完成了治疗后问卷。在两个干预组中,签署器官捐赠卡的参与者百分比有所增加(分别为 29%,P <.001,和 31%,P <.002),而对照组没有增加(17%,P =.454)。在所有三个组中,与家属讨论其捐赠意愿的百分比均显著增加(39% - 47%,P <.001)。对照组中参与者家属签署器官捐赠卡的平均百分比增加了 14%(P =.016),两个干预组增加了 17%(P <.001)。

结论

在企业工作场所环境中进行教育干预可以有效地提高器官捐赠意愿、向家属告知以及招募家属作为潜在器官捐赠者。

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