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居住在西班牙东南部的苏格兰居民对器官捐赠的态度。

Attitude of Scottish residents living in southeastern Spain toward organ donation.

作者信息

Ríos A, Cascales P, Martínez L, Ramírez P, Sánchez J, Jarvis N, Parrilla P

机构信息

Coordinación Regional de Trasplantes de la Comunidad Autónoma de Murcia, Consejería de Sanidad, Murcia, Spain; Departamento de Cirugía, Hospital Universitario Virgen de la Arrixaca, El Palmar, Servicio Murciano de Salud, Murcia, Spain.

出版信息

Transplant Proc. 2008 Nov;40(9):2867-71. doi: 10.1016/j.transproceed.2008.08.099.

DOI:10.1016/j.transproceed.2008.08.099
PMID:19010130
Abstract

BACKGROUND

Southeastern Spain is a habitual area of residence for the native population of Scotland.

OBJECTIVE

To assess the attitude toward donation in the immigrant population in our regional community who were born in Scotland and to analyze the variables that influence this attitude.

MATERIALS AND METHODS

A random sample was taken (n = 350) of the population group born in Scotland and living in southeastern Spain. The instrument used to measure attitude was a previously validated questionnaire, which was self-administered and completed anonymously between December 2005 and March 2006. For a control group, we used a sample of the autochthonous population (n = 2000). Statistical analysis included Student t test, the chi(2) test, Fisher exact test, and logistical regression analysis.

RESULTS

The attitude toward donation was favorable among 73% of respondents (n = 237), with 7% (n = 22) against and 21% (n = 68) undecided. The attitude was more favorable than among the Spanish control group (73% vs 63%; P = .002). The following variables were related to this attitude: an understanding of the concept of brain death (P = .025); having discussed the matter within the family unit (P < .001); a partner's attitude toward donation (P < .001); being in favor of donating a family member's organs (P < .001); attitude toward cremation (P < .001); attitude toward autopsy (P = .002); and concern about mutilation after donation (P < .001).

CONCLUSIONS

The attitude of Scottish residents in southeastern Spain is more favorable than that of the Spanish population. It is mainly affected by factors related to the family and to the attitude toward manipulation of the cadaver.

摘要

背景

西班牙东南部是苏格兰本土居民的一个常住地区。

目的

评估我们地区社区中出生于苏格兰的移民群体对捐赠的态度,并分析影响这一态度的变量。

材料与方法

对出生于苏格兰且居住在西班牙东南部的人群进行随机抽样(n = 350)。用于测量态度的工具是一份先前经过验证的问卷,该问卷于2005年12月至2006年3月期间由被调查者自行填写并匿名完成。对于对照组,我们使用了当地人群的一个样本(n = 2000)。统计分析包括学生t检验、卡方检验、Fisher精确检验和逻辑回归分析。

结果

73%的受访者(n = 237)对捐赠持赞成态度,7%(n = 22)反对,21%(n = 68)未决定。这种态度比西班牙对照组更为积极(73%对63%;P = 0.002)。以下变量与这种态度相关:对脑死亡概念的理解(P = 0.025);在家庭单位内部讨论过此事(P < 0.001);伴侣对捐赠的态度(P < 0.001);赞成捐赠家庭成员的器官(P < 0.001);对火葬的态度(P < 0.001);对尸检的态度(P = 0.002);以及对捐赠后肢体残缺的担忧(P < 0.001)。

结论

西班牙东南部苏格兰居民的态度比西班牙人群更为积极。它主要受与家庭相关的因素以及对尸体处理态度的影响。

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