Bapat Usha, Kedlaya Prashanth G
Department of Nephrology, St. John's Medical College Hospital, Sarjapur Road, Bangalore 560034, India.
Saudi J Kidney Dis Transpl. 2010 Jan;21(1):174-80.
Organ transplantation is the most preferred treatment modality for patients with end-stage organ disease. There is an inadequate supply of cadaver organs commensurate with need. Health-care professionals are the critical link in augmenting public awareness about organ donation. Their attitudes and beliefs can influence the public opinion. This study aims at understanding the awareness, attitudes, and beliefs among the medical postgraduate students. A total of 123 post-graduates of a medical college hospital in South India participated in the study. A specially de-signed questionnaire was used in assessment. Data were statistically analyzed using SPSS Windows version 10.0. The mean age of the postgraduate students was 28.32 + or - 3.5 years, 54% were males, 62% belonged to Christian religion, 69% were single, 77% were from nuclear families, 87% had urban background, and 54% were from upper socioeconomic strata. About 97% said they were aware of organ donation through media, 23 understood the concept of "cadaver" as "brain-death" and 93% were able to distinguish between brain-death and persistent vegetative state. Eighty-nine percent wished to donate their organs, 77% did not believe in body disfigurement and 87% did not believe in rebirth without the donated organs, if they pledged their organs. Sixty-nine percent were willing to donate the organs of their family members. Eighty percent were willing to receive organs from family and cadaver, 40% were willing to donate a child's organs, 95% did not believe that organ donation is against their religion, 87% disagreed with the notion that doctors would not impart adequate care if they were pledged organ donors and 79% agreed that doctors would not declare death prematurely, if they had pledged their organs during life. There was a statistically significant correlation between attitudes, beliefs and demographics. In conclusion, the concept of brain-death was clearly understood by only a small number of medical postgraduate students. They however, had positive attitudes and beliefs towards organ donation.
器官移植是终末期器官疾病患者最优先选择的治疗方式。尸体器官的供应与需求不相匹配,供应不足。医疗保健专业人员是提高公众器官捐赠意识的关键环节。他们的态度和信念会影响公众舆论。本研究旨在了解医学研究生对器官捐赠的知晓程度、态度和信念。印度南部一所医学院附属医院的123名研究生参与了该研究。评估中使用了一份专门设计的问卷。数据使用SPSS Windows 10.0版本进行统计分析。研究生的平均年龄为28.32±3.5岁,54%为男性,62%信奉基督教,69%为单身,77%来自核心家庭,87%有城市背景,54%来自社会经济上层。约97%的人表示通过媒体知晓器官捐赠,23人将“尸体”概念理解为“脑死亡”,93%的人能够区分脑死亡和持续性植物状态。89%的人希望捐赠自己的器官,77%的人不相信身体会毁容,87%的人不相信如果他们承诺捐赠器官就会在没有捐赠器官的情况下重生。69%的人愿意捐赠其家庭成员的器官。80%的人愿意接受来自家人和尸体的器官,40%的人愿意捐赠儿童器官,95%的人不认为器官捐赠违背其宗教信仰,87%的人不同意如果他们是承诺捐赠器官者医生就不会给予充分治疗这一观点,79%的人同意如果他们生前承诺捐赠器官医生就不会过早宣布死亡。态度、信念与人口统计学特征之间存在统计学显著相关性。总之,只有少数医学研究生清楚理解脑死亡概念。然而,他们对器官捐赠持有积极的态度和信念。