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提高重症监护病房护士的参与度以促进已故捐赠者器官捐献。

Increasing the participation of intensive care unit nurses to promote deceased donor organ donation.

作者信息

Lin L-M, Lin C-C, Lam H-D, Chen C-L

机构信息

Liver Transplant Program and Department of Nursing, Chang Gung Memorial Hospital-Kaohsiung Medical Center, and Chang Gung University College of Medicine, Kaohsiung, Taiwan.

出版信息

Transplant Proc. 2010 Apr;42(3):716-8. doi: 10.1016/j.transproceed.2010.03.022.

Abstract

INTRODUCTION

Intensive care unit (ICU) nurses are viewed to have an important role in identifying potential donors to increase the donor pool. Our objectives were to assess their knowledge about organ donation, their attitudes concerning their presumed role in organ donation, and their motivation toward a more prominent role by 3 questionnaires administered before and after training on promotion of organ donation.

METHODS

Twelve nurses from 3 different ICU departments were selected to participate in a prospective evaluation. Their perceptions and attitudes on organ donation were assessed by means of 3 questionnaire forms that focused on "knowledge of organ donation," "attitudes toward endorsement of organ donation," and "motivation in promoting organ donation." Two video-illustrated lectures were given. A re-evaluation using the same 3 questionnaire forms was done to analyze the effect of training on their knowledge, attitude, and motivation.

RESULTS

A marked gain in knowledge (P<.001), change in attitude (P<.001), and increase in motivation (P<.001) were seen after training. Nurses understood the need to promote organ donation and the crucial role of nurses in early detection of possible deceased organ donors. They agreed to encourage the patients' relatives consent to donation of their beloved one's organs.

CONCLUSION

Active participation of ICU nurses in the identification of potential deceased donor organs and their direct participation in organ procurement though continuous re-education and video- illustrated lectures may promote an increased number of deceased donor organs.

摘要

引言

重症监护病房(ICU)护士在识别潜在捐赠者以增加捐赠者库方面被视为发挥着重要作用。我们的目标是通过在器官捐赠推广培训前后发放的3份问卷,评估她们关于器官捐赠的知识、对自身在器官捐赠中假定角色的态度以及她们对发挥更突出作用的积极性。

方法

从3个不同的ICU科室挑选了12名护士参与一项前瞻性评估。通过3份问卷形式评估她们对器官捐赠的认知和态度,这3份问卷分别聚焦于“器官捐赠知识”“对器官捐赠认可的态度”以及“促进器官捐赠的积极性”。举办了两场有视频演示的讲座。使用相同的3份问卷形式进行重新评估,以分析培训对她们的知识、态度和积极性的影响。

结果

培训后,护士们在知识方面有显著提升(P<.001),态度有变化(P<.001),积极性有所提高(P<.001)。护士们理解了推广器官捐赠的必要性以及护士在早期发现可能的已故器官捐赠者方面的关键作用。她们同意鼓励患者亲属同意捐赠其亲人的器官。

结论

ICU护士积极参与识别潜在的已故捐赠者器官,并通过持续的再教育和有视频演示的讲座直接参与器官获取,可能会增加已故捐赠者器官的数量。

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