Rey J W, Grass V, Barreiros A P, Haberstroh N, Bahnemann C, Hammer G P, Samuel U, Otto G, Galle P R, Werner C
I. Medizinische Klinik und Poliklinik, Universitätsmedizin Mainz.
Dtsch Med Wochenschr. 2012 Jan;137(3):69-73. doi: 10.1055/s-0031-1298796. Epub 2012 Jan 12.
In Germany the extent of organ donation is still low and not sufficent to duly address all patients on the waiting lists. It is likely that a lack of information and a consecutive uncertainty in the adult population relate to this imbalance. Virtually no data exist about teenagers' knowledge of the facts of organ donation.
4000 questionnaires were distributed in secondary schools in the state capital city Mainz, Germany. The students were asked to respond to 12 questions. The survey was voluntary and performed in class, without the students using any information sources.
Data from 1155 questionnaires were analysed. Overall 11.3 % of the teenagers carried an organ donor card. 48.9 % of the students had spoken about organ donation and brain death in their families. 37.0 % of the students declined organ donation. Of these, 72.4 % named a lack of education and informations as the primary reason for this statement. More non-German than German pupils declined organ donation (43.4 % vs. 36.2 %).
More than half of the pupils between 14 years and 20 years of age support the concept of organ transplantation as therapeutic option. Nevertheless the proportion of organ card holders is small among these students. These regional results identify an information deficit in young people in Germany as one of the main causes for inadequate acceptance of organ donation. Therefore, information and structured education should be intensified in German schools as possible measure to increase the number of future organ donor card holders in Germany.
在德国,器官捐献的规模仍然较低,不足以妥善解决所有等待名单上的患者需求。成年人群体中信息缺乏以及随之而来的不确定性可能与这种失衡状况有关。实际上,关于青少年对器官捐献相关事实的了解情况几乎没有数据。
在德国美因茨州首府的中学发放了4000份问卷。要求学生回答12个问题。该调查是自愿的,在课堂上进行,学生不得使用任何信息来源。
对1155份问卷的数据进行了分析。总体而言,11.3%的青少年持有器官捐献卡。48.9%的学生在其家庭中谈论过器官捐献和脑死亡。37.0%的学生拒绝器官捐献。其中,72.4%的学生将缺乏教育和信息作为做出这一表态的主要原因。拒绝器官捐献的非德国学生多于德国学生(43.4%对36.2%)。
14岁至20岁的学生中超过一半支持器官移植作为一种治疗选择的理念。然而,这些学生中持有器官捐献卡的比例较小。这些地区性结果表明,德国年轻人中的信息不足是器官捐献接受度不高的主要原因之一。因此,应加强德国学校的信息普及和系统教育,作为增加德国未来器官捐献卡持有者数量的一项可行措施。