Jeon K O, Kim B N, Kim H S, Byeon N-I, Hong J J, Bae S H, Son S Y
Surgery-Transplantation, Severance Hospital Yonsei University, Seoul, Korea.
Transplant Proc. 2012 May;44(4):859-61. doi: 10.1016/j.transproceed.2012.02.019.
The practice of retrieving vital organs from brain-dead donors is legally and medically accepted in Korea, but health care professionals' beliefs and opinions regarding these matters have not been sufficiently explored. The purpose of this study was to evaluate the knowledge and attitudes of health care professionals to the concepts of brain death and organ retrieval.
Data were collected using a 41-item questionnaire during a week in June 2011. Sixty-one doctors and 109 nurses from five hospitals with more than 2000 beds in Seoul, Korea, participated in the survey. The data was analyzed using SPSS version 17.0 (SPSS Inc. Chicago, Illinois, USA).
There were statistically significant differences in the scores on knowledge according to marital status (P = .001) education level (P = .019), whether the participants were informed about organ donation from a brain-dead donor (P = .002), and the participant's experience managing potential brain-dead patients (P = .037). There were statistically significant differences in the scores on the attitude according to gender (P < .001), age (P < .001), marital status (P < .001), education level (P = .003), job position (P < .001), and the participant's experience referring brain-dead patients to the hospital-based organ procurement organization (P = .001). Significantly, attitude's positively correlated with knowledge about brain-dead organ donation (P < .001).
Compared with previous studies, the knowledge and attitudes of health care professionals' regarding brain death and organ retrieval were not improved. There are passive attitudes to brain death and organ retrieval. More research must be performed to promote knowledge and understanding toward brain death and organ retrieval among health care professionals.
在韩国,从脑死亡供体获取重要器官的做法在法律和医学上是被接受的,但医疗保健专业人员对这些问题的信念和观点尚未得到充分探讨。本研究的目的是评估医疗保健专业人员对脑死亡和器官获取概念的知识和态度。
2011年6月的一周内,使用一份包含41个条目的问卷收集数据。来自韩国首尔五家拥有2000多张床位的医院的61名医生和109名护士参与了调查。使用SPSS 17.0版(美国伊利诺伊州芝加哥市SPSS公司)对数据进行分析。
根据婚姻状况(P = .001)、教育水平(P = .019)、参与者是否了解来自脑死亡供体的器官捐赠情况(P = .002)以及参与者管理潜在脑死亡患者的经验(P = .037),知识得分存在统计学显著差异。根据性别(P < .001)、年龄(P < .001)、婚姻状况(P < .001)、教育水平(P = .003)、工作职位(P < .001)以及参与者将脑死亡患者转介给医院器官获取组织的经验(P = .001),态度得分存在统计学显著差异。值得注意的是,态度与脑死亡器官捐赠知识呈正相关(P < .001)。
与先前的研究相比,医疗保健专业人员对脑死亡和器官获取的知识和态度没有得到改善。对脑死亡和器官获取存在消极态度。必须进行更多研究,以促进医疗保健专业人员对脑死亡和器官获取的知识和理解。