Wejda S C B, Kosieradzki M, Jakubowska-Winecka A, Czerwinski J, Kobryn A, Danielewicz Roman R, Snarska J, Rowiński W
University of Warmia dn Mazury, Department of Surgery, Olsztyn, Poland.
Transplant Proc. 2012 Sep;44(7):2173-5. doi: 10.1016/j.transproceed.2012.07.126.
Deceased donors (DD) organ recovery rate in Poland has never been satisfactory but over the years kidney transplantation from deceased donors has reached the level of 26 transplants/pmp. In 2007 due to a number of reasons, a dramatic fall of organ recovery rate from deceased donors (DD) occurred. The survey on public attitude toward organ transplantation carried out in the same year showed a large reduction of the public trust toward medical profession. Since then, the number of kidney transplantations has never come back to its level from 2006, regardless of a positive attitude toward organ transplantation. The attitude and knowledge survey was recently carried out in 100 physicians and 100 nurses employed in one large district hospital. The results of the attitude survey among the hospital staff showed that the level of knowledge among nurses corresponded to their age and the time since graduation. Younger nurses showed much more appreciation and knowledge toward recovery of organs from the deceased donors. Survey among physicians indicated some hesitation toward recognition of the brain death. In the present paper results of the survey on attitude and knowledge toward organ transplantation among nuns (98 nuns), priests (100 priests) and students (98 students) of the Theological School living in the same area are presented. Despite quite high (>60%) acceptance of the deceased donation, one third of questioned population showed lack of knowledge not only on existing legal regulations, but also of important documents issued by the Catholic Church.
Improvement of transplantation program in Poland requires extensive educational program among various parts of the society: most importantly among physicians, nurses and priests. The Partnership for Transplantation program has been directed to achieve these goals.
波兰已故捐赠者（DD）的器官回收率一直不尽人意，但多年来已故捐赠者的肾脏移植率已达到每百万人口26例移植的水平。2007年，由于多种原因，已故捐赠者的器官回收率急剧下降。同年进行的关于公众对器官移植态度的调查显示，公众对医疗行业的信任大幅降低。从那时起，无论对器官移植的态度如何积极，肾脏移植数量再也没有回到2006年的水平。最近，对一家大型地区医院的100名医生和100名护士进行了态度和知识调查。医院工作人员态度调查的结果表明，护士的知识水平与他们的年龄和毕业时间相符。年轻护士对已故捐赠者器官回收表现出更多的赞赏和了解。医生调查显示，在承认脑死亡方面存在一些犹豫。本文展示了对同一地区的98名修女、100名牧师和神学院98名学生进行的器官移植态度和知识调查结果。尽管对已故捐赠的接受度相当高（>60%），但三分之一的受访者不仅对现行法律法规缺乏了解，而且对天主教会发布的重要文件也缺乏了解。
波兰移植项目的改进需要在社会各阶层开展广泛的教育项目：最重要的是在医生、护士和牧师中开展。移植合作项目旨在实现这些目标。
