Ríos A, Martínez-Alarcón L, López-Navas A, Febrero B, Sánchez J, Ramis G, Ramírez P, Parrilla P
International Collaborative Donor Project, University of Murcia, Murcia, Spain; Transplant Unit, General Surgery, Virgen de la Arrixaca Universitary Hospital, University of Murcia, Murcia, Spain; Regional Transplant Center. Consejería de Sanidad y Consumo de la Región de Murcia, University of Murcia, Murcia, Spain; Department of Surgery, University of Murcia, Murcia, Spain.
Transplant Proc. 2013;45(10):3575-8. doi: 10.1016/j.transproceed.2013.11.002.
To reduce the considerable organ deficit, living donation is being promoted. The subset of foreign population living in Spain could be potential patients for transplantation and/or donation. The objective of this study was to analyze the attitudes toward living donation (LD) of the population from the southeast of Spain who are natives of Scotland.
Within the "International Collaborative Donor Project," a random representative sample was obtained of the adult population residing in the southeast of Spain and who were born in Scotland (n = 350). Attitudes were evaluated with the use of a validated questionnaire that was completed anonymously and was self-administered. The Student t test, χ(2) test, and Fisher exact test were applied.
The completion rate was 93% (n = 324); 90% of the respondents (n = 290) were in favor of related LD, decreasing to 26% (n = 85) if it was unrelated. In the analysis of variables affecting attitude toward LD, differences were found in: 1) attitude toward deceased donation (P < .001); 2) having had previous experience of the donation and transplantation process (P = .049); 3) a respondent's belief that his or her religion was in favor of LD (P < .001); and 4) a partner's attitude toward donation and transplantation (P = .007).
The attitude toward related LD among Scottish residents in the southeast of Spain is very favorable, and is very closely related to attitude toward deceased donation, family attitude, and religious attitude. Patients on the waiting list of Scottish origin will be one of the most appropriate groups for promoting LD when living donation is being promoted in Spain.
为了减少严重的器官短缺，活体捐赠正在得到推广。居住在西班牙的外国人群体可能是移植和/或捐赠的潜在患者。本研究的目的是分析西班牙东南部出生于苏格兰的人群对活体捐赠（LD）的态度。
在“国际合作捐赠项目”中，对居住在西班牙东南部且出生于苏格兰的成年人群体（n = 350）进行了随机抽样。使用经过验证的问卷对态度进行评估，问卷采用匿名方式且由被调查者自行填写。应用了学生t检验、χ²检验和Fisher精确检验。
完成率为93%（n = 324）；90%的受访者（n = 290）赞成亲属活体捐赠，若为非亲属捐赠则赞成率降至26%（n = 85）。在影响对活体捐赠态度的变量分析中，发现以下方面存在差异：1）对尸体捐赠的态度（P <.001）；2）此前是否有捐赠和移植过程的经历（P =.049）；3）受访者认为其宗教支持活体捐赠（P <.001）；4）伴侣对捐赠和移植的态度（P =.007）。
西班牙东南部的苏格兰居民对亲属活体捐赠的态度非常积极，且与对尸体捐赠的态度、家庭态度和宗教态度密切相关。在西班牙推广活体捐赠时，祖籍为苏格兰的等待名单上的患者将是最适合推广活体捐赠的群体之一。
