Febrero B, Ríos A, Martínez-Alarcón L, López-Navas A, Sánchez J, Ramis G, Ramírez P, Parrilla P
International Collaborative Donor Project, Murcia, Spain; Regional Transplant Center, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain; Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Transplant Unit, General Surgery, Virgen de la Arrixaca Universitary Hospital, Murcia, Spain; Department of Surgery, University of Murcia, Murcia, Spain.
Transplant Proc. 2013;45(10):3586-8. doi: 10.1016/j.transproceed.2013.10.014.
The concept of brain death (BD) is not very well known in the population, making it one of the main psychosocial barriers to favorable attitudes toward donation. Adolescents are a key sector of the population for future organ donation. For this reason it is important to find out what they know about this concept.
The aim of this study was to analyze the concept of BD among adolescents in the southeast of Spain and to determine their influence on attitude toward organ donation.
In the southeast of Spain a random sample was stratified according to Compulsory Secondary Education (CSE) schools. In the 10 selected schools, we performed a random sampling of each of the classes from the 1st to the 4th years of CSE. Knowledge of the concept of BD and attitude toward donation were analyzed with the use of a validated questionnaire, which was self-administered and completed anonymously. Statistical analyses used the Student t test and the χ(2) test.
Of 3,547 adolescents surveyed, 38% (n = 1,337) of the respondents knew the BD concept, considering it to be the death of an individual. Of the rest, 54% (n = 1,930) did not know this concept and the remaining 8% (n = 280) thought it did not mean a person's death. The respondents who were more in favor of deceased donation had a better knowledge of the concept of BD than those who had doubts (40% vs 35%, respectively; P = .007). The knowledge of the concept of BD was associated with variables directly and indirectly related with donation and transplantation (P < .05).
Most adolescents in the southeast of Spain do not know the concept of BD, and this adversely affects the attitude toward organ donation.
脑死亡（BD）的概念在大众中并不广为人知，这使其成为对捐赠持积极态度的主要社会心理障碍之一。青少年是未来器官捐赠人群中的关键部分。因此，了解他们对这一概念的知晓情况很重要。
本研究旨在分析西班牙东南部青少年对脑死亡的概念，并确定其对器官捐赠态度的影响。
在西班牙东南部，根据义务中等教育（CSE）学校进行随机抽样分层。在10所选定的学校中，我们从CSE的1年级到4年级的每个班级中进行随机抽样。使用经过验证的问卷对脑死亡概念的知晓情况和捐赠态度进行分析，问卷由学生自行填写并匿名完成。统计分析采用学生t检验和χ²检验。
在3547名接受调查的青少年中，38%（n = 1337）的受访者知道脑死亡的概念，认为这是个体的死亡。其余受访者中，54%（n = 1930）不知道这个概念，其余8%（n = 280）认为这并不意味着一个人的死亡。更支持 deceased donation 的受访者比有疑虑的受访者对脑死亡概念的了解更好（分别为40%对35%；P = .007）。脑死亡概念的知晓与与捐赠和移植直接或间接相关的变量有关（P < .05）。
西班牙东南部的大多数青少年不知道脑死亡的概念，这对器官捐赠态度产生了不利影响。
