一项针对西班牙和拉丁美洲12家医院外科科室对器官捐赠态度的多中心研究。
A multicenter study on attitude toward organ donation in Spain and Latin America between the surgical units of 12 hospitals.
作者信息
Ríos A, Martínez-Alarcón L, López-Navas A I, Ayala-García M A, Sebastián M J, Abdo-Cuza A, González B, Ramírez P, Ramis G, Parrilla P
机构信息
Proyecto Colaborativo Internacional Donante, "International Collaborative Donor Project", Murcia, Spain; Department of Surgery, University and Transplant Unit University Hospital Virgen de la Arrixaca, Murcia, Spain; Regional Transplant Center, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain; Department of Surgery, University of Murcia, Murcia, Spain.
Proyecto Colaborativo Internacional Donante, "International Collaborative Donor Project", Murcia, Spain; Department of Surgery, University and Transplant Unit University Hospital Virgen de la Arrixaca, Murcia, Spain; Regional Transplant Center, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain; Department of Surgery, University of Murcia, Murcia, Spain.
出版信息
Transplant Proc. 2015 Jan-Feb;47(1):7-9. doi: 10.1016/j.transproceed.2014.11.023.
INTRODUCTION
Medical advances and improvements in surgical techniques have transformed transplantation into an ever safer therapeutic option. However, its main limitation is the shortage of available organs. Therefore, it is necessary to join forces to achieve optimal deceased donation and prevent the loss of potential donors. We sought to analyze the acceptance of deceased organ donation (OD) among hospital personnel in surgical units in hospitals in Spain and Latin America.
METHOD
A random sample (n = 554) was taken was stratified according to surgical services and job category in 12 hospitals-4 in Spain (n = 294 participants), 5 in Mexico (n = 202), 2 in Cuba (n = 41), and 1 in Costa Rica (n = 17). Attitude was assessed using a questionnaire validated, which was completed anonymously and self-administered. The χ(2) test, Student t test, and a logistic regression analysis were used.
RESULTS
Overall, 75% of respondents (n = 417) were in favor of deceased OD and 25% were against it (n = 137). Regarding the respondent's country, there was a favorable attitude among 88% of Cubans, 85% of Mexicans, 82% of Costa Ricans, and 67% of Spaniards (P < .001). The physicians were most in favor of OD with 87% supporting it (n = 149), followed by nurses (n = 182) and ancillary personnel (n = 28) both at 74%, and the health care assistants at 59% (n = 58; P < .001). The following factors affect attitude toward OD: young age (37 ± 10 years; P = .001), being a male (P = .018), having an unstable job situation (P = .009), a belief that one might need a future transplant (P = .036), having a favorable attitude toward living donation (P < .001), being in favor of donating a family member's organs (P < .001), having had a family discussion about OD (P < .001), and a partner's favorable attitude (P < .001).
CONCLUSIONS
Attitude toward OD among surgeons in hospitals in Spain and Latin America was not as favorable as we might have expected.
引言
医学进步和手术技术的改进已将移植转变为一种日益安全的治疗选择。然而，其主要限制是可用器官短缺。因此，有必要共同努力实现最佳的尸体捐赠，并防止潜在捐赠者的流失。我们试图分析西班牙和拉丁美洲医院外科病房的医院工作人员对尸体器官捐赠（OD）的接受情况。
方法
在12家医院中，根据外科服务和工作类别抽取了一个随机样本（n = 554），其中西班牙4家医院（n = 294名参与者），墨西哥5家医院（n = 202名），古巴2家医院（n = 41名），哥斯达黎加1家医院（n = 17名）。使用经过验证的问卷评估态度，问卷由受访者匿名自行填写。采用χ(2)检验、学生t检验和逻辑回归分析。
结果
总体而言，75%的受访者（n = 417）赞成尸体器官捐赠，25%反对（n = 137）。关于受访者所在国家，88%的古巴人、85%的墨西哥人、82%的哥斯达黎加人和67%的西班牙人持赞成态度（P <.001）。医生中最赞成器官捐赠的比例为87%（n = 149），其次是护士（n = 182）和辅助人员（n = 28），均为74%，医疗助理为59%（n = 58；P <.001）。以下因素影响对器官捐赠的态度：年轻（37 ± 10岁；P =.001）、男性（P =.018）、工作不稳定（P =.009）、认为自己未来可能需要移植（P =.036）、对活体捐赠持赞成态度（P <.001）、赞成捐赠家庭成员的器官（P <.001）、曾与家人讨论过器官捐赠（P <.001）以及伴侣持赞成态度（P <.001）。
结论
西班牙和拉丁美洲医院外科医生对器官捐赠的态度不如我们预期的那么积极。
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