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器官捐赠活动:透析患者家属的视角

Organ Donation Campaigns: Perspective of Dialysis Patient's Family Members.

作者信息

Tumin Makmor, Raja Ariffin Raja Noriza, Mohd Satar NurulHuda, Ng Kok-Peng, Lim Soo-Kun, Chong Chin-Sieng

机构信息

1. Dept. of Administrative Studies and Politics, Faculty of Economics and Administration, University of Malaya, Kuala Lumpur, Malaysia.

2. Dept. of Economics, Faculty of Economics and Administration, University of Malaya, Kuala Lumpur, Malaysia.

出版信息

Iran J Public Health. 2014 Jul;43(7):926-35.

PMID:25909060
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4401057/
Abstract

BACKGROUND

Solving the dilemma of the organ shortage in Malaysia requires educating Malaysians about organ donation and transplantation. This paper aims at exploring the average Malaysian households ' preferred channels of campaigns and the preferred campaigners in a family setting, targeting at the dialysis family members.

METHODS

We analyzed the responses of 350 respondents regarding organ donation campaigns. The respondents are 2 family members of 175 dialysis patients from 3 different institutions. The information on respondents' willingness to donate and preferred method and channel of organ donation campaign were collected through questionnaire.

RESULTS

Malaysian families have a good tendency to welcome campaigns in both the public and private (their homes) spheres. We also found that campaigns facilitated by the electronic media (Television and Radio) and executed by experienced doctors are expected to optimize the outcomes of organ donation, in general. Chi-square tests show that there are no significant differences in welcoming campaigns among ethnics. However, ethnics preferences over the campaign methods and campaigners are significantly different (P <0.05).

CONCLUSION

Ethnic differences imply that necessary modifications on the campaign channels and campaigners should also be taken under consideration. By identifying the preferred channel and campaigners, this study hopes to shed some light on the ways to overcome the problem of organ shortage in Malaysia.

摘要

背景

解决马来西亚器官短缺的困境需要让马来西亚人了解器官捐赠和移植。本文旨在探讨马来西亚普通家庭在家庭环境中对宣传活动的首选渠道以及首选的宣传者,目标受众为透析患者的家庭成员。

方法

我们分析了350名受访者对器官捐赠宣传活动的回应。这些受访者是来自3个不同机构的175名透析患者的2名家庭成员。通过问卷调查收集了受访者的捐赠意愿以及器官捐赠宣传活动的首选方式和渠道等信息。

结果

马来西亚家庭普遍倾向于在公共领域和私人领域(他们家中)接受宣传活动。我们还发现,一般来说,由电子媒体(电视和广播)推动并由经验丰富的医生执行的宣传活动有望优化器官捐赠的效果。卡方检验表明,不同种族在接受宣传活动方面没有显著差异。然而,不同种族对宣传方式和宣传者的偏好存在显著差异(P<0.05)。

结论

种族差异意味着在宣传渠道和宣传者方面也应考虑进行必要的调整。通过确定首选渠道和宣传者,本研究希望为解决马来西亚器官短缺问题的方法提供一些启示。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10a8/4401057/7fc2229dd526/IJPH-43-926-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10a8/4401057/0838265db549/IJPH-43-926-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10a8/4401057/7fc2229dd526/IJPH-43-926-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10a8/4401057/0838265db549/IJPH-43-926-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10a8/4401057/7fc2229dd526/IJPH-43-926-g002.jpg

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本文引用的文献

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Factors that hinder organ donation: religio-cultural or lack of information and trust.阻碍器官捐赠的因素:宗教文化因素或信息及信任的缺失。
Exp Clin Transplant. 2013 Jun;11(3):207-10. doi: 10.6002/ect.2012.0194. Epub 2013 Feb 21.
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Causes of family refusal for organ donation.家庭拒绝器官捐赠的原因。
Transplant Proc. 2011 Mar;43(2):405-6. doi: 10.1016/j.transproceed.2011.01.031.
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Modifiable factors influencing relatives' decision to offer organ donation: systematic review.影响亲属决定提供器官捐赠的可改变因素:系统评价
BMJ. 2009 Apr 21;338:b991. doi: 10.1136/bmj.b991.
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Decision-related factors and attitudes toward donation in living related liver transplantation: ten-year experience.亲属活体肝移植中与决策相关的因素及对捐赠的态度:十年经验
Transplant Proc. 2005 Mar;37(2):1081-4. doi: 10.1016/j.transproceed.2005.01.032.
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Organ donation: key factors influencing families' decision-making.器官捐赠:影响家庭决策的关键因素
Transplant Proc. 2005 Mar;37(2):543-6. doi: 10.1016/j.transproceed.2004.11.038.
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Influence of different sources of information on attitude toward organ donation: a factor analysis.不同信息来源对器官捐赠态度的影响:一项因素分析
Transplant Proc. 2004 Jun;36(5):1245-8. doi: 10.1016/j.transproceed.2004.05.056.
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African Americans' knowledge about organ donation: closing the gap with more effective persuasive message strategies.非裔美国人对器官捐赠的认知:通过更有效的说服性信息策略缩小差距。
J Natl Med Assoc. 2003 Nov;95(11):1066-71.
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Comparison of black and white families' experiences and perceptions regarding organ donation requests.黑人和白人家庭在器官捐赠请求方面的经历与看法比较。
Crit Care Med. 2003 Jan;31(1):146-51. doi: 10.1097/00003246-200301000-00023.
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