Pouraghaei Mahboob, Tagizadieh Mohammad, Tagizadieh Ali, Moharamzadeh Payman, Esfahanian Samaneh, Shahsavari Nia Kavous
Department of Emergency medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Pathalogy, Tabriz Branch, Islamic Azad University, Tabriz, Iran.
Emerg (Tehran). 2015 Winter;3(1):33-9.
Organ donation is one of the surviving procedures, which can increase the life expectancy of end-stage patients. Inappropriate beliefs and attitude of individuals to organ donation, their poor knowledge, and the socio-economic level are one of the most important barriers for organ donation. Therefore, here knowledge and attitude levels among relatives of trauma patients regarding organ donation were evaluated.
This cross-sectional study was done on relatives of trauma patients referred to the emergency department of Sina Hospital, Tabriz, Iran, through 2013 to 2014. The questionnaire included parts of demographic data and socio-economic situations as well as status of knowledge and attitude regarding organ donation. A score between 0-7 was belonged to each person based on his/her level of knowledge. Attitude level had a score between 0-12. Chi- square, Fisher, and Mann-Whitney U test were performed to assess the relation between demographic variables and the level of knowledge and attitude. P<0.05 was considered as a significant level.
79 persons (57.1% male) with the mean age of 31.3±11.3 years were evaluated. 57 (73.1%) of subjects agreed with organ transplant. The main causes of disagreement among relatives regarding organ donation were dissatisfaction of the donor's relatives (25%) and religious issues (15%). 49 (62.02%) studied people had inappropriate attitude and 27 (34.2%) ones had good knowledge. male gender (OR=5.87; 95%CI: 3.32-8.42; p=0.001) and self-employed job (OR=7.78; 95%CI: 4.64-10.92; p=0.001) are independent factors associated with poor knowledge about organ donation. Self-employed job (OR=3.86; 95%CI: 1.41-6.11; p=0.009) and poor knowledge (OR=15.3; 95%CI: 9.03-21.57; p<0.001) were related to inappropriate attitude toward organ donation.
The present study showed that 73.1% of participants agreed with organ donation. The major causes of disagreements were dissatisfaction of other relatives and religious beliefs. 62.0% of the studied people had positive view regarding organ donation and 34.2% of them well informed about. The most important causative factors for poor knowledge in this context were male gender and self-employed occupation. In addition, poor knowledge and self-employed job were two factors associated with inappropriate attitude toward organ donation.
器官捐赠是一种能延长终末期患者预期寿命的救助手段。个人对器官捐赠的不当观念和态度、知识匮乏以及社会经济水平是器官捐赠最重要的障碍之一。因此，本研究评估了创伤患者亲属对器官捐赠的知识和态度水平。
本横断面研究于2013年至2014年在伊朗大不里士市新浪医院急诊科收治的创伤患者亲属中开展。问卷包括人口统计学数据、社会经济状况以及对器官捐赠的知识和态度状况等部分。根据每个人的知识水平，其得分在0 - 7分之间。态度水平得分在0 - 12分之间。采用卡方检验、费舍尔检验和曼-惠特尼U检验来评估人口统计学变量与知识和态度水平之间的关系。P<0.05被视为具有统计学意义。
共评估了79人（57.1%为男性），平均年龄为31.3±11.3岁。57人（73.1%）同意器官移植。亲属不同意器官捐赠的主要原因是捐赠者亲属不满意（25%）和宗教问题（15%）。49人（62.02%）态度不当，27人（34.2%）知识良好。男性（OR = 5.87；95%CI：3.32 - 8.42；p = 0.001）和个体经营职业（OR = 7.78；95%CI：4.64 - 10.92；p = 0.001）是与器官捐赠知识匮乏相关的独立因素。个体经营职业（OR = 3.86；95%CI：1.41 - 6.11；p = 0.009）和知识匮乏（OR = 15.3；95%CI：9.03 - 21.57；p<0.001）与对器官捐赠的不当态度有关。
本研究表明，73.1%的参与者同意器官捐赠。不同意的主要原因是其他亲属不满意和宗教信仰。62.0%的研究对象对器官捐赠持积极态度，34.2%的人了解情况良好。在这种情况下，知识匮乏的最重要原因是男性和个体经营职业。此外，知识匮乏和个体经营职业是与对器官捐赠的不当态度相关的两个因素。
