Abiodun M T, Solarin A U, Adejumo O A, Akinbodewa A A
Department of Child Health, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria.
Department of Paediatrics, Babcock University Teaching Hospital, Ilishan-Remo, Ogun State, Nigeria.
Transplant Proc. 2015 Dec;47(10):2810-5. doi: 10.1016/j.transproceed.2015.10.053.
Kidney transplantation (KT) is now the preferred renal replacement therapy in suitable patients with end-stage renal disease but organ availability is a major limiting factor.
To evaluate the willingness of caregivers (CGs) and healthcare workers (HWs) to donate a kidney and possible motivating factors in our setting.
This cross-sectional study was done at Mother and Child Hospital, Kidney Care Centre Ondo and Babcock University Teaching Hospital, all in Southern Nigeria. Participants' willingness to donate a kidney was assessed using Likert and Visual Analogue Scales (VAS). The data were analyzed using SPSS version 20.0. Student t test was used to compare weighted mean scores. Multivariate analysis done; P < .05 was taken as significant.
A total of 563 CGs and HWs took part in the study. Sixty percent of them were aware of kidney donation (KD) but only 43.7% had a favorable attitude towards it, and these were predominantly HWs (63.4% vs 33.1%, P < .001). A quarter of the participants were adequately willing to donate a kidney; HWs were significantly more willing than CGs (45.4% vs 15.8%, P < .001). On VAS, the mean willingness score of HWs was higher than that of CGs (t = 7.13, P < .001). Factors strongly influencing the willingness of CGs to donate include their educational level (P = .028, OR = 4.86, 95% CI: 1.19-19.91) social class (P = .012, OR = 6.17 95% CI: 1.5-24.8) and having a relative with kidney disease (P = .019; OR = 3.07 95% CI: 1.25-12.00). Willingness correlated with awareness of KD among CGs (r = 0.534, P < .001).
There is a low level of willingness alongside negative attitudes toward kidney donation among our participants.
肾移植（KT）目前是适合的终末期肾病患者首选的肾脏替代治疗方法，但器官供应是一个主要限制因素。
评估在我们的环境中，护理人员（CGs）和医护人员（HWs）捐赠肾脏的意愿以及可能的激励因素。
这项横断面研究在尼日利亚南部的母婴医院、翁多肾脏护理中心和巴布科克大学教学医院进行。使用李克特量表和视觉模拟量表（VAS）评估参与者捐赠肾脏的意愿。数据使用SPSS 20.0版本进行分析。采用学生t检验比较加权平均得分。进行多变量分析；P <.05被视为具有统计学意义。
共有563名护理人员和医护人员参与了研究。其中60%的人知晓肾脏捐赠（KD），但只有43.7%的人对此持积极态度，且这些人主要是医护人员（63.4%对33.1%，P <.001）。四分之一的参与者有足够的意愿捐赠肾脏；医护人员比护理人员明显更愿意捐赠（45.4%对15.8%，P <.001）。在VAS上，医护人员的平均意愿得分高于护理人员（t = 7.13，P <.001）。强烈影响护理人员捐赠意愿的因素包括他们的教育水平（P =.028，OR = 4.86，95% CI：1.19 - 19.91）、社会阶层（P =.012，OR = 6.17，95% CI：1.5 - 24.8）以及有患肾病的亲属（P =.019；OR = 3.07，95% CI：1.25 - 12.00）。护理人员的捐赠意愿与对KD的知晓度相关（r = 0.534，P <.001）。
我们的参与者中，对肾脏捐赠的意愿较低且态度消极。
