Nolan B E, Spanos N P
School of Psychology, University of Ottawa, Ont.
CMAJ. 1989 Jul 1;141(1):27-32.
Questionnaires were administered to 108 university psychology students to investigate attitudes and behaviour related to organ donation. Three groups (committed, uncommitted and opposed) were identified. A multivariate analysis of variance showed that, compared with uncommitted donors, committed donors felt better informed about organ donation, had discussed donation more often with family members and knew more people who had signed donor cards. The subjects in the opposed group and those in the uncommitted group cited different reasons for not signing a donor card. Empathy, religious beliefs and attitudes about death did not affect willingness to donate. Analyses of the interaction between willingness to donate one's own organs and willingness to donate those of a family member revealed a monotonic increase in willingness to donate the organs of a family member as the type of recipient became more personally relevant. Our findings indicate that when health care professionals request donor organs the potential recipients must be presented to the potential donors in a personally relevant manner. Educational programs must be developed to train medical personnel in how to effectively ask for organs without coercing the potential donor or invading the privacy of the potential recipient.
对108名大学心理学专业学生进行问卷调查,以调查与器官捐赠相关的态度和行为。确定了三组(坚定支持者、未表态者和反对者)。多变量方差分析表明,与未表态的捐赠者相比,坚定支持者觉得自己对器官捐赠了解更多,与家人讨论捐赠的频率更高,认识更多签署了捐赠卡的人。反对组和未表态组的受试者不签署捐赠卡的原因不同。同理心、宗教信仰和对死亡的态度并不影响捐赠意愿。对捐赠自己器官的意愿和捐赠家庭成员器官的意愿之间的相互作用进行分析后发现,随着受赠者类型与个人的相关性增加,捐赠家庭成员器官的意愿呈单调上升。我们的研究结果表明,当医护人员请求捐赠器官时,必须以与潜在捐赠者个人相关的方式向其介绍潜在受赠者。必须制定教育计划,培训医务人员如何在不强迫潜在捐赠者或侵犯潜在受赠者隐私的情况下有效地请求捐赠器官。