Milaniak I, Wilczek-Rużyczka E, Wierzbicki K, Sadowski J, Kapelak B, Przybyłowski P
Cardiovascular Surgery and Transplantology Department, John Paul II Hospital, Krakow, Poland; Faculty of Health and Medical Science, Andrzej Frycz Modrzewski Krakow University, Krakow, Poland; Institute of Health, State Higher Vocational School, Nowy Sacz, Poland.
Faculty of Psychology and Humanities, Andrzej Frycz Modrzewski Krakow University, Krakow, Poland.
Transplant Proc. 2016 Jun;48(5):1332-6. doi: 10.1016/j.transproceed.2016.01.074.
Improvement of the consent rate for solid organ donation from deceased donors is a key component of strategies applied in many countries aiming to increase the availability of organs for transplantation. Attitudes toward living and posthumous donation are favorable. Research shows that the outlook on organ donation and the degree of the willingness to become an organ donor are associated with a wide range of variables. The main objective of this study was to identify factors that influence the willingness to donate organs and the reasons for refusing consent.
The study included 191 participants (135 female and 56 male) aged 16 to 61 years (mean age 26.86 ± 12.88). A cross-sectional study was conducted during educational meetings concerning organ donation that was addressed to students, teachers, and nurses. Survey tools included the Individual Questionnaire: Study of attitudes toward transplantation, consisting of 26 closed questions (with the consent of the Statistical Office in Krakow).
In all, 97.4% of the respondents accepted transplantation from living donors, and 95.8% accepted deceased donations. Of the respondents, 78.5% agreed to posthumous life-saving organ donation. There was a significant difference between the respondents' sex, age, social group, place of living, and the reasons for their willingness to donate organs both posthumously and during their lifetime, as well as reasons for refusal.
Our findings showed that the study group in general had favorable views on treatment involving transplantation and declared willingness to make a posthumous organ donation. These views vary depending on demographic variables. The education on the subject of organ and tissue donation has a positive impact on donation and transplantation rates.
提高已故捐赠者实体器官捐赠的同意率是许多国家为增加可用于移植的器官数量而采取的策略的关键组成部分。对活体捐赠和死后捐赠的态度是积极的。研究表明,对器官捐赠的看法和成为器官捐赠者的意愿程度与多种变量相关。本研究的主要目的是确定影响器官捐赠意愿的因素以及拒绝同意的原因。
该研究纳入了191名年龄在16至61岁(平均年龄26.86±12.88)的参与者(135名女性和56名男性)。在面向学生、教师和护士的关于器官捐赠的教育会议期间进行了一项横断面研究。调查工具包括个人问卷:移植态度研究,由26个封闭式问题组成(经克拉科夫统计局同意)。
总体而言,97.4%的受访者接受活体捐赠者的移植,95.8%的受访者接受已故捐赠。在受访者中,78.5%同意死后进行挽救生命的器官捐赠。受访者的性别、年龄、社会群体、居住地点以及他们愿意在死后和生前捐赠器官的原因以及拒绝的原因之间存在显著差异。
我们的研究结果表明,该研究组总体上对涉及移植的治疗持积极态度,并表示愿意进行死后器官捐赠。这些观点因人口统计学变量而异。关于器官和组织捐赠主题的教育对捐赠率和移植率有积极影响。