Aijing Luo, Wenzhao Xie, Wei Wei, Qiquan Wan, Xuantong Deng
Laboratory of Medical Information Research, The Third Affiliated Hospital, Central South University, Changsha, Hunan, China (mainland).
Research Center of Chinese Health Ministry on Transplantation Medicine Engineering and Technology, The Third Affiliated Hospital, Central South University, Changsha, Hunan, China (mainland).
Ann Transplant. 2016 Aug 18;21:516-24. doi: 10.12659/aot.899268.
BACKGROUND China officially launched a pilot program of organ donation after cardiac death to overcome the shortage of available organs since 2011. Voluntary organ donation by deceased citizens became the only source of transplant organs beginning January 1, 2015. To investigate public opinions on organ donation by deceased donors, and discuss the effect of these opinions on the willingness and attitude of the public regarding voluntary organ donation. MATERIAL AND METHODS We designed a questionnaire. The survey was conducted from December 2014 to January 2015 in Changsha City, and 417 valid questionnaires were recovered. RESULTS A total of 162 respondents explicitly expressed a willingness to donate organs, and 269 believed that the organ donors' relatives should be compensated. A total of 255 respondents thought it acceptable to complete the donation-consent form when receiving a driver's license. Among the respondents, 65.3% did not agree with the statement "My body is bestowed by my parents, and to donate my body parts would not display filial respect"; 88.9% agreed that "It is necessary to consider the willingness of my family"; 74.4% agreed that "Donated organs have not been fairly and appropriately used; the wealthy and celebrities have been favored"; and 61.4% agreed that "Organ donation laws and regulations are not well developed, and organ donations will result in unnecessary difficulties." More than 80% believed that organ donation and transplantation extend life. CONCLUSIONS Public opinions on organ donation after death are associated with various factors, including traditional values, religious beliefs, compensation mechanisms, donor registration, institutional credibility, and ideals.
背景 自2011年以来,中国正式启动了心脏死亡后器官捐献试点项目,以克服可用器官短缺的问题。自2015年1月1日起,已故公民的自愿器官捐献成为移植器官的唯一来源。旨在调查公众对已故捐赠者器官捐献的看法,并探讨这些看法对公众自愿器官捐献意愿和态度的影响。
材料与方法 我们设计了一份问卷。于2014年12月至2015年1月在长沙市进行了调查,共回收有效问卷417份。
结果 共有162名受访者明确表示愿意捐献器官,269人认为器官捐献者的亲属应得到补偿。共有255名受访者认为在领取驾照时填写捐赠同意书是可以接受的。在受访者中,65.3%不同意“身体发肤,受之父母,不敢毁伤,孝之始也”这一说法;88.9%同意“有必要考虑家人的意愿”;74.4%同意“捐赠的器官没有得到公平和适当的使用;富人和名人受到了优待”;61.4%同意“器官捐献法律法规不完善,器官捐献会带来不必要的麻烦”。超过80%的人认为器官捐献和移植能延长生命。
结论 公众对死后器官捐献的看法与多种因素相关,包括传统价值观、宗教信仰、补偿机制、捐赠登记、机构信誉和理想等。