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某省级医院护士对器官和组织捐赠与移植的态度及知识:一项描述性和多变量分析

Nurses' attitudes and knowledge regarding organ and tissue donation and transplantation in a provincial hospital: A descriptive and multivariate analysis.

作者信息

Lomero Maria Del Mar, Jiménez-Herrera María F, Rasero Maria José, Sandiumenge Alberto

机构信息

Department of Nursing, Rovira i Virgili University, Tarragona, Spain.

Consorci Sanitari del Garraf, Hospital Residencia Sant Camil, Barcelona, Spain.

出版信息

Nurs Health Sci. 2017 Sep;19(3):322-330. doi: 10.1111/nhs.12348. Epub 2017 Jun 20.

DOI:10.1111/nhs.12348
PMID:28631279
Abstract

The attitudes and knowledge of nursing personnel regarding organ and tissue donation can influence the decision to donate. This study aimed to determine these two factors among nurses at a district hospital in Barcelona, Spain. A survey was carried out using a 35 item questionnaire. Results were subjected to descriptive and comparative statistical analyses using bivariate and multivariate analyses to examine the relation between demographic data and attitudes toward donation. The completion rate was 68.2%, with 98.6% of those responding stating that they were in favor of organ donation. The respondents were unsure as to whether the criteria for inclusion in transplant waiting lists were appropriate (57.5%), whereas 72.2% agreed that brain death is equivalent to death. The bivariate analysis revealed a significant association between a positive attitude toward donation and working on permanent night shift no religious beliefs. Attitudes toward donation among nurses were generally positive; a negative attitude, although attitudes towards donation among the nurses participating in the study were generally positive, it should be pointed out that when a negative attitude does exist this affects significant aspects such as belief in the diagnosis of brain death or the criteria for inclusion on the waiting list, amongst others, which reflects that specific training in donation focused on nurses continues to be needed.

摘要

护理人员对器官和组织捐赠的态度及知识会影响捐赠决定。本研究旨在确定西班牙巴塞罗那一家区级医院护士的这两个因素。使用一份包含35个条目的问卷进行了调查。结果采用描述性和比较性统计分析,通过双变量和多变量分析来检验人口统计学数据与捐赠态度之间的关系。完成率为68.2%,98.6%的受访者表示他们赞成器官捐赠。受访者不确定纳入移植等候名单的标准是否合适(57.5%),而72.2%的人同意脑死亡等同于死亡。双变量分析显示,对捐赠持积极态度与上长期夜班、无宗教信仰之间存在显著关联。护士对捐赠的态度总体上是积极的;尽管参与研究的护士对捐赠的态度总体上是积极的,但应该指出,当确实存在消极态度时,这会影响到诸如对脑死亡诊断的信念或等候名单纳入标准等重要方面,这反映出仍需要针对护士开展关于捐赠的专项培训。

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