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印度中部一家三级医院角膜获取项目中的眼捐赠意识与转化率

Eye Donation Awareness and Conversion Rate in Hospital Cornea Retrieval Programme in a Tertiary Hospital of Central India.

作者信息

Sharma Bhavana, Shrivastava Ulka, Kumar Kavita, Baghel Rajendra, Khan Farhana, Kulkarni Shridhar

机构信息

Associate Professsor, Department of Ophthalmology, Gandhi Medical College, Bhopal, Madhya Pradesh, India.

Dean, Department of Ophthalmology, Gandhi Medical College, Bhopal, Madhya Pradesh, India.

出版信息

J Clin Diagn Res. 2017 Aug;11(8):NC12-NC15. doi: 10.7860/JCDR/2017/27287.10421. Epub 2017 Aug 1.

Abstract

INTRODUCTION

Corneal blindness accounts for 6-8 million blinds in the world. In India, it is estimated that there are approximately 6.8 million people who have vision less than 6/60 in at least one eye due to corneal diseases.

AIM

This study was done to assess the awareness about eye donation amongst attendants of critically ill and deceased patients, their willingness to donate eyes, the efficacy of grief counselling by Eye Donation Counsellors (EDC), its impact on the conversion rate and the reasons for poor donation rate.

MATERIALS AND METHODS

This prospective hospital based study was done in 554 participants (guardians of critically ill and deceased subjects) to understand the awareness of eye donation. Factors related to willingness for eye donation that influenced conversion to actual donation were evaluated. Data was analysed with tests for statistical significance: Chi square test; p<0.05 at 95% confidence interval was set as significant.

RESULTS

Awareness index particularly in males <40 years, was found to be statistically more. In participants who were partially/fully aware of eye-donation, time taken for motivation remained less than 12 hours, which was statistically significant (Chi square=106. p<0.001). Subject who were aware, willing for donation in comparison to those who were unaware in a ratio of 2:1. Grief counsellors (57.5%) had the most influence among the causes that were facilitators of donation.

CONCLUSION

Utilizing the services of eye donation counsellors is a promising way to motivate the guardians of deceased. Increasing the awareness in society, rendering simple assistances to next of kin and speeding the medico legal formalities can go a long way in increasing the conversion rate and hence actual donation.

摘要

引言

角膜盲症在全球导致600万至800万人失明。据估计,在印度,约有680万人因角膜疾病导致至少一只眼睛的视力低于6/60。

目的

本研究旨在评估重症和已故患者家属对眼捐赠的认知、他们捐赠眼睛的意愿、眼捐赠顾问(EDC)悲伤辅导的效果、其对转化率的影响以及捐赠率低的原因。

材料与方法

这项基于医院的前瞻性研究纳入了554名参与者(重症和已故受试者的监护人),以了解他们对眼捐赠的认知。评估了影响转化为实际捐赠的与眼捐赠意愿相关的因素。使用统计学意义检验对数据进行分析:卡方检验;95%置信区间设定p<0.05为有统计学意义。

结果

发现意识指数在40岁以下男性中尤其具有统计学意义。在部分/完全了解眼捐赠的参与者中,激发其捐赠意愿所需时间少于12小时,具有统计学意义(卡方=106,p<0.001)。了解并愿意捐赠的受试者与不了解的受试者比例为2:1。在促进捐赠的因素中,悲伤顾问(57.5%)的影响最大。

结论

利用眼捐赠顾问的服务是激励已故者监护人的一种有前景的方式。提高社会意识、向近亲提供简单协助并加快法医手续办理,对于提高转化率进而增加实际捐赠大有帮助。

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