Lee Hyun Ji, Jin Myung Jae, Han Sang Youb, Han Kum Hyun, Oh Se Won, Jang Hye-Yeon, Park Ui Jun, Kim Hyoung Tae, Roh Young-Nam
Department of Surgery, Keimyung University Dongsan Medical Center, Daegu, South Korea.
Department of Surgery, Inje University, College of Medicine, Ilsan Paik Hospital, Gimhae, South Korea.
Ann Transplant. 2017 Oct 27;22:646-655. doi: 10.12659/aot.906485.
BACKGROUND This study examined the attitude of patients' relatives in South Korea toward organ donation after brain death. MATERIAL AND METHODS A structured questionnaire was used to obtain the information on the attitude toward organ donation for relatives of patients who were admitted to the surgical intensive care unit (SICU) between March 1, 2014 and September 30, 2016. In total, 92 persons participated voluntarily. The investigation included general opinion about organ donation; and additional categorical analysis was performed. RESULTS In this study, 75% of participants agreed that they had positive thoughts on organ donation; however, fewer participants (60.9%) showed a positive attitude towards donating their own body, while only a third of participants (38.1%) agreed that they would donate relatives' body. We could confirm specifically concerns about excessive physical damage during organ recovery (34.7%) and ignorance or disrespect by hospital staff (15.2%), as well as consideration of being sacrificed for the benefit of others (26.0%). The participants who agreed to donate relatives' body showed significantly different responses in each categories of the questionnaire compared to the participants who disagreed or were undecided. CONCLUSIONS Despite positive perceptions concerning organ donation after brain death, there were nonetheless several prejudices and misunderstandings to overcome. The findings of this study can be used to establish evidence-based strategies.
背景 本研究调查了韩国患者亲属对脑死亡后器官捐赠的态度。材料与方法 采用结构化问卷，收集2014年3月1日至2016年9月30日期间入住外科重症监护病房（SICU）患者亲属对器官捐赠的态度信息。共有92人自愿参与。调查包括对器官捐赠的总体看法，并进行了额外的分类分析。结果 在本研究中，75%的参与者同意他们对器官捐赠持积极态度；然而，较少的参与者（60.9%）对捐赠自己的身体持积极态度，而只有三分之一的参与者（38.1%）同意他们会捐赠亲属的身体。我们可以明确确认对器官获取过程中过度身体损伤的担忧（34.7%）、医院工作人员的忽视或不尊重（15.2%）以及为他人利益而被牺牲的考量（26.0%）。与不同意或未决定的参与者相比，同意捐赠亲属身体的参与者在问卷的各个类别中表现出显著不同的回答。结论 尽管对脑死亡后器官捐赠有积极的看法，但仍有一些偏见和误解需要克服。本研究的结果可用于制定基于证据的策略。
