Fontana F, Massari M, Giovannini L, Alfano G, Cappelli G
Surgical, Medical and Dental Department of Morphological Sciences, Section of Nephrology, University of Modena and Reggio Emilia, Modena, Italy.
Surgical, Medical and Dental Department of Morphological Sciences, Section of Nephrology, University of Modena and Reggio Emilia, Modena, Italy.
Transplant Proc. 2017 Nov;49(9):1982-1987. doi: 10.1016/j.transproceed.2017.09.029.
The number of organ donors in Italy is increasing, but with still disappointing living donation activity and relatively frequent objection by potential deceased donors' relatives to organ recovery. Few studies have assessed health care students' knowledge and attitude on donation.
We administered a questionnaire to medical (MS) and nursing students (NS) at University of Modena and Reggio Emilia, Italy, and 749 students (406 MS and 343 NS) completed the questionnaire.
Although 95% of students were in favor of donation, only 21.9% of NS and 24.9% of MS were registered as donors. One quarter of students reported family disagreement. MS appeared more confident with personnel involved in donation. Overall, 60% of students knew the term donation after brain death but only 40% were aware of the criteria used to define it. Barely 27.1% of NS and 15.3% of MS believed they had received sufficient information in lessons. Backward logistic regression demonstrated that students whose families agree with them and who knew the definition of donation after brain death were more likely to express the disposition of registering, and those who showed distrust in the declaration of brain death were half as likely to register as donors.
Students expressed a lack of knowledge, controversial attitudes on donation, and strong need for education; increased awareness may help increase donation rates. The majority of educational institutions in Italy do not directly address training on organ donation and transplantation for health care students; an integrated curriculum favoring interpersonal discussion including practical aspects is urgently required.
意大利器官捐献者的数量在增加，但活体捐献活动仍令人失望，潜在的已故捐献者亲属对器官摘取的反对也相对频繁。很少有研究评估医学生对捐献的知识和态度。
我们向意大利摩德纳和雷焦艾米利亚大学的医学专业学生（MS）和护理专业学生（NS）发放了问卷，749名学生（406名医学专业学生和343名护理专业学生）完成了问卷。
尽管95%的学生赞成捐献，但只有21.9%的护理专业学生和24.9%的医学专业学生登记为捐献者。四分之一的学生表示家庭存在分歧。医学专业学生对参与捐献的人员似乎更有信心。总体而言，60%的学生知道脑死亡后捐献这个术语，但只有40%的学生了解用于定义它的标准。仅有27.1%的护理专业学生和15.3%的医学专业学生认为他们在课程中获得了足够的信息。反向逻辑回归表明，家庭同意其捐献且知道脑死亡后捐献定义的学生更有可能表示有登记的意愿，而那些对脑死亡声明表示不信任的学生登记为捐献者的可能性只有一半。
学生表示缺乏知识，对捐献态度存在争议，且强烈需要教育；提高认识可能有助于提高捐献率。意大利的大多数教育机构并未直接针对医学生开展器官捐献和移植方面的培训；迫切需要一门有利于包括实践方面在内的人际讨论的综合课程。
