Division of Transplantation and Vascular Surgery, Department of Surgery, Keimyung University, Dongsan Medical Center, Daegu, Republic of Korea.
Nephrology, Inje University, College of Medicine, Ilsan Paik Hospital, Goyang, Gyeonggi-do, Republic of Korea.
Asian J Surg. 2019 Jan;42(1):256-266. doi: 10.1016/j.asjsur.2018.04.007. Epub 2018 May 24.
BACKGROUND/OBJECTIVE: This study aims to investigate the effects of phased education on attitudes toward organ donation and willingness to donate after brain death.
A survey was conducted using a questionnaire to examine attitudes toward organ donation of the families of patients admitted to a surgical intensive care unit (SICU) between March 1, 2014 and September 30, 2016.
Ninety-two people voluntarily participated in this survey. Before reviewing the educational material, 75.0% had a positive attitude toward organ donation, 60.9% were willing to donate their own organs, and 38.0% were willing to donate a family member's organs. After reviewing the educational material, these figures increased to 92.4%, 80.4%, and 56.5%, respectively. Before receiving an education, there was a significant difference in consistency between people's attitudes and willingness to donate their own organs, versus donating a family member's organs (79.3% vs 54.3%, p < 0.001). With phased education, these percentages increased from 79.3% to 85.9% with regard to donating one's own organs, and from 54.3% to 64.1% with regard to donating a family member's organs.
Phased education was effective overall, but it had a limited effect on changing the willingness to donate a family member's organs. It increased the consistency between people's attitudes toward organ donation and willingness to donate their own, or a family member's organs.
背景/目的:本研究旨在探讨阶段性教育对脑死亡患者家属器官捐献态度和意愿的影响。
采用问卷调查的方式,对 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)的患者家属的器官捐献态度进行调查。
共有 92 人自愿参与了此次调查。在阅读教育材料之前,75.0%的人对器官捐献持积极态度,60.9%的人愿意捐献自己的器官,38.0%的人愿意捐献亲属的器官。阅读教育材料后,这些比例分别上升至 92.4%、80.4%和 56.5%。在接受教育之前,人们对自己捐献器官和捐献亲属器官的态度和意愿之间的一致性存在显著差异(79.3%比 54.3%,p<0.001)。通过阶段性教育,人们对自己捐献器官的意愿从 79.3%增加到 85.9%,对亲属捐献器官的意愿从 54.3%增加到 64.1%。
总体而言,阶段性教育是有效的,但对改变捐献亲属器官的意愿影响有限。它增加了人们对器官捐献的态度和愿意捐献自己或亲属器官的意愿之间的一致性。