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大不里士医科大学医学生对器官捐献的态度与知识

Attitude and Knowledge of Medical Students of Tabriz University of Medical Sciences Regarding Organ Donation.

作者信息

Tagizadieh A, Shahsavari Nia K, Moharamzadeh P, Pouraghaei M, Ghavidel A, Parsian Z, Mahmoodpoor A

机构信息

Tuberculosis and Lung Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Transplant Proc. 2018 Dec;50(10):2966-2970. doi: 10.1016/j.transproceed.2017.12.057. Epub 2018 Mar 9.

Abstract

BACKGROUND

The shortage of organ donation is the key rate-limiting factor for organ transplantation in Iran. Many strategies have been proposed to increase donation; one strategy aims to improve awareness of organ donation and transplantation among medical students. Medical students may play an important role in the acceptance of organ donation in the population. This requires both a positive attitude and an appropriate knowledge about the concept of organ donation and transplantation. The objective of this study was to determine the knowledge and attitude of the medical students of the largest medical university in northwestern Iran.

METHODS

Four hundred medical students in the 5th and 6th years of their education were enrolled in this study. They completed a self-administered 3-section questionnaire. Section 1 gathered demographic characteristics, section 2 covered attitude, and section 3 assessed knowledge regarding organ donation.

RESULTS

The concept of brain death and criteria involved in organ transplant was understood by 57% of the students. Most of the students thought that there is a need to increase awareness regarding brain death and organ donation transplantation (ODT). Eighty-five percent of the students said that they would donate their organs, but 15% did not, most likely because of religion and body disfigurement. Seventy-eight percent of students would donate their organs to their family, relatives, or friends. Sixty-four percent thought that the family can decide regarding ODT. Seventy percent were willing to donate the organs of their family members after brain death. Religion and source of information regarding ODT has a significant effect on knowledge and attitude of students.

CONCLUSIONS

Students had a high level of attitude, but a low level of basic understanding about organ donation that lacked detailed knowledge. They accept its importance and desire further teaching to supplement their current knowledge to be able to understand the issues related to organ donation. The results of this study supported a greater emphasis on revising the curricula in medical schools to improve the knowledge of future health care workers. This strategy may be part of the solution to the chronic shortage of donor organs for transplantation.

摘要

背景

器官捐赠短缺是伊朗器官移植的关键限速因素。人们提出了许多增加捐赠的策略;其中一项策略旨在提高医学生对器官捐赠和移植的认识。医学生在民众接受器官捐赠方面可能发挥重要作用。这既需要积极的态度,也需要对器官捐赠和移植概念有适当的了解。本研究的目的是确定伊朗西北部最大的医科大学医学生的知识和态度。

方法

本研究纳入了400名处于医学教育第5年和第6年的医学生。他们完成了一份自行填写的三部分问卷。第1部分收集人口统计学特征,第2部分涵盖态度,第3部分评估关于器官捐赠的知识。

结果

57%的学生理解脑死亡概念和器官移植所涉及的标准。大多数学生认为有必要提高对脑死亡和器官捐赠移植(ODT)的认识。85%的学生表示他们愿意捐赠自己的器官,但15%的学生不愿意,最有可能是因为宗教和身体毁容。78%的学生愿意将器官捐赠给家人、亲属或朋友。64%的学生认为家人可以就ODT做出决定。70%的学生愿意在家人脑死亡后捐赠其器官。宗教和ODT的信息来源对学生的知识和态度有显著影响。

结论

学生态度积极,但对器官捐赠的基本理解水平较低,缺乏详细知识。他们认识到其重要性,并希望进一步学习以补充现有知识,从而能够理解与器官捐赠相关的问题。本研究结果支持更加强调修订医学院校课程,以提高未来医护人员的知识水平。这一策略可能是解决移植供体器官长期短缺问题的部分解决方案。

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