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印度一个乡村小镇医护人员对器官捐赠的认知与态度。

Knowledge and attitude toward organ donation among health-care professionals in a rural town in India.

作者信息

Bharambe Vaishaly Kishore, Arole Vasanti U, Puranam Vatsalaswamy, Kulkarni Preeti Prashant, Kulkarni Prashant Shashikant

机构信息

Department of Anatomy, Dr. D. Y. Patil Medical College, Hospital and Research Center, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India.

General Practitioner, Lanja, Maharashtra, India.

出版信息

Saudi J Kidney Dis Transpl. 2018 May-Jun;29(3):671-679. doi: 10.4103/1319-2442.235176.

Abstract

Organ shortage is the greatest challenge facing the field of organ transplantation today. We aimed to study the attitude and knowledge toward organ donation among health-care professionals (HCPs) in rural India. The study was conducted in a rural town in Konkan region of Maharashtra in India. A questionnaire testing knowledge and attitude about various aspects of organ donation was distributed to HCPs. One hundred percent of the respondents were aware about organ donation. Nearly 40.6% and 21.9% believed that a healthy person and a cardiac dead person can be donors, respectively. Fifty percent believed that a brain dead person can be a donor and 3.1% clearly stated as to be having no idea regarding the health status of a donor. Almost 37.5% were ready to believe a heart beating person declared as "brain dead" as dead. Nearly 15.6% were ready to accept a brain dead person as "legally" dead. Highest awareness was observed regarding eye donation, i.e., 87.5%. High awareness was also observed regarding liver, kidney, heart, skin, and body donations, i.e., 78.1%, 65.6%, 37.5%, 31.3%, and 25.0%, respectively. Awareness regarding organ donation of other tissues and organs was poor. Nearly 46.9% HCPs stated that they felt need for an educational session on organ donation. Awareness regarding concept of organ donation among HCPs in rural India is high. Awareness regarding details of organ donation needs further awareness drives. There is a lack of understanding regarding various aspects of brain death and its importance in organ donation.

摘要

器官短缺是当今器官移植领域面临的最大挑战。我们旨在研究印度农村地区医护人员(HCPs)对器官捐赠的态度和知识。该研究在印度马哈拉施特拉邦孔坎地区的一个农村城镇进行。向医护人员发放了一份测试关于器官捐赠各个方面知识和态度的问卷。100%的受访者知晓器官捐赠。分别有近40.6%和21.9%的人认为健康人和心脏死亡的人可以成为捐赠者。50%的人认为脑死亡的人可以成为捐赠者,3.1%的人明确表示对捐赠者的健康状况一无所知。近37.5%的人愿意相信被宣布为“脑死亡”但仍有心跳的人已死亡。近15.6%的人愿意接受脑死亡的人在“法律上”已死亡。在眼角膜捐赠方面的知晓率最高,即87.5%。在肝脏、肾脏、心脏、皮肤和遗体捐赠方面也有较高的知晓率,分别为78.1%、65.6%、37.5%、31.3%和25.0%。对其他组织和器官捐赠的知晓率较低。近46.9%的医护人员表示他们觉得需要开展一场关于器官捐赠的教育活动。印度农村地区医护人员对器官捐赠概念的知晓率较高。对器官捐赠细节的知晓率需要进一步提高宣传力度。对于脑死亡的各个方面及其在器官捐赠中的重要性缺乏理解。

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