Loughery Caitlin, Andrews Ann M, Zhang Nanhua, Smith Allyce Haney, Resnicow Ken, Chapman Remonia, Riley Holly Jenkins, Stav Sheri, Yee Jerry
National Kidney Foundation of Michigan, Ann Arbor, MI.
Division of Biostatistics & Epidemiology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH.
Transplant Direct. 2018 Jul 25;4(8):e378. doi: 10.1097/TXD.0000000000000818. eCollection 2018 Aug.
The need for transplantable organs drastically outweighs the supply. Misconceptions are a barrier to increasing the rate of donor registration. Individuals with stage 5 chronic kidney disease (CKD) may incorrectly believe they are unable to be donors; however, their attitudes have not been studied. This study aims to explore beliefs of individuals with stage 5 CKD about their ability to donate and test the validity of an organ donation scale.
We examined the psychometric properties of a new 25-item organ donation scale among 554 patients with stage 5 CKD at 12 dialysis units in southeast Michigan. Patients completed surveys during dialysis treatment with assistance from a program coordinator or social worker.
Two subscales with good psychometric properties were identified: general benefits (α = 0.86) and general barriers (α = 0.80). For both subscales, more positive attitudes were associated with higher intent to sign up on the donor registry, suggesting validity of the scale.
Patients who were older than 60 years, white, or of higher education status reported more positive attitudes. Misconceptions about the ability of patients with stage 5 CKD to donate are common and highlight a need for education about donor eligibility. Individuals with stage 5 CKD may be able to donate organs and tissues.
可移植器官的需求远远超过供应。误解是提高器官捐赠登记率的一个障碍。患有5期慢性肾病（CKD）的个体可能错误地认为自己不能成为捐赠者；然而，他们的态度尚未得到研究。本研究旨在探讨5期CKD患者对其捐赠能力的看法，并检验一种器官捐赠量表的有效性。
我们在密歇根州东南部12个透析单位的554例5期CKD患者中检验了一种新的25项器官捐赠量表的心理测量特性。患者在透析治疗期间在项目协调员或社会工作者的协助下完成调查。
确定了两个具有良好心理测量特性的子量表：一般益处（α = 0.86）和一般障碍（α = 0.80）。对于这两个子量表，更积极的态度与在捐赠登记处登记的更高意愿相关，表明该量表的有效性。
60岁以上、白人或受教育程度较高的患者报告了更积极的态度。对5期CKD患者捐赠能力的误解很常见，这突出表明需要对捐赠资格进行教育。5期CKD患者可能能够捐赠器官和组织。
