Lei L, Deng J, Zhang H, Dong H, Luo Y, Luo Y
School of Nursing, Third Military Medical University, Chongqing, China.
School of Nursing, Third Military Medical University, Chongqing, China.
Transplant Proc. 2018 Dec;50(10):2924-2931. doi: 10.1016/j.transproceed.2018.02.095.
This study aims at analyzing the levels of organ donation-related knowledge and attitude and willingness toward organ donation and identifying factors that might influence willingness in organ donation among a selected group of university students in western China.
This cross-sectional study was performed among 1589 second-year students recruited by stratified cluster sampling from 5 universities in western China. The data were collected using a questionnaire survey.
In comparison with the general public in China, the participants of our survey are better informed with organ donation-related knowledge and are more positive toward organ donation and death and more willing to donate organs. However, willingness in organ donation (9.81%) and the actual organ donation rate (0.45%) are still relatively low. We find that the Chinese family plays a critical role in organ donation decision making (β = -1.849, odds ratio = 0.157, P < .001) and the upholding of willingness in organ donation (β = -0.695, odds ratio = 0.499, P < .05), which probably stems from the family-centered traditional values. Furthermore, a positive attitude toward death appears to be positively associated with willingness in organ donation (P < .05).
These findings highlight the urgent need of improved education and training in organ donation-related knowledge and the development of positive attitude toward death among the potential donors and their family members as well as the general public to raise the organ donation rate in this country.
本研究旨在分析中国西部某高校学生群体中与器官捐赠相关的知识水平、态度和意愿,并确定可能影响器官捐赠意愿的因素。
本横断面研究采用分层整群抽样方法,对中国西部5所大学的1589名二年级学生进行了调查。通过问卷调查收集数据。
与中国普通公众相比,本研究的参与者对器官捐赠相关知识了解更多,对器官捐赠和死亡更持积极态度,也更愿意捐赠器官。然而,器官捐赠意愿(9.81%)和实际器官捐赠率(0.45%)仍然相对较低。我们发现,中国家庭在器官捐赠决策中起着关键作用(β = -1.849,比值比 = 0.157,P <.001),并且在维持器官捐赠意愿方面也有影响(β = -0.695,比值比 = 0.499,P <.05),这可能源于以家庭为中心的传统价值观。此外,对死亡的积极态度似乎与器官捐赠意愿呈正相关(P <.05)。
这些研究结果凸显了迫切需要加强对潜在捐赠者及其家庭成员以及普通公众进行器官捐赠相关知识的教育和培训,并培养对死亡的积极态度,以提高该国的器官捐赠率。