Cho Ray Hospital, Sydney, New South Wales, Australia.
Sydney Children's Hospital, Sydney, New South Wales, Australia.
Nephrology (Carlton). 2019 Oct;24(10):1077-1080. doi: 10.1111/nep.13581. Epub 2019 May 6.
Describe the current state of deceased kidney donation in Southern Vietnam and to explore the knowledge, attitude and behaviour towards kidney donation after death. Factors associated with the decision to donate among selective populations in HoChi Minh city were explored. Self-administered questionnaire of 30 questions to people over 18 years in three different communities were studied, n = 1068; 77% and 63.8% agreed they would donate their own kidney and that of their relatives respectively after death. Factors associated with positive donation wishes were knowledge of the national shortage of organs and brain death as well as positive previous family conversations. Main reason for refusal was lack of agreement within families about donation. The desire for equitable distribution of organs was frequently expressed. The majority of people interviewed in this large study agreed with deceased organ donation. Despite this, few deceased donor kidney transplants are performed in adults and none in children in Southern Vietnam, therefore greater efforts in the donation process and coordination of deceased donor lists is required. Given the correlation between positive donation wishes and knowledge with desire to donate, widespread public education campaigns are critical to the promotion and development of a successful deceased organ donation programme in Southern Vietnam.
描述越南南部的已故肾脏捐赠现状，并探讨人们对死后器官捐赠的知识、态度和行为。研究了胡志明市部分人群决定捐赠器官的相关因素。对三个不同社区的 18 岁以上人群进行了 30 个问题的自我管理问卷调查，n=1068；77%和 63.8%的人分别表示他们愿意在死后捐献自己的肾脏和亲属的肾脏。与积极捐赠意愿相关的因素是了解国家器官短缺和脑死亡，以及之前家庭有过积极的对话。拒绝的主要原因是家庭内部对捐赠的意见不一致。大多数接受这项大型研究调查的人都同意死后器官捐赠。尽管如此，在越南南部，成人的已故供肾者肾脏移植很少，儿童则没有，因此需要在捐赠过程中做出更大的努力，并协调已故供肾者名单。鉴于积极的捐赠意愿与知识之间存在关联，以及与捐赠意愿的关联，广泛的公众教育活动对于在越南南部成功推行和发展已故器官捐赠计划至关重要。
