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与对推定同意法态度相关的器官捐赠:西班牙大学医学与护理专业学生研究

Organ Donation Related With Attitude Toward the Law of Presumed Consent: Spanish University Medical and Nursing Students Study.

作者信息

Martínez-Alarcón Laura, Ríos Antonio, Gutiérrez Pedro Ramón, Gómez Francisco Javier, Santainés-Borredá Elena, Agras-Suarez María Concepción, Iriarte Jorge, Cañadas-De la Fuente Guillermo Arturo, Herruzo Rafael, Hurtado-Pardos Barbara, Blanco Gerardo, Bárcena-Calvo Carmen, Llorca Francisco Javier, Perelló-Campaner Catalina, Asunsolo Angel, Arribas-Marin Juan Manuel, Sánchez Pilar, García-Mayor Silvia, Fernández Ana, Soto-Ruíz Maria Nelia, Teresa de Jesús Maria, Navalón Juan Carlos, Lana Alberto, Bertran-Noguer Carme, Fuentes L, Peña-Amaro Maria Pilar, Hernández J R, Jiménez-Herrera Maria Francisca, Virseda Julio, Blanco-Sánchez Rafaela, Yelamos Jose, Calvo-Sánchez María Dolores, Bondía J A, Prado-Laguna María Carmen, González-García Alberto, Martínez-Rodríguez Adelina, Bas-Sarmiento Pilar, Faus-Gabandé Francisco, Muiños-Álvarez Alicia, Peyró-Gregori Loreto, Hernández-Martínez Helena, López-Navas Ana Isabel, Parrilla Pascual, Ramírez Pablo

机构信息

Transplant Unit, Surgery Service, University Clinical Hospital Virgen de la Arrixaca, Murcia, Spain; Biomedical Research Institute of Murcia IMIB-Arrixaca, Murcia, Spain; International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Regional Transplant Center, Consejería de Sanidad y Consumo de la Región de Murcia, Spain.

Transplant Unit, Surgery Service, University Clinical Hospital Virgen de la Arrixaca, Murcia, Spain; Biomedical Research Institute of Murcia IMIB-Arrixaca, Murcia, Spain; International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Regional Transplant Center, Consejería de Sanidad y Consumo de la Región de Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics and Gynecology, University of Murcia, Spain.

出版信息

Transplant Proc. 2020 Mar;52(2):439-442. doi: 10.1016/j.transproceed.2019.12.033. Epub 2020 Feb 3.

DOI:10.1016/j.transproceed.2019.12.033
PMID:32029316
Abstract

INTRODUCTION

Information provided by health care professionals is crucial to create a climate of social opinion. This is important in organ donation and transplantation (ODT), where the participation of the general public is essential to obtain organs.

OBJECTIVE

To determine the attitude toward the Law of Presumed Consent (LPC) among Spanish university students and to analyze their relation with attitude toward ODT.

METHODS

and design. The type of study was a sociologic, multicenter, observational study. The population included medical and nursing students in Spanish universities. Database of Collaborative International Donor Project was used stratified by geographic area and academic course. A validated questionnaire (Collaborative International Donor Project, organ donation and transplantation questionnaire in Spanish [PCID-DTO-RIOS]) was self-administered and completed anonymously. A sample of 9598 medical and 10,566 nursing students was analyzed (99% confidence and precision of ±1%) and stratified by geographic area and year of study.

RESULTS

Completion rate was 90%. Regarding attitude toward LPC, 66% of the students were against the law, whereas 34% accepted it. Of the students surveyed, 9% considered the law as a gesture of solidarity, 25% as an effective way of not wasting organs, 48% as an abuse of power, and 18% as offenses against the family. Those students who were in favor of LPC also had a more favorable attitude toward ODT (86% vs 76%; P < .001). Comparing groups, nursing students were less in favor of LPC than medical students (32% vs 36%; P < .000).

CONCLUSION

Sixty-six percent of Spanish university medical and nursing students were against the LPC. The favorable attitude toward ODT is associated with considering the law as a gesture of solidarity or as an effective way of not wasting organs.

摘要

引言

医疗保健专业人员提供的信息对于营造社会舆论氛围至关重要。这在器官捐赠与移植(ODT)领域很重要,因为公众的参与对于获取器官至关重要。

目的

确定西班牙大学生对推定同意法(LPC)的态度,并分析他们对ODT态度之间的关系。

方法与设计

研究类型为社会学多中心观察性研究。研究对象包括西班牙大学的医学和护理专业学生。使用国际合作捐赠项目数据库,并按地理区域和学术课程进行分层。一份经过验证的问卷(国际合作捐赠项目,西班牙语器官捐赠与移植问卷[PCID-DTO-RIOS])由学生自行填写并匿名完成。对9598名医学专业学生和10566名护理专业学生的样本进行了分析(99%的置信度和±1%的精度),并按地理区域和学习年份进行分层。

结果

完成率为90%。关于对LPC的态度,66%的学生反对该法律,而34%的学生接受它。在接受调查的学生中,9%认为该法律是一种团结姿态,25%认为是不浪费器官的有效方式,48%认为是权力滥用,18%认为是对家庭的冒犯。那些赞成LPC的学生对ODT也有更积极的态度(86%对76%;P <.001)。比较不同组,护理专业学生比医学专业学生对LPC的支持度更低(32%对36%;P <.000)。

结论

66%的西班牙大学医学和护理专业学生反对LPC。对ODT的积极态度与将该法律视为团结姿态或不浪费器官的有效方式有关。

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