Ríos A, López-Navas A, Gutiérrez P R, Gómez F J, Iriarte J, Herruzo R, Blanco G, Llorca F J, Asunsolo A, Sánchez P, Fernández A, De Jesús M T, Lana A, Fuentes L, Hernández J R, Virseda J, Yelamos J, Bondía J A, Carrillo J, Sánchez Á, Alarcón L Martínez, Parrilla P, Ramírez P
International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics y Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain; Regional Transplant Center, Ministry of Health and Consumer Affairs of the Region of Murcia, Murcia, Spain.
International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Psychology, Catholic University of Murcia (UCAM), Murcia, Spain.
Transplant Proc. 2020 Mar;52(2):443-445. doi: 10.1016/j.transproceed.2019.11.040. Epub 2020 Feb 10.
Despite sensitization of medical students toward the donation of organs, a non-negligible percentage of students are not in favor of donation.
To analyze the reasons of Spanish medical students who do not have a favorable attitude toward the donation of their own organs after death.
The population under study is medical students in Spanish universities, using the database of the International Donor Collaborative Project, stratified by geographic area and academic year. The questionnaire completion was anonymous and self-administered. The study group is medical students with an unfavorable attitude toward organ donation. The assessment instrument used is a validated questionnaire of attitude toward the donation of organs for transplant, "PCID-DTO-Ríos." The reasons against the donation are valued in the questionnaire through a question.
Of the participants included in the PCID, students who are not in favor of organ donation were selected (n = 1899). Of them, 8.1% (n = 154) are against and 91.1% (n = 1745) are doubtful. The main reasons indicated are the fear of apparent death in 11.4% of respondents, fear of possible mutilation after donation in 11.1%, and religious reasons in 2.6%. Of those, 6.9% indicate other reasons but do not clearly specify the reasons, using words such as "fear" (2.5%) or "doubts about the process" (4.1%); 66.2% (n = 1257) indicated an "assertive refusal" ("I don't want to express my reasons").
Twenty percent of Spanish medical students are not in favor of donating their organs and are not in favor of showing their reasons.
尽管医学生对器官捐赠的态度有所转变，但仍有不可忽视比例的学生不赞成捐赠。
分析西班牙医学生对死后自身器官捐赠持不赞成态度的原因。
研究对象为西班牙大学的医学生，使用国际捐赠者合作项目的数据库，按地理区域和学年分层。问卷填写为匿名且自行完成。研究组为对器官捐赠持不赞成态度的医学生。所使用的评估工具是经过验证的器官移植捐赠态度问卷“PCID-DTO-Ríos”。问卷通过一个问题对反对捐赠的原因进行评估。
在纳入PCID的参与者中，选择了不赞成器官捐赠的学生（n = 1899）。其中，8.1%（n = 154）反对，91.1%（n = 1745）持怀疑态度。指出的主要原因是11.4%的受访者担心假死，11.1%担心捐赠后可能致残，2.6%出于宗教原因。其中，6.9%表示有其他原因但未明确说明，使用了“恐惧”（2.5%）或“对过程有疑问”（4.1%）等表述；66.2%（n = 1257）表示“坚决拒绝”（“我不想说明我的理由”）。
20%的西班牙医学生不赞成捐赠器官，且不赞成说明理由。
