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塔伊夫居民对死后心脏捐赠的意愿和准备情况评估。

Assessment of the Desire and Readiness of Taif Residents for Heart Donation After Death.

作者信息

Alzahrani Sultan M, Alzahrani Khalid, Alotbi Moayyad, Alamri Abdulrahman M, Algethami Rami F, Alfaqih Mohammed H, Alghamdi Hussam, Al Rashed Abdulaziz

机构信息

Internal Medicine, College of Medicine, Taif University, Taif, SAU.

Surgery, Taif University, Taif, SAU.

出版信息

Cureus. 2023 Mar 13;15(3):e36081. doi: 10.7759/cureus.36081. eCollection 2023 Mar.

Abstract

Background/aim Heart transplantation is often the only preferable treatment for end-stage heart failure (HF); however, there are insufficient organ donors in Saudi Arabia. In this study, we aimed to understand the desire and readiness of Taif populations for heart donation after death. Methods We carried out a descriptive cross-sectional study among Taif residents in November 2022. A questionnaire designed from a previous survey was distributed among the participants. The questionnaire included sociodemographic data and questions assessing their desire for heart donation. Results The study included 405 subjects who have accepted to participate in the study. About half of the participants were aged 18 to 32 years (43.5%), most were females, were non-employed, and had a university degree. Of them, 86.2% accepted the concept of organ transplantation, 81% accepted the concept of heart transplantation, and one-third of the participants desired to donate their hearts. The participants with a university degree reported significantly less acceptance of the concept of heart transplantation (p-value=0.026), and those employed showed a significantly stronger desire for organ donation to a relative after death (p-value=0.049). In addition, younger participants showed a significantly higher willingness for organ donation to a relative or non-relative after death (p-value=0.017 and 0.009, respectively). Employed participants were significantly more willing to undergo heart transplantation surgery if needed (p-value=0.044). Conclusion Awareness campaigns could be established in the community and popularized during contact with the health system to build trust in the organ donation system, stress the importance of heart donation in saving the lives of more patients, and reduce the shortage of organ transplantation.

摘要

背景/目的 心脏移植通常是终末期心力衰竭(HF)唯一可取的治疗方法;然而,沙特阿拉伯的器官捐献者不足。在本研究中,我们旨在了解塔伊夫人群在死后进行心脏捐献的意愿和准备情况。方法 2022年11月,我们在塔伊夫居民中开展了一项描述性横断面研究。一份根据先前调查设计的问卷分发给参与者。问卷包括社会人口统计学数据以及评估他们心脏捐献意愿的问题。结果 该研究纳入了405名同意参与研究的受试者。约一半的参与者年龄在18至32岁之间(43.5%),大多数为女性,未就业,拥有大学学位。其中,86.2%接受器官移植的概念,81%接受心脏移植的概念,三分之一的参与者希望捐献自己的心脏。拥有大学学位的参与者对心脏移植概念的接受程度明显较低(p值=0.026),而就业者在死后向亲属捐献器官的意愿明显更强(p值=0.049)。此外,年轻参与者在死后向亲属或非亲属捐献器官的意愿明显更高(分别为p值=0.017和0.009)。就业参与者在需要时接受心脏移植手术的意愿明显更强(p值=0.044)。结论 可以在社区开展宣传活动,并在与卫生系统接触期间进行推广,以建立对器官捐献系统的信任,强调心脏捐献在挽救更多患者生命中的重要性,并减少器官移植的短缺。

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