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医院角膜获取项目:任重道远。

Hospital corneal retrieval program: A long way to go.

机构信息

Department of Ophthalmology, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India.

Department of Ophthalmology, Autonomous State Medical College, Firozabad, Uttar Pradesh, India.

出版信息

Indian J Ophthalmol. 2024 Aug 1;72(8):1112-1117. doi: 10.4103/IJO.IJO_2188_23. Epub 2024 Mar 8.

DOI:10.4103/IJO.IJO_2188_23
PMID:38454872
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11451773/
Abstract

PURPOSE

The Hospital Corneal Retrieval Program (HCRP) aims to counsel and encourage the family of a critically ill or deceased person in the hospital for eye donation. Adequately sensitized health-care workers (HCWs) may play a pivotal role in boosting HCRP.

STUDY DESIGN

Multicentric, cross-sectional, descriptive study.

METHODS

Study participants included all HCWs of three medical colleges, including one with eye bank and corneal transplant services. A pretested, structured questionnaire was used to record the awareness, knowledge, and attitude about eye donation among HCWs. The expected outcome was to seek differences in awareness, if any, among medical and paramedical workers of medical colleges with (group A) or without (group B) eye bank and corneal transplant facilities.

RESULTS

Of the 4060 study participants, 2100 HCWs were in group A and the rest (1960) were in group B. For eight out of 13 questions assessing awareness and perception, a statistically insignificant difference in responses was observed between the two groups. Regarding questions related to attitude, although the majority of HCWs in both groups were comfortable talking about eye donation, they did feel that counseling relatives of a terminally ill patient about eye donation was insensitive. Less than half of HCWs showed a willingness to donate eyes, and about half of the participants wanted to acquire more knowledge about eye donation.

CONCLUSION

Awareness regarding eye donation among HCWs was mostly found to be at dismal levels, irrespective of whether they worked in an institute with or without eye bank and corneal transplant services. This warrants an accelerated effort at sensitizing HCWs as a strengthening measure for HCRP.

摘要

目的

医院角膜获取计划(HCRP)旨在为医院内病危或死亡患者的家属提供咨询和鼓励,以促进他们进行眼捐献。充分敏感的医护人员(HCWs)可能在推动 HCRP 方面发挥关键作用。

研究设计

多中心、横断面、描述性研究。

方法

研究参与者包括三所医学院的所有 HCWs,其中一所拥有眼库和角膜移植服务。使用经过预测试的结构化问卷来记录 HCWs 对眼捐献的认识、知识和态度。预期的结果是,寻求在拥有(A 组)或不拥有(B 组)眼库和角膜移植设施的医学院的医疗和辅助医疗工作者之间,在意识方面是否存在差异。

结果

在 4060 名研究参与者中,2100 名 HCWs 属于 A 组,其余(1960)名 HCWs 属于 B 组。在评估意识和感知的 13 个问题中的 8 个问题中,两组之间的回答存在统计学上无显著差异。关于与态度相关的问题,尽管两组的大多数 HCWs 都愿意谈论眼捐献,但他们确实认为,向病危患者的亲属咨询眼捐献是不敏感的。不到一半的 HCWs 表示愿意捐献眼睛,约一半的参与者希望获得更多有关眼捐献的知识。

结论

无论 HCWs 是否在拥有或不拥有眼库和角膜移植服务的机构工作,他们对眼捐献的认识大多处于令人沮丧的水平。这需要加紧努力提高 HCWs 的敏感性,作为加强 HCRP 的一项措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60f1/11451773/75cbf4bddea4/IJO-72-1112-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60f1/11451773/f677780021e2/IJO-72-1112-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60f1/11451773/20c5ee00210c/IJO-72-1112-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60f1/11451773/6676bf6ccce9/IJO-72-1112-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60f1/11451773/75cbf4bddea4/IJO-72-1112-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60f1/11451773/f677780021e2/IJO-72-1112-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60f1/11451773/20c5ee00210c/IJO-72-1112-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60f1/11451773/6676bf6ccce9/IJO-72-1112-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60f1/11451773/75cbf4bddea4/IJO-72-1112-g004.jpg

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Knowledge, awareness and attitude of eye donation among non-clinical staff of a tertiary eye hospital in South India.印度南部一家三级眼科医院非临床工作人员的眼部捐献知识、意识和态度。
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Eye Donation: Awareness, Knowledge, Willingness, and Barriers among Paramedical and Allied Health Science Students at a Tertiary Care Teaching Hospital in South India.
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Barriers and Facilitators to Eye Donation in Hospice and Palliative Care Settings: A Scoping Review.临终关怀与姑息治疗环境中眼捐赠的障碍与促进因素:一项范围综述
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