Department of Business Law, Faculty of Law, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
Department of Internal Medicine, University of Medical Sciences, Ondo City, Nigeria.
Niger Postgrad Med J. 2024 Apr 1;31(2):156-162. doi: 10.4103/npmj.npmj_29_24. Epub 2024 Jun 3.
Advancements in the medical field have made organ transplantation an attractive treatment option for patients when indicated. Shortage of organs and commodification of organs are major challenges encountered in organ donation and transplantation. These could potentially breed unethical practices, if the process is not well regulated.
The aim of this study was to assess the knowledge of healthcare workers (HCWs) on the legal provisions regulating organ donation and transplantation in Nigeria.
This cross-sectional study was conducted amongst physicians and nurses across Nigeria. Knowledge of legal provisions on organ donation and transplantation was assessed using a validated questionnaire that had 21 questions derived from the National Health Act. Each correctly answered question was given 1 point with a total obtainable score of 21 points. A score of ≥14 points was classified as good knowledge. P <0.05 was considered significant.
A total of 836 physicians and nurses with a mean age of 37.61 ± 9.78 years participated in the study. Females and physicians constituted 53.3% and 62.9% of the respondents, respectively. The mean knowledge score of the respondents was 9.70 ± 2.91 points. Eighty-three (9.9%) respondents had a good knowledge score. There was a significantly higher proportion of male HCWs (P < 0.037) and older HCWs (P = 0.017) with good knowledge of legal provisions. On logistic regression, age was the only factor found to be associated with good knowledge of legal provision (adjusted odds ratio: 3.92; confidence interval: 1.33-11.59; P = 0.01).
The overall knowledge of legal provisions on organ donation and transplant was very poor amongst HCWs in Nigeria. There is a need to educate them on these provisions to curb unethical practices.
医学领域的进步使器官移植成为有适应症的患者的一种有吸引力的治疗选择。器官短缺和器官商品化是器官捐献和移植中遇到的主要挑战。如果过程没有得到很好的监管，这些问题可能会滋生不道德的行为。
本研究旨在评估尼日利亚医护人员（HCWs）对规范器官捐献和移植的法律规定的了解程度。
这是一项在尼日利亚各地的医生和护士中进行的横断面研究。使用一份由 21 个问题组成的、来自《国家健康法案》的经过验证的问卷来评估对器官捐献和移植法律规定的了解程度。每个正确回答的问题得 1 分，总分为 21 分。得分≥14 分被归类为知识良好。P<0.05 被认为具有统计学意义。
共有 836 名年龄在 37.61±9.78 岁的医生和护士参与了这项研究。女性和医生分别占受访者的 53.3%和 62.9%。受访者的平均知识得分为 9.70±2.91 分。83 名（9.9%）受访者具有良好的知识得分。男性 HCWs（P<0.037）和年龄较大的 HCWs（P=0.017）具有更好的法律规定知识得分的比例显著更高。在逻辑回归中，年龄是唯一与法律规定良好知识相关的因素（调整后的优势比：3.92；置信区间：1.33-11.59；P=0.01）。
尼日利亚 HCWs 对器官捐献和移植法律规定的总体了解非常有限。有必要对他们进行这些规定的教育，以遏制不道德行为。
