Siminoff L A, Arnold R M, Caplan A L
Department of Psychiatry, University of Pittsburgh, PA.
J Trauma. 1995 Sep;39(3):553-9. doi: 10.1097/00005373-199509000-00025.
Failure to procure organs, tissues, and corneas for transplantation can be attributed to a number of factors. The existing literature is largely speculative concerning why health care professionals (HCPs) fail to approach the families of medically suitable donors and why requests for donation are not successful. This study is based on the direct examination of 1,797 HCP attitudes and knowledge about donation in conjunction with how HCPs performed when faced with a donor-eligible patient. HCP attitudes, rather than knowledge, are more important to the successful procurement of organs. The HCPs with more positive attitudes about donation and their role in the procurement process were more likely to request donation. HCPs were more successful in obtaining consent to donation when they believed that the donation process would benefit the donor family and that their efforts to procure organs would be successful. These results indicate that educating HCPs about the donation process to make them more comfortable with it is crucial.
未能获取用于移植的器官、组织和角膜可归因于多种因素。现有文献在很大程度上只是推测医疗保健专业人员（HCPs）为何未能与医学上合适的捐赠者家属进行沟通，以及捐赠请求为何未获成功。本研究基于对1797名HCPs关于捐赠的态度和知识的直接调查，以及他们在面对符合捐赠条件的患者时的表现。对于成功获取器官而言，HCPs的态度比知识更为重要。对捐赠及其在获取过程中的作用持更积极态度的HCPs更有可能提出捐赠请求。当HCPs认为捐赠过程会使捐赠者家属受益，且他们获取器官的努力会成功时，他们在获得捐赠同意方面更成功。这些结果表明，对HCPs进行捐赠过程的教育以使他们更适应这一过程至关重要。
