Saub E J, Shapiro J, Radecki S
Stanford University, CA, USA.
J Community Health. 1998 Dec;23(6):407-17. doi: 10.1023/a:1018754023705.
This study surveyed Orange County, California residents to determine their attitudes and knowledge about organ donation and in particular to determine what factors influence the decision to donate one's organs upon death. Respondents were recruited from the Orange County Superior Court jury pool (N = 378). Each completed a 44 item questionnaire. Findings from the analysis of Questionnaire Data reveal that nearly three-quarters of respondents had considered donating their organs, yet less than one-third had made arrangements to donate. Having an accurate knowledge about organ donation and being willing to accept a donated organ were particularly robust factors associated with the likelihood to donate. Having spoken with a physician was also a positive factor, yet just 5% of the sample had done so, and two-thirds of respondents did not want to discuss organ donation with their physician. The study's findings suggest that enhanced recruitment may be achieved by focusing on education (especially increased emphasis on the family's role) and by targeting both parents and their children. Finally, although physicians are encouraged to discuss organ donation with patients, more information is needed to explain why patients may not want to talk about this topic with their doctors.
本研究对加利福尼亚州奥兰治县的居民进行了调查,以确定他们对器官捐赠的态度和了解程度,特别是确定哪些因素会影响人们在死后捐赠器官的决定。受访者从奥兰治县高等法院陪审团候选人名单中招募(N = 378)。每人都填写了一份包含44个项目的问卷。对问卷数据的分析结果显示,近四分之三的受访者曾考虑过捐赠器官,但只有不到三分之一的人做出了捐赠安排。对器官捐赠有准确的了解并且愿意接受捐赠器官是与捐赠可能性密切相关的特别有力的因素。与医生交谈也是一个积极因素,但样本中只有5%的人这样做了,并且三分之二的受访者不想与他们的医生讨论器官捐赠问题。该研究的结果表明,通过关注教育(特别是更多地强调家庭的作用)以及针对父母及其子女,可以实现更好的招募效果。最后,尽管鼓励医生与患者讨论器官捐赠问题,但需要更多信息来解释为什么患者可能不想与医生谈论这个话题。