信息获取对器官捐献的影响:基于问卷的横断面研究

Guillermo Costaguta, Andrea Romero, Alejandro Costaguta
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摘要

简介:器官移植是治疗多种终末期器官疾病的唯一有效方法:器官移植是治疗多种终末期器官疾病的唯一有效方法。然而,器官供体严重不足。这种短缺是由多种因素造成的,而获得准确信息是决定个人是否愿意捐献器官的关键因素:这是一项基于匿名调查的横断面研究,调查时间为 2019 年 1 月至 12 月,参与者分为医护人员和非医护人员。数据包括捐赠器官的意愿、拒绝原因、年龄、教育程度和对脑死亡的理解。统计显著性设定为 p<0.05:共有 408 名参与者,其中 203 人来自医疗保健行业,205 人来自非医疗保健行业。在医疗保健专业人员中,90% 的人愿意捐献器官,而在非医疗保健组中,只有 43% 的人愿意捐献器官(p<0.001)。非医护人员受访者拒绝捐献器官的原因包括:担心器官摘除时自己还活着(74%)、担心减少急救护理(21%)和宗教信仰(5%)。尽管有这些顾虑,88%的受访者承认器官捐献可以挽救生命,95%的受访者认识到器官供需之间的差距。捐献者和非捐献者在教育水平上没有明显差异,但医护人员对脑死亡的理解明显更深(p<0.001)。所有受访者都表示,如果需要,他们会接受捐赠的器官:结论:医护人员比非医护人员更愿意成为器官捐献者。非医护人员的误解导致了较高的拒绝率。有针对性的宣传活动和教育计划可以纠正这些误解,从而提高器官捐献率,缓解器官短缺危机。
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Influence of Information Access on Organ Donation: A Questionnaire-Based Cross-Sectional Study
Introduction: Organ transplantation is the sole effective treatment for several end-stage organ diseases. However, donor organ availability is critically insufficient. This shortage is driven by several factors, with access to accurate information being a key determinant of an individual's willingness to donate organs. Methods: A cross-sectional study based on anonymous surveys from January to December 2019, categorizing participants into healthcare professionals and non-healthcare individuals. Data included willingness to donate organs, reasons for refusal, age, education level, and understanding of brain death. Statistical significance was set at p<0.05. Results: 408 participants were included, 203 from the healthcare sector and 205 from the non-healthcare sector. Among healthcare professionals, 90% were willing to donate organs, compared to 43% in the non-healthcare group (p<0.001). Non-healthcare respondents refused due to fears of being alive during organ removal (74%), concerns about reduced emergency care (21%), and religious beliefs (5%). Despite these concerns, 88% acknowledged that organ donation saves lives, and 95% recognized the gap between organ supply and demand. No significant differences in education levels were found between donors and non-donors, but healthcare professionals had a significantly better understanding of brain death (p<0.001). All respondents indicated they would accept a donated organ if needed. Conclusion: Healthcare professionals are more inclined to be organ donors than those outside the field. Misunderstandings among non-healthcare individuals contribute to higher refusal rates. Tailored awareness campaigns and educational programs could rectify these misconceptions, potentially improving donation rates and mitigating the organ shortage crisis.
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