中国医学生对活体肝脏捐献的态度(英文)

Medical students' attitude toward living liver donation in China

背景:了解中国大学生尤其是医学生对人体器官捐献的态度与认知对器官移植事业的发展具有重要的意义。目的:调查中国医学生对活体肝脏捐献的态度,以及影响这种态度的相关因素。方法:在中国医科大学临床医学专业随机选取250名学生作为研究对象,按年级进行分层,每年级50人。应用调查问卷评价医学生对活体肝脏捐献的态度及其影响因素。问卷调查采取匿名方式,由受调查者自行填写。使用SPSS统计分析软件,分别应用t检验和χ2检验进行双变量分析。结果与结论:共回收有效问卷243份,回收率为97.2%。其中13.2%(n=32)的受调查者愿意对非亲属进行活体肝脏捐献,66.3%(n=161)的学生只愿意捐献给自己的亲属,6.6%(n=16)的学生不愿意捐献给任何人,还有14.0%(n=34)的学生表示不确定。与医学生对活体肝脏捐献的态度有关的因素包括:医学生对捐献家人器官的态度、对尸体器官捐献的态度、对活体肾脏捐献的态度和接受他人捐献的活体肝脏的态度。总体看来,中国的医学生对活体肝脏捐献表示支持。但目前中国的医学生缺乏关于器官捐献和移植的教育,应在医学生的课程中引入这方面的内容。

BACKGROUND：A better understanding of medical students＇ attitude towards living liver donation in China would be of importance significance in the development of organ transplantation. OBJECTIVE：To investigate the medical students＇ attitude toward living liver donation in China and to analyze the factors that affect such an attitude. METHODS：A random sample of 250 medical students was taken and stratified by grades with 50 students in each grade. The attitude was evaluated by a modified psychosocial questionnaire from Spain. The questionnaire was completed anonymously and was self-administered. A bivariate analysis including the Student＇s t test and the Chi-square test was performed using SPSS software. RESULTS AND CONCLUSION：The questionnaire completion rate was 97.2% （n=243） for the medical students. Among the respondents,only 13.2% （n=32） of them were in favor of unrelated living liver donation. Another 66.3% （n=161） were only in favor if the donation was for a relative. Of the rest,6.6% （n=16） did not agree with living liver donation,and the remaining 14.0% （n=34） were undecided. The factors related to this attitude were the decision of donating the organs of a family member （P=0.002）,attitude toward deceased donation （P=0.000）,a willingness to receive a donated living liver organ if one were needed （P=0.000）,attitude toward living kidney donation （P=0.000）. The medical students have a favorable attitude toward living liver donation in China. The students＇ attitude toward other types of organ donation and the willingness to accept living donated liver influence their attitude toward living liver donation. There is a great lack of education about the organ donation and transplantation for the medical students in China and more education programs should be incorporated into their traditional curriculum.