对临床护士潜在器官捐献相关知识认知、态度和行为现状的调查

Survey on knowledge, attitude and practice towards potential organ donors＇ coordinating donation in clinical nurses

目的：了解公立医院临床护士对潜在器官捐献者协调捐献的认识、态度和行为的现状，为医院人体器官捐献协调模式的建立提供参考依据。方法于2013年6月对某公立医院的375名护士进行有关潜在器官捐献者相关知识知晓、态度和行为的问卷调查，其中有效问卷353份，有效应答率为94.1%。结果66.3%的护士认为潜在器官捐献者主要来源于突发意外的死亡人群；潜在器官捐献者的主要来源科室前3位为重症监护病房、急诊科和神经外科；只有20.4%的护士了解潜在器官捐献者的指征；65.7%的护士认为“宣传普及器官捐献知识”是医院在器官捐献方面最能发挥的优势；68.8%的护士表示不会主动向潜在器官捐献者家属提示捐献意向；愿意在医院做兼职人体器官捐献协调员的护士仅占44.8%。结论临床护士对于人体潜在器官捐献的了解、所持态度、行为不容乐观。建议将人体器官捐献纳入临床护士的继续教育项目，明确潜在器官捐献者的评估指征，加强器官捐献协调员队伍的建设。

Objective To understand the knowledge, attitudes and practice （ KAP ） of nurses in relation to potential organ donors′coordinating donation, in order to provide references for the establishment of the human organ donation coordination mode in clinical nurses. Methods The investigation was carried out among 375 nurses in one public hospital in June 2013. 353 questionnaires were returned, with a response rate of 94. 1%. Results A total of 66. 3% nurses thought that the main potential organ donors were derived from the sudden unexpected death of the crowds. The top three departments of the potential organ donors were intensive care unit, the emergency room and neurosurgery department. Only 20. 4% nurses discerned the indications of the potential organ donor, 65. 7% nurses thought the“popularization of knowledge” was the biggest advantage in public hospital in terms of organ donation, 68. 8% nurses were not willing to prompt donations intention initiatively to the families of potential organ donors, Only 44. 8% nurses were willing to be a part-time organ donation coordinators. Conclusions The KAP is not optimistic among nurses. This survey demonstrates a need for more continuing education and training, especially on how to identify potential organ donors. The organ donation coordinators′team should be built.