医务工作者、患者及家属对器官捐献的认知、态度及意愿

Survey on knowledge,attitudes,willingness of health workers and patients with their families towards organ donation

为了解医务工作者、患者及家属对于器官捐献认知、态度、意愿的差异,并探讨影响器官捐献意愿的独立因素,采用自制问卷对2017年12月—2018年2月南京医科大学第一附属医院肝胆中心241名住院患者(家属)和202名医务工作者进行调查。医务工作者对器官捐献的认知显著高于患者群体(P<0.001),而两组人群对器官捐献的态度、愿意身后捐献器官差异均不显著(P=0.17,P=0.44)。Logistic回归显示,促成身后捐献器官的因素包括年龄≤35岁,认为器官捐献是高尚的事情,以及对器官捐献持赞同态度。建议将器官捐献相关知识纳入医学教育课程,提高医务人员的捐献意愿,进而影响社会民众,促进我国器官捐献事业的发展。

To compare the difference on knowledge,attitudes,willingness of health workers and patients with their families towards organ donation and to explore the independent factors influencing the willing towards organ donation.During December 2017 to February 2018,we surveyed 241 hospitalized patients and their families in Hepatobiliary Center,the First Affiliated Hospital of Nanjing Medical University,with the selfdefined questionnaire.Meanwhile,202 health workers were investigated as a control group.Health workers’knowledge towards organ donation was significantly higher than that of patients(P<0.001),but there were no statistical differences of attitudes and willingness to donate their own organs between the two groups(P=0.17,P=0.44).Logistic regression showed that factors contributing to the willingness to donate organs were age less than 35 years old,considering organ donation to be a noble thing,and people who supported organ donation.We recommended to incorporate the related knowledge and laws into medical courses,to improve the willingness of health workers to donate,and then to spread the knowledge to social population,ultimately to promote the development of organ donation in China.