器官捐献协调员劝捐协调现状及影响因素研究

Investigation on status quo and influencing factors for donation coordination of organ donation coordinators

目的探讨影响器官捐献协调员器官捐献意愿和器官捐献协调效果的重要影响因素。方法采用方便抽样方式对349名全国器官捐献协调员进行问卷调查,其中男145名,女204名,年龄27(23,36)岁。利用多重线性回归和无序logistic回归探讨捐献意愿和协调效果的影响因素。结果349名器官捐献协调员中,愿意捐献器官的人数有146名,占41.8%,其中已签署器官捐献同意卡的101名,占28.9%。器官捐献法律认知充分、文化程度高、有婚姻经历、自感健康状况好均对器官捐献协调员器官捐献意愿具有积极影响(均为P<0.05);收入高、器官捐献协调员工龄长、聘用方式为专职、捐献意愿高、捐献条件认知和捐献程序认知充分均对器官捐献协调员协调效果具有积极影响(均为P<0.05)。结论本研究发现器官捐献协调员对器官捐献的法律认知程度越高,器官捐献意愿越强,而增强器官捐献协调员自身捐献意愿对提高器官捐献协调效果有积极影响。因此,应搭建全方位器官捐献协调员培养体系,以提高器官劝捐成功率,推动器官捐献事业的发展。

Objective To explore the important factors influencing organ donation willingness and coordination effect of organ donation coordinators.Methods A questionnaire survey was conducted among 349 national organ donation coordinators by convenience sampling,including 145 males and 204 females,aged 27(23,36)years.Multiple linear regression and disordered logistic regression were used to investigate the important factors influencing the willingness to donate organs and coordination effects.Results Among 349 organ donation coordinators,146(41.8%)were willing to donate organs,including 101(28.9%)who had signed the consent card for organ donation.Adequate awareness of organ donation laws,high education level,marital experience,and good self-perceived health status all showed positive effects on organ donation willingness of organ donation coordinators(all P<0.05).High income,long length of service as organ donation coordinators,full-time mode of employment,high willingness to donate organs,and adequate awareness of donation conditions and donation procedures all showed positive effects on the coordination effect of organ donation coordinators(all P<0.05).Conclusions The willingness to donate organs is increased as the higher awareness of organ donation laws of organ donation coordinators,while enhancing the willingness to donate organs of organ donation coordinators exerts positive impact upon improving the coordination effect of organ donation coordination.Therefore,an all-round organ donation coordinator training system should be established to improve the success rate of organ donation advocacy and promote the development of organ donation.