儿童潜在器官捐献者亲属捐献意愿调查及影响因素分析
Investigation on donation intention of relatives of potential organ donors in children and analysis of influencing factors
陈小雨 1江哲龙 1冯燕 1江艺 1吴丽姿1
作者信息
- 1. 联勤保障部队第九〇〇医院肝胆外科,福建 福州 350025
- 折叠
摘要
目的 探讨儿童潜在器官捐献者亲属对于器官捐献的认知和了解程度,并分析其器官捐献意愿的影响因素.方法 回顾性分析联勤保障部队第九〇〇医院 2017—2021 年 57 例符合器官捐献条件的儿童亲属资料,根据最终是否同意器官捐献分为同意组(n = 14)和不同意组(n = 43),调查患儿亲属对器官捐献的认知情况和了解程度,并分析器官捐献意愿的影响因素.结果 14 例器官捐献的患儿中,脑外伤、胶质瘤、脑膜炎是主要病因,分别为 5 例(35.71%)、4 例(28.57%)、3 例(21.43%),有 3 例患儿家属初次沟通即同意器官捐献,6 例患儿家属进行两次沟通,5 例患儿家属沟通次数超过 2 次.14 例器官捐献患儿共捐献肝脏 11 个、肾脏 10 对、心脏 3 个、眼角膜 11 对、1 具大体.单因素和Logistic多因素分析发现宗教信仰(OR = 2.916,95%CI = 2.546～9.646)、独生子女(OR = 2.246,95%CI = 1.536～6.347)、不了解器官捐献(OR=2.578,95%CI=1.864～5.346)、不愿意放弃救治(OR=3.635,95%CI=2.835～11.536)是患儿家属拒绝器官捐献的独立影响因素.结论 儿童潜在器官捐献者亲属对于器官捐献决策往往受多方面因素影响,在日常公益宣传中应加强宣教,提高民众对器官捐献认知和了解水平,有利于提高儿童器官捐献成功率.
Abstract
Objective To explore the knowledge and understanding of relatives of potential organ donors in children about organ donation,and to analyze the influencing factors of their willingness to donate organs.Methods The data of 57 children eligible for organ donation and their relatives in the 900th Hospital of Logistic Support Forces from 2017 to 2021 were retrospectively analyzed.They were divided into the agree group(n= 14)and the disagree group(n= 43)according to whether they finally agreed to organ donation.The aim is to investigate the awareness and understanding of organ donation among children's relatives,and to analyze the influencing factors of organ donation willingness.Results Among the 14 children with organ donation,brain trauma,glioma and meningitis were the main causes,which accounted for 5(35.71%),4(28.57%)and 3(21.43%)cases.Three children's family members agreed to organ donation immediately after the first communication,six children's family members communicated twice,and five children's family members communicated more than twice.A total of 11 livers,10 pairs of kidneys,3 pairs of hearts,11 pairs of corneas and 1 gross organ were donated.Univariate analysis and Logistic multivariate analysis showed that religious belief(OR= 2.916,95%CI= 2.546～9.646),only child(OR= 2.246,95%CI= 1.536～6.347),less knowledge of organ donation(OR= 2.578,95%CI= 1.864～5.346),unwilling to give up treatment(OR= 3.635,95%CI= 2.835～11.536)were independent influencing factor of organ rejection by family members of children.Conclusion The decision of the relatives of potential organ donors is often affected by many factors.It is necessary to strengthen the publicity and education in daily public welfare publicity to improve the public's awareness and understanding of organ donation,this is conducive to improving the success rate of organ donation in children.
关键词
儿童/器官捐献/亲属/潜在器官捐献者/器官移植/捐献意愿Key words
Children/Organ donation/Relatives/Potential organ donors/Organ transplantation/Donation willingness引用本文复制引用
基金项目
福建省社会发展引导性重点项目(2019Y0068)
联勤保障部队第九〇〇医院面上防疫专项(2022MS29)
出版年
2024
NETL
NSTL
万方数据