Investigation of influencing factors of residents' willingness to donate organs in Yantai City and conception of novel propaganda mode
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摘要:
目的 探讨烟台市居民器官捐献意愿的影响因素并构思有效的器官捐献宣传模式。 方法 采用便利抽样的方法对烟台市10个区县的居民进行问卷调查。内容包括社会人口学特征、器官移植和器官捐献相关知识获取途径、影响器官捐献意愿的因素、潜在顾虑的相关问题等。同时在居民器官捐献调研过程中,尝试建立器官捐献宣传的“承光模式”。 结果 烟台市居民对器官捐献的认知处于较低水平,有44.6%的居民有捐献器官的意愿。年龄、文化程度均会对居民器官捐献的意愿有影响(均为P < 0.05)。其中大部分居民通过电视、广播、网络了解到器官捐献的内容。居民对器官捐献相关知识回答正确率较低。传统观念和社会舆论是影响居民的器官捐献意愿的主要因素,分别占38.1%和25.9%。家人的反对会大幅降低居民的志愿捐献率,而给予经济补偿和社会救助会大幅提高居民的志愿捐献率。知晓可以通过支付宝进行器官捐献登记的居民仅有16.3%,反映了宣传力度不足。在居民器官捐献调研过程中,我们尝试建立器官捐献宣传的“承光模式”,即由本地医学院校发起,逐步辐射到全国的器官捐献宣传模式。 结论 烟台市居民器官捐献意愿主要受器官捐献认知水平的影响,需要加强器官捐献的宣传力度,参考“承光模式”,由本地医学院校发起,依托医学生群体,通过多种途径提高本地居民对器官捐献的认知水平和参与度,最终扩展到全国,可能有利于提高我国公民的志愿捐献率。 Abstract:Objective To explore the influencing factors of the willingness of residents to donate organs in Yantai City and to devise an effective propaganda mode for organ donation. Methods The residents of 10 districts and counties in Yantai City were chosen for survey investigation by convenient sampling method. The survey items included socio-demographic characteristics, ways to obtain organ transplantation and organ donation related knowledge, relevant factors affecting the willingness to donate organs, and relevant issues of potential apprehension, etc. During the survey, a novel propaganda mode of organ donation called Chengguang mode was established. Results The awareness of organ donation of Yantai residents was relatively low and 44.6% of residents were willing to donate organs. Age and educational level affected the residents' willingness to donate organs (both P < 0.05). Most residents learned the knowledge about organ donation through TV, radio and internet. The correct rate of residents to answer the questions related to organ donation was relatively low. Traditional ideas (38.1%) and public opinions (25.9%) were the main factors affecting the residents' willingness to donate organs. The opposition of family members significantly reduced the organ donation rate of residents, whereas financial compensation and social assistance greatly increased their willingness to donate organs. Only 16.3% of the residents knew the way for organ donation through Alipay, suggesting the propaganda was insufficient. In the process of survey investigation, a novel propaganda mode, Chengguang mode, initiated by local medical college and university and then gradually promoted nationwide, was established. Conclusions The willingness to donate organs of residents in Yantai City is mainly influenced by the cognition level of organ donation. It is necessary to strengthen the propaganda of organ donation. A new propaganda mode started by local medical college and promoted throughout the nation is established to enhance the understanding and participation in organ donation, thereby probably improving the organ donation rate across China. -
表 1 社会人口学特征及其对器官捐献意愿的影响
Table 1. Characteristics of social demography and the influence on the willingness of organ donation
社会人口学特征 n 同意捐献[n(%)] χ2值 P值 性别 男 1 188 544(45.8) 1.375 0.244 女 1 323 575(43.5) 年龄(岁) ≤25 553 285(51.5) 19.407 0.001 26~35 833 378(45.4) 36~45 524 211(40.3) 46~60 362 142(39.2) > 60 239 103(43.1) 户籍 城镇 1 584 714(45.1) 0.455 0.506 农村 927 405(43.7) 学历 小学及以下 161 69(42.9) 8.266 0.041 初、高中 1 541 659(42.9) 本、专科 731 343(46.9) 研究生及以上 78 44(56.4) 表 2 不同年龄对器官捐献相关知识回答正确率
Table 2. Correct rate of answering related knowledge of organ donation at different ages [n(%)]
年龄(岁) n Q1 Q2 Q3 Q4 Q5 ≤25 553 225(40.7) 236(42.7) 304(55.0) 324(58.6) 209(37.8) 26~35 833 317(38.1) 359(43.1) 435(52.2) 405(48.6) 319(38.3) 36~45 524 175(33.4) 199(38.0) 246(46.9) 243(46.4) 209(39.9) 46~60 362 086(23.8) 113(31.2) 153(42.3) 143(39.5) 126(34.8) > 60 239 066(27.6) 078(32.6) 120(50.2) 097(40.6) 074(31.0) 合计 2 511 869(34.6) 985(39.2) 1 258(50.1) 1 212(48.3)0 937(37.3) Q1为是否任何年龄段的居民都可以进行器官捐献; Q2为身患疾病的人能否把器官或组织捐献给他人; Q3为捐献器官是否会严重损害遗体容貌; Q4为器官捐献相关的费用由谁承担; Q5为器官捐献意愿是否可以撤销 -
[1] HU XP, LIU Y, ZHANG XD. The organ donation in China[J]. Chin Med J (Engl), 2012, 125(21): 3912-3913. http://d.old.wanfangdata.com.cn/Periodical/zglcjpxzz201405032 [2] 黄洁夫, 叶啟发.建立中国模式的公民器官捐献体系, 为人民群众提供高质量的器官移植医疗服务[J].武汉大学学报(医学版), 2017, 38(6): 861-865. DOI: 10.14188/j.1671-8852.2017.06.001.HUANG JF, YE QF. Establishing the Chinese model of organ donation and transplant system to provide high level ethical transplant service for the Chinese people[J]. Med J Wuhan Univ, 2017, 38(6): 861-865. DOI: 10.14188/j.1671-8852.2017.06.001. [3] 王艳丽.基于SPSS的器官捐献认知与意愿程度研究[J].阴山学刊(自然科学版), 2017, 31(3): 94-96. DOI: 10.13388/j.cnki.ysajs.20170411.024.WANG YL. Study of the cognition and willingness to organ donation based on SPSS[J]. Yinshan Acad J(Sci Edit), 2017, 31(3): 94-96. DOI: 10.13388/j.cnki.ysajs.20170411.024. [4] International Registry in Organ Donation and Transplantation. IRODaT newsletter 2017[EB/OL]. (2018-01)[2018-06-05]. http://www.irodat.org/img/database/pdf/NEWSLETTER2018_June.pdf. [5] 田丽娟, 於晓芳, 朱小洁, 等.基于文献分析的中国民众器官捐献意愿及影响因素研究[J].卫生软科学, 2018, 32(3): 50-53. DOI: 10.3969/j.issn.1003-2800. 2018.03.012.TIAN LJ, YU XF, ZHU XJ, et al. Research on the willingness and influencing factors of organ donation in Chinese people based on literature analysis[J]. Soft Sci Health, 2018, 32(3): 50-53. DOI: 10.3969/j.issn.1003-2800.2018.03.012. [6] 吴珍, 高玲玲, 陈雪莲, 等.广东省流动人口的器官捐献意愿及其影响因素的调查[J].器官移植, 2016, 7(1): 53-56. DOI: 10.3969/j.issn.1674-7445.2016.01.010.WU Z, GAO LL, CHEN XL, et al. Investigation on the willingness of organ donation of the floating population in Guangdong Province and its influence factors[J]. Organ Transplant, 2016, 7(1): 53-56. DOI: 10.3969/j.issn.1674-7445.2016.01.010. [7] 阎茹.中国公民器官捐献意愿的文化心理研究[D].广州中医药大学, 2016. [8] 雷洁, 赵建文, 白凤, 等.苏州市高校师生器官捐献的认知状况调查[J].中国社会医学杂志, 2017, 34(2): 159-162. DOI: 10.3969/j.issn.1673-5625.2017.02.018.LEI J, ZHAO JW, BAI F, et al.The Investigation cognitive status about organ donation of teachers and students in colleges of Suzhou[J]. Chin J Soc Med, 2017, 34(2): 159-162. DOI: 10.3969/j.issn.1673-5625.2017.02.018. [9] 胡冬梅.医务工作者、医学生及民众对器官捐献的认知、态度及意愿的调查研究[D].南方医科大学, 2015. http://cdmd.cnki.com.cn/Article/CDMD-12121-1016003082.htm [10] 杨颖, 黄海, 邱鸿钟.我国公民逝世后器官捐献意愿调查及影响因素研究[J].中国医院, 2014, 18(3): 18-19. DOI: 10.3969/j.issn.1671-0592.2014.03.009.YANG Y, HUANG H, QIU HZ. Study on the willingness and influence factors of organ donation after death of citizens in China[J]. Chin Hosp, 2014, 18(3): 18-19. DOI: 10.3969/j.issn.1671-0592.2014.03.009. [11] 钟静, 李诗宇, 朱曙光, 等.对器官捐献态度的调查[J].包头医学院学报, 2016, 32(2): 8-10. http://d.old.wanfangdata.com.cn/Periodical/btyxyxb201602006ZHONG J, LI SY, ZHU SG, et al. Survey on general public' s attitude to organs donations[J]. J Baotou Med Coll, 2016, 32(2): 8-10. http://d.old.wanfangdata.com.cn/Periodical/btyxyxb201602006 [12] 曹高芳.信息不对称环境下个人健康医疗信息法律保护研究[M].济南:山东人民出版社, 2017. [13] LIU B, LIU S, CUI D, et al. The attitude toward living liver donation among the hospital personnel in a northeast China center with a liver transplant program[J]. Transplant Proc, 2010, 42(5): 1460-1465. DOI: 10.1016/j.transproceed.2009.11.051. [14] FEBRERO B, RÍOS A, MARTÍNEZ-ALARCÓN L, et al. Information received by secondary school teaching personnel about organ donation and transplantation: a study in the southeast of Spain[J]. Transplant Proc, 2013, 45(10): 3589-3591. DOI: 10.1016/j.transproceed. 2013.10.015. [15] DE LORA P. What does "presumed consent" might presume? preservation measures and uncontrolled donation after circulatory determination of death[J]. Med Health Care Philos, 2014, 17(3): 403-411. DOI: 10.1007/s11019-014-9548-y. [16] 董鹤, 方玉婷, 王丹, 等.国内外器官捐献现状与思考[J].护理学报, 2017, 24(11): 23-26. DOI: 10.16460/j.issn1008-9969.2017.11.023.DONG H, FANG YT, WANG D, et al. Present situation and thinking of organ donation at home and abroad[J]. J Nurs, 2017, 24(11): 23-26. DOI: 10.16460/j.issn1008-9969.2017.11.023. [17] 高新谱.多方协作, 全民参与, 全面推进我国人体器官捐献体系建设[J/CD].中华移植杂志(电子版), 2013, 7(4): 185-189. DOI: 10.3877/cma.j.issn.1647-3903.2013.04.001.GAO XP. Establishment of China Human Organ Donation System[J/CD]. Chin J Transplant(Elec Vers), 2013, 7(4): 185-189. DOI: 10.3877/cma.j.issn.1647-3903.2013.04.001. [18] 党雯, 姜贺.护理学专业学生器官捐献意愿与死亡态度现状的调查分析[J].器官移植, 2017, 8(6): 460-464. DOI: 10.3969/j.issn.1674-7445.2017.06.010.DANG W, JIANG H. Investigation and analysis on current status of organ donation willingness and death attitudes of medical students majoring in nursing[J]. Organ Transplant, 2017, 8(6): 460-464. DOI: 10.3969/j.issn.1674-7445.2017.06.010. [19] 滨医青年.我校发起成立"全国大学生器官捐献志愿服务组织——承光心汇"[EB/OL].(2017-06-12). http://tw.bzmc.edu.cn/info/1005/4834.htm.