Investigation on status quo and influencing factors for donation coordination of organ donation coordinators
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摘要:
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。 Abstract: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. -
表 1 器官捐献协调员器官捐献意愿影响因素的单因素分析
Table 1. Univariate analysis of factors influencing organ donation coordinators' willingness to donate organs
变量 人数(n) 捐献意愿 得分(x±s,分) t/F值 P值 年龄 13.366 < 0.001 18~30岁 222 14.4±3.0 31~40岁 83 16.1±2.5 ≥41岁 44 16.0±2.7 文化程度 6.613 < 0.001 高中及以下 25 13.2±4.0 专科 23 14.4±2.4 本科 260 15.0±2.7 硕士及以上 41 16.3±3.1 婚姻状况 -4.772 < 0.001 无婚姻经历 219 14.4±2.9 有婚姻经历 130 15.9±2.7 自感健康状况 3.488 0.032 一般或较差 117 14.8±2.7 较好 173 14.8±3.9 非常好 59 15.9±3.8 聘用方式 4.252 0.040 专职 70 15.6±2.7 兼职 279 14.8±3.0 器官捐献协调员工龄 7.855 < 0.001 < 1年 198 14.5±3.0 1~3年 99 15.4±2.7 > 3年 52 16.0±2.9 工作单位 11.125 < 0.001 医院 165 15.5±2.9 红十字会 29 16.0±2.7 其他 155 14.2±2.9 表 2 器官捐献协调员器官捐献意愿影响因素的多因素分析
Table 2. Multivariate analysis of factors influencing organ donation coordinators' willingness to donate organs
变量 未标准化系数 标准误 标准化系数 t值 P值 常量 9.285 1.272 -① 7.298 < 0.001 有器官捐献法律认知 0.569 0.207 0.143 2.749 0.006 有婚姻经历② 1.175 0.369 0.196 3.180 0.002 文化程度③ 专科 0.897 0.801 0.076 1.120 0.264 本科 1.578 0.587 0.234 2.690 0.008 硕士及以上 2.009 0.731 0.220 2.749 0.006 自感健康状况④ 好 -0.142 0.337 -0.024 -0.421 0.674 非常好 1.272 0.446 0.162 2.852 0.005 注:①-为无数据。
②对照为无婚姻经历。
③对照为文化程度高中及以下。
④对照为自感健康状况一般或较差。表 3 器官捐献协调员协调效果影响因素的单因素分析
Table 3. Univariate analysis of factors influencing the coordination effect of organ donation coordinators
变量 n A组(n=151) B组(n=89) C组(n=32) D组(n=39) E组(n=38) Z/H值 P值 年龄 18.434 < 0.001 18~30岁 222 116 45 17 32 12 31~40岁 83 23 34 9 3 14 41~50岁 44 12 10 6 4 12 文化程度 12.584 0.006 高中及以下 25 15 4 1 3 2 专科 23 13 4 2 0 4 本科 260 116 64 25 33 22 硕士及以上 41 7 17 4 3 10 婚姻状况 -3.824 < 0.001 无婚姻经历 219 113 46 17 30 13 有婚姻经历 130 38 43 15 9 25 月收入水平 35.878 < 0.001 ≤2 500元 138 87 23 3 21 4 2 501~5 000元 92 34 31 10 6 11 5 001~8 000元 88 21 29 16 9 13 > 8 000元 31 9 6 3 3 10 工作单位 22.297 < 0.001 医院 165 53 58 16 12 26 红十字会 29 5 11 6 1 6 其他 155 93 20 10 26 6 器官捐献协调员工龄 66.179 < 0.001 < 1年 198 124 28 10 29 7 1~3年 99 19 53 17 2 8 > 3年 52 8 8 5 8 23 聘用方式 -5.323 < 0.001 专职 70 14 20 8 6 22 兼职 279 137 69 24 33 16 表 4 器官捐献协调员协调效果影响因素的多因素分析
Table 4. Multivariate analysis of factors influencing the coordination effect of organ donation coordinators
变量 B组① C组① D组① E组① 回归系数 OR② 95%CI③ P值 回归系数 OR 95%CI P值 回归系数 OR 95%CI P值 回归系数 OR 95%CI P值 收入④ 2 501~5 000元 0.078 1.081 0.385~3.038 0.883 2.305 10.029 1.931~ 52.091 0.006 0.331 1.392 0.385~ 5.038 0.614 0.362 1.435 0.257~ 8.023 0.681 5 001~8 000元 0.376 1.457 0.429~4.941 0.546 3.571 35.570 6.060~208.765 < 0.001 1.152 3.165 0.774~12.949 0.109 0.991 2.694 0.433~ 16.750 0.288 > 8 000元 0.401 1.493 0.349~6.395 0.589 3.269 26.289 3.547~194.871 0.001 0.685 1.983 0.397~ 9.902 0.404 2.425 11.301 1.779~ 71.770 0.010 器官捐献协调员工龄⑤ 1~3年 2.348 10.466 4.272~25.641 < 0.001 2.333 10.307 2.895~ 36.700 < 0.001 -0.514 0.598 0.110~ 3.242 0.551 1.605 4.976 1.234~ 20.063 0.024 > 3年 1.110 3.034 0.797~11.554 0.104 1.587 4.890 0.886~ 26.982 0.069 1.719 5.580 1.244~ 25.025 0.025 3.559 35.128 7.260~169.964 < 0.001 聘用方式⑥ 专职 0.096 1.101 0.454~2.667 0.831 -0.056 0.945 0.287~ 3.118 0.926 0.325 1.384 0.394~ 4.861 0.612 1.101 3.008 1.056~ 8.569 0.039 捐献条件认知 0.460 1.584 1.036~2.422 0.034 0.363 1.438 0.803~ 2.575 0.222 -0.233 0.792 0.505~ 1.242 0.309 0.074 1.076 0.614~ 1.887 0.797 捐献程序认知 0.448 1.565 0.874~2.801 0.132 1.436 4.203 1.546~ 11.426 0.005 -0.419 0.658 0.382~ 1.133 0.131 -0.326 0.722 0.335~ 1.557 0.406 捐献意愿 0.007 1.007 0.896~1.131 0.905 0.084 1.088 0.921~ 1.285 0.321 0.168 1.183 1.030~ 1.360 0.017 0.212 1.236 1.048~ 1.458 0.012 注:①对照为A组。
②OR为比值比。
③CI为可信区间。
④对照为收入≤2 500元。
⑤对照为器官捐献协调员工龄 < 1年。
⑥对照为聘用方式为兼职。 -
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