目的调查医院工作人员对活体器官捐献的态度,并分析其影响因素。方法按工作部门和职业种类对医院工作人员分层,随机选取600人作为研究对象。同时于当地社区随机抽取150人作为对照组。采用问卷方式对医院工作人员及对照组进行调查。应用Student’s t检验和χ2检验对数据进行分析。结果医院工作人员比当地居民更愿意进行活体器官捐献(75.0%vs 55.6%,P=0.000)。医院工作人员对活体器官捐献的态度与以下3类因素相关:(1)心理社会因素;(2)家庭因素;(3)与其他形式的捐献器官或接受捐献器官相关的因素。结论与居民相比,医院工作人员更愿意进行活体器官捐献。家庭因素、利他主义行为和互助合作精神与此种态度密切相关。
Objective To analyze the attitude of hospital workers and its impact factors toward living organ donation in a hospital with an authorized living organ transplant program in the Northeast of China.Methods A randomized sample was selected and stratified according to the working departments and kinds of job(n = 600) and 150 individuals were randomly chosen from the local community as the control group.The attitude was evaluated by a modified psychosocial questionnaire.The questionnaire was completed anonymously and was self-administered.Statistical analysis included the Student's t test and χ2 test.Results Compared with the control group,the hospital personnel had a much more favorable attitude toward living organ donation(73.5% vs 55.6%,P = 0.000).The impact factors were divided into three groups:1) psychosocial factors(age;sex;marital status;education;department of service,job category;participation in prosocial activities);2)family factors(attitude of a respondent's partner toward organ donation;the decision of donating the organs of a family member;family discussion about organ donation and transplantation);3) factors related to attitude toward other forms of human organ donation and the willingness to accept the organs if needed(attitude toward cadaveric organ donation;a respondent's belief of needing a transplant in the future;the willingness to receive a donated living organ if one were needed;the willingness to receive a donated cadaveric organ if one were needed).Conclusion There is a favorable attitude of hospital workers toward living organ donation in China.Family factors are closely related to this attitude.And this attitude is related to altruistic activities and feelings of reciprocity.Besides,doctors and the youngest well-educated respondents are those who are most in favor,which make us believe that there is a promising future of living organ donation and transplantation in China.