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In recent years, organ donation and transplantation have entered a stage of steady development in China. Nevertheless, the shortage of transplant organs and the contradiction between supply and demand of organs are still the bottlenecks to achieve the strategy of "self-sufficiency in organ transplantation" advocated by the World Health Organization (WHO). The key reasons for donor loss described in the "critical pathway of organ donation" defined by the WHO include the identification and referral of potential donors and the maintenance and repair of organs. Smooth development, high efficiency and high-quality development of organ donation cannot be achieved without the support of intensive care medicine, which are highly associated with the cognition, recognition and participation of intensive care unit(ICU) staff. In this article, research progress in ICU staff’s cognition, attitude and willingness for organ donation were reviewed and relevant influencing factors were discussed, aiming to offer targeted suggestions on how to resolve these difficulties.
RESUMO
BACKGROUND: China has stopped using the organs from executed prisoners for transplantation since 2015, and organ donation has become the only source of organ transplantation. Therefore, it is very important to fully understand the current status of organ donation. OBJECTIVE: To understand the current status of organ, eye tissue and body donation awareness and attitude of residents in Shenyang city, and to analyze the influencing factors. METHODS: A total of 10 000 residents of Shenyang were sampled by multistage cluster sampling. There were 8 942 valid questionnaires, and the effective rate was 93.43%. RESULTS AND CONCLUSION: During the survey, 8 209 people heard of organ donation accounting for 91.8% of all the respondents, and 6 251 people were willing to make a survey about organ/body donation, accounting for 69.9%. With cognition and intention as dependent variables and own situation as independent variable, we made a Logistic regression analysis and found that the cognitive level was related to gender, education level, family per capita monthly income, occupation, political affiliation and religion. The corresponding odds ratio (OR) (known/unknown) values were: for males, the OR=0.786; for the education level of primary education or below, OR=0.188; for the monthly income per capita of 2 000-5 000 yuan, OR=1.418; for farmer, OR=1.593; for communist youth league member, OR=1.313; for non-religious, OR=1.810. Respondents' attitudes were related to gender, age, education level, marital status, family per capita income, occupation, political affiliation and religion. The corresponding OR (willing/unwilling) values were: for male, OR=1.131; for age ≤ 30 years, OR=1.266; for primary education or below, OR=2.090; for married, OR=0.841; for the monthly income per capita < 2 000 yuan, OR=1.253; for public institution or government department, OR=0.740; for the member of Communist Party of China, OR=0.799; for no religious belief, OR=0.842 (P < 0.05). The above data confirm that Shenyang residents have a high awareness and willingness of organ, eye tissue and body donation in general; however, further publicity is still needed to establish an effective organ donation management system.
RESUMO
Objective To understand the cognition and attitude of patients, medical staff and medical examination people on biobanks and their willingness to donation. Methods A cross-sectional study was conducted among 452 individuals, including patients, medical staff and people receiving health checkup at a hospital in Beijing from July to September, 2017. The questionnaire assessed the respondents′demographic data, general knowledge about biobanking and the factors influencing their willingness to donate specimens to biobanks. Pearson′s Chi-square test, student t test or ANOVA were used for univariate analysis. Additionally, the linear regression analysis and logistic regression analysis were used for multivariate analyses. Results A total of 452 questionnaires were delivered, and the effective questionnaires amounted to 440, including 196 medical staff, 123 patients and 121 health checkup individuals. The awareness score of biobanks was significantly different among the medical staff, patients and health checkup individuals ( P < 0. 05 ) . After adjustment for potential risk factors, we found that the population characteristics and the experience of participation in a medical research were the independent beneficial factors of the awareness score. The percentage of the willingness of donation in medical staff, health checkup individuals and patients were 83. 7％, 76. 9％ and 70. 7％, respectively. The results of univariate analyses suggested that the population characteristics, education level, health conditions, the history of blood donation, and the experience of participation in a medical research were significantly associated with the willingness to donate ( all P <0. 05 ) . Population characteristics and health conditions were independently relevant to the willingness of donation, after multivariate analyses of logistic regression. Conclusions Despite the strong willingness to donate biospecimens, patients and health checkup individuals lack knowledge of biobanking. It is apparent that we need to strengthen promotions and to encourage the ethics and humanities to improve the knowledge of biosample donation, for healthy development of hospital-based biobanks.