Questionnaire Analysis of Attitude Towards Organ Transplantation and Donation in Inpatients_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LI Chao , ZHANG Rui , WANG Yinjia , MA Jitao , ZHOU Zhigang , JIANG Wenhu , YANG Lihua , LI Li

Intensive Care Unit， The First People’s Hospital of Kunming， Kunming 650011， Yunnan Province， China;

Corresponding author：

Keywords：

Organ transplantation; Donor donation; Questionnaire; Willingness

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Objective 　To get the information about the cognition and attitude towards organ transplantation and donation in inpatients.
Methods 　The inpatients were investigated by using a self-designed questionnaire，including general data，cognition and attitude towards organ transplantation and donation. The influence factors of organ transplantation and donation were analyzed by SPSS 18.0.
Results 　A total of 1 000 questionnaires were delivered，973 returned，the effective questionnaire was 906，and the effective rate was 93.1%. In 906 valid questionnaires，788 （87.0%） patients knew organ transplantation；189 （20.9%） patients had transplanted relatives；511 （56.4%） patients were willing to accept the organ transplant surgery，226 （24.9%） patients did not want，169 （18.7%） patients did not know；490 （54.1%） patients agreed to donate organ，173 （19.1%） patients disagreed，243 （26.8%） patients did not know. The age，education，occupation，knowing organ transplants，and with organ transplanted relatives or not had significant influences to the willingness towards organ transplantation and donation （P＜0.01）. The gender had no effect on organ transplantation （P=0.727） and donation （P=0.935） concerned issues，but the age，education，knowing organ transplantation，and with organ transplanted relatives or not had significant influences on it （P＜0.01）. Most concerned factors about organ transplantation were as follows：with an available organ for transplantation 〔28.7% （260/906）〕，postoperative quality of life 〔23.0% （208/906）〕，risk of surgery 〔21.5%（195/906）〕，surgery costs 〔19.5% （177/906）〕，and postoperative rejection 〔7.3% （66/906）〕. Most concerned factors about organ donation were as follows：the reasonable usage of donated organs 〔57.4% （520/906）〕，attitude of relatives 〔23.8% （216/906）〕，and donation compensation 〔17.6% （159/906）〕，and others 〔1.2% （11/906）〕. According to the way of organ donation，403 （44.4%） patients were willing to accept donation after cardiac death （DCD），257 （28.4%） patients accept donation after brain death，246 （27.2%） patients accept living organ donation. The gender，education，and occupation had significant influences on the way of organ donation （P＜0.05），but age，knowing organ transplantation，and with organ transplanted relatives or not had no effects on it （P＞0.05）.
Conclusions 　The lack of propaganda and the high costs of transplantation surgery are the main factors restricting the acceptance rate of organ transplantation. Over time，with continuous improvement of universal education and strengthening the publicity of organ transplantation，the acceptance rate will show a constant increase in the trend. By now，the most accepted way of organ donation is DCD in inpatients. The establishment of a reasonable organ allocation and compensation system is a corner stone to promote organ donation.

Citation： LI Chao,ZHANG Rui,WANG Yinjia,MA Jitao,ZHOU Zhigang,JIANG Wenhu,YANG Lihua,LI Li,.. Questionnaire Analysis of Attitude Towards Organ Transplantation and Donation in Inpatients. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2012, 19(5): 478-485. doi: Copy

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1. Shemie SD，Baker AJ，Knoll G，et al. National recommendations for donation after cardiocirculatory death in Canada：Donation after cardiocirculatory death in Canada [J]. CMAJ，2006，175(8)：S1-S24.
2. Tojimbara T， Fuchinoue S， Iwadoh K， et al. Improved outcomes of renal transplantation from cardiac death donors：a 30-year single center experience [J]. Am J Transplant， 2007， 7(3)：609-617.
3. 黄洁夫. 中国肝脏移植 [M]. 北京：人民卫生出版社， 2008：3-6.
4. Abouna GM. Organ shortage crisis：problems and possible solutions [J]. Transplant Proc， 2008， 40(1)：34-38.
5. Merion RM， Pelletier SJ， Goodrich N， et al. Donation after cardiac death as a strategy to increase deceased donor liver availability[ J]. Ann Surg， 2006， 244(4)：555-562.
6. Clavien PA， Dutkowski P， Trotter JF. Requiem for a champion?Living donor liver transplantation [J]. J Hepatol， 2009， 51(4)：635-637.
7. Huang JF. Ethical and legislative perspectives on liver transplantation in the People’s Republic of China? [J]. Liver Transpl，2007， 13(2)：193-196.
8. Huang J， Mao Y， Millis JM. Government policy and organ transplantation in China [J]. Lancet， 2008， 372(9654)：1937-1938.
9. Tibell A. The transplantation society’s policy on interactions with China [J]. Transplantation， 2007， 84(3)：292-294.
10. 杨品娥，刘俊荣. 服刑人员捐献器官的伦理和法律问题解析 [J]. 医学与社会， 2010， 23(7)：75-77.
11. 范让，施卫星. 科学规范人体器官移植机构伦理委员会结构的构想 [J]. 中国医学伦理学， 2009， 22(1)：144-145.
12. 中华医学会器官移植学分会. 中国心脏死亡器官捐献工作指南( 第2 版) [J]. 中华器官移植杂志， 2011， 32(12)：756-758.
13. 中华人民共和国卫生部. 卫生部办公厅关于启动心脏死亡捐献器官移植试点工作的通知 [J/CD]. 中华移植杂志( 电子版)，2011， 5(2)：173-174.
14. 赵金萍，武菊芳，刘云章. 我国人体器官捐献的激励机制研究 [J]. 中国医学伦理学， 2009， 22(5)：93-94.
15. 鲍红，陈晓阳，赵金萍. 我国人体器官移植的社会支持系统研究 [J]. 医学与哲学( 人文社会医学版)， 2007， 28(3)：22-24.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Questionnaire Analysis of Attitude Towards Organ Transplantation and Donation in Inpatients

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