Investigation and analysis on current status of organ donation willingness and death attitudes of medical students majoring in nursing
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摘要:
目的 调查护理学专业学生(护生)的器官捐献知信行及其死亡态度现状。 方法 采用方便抽样法选取天津市3所医学院校共409名护生为研究对象,采用器官捐献量表和中文版死亡态度描绘量表进行横断面调查。采用Epidata 3.1软件录入问卷,总结409名护生的一般情况,分析护生器官捐献知信行现状、死亡态度现状,并对护生死亡态度与器官捐献意愿相关性进行分析。 结果 护生器官捐献知识了解不够全面,捐献态度大致上呈现出中立或偏正向态度;仅有10.5%的护生愿意捐献器官。护生对死亡态度倾向于自然接受。器官捐献意愿与死亡态度有一定的相关性,其中死亡恐惧是影响护生器官捐献意愿的主要因素(P<0.05)。 结论 目前我国护理专业学生器官捐献意愿仍处于较低水平,并受到死亡恐惧的影响。社会、医学院校应针对当前现状对护生加强死亡教育,帮助其树立积极的死亡态度,促进器官捐献事业的发展。 Abstract:Objective To investigate the status quo of knowledge-attitude-behavior about organ donation willingness and death attitudes of medical students majoring in nursing (nursing students). Methods A total of 409 nursing students from 3 medical colleges in Tianjin were recruited as study subjects by convenient sampling method. A cross-sectional survey was carried out using organ donation scale and Chinese version of death attitude scale. Questionnaire input was performed by Epidata 3.1 software. The general situation of 409 nursing students was sumed up. The status quo of the knowledge-attitude-behavior about organ donation among nursing students and the correlation between the attitude towards death and the willingness to donate organs was analyzed. Results The nursing students lacked of comprehensive understanding of organ donation knowledge. A majority of nursing students held neutral or slightly positive attitudes towards organ donation. Only 10.5% of nursing students were willing to donate organs. Nursing students were inclined to death natural acceptance. Organ donation willingness was correlated with death attitudes. The fear of death was the primary factor affecting the organ donation willingness of nursing students (P < 0.05). Conclusions At present, a small proportion of nursing students are willing to donate organs and they are affected by the fear of death. Social and medical colleges should strengthen the death education for nursing students to establish positive death attitudes and promote the development of organ donation. -
表 1 护生器官捐献知信行的影响因素分析
Table 1. Analysis of influencing factors of nursing students' knowledge-attitude-behavior of organ donation
维度 因素 n 得分 P值 器官捐献知识 独生子女 409 <0.05 是 7.3±2.0 否 7.7±1. 5 器官捐献态度 宗教信仰 409 <0.01 有 3.7±0.8 否 3.1±0.9 器官捐献意愿 与家人讨论过死亡相关问题 409 <0.01 是 2.5±0.9 否 2.1±0.7 表 2 不同特征护生死亡态度分析
Table 2. Analysis of death attitude of nursing students with different characteristics
维度 因素 n 得分 P 自然接受 性别 409 <0.05 男 17±6 女 19±4 年级 399 <0.01 大一 19±3 大二 18±4 大三 18±4 大四 17±5 大五 20±3 死亡恐惧 年级 399 <0.01 大一 14±3 大二 14±4 大三 14±3 大四 13±4 大五 15±4 死亡逃避 担任班级、学院或社会职务 409 <0.05 是 13±4 否 14±4 与家人讨论过死亡相关问题 409 <0.01 是 12±4 否 14±4 自然接受和死亡恐惧中的年级分组,因研究生的例数过少,未参与比较 表 3 护生死亡态度与器官捐献意愿相关性分析
Table 3. Correlation between attitude toward death and willingness of organ donation among nursing students
自然接受 死亡逃避 死亡恐惧 逃离接受 趋近接受 器官捐献意愿 0.184 -0.226 -0.223 -0.117 -0.056 P值 <0.05 <0.05 <0.05 <0.05 >0.05 -
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