Survey of current status and influencing factors analysis of attitude and willingness of ICU nurses towards organ donation in Chongqing
-
摘要:
目的 调查重庆市重症监护室(ICU)护士对器官捐献态度及意愿的现状并分析其影响因素。 方法 本研究整群抽取重庆市具有器官移植资质的全部三甲医院共计4所,采用便利抽样法选取321名在上述医院ICU工作的护士实施问卷调查。统计ICU护士器官捐献态度和意愿的得分情况;采用Spearman相关性分析分析器官捐献态度和意愿的相关性;采用多重线性回归分析器官捐献态度和意愿的影响因素。 结果 该组ICU护士器官捐献态度的平均得分为(3.5±0.9)分,器官捐献意愿的中位得分为2(2~3)分。ICU护士的器官捐献态度与意愿呈正相关(P < 0.001)。无偿献血经历、家庭成员对器官捐献的态度、劝捐经历是ICU护士器官捐献意愿的影响因素(均为P < 0.05),其中无偿献血经历、家庭成员对器官捐献的态度同时也是ICU护士器官捐献态度的影响因素(均为P < 0.05)。 结论 ICU护士对器官捐献的态度中立,自身捐献器官的意愿较低,其主要影响因素为无偿献血经历、家庭成员对器官捐献的态度、劝捐经历。 Abstract:Objective To investigate the attitude and willingness of nurses from intensive care unit (ICU) in Chongqing towards organ donation and analyze the influencing factors. Methods In this study, 4 Grade 3A hospitals with organ transplantation qualifications in Chongqing were selected by cluster sampling, and 321 nurses in ICU from these 4 hospitals were chosen by convenient sampling method to complete the questionnaire survey. The scores of ICU nurses' attitude and willingness towards organ donation were calculated. Spearman's correlation analysis was adopted to analyze the correlation between the attitude and willingness to donate organs. Multiple linear regression analysis was performed to identify the influencing factors of attitude and willingness towards organ donation. Results The average score of ICU nurses' attitude toward organ donation was (3.5±0.9) and the median score of willingness to donate organs was 2 (2-3). The attitude of ICU nurses towards organ donation was positively correlated with their willingness (P < 0.001). The experience of voluntary blood donation, the attitude of family members towards organ donation and the experience of organ donation persuasion were the influencing factors of ICU nurses' willingness to donate organs (all P < 0.05), among which the experience of voluntary blood donation and the attitude of family members towards organ donation were also the influencing factors of ICU nurses' attitude towards organ donation (both P < 0.05). Conclusions ICU nurses hold neutral attitude towards organ donation and show low willingness to donate organs. The experience of voluntary blood donation, the attitude of family members towards organ donation and the experience of organ donation persuasion are the main influencing factors. -
Key words:
- Intensive care unit /
- Nurse /
- Organ transplantation /
- Organ donation /
- Questionnaire survey /
- Attitude /
- Willingness /
- Influencing factor
-
表 1 ICU护士器官捐献态度和意愿的单因素分析
Table 1. Single factor analysis of ICU nurses' attitude and willingness toward organ donation
项目 n 态度 意愿 得分
(x±s, 分)t/F值 P值 得分
[M (Q1~Q3), 分]χ2/Z值 P值 年龄 0.669 0.513 6.740 0.034 20~29岁 203 3.5±0.9 2.00 (2.00~3.00) 30~39岁 110 3.6±0.9 2.00 (1.00~2.00) 40岁及以上 8 3.4±0.8 2.00 (2.00~3.00) 无偿献血经历 -4.411 < 0.001 -3.230 0.001 有 151 3.3±0.9 2.00 (2.00~3.00) 否 169 3.7±0.9 2.00 (1.00~2.00) 与家庭成员讨论器官捐献意愿 -2.188 0.029 -2.712 0.007 有 85 3.3±1.0 2.00 (2.00~3.00) 否 229 3.6±0.9 2.00 (1.00~2.00) 家庭成员对器官捐献的态度 24.594 < 0.001 41.233 < 0.001 同意 46 2.8±0.9 3.00 (2.00~3.00) 中立 159 3.6±0.8 2.00 (2.00~3.00) 不同意 90 3.8±0.9 2.00 (1.00~2.00) 劝捐经历 -3.100 0.002 -3.171 0.002 有 15 2.8±1.1 3.00 (2.00~3.00) 否 305 3.5±0.9 2.00 (2.00~2.00) 宣传或推广器官捐献的经历 -3.008 0.003 -3.095 0.002 有 32 3.1±1.0 2.00 (2.00~3.00) 否 287 3.6±0.9 2.00 (1.25~2.00) 由于部分调查问卷中该条目存在少部分缺失,故构成比不足100% 表 2 自变量赋值
Table 2. Assignment of independent variables
项目 赋值方式 年龄 20~29岁=1;30~39岁=2;40岁及以上=3 无偿献血经历 否=0;有=1 与家庭成员讨论器官捐献意愿 否=0;有=1 家庭成员对器官捐献的态度 同意=1;中立=2;不同意=3 劝捐经历 否=0;有=1 宣传或推广器官捐献的经历 否=0;有=1 表 3 ICU护士器官捐献态度和意愿的多重线性回归分析
Table 3. Multiple linear regression analysis of ICU nurses' attitude and willingness toward organ donation
变量 回归系数 标准误差 标准回归系数 t值 P值 器官捐献态度得分 常数 2.831 0.189 — 14.972 0.000 无偿献血经历 -0.402 0.100 -0.217 -4.006 0.000 家庭成员对器官捐献的态度 0.422 0.076 0.305 5.555 0.000 器官捐献意愿得分 常数 2.809 0.187 — 14.993 0.000 无偿献血经历 0.225 0.086 0.144 2.603 0.010 家庭成员对器官捐献的态度 -0.359 0.066 -0.305 -5.475 0.000 劝捐经历 0.558 0.268 0.139 2.083 0.038 器官捐献态度F=13.659,R2=0.194;器官捐献意愿F=11.193,R2=0.197 -
[1] 罗晓艳, 巫焕珍, 刘毅, 等.粤北地区医学生器官捐赠知识、态度和意愿调查[J].现代预防医学, 2016, 43(17):3164-3168. http://d.old.wanfangdata.com.cn/Periodical/xdyfyx201617024LUO XY, WU HZ, LIU Y, et al. Investigation on knowledge, attitude and willingness of organ donation among medical students in northern Guangdong Province[J]. Mod Prev Med, 2016, 43(17):3164-3168. http://d.old.wanfangdata.com.cn/Periodical/xdyfyx201617024 [2] IRODaT. IRODaT Newsletter 2018[EB/OL]. (2018-06). www.irodat.org/img/database/pdf/NEWSLETTER2018_June.pdf?crazycache=1. [3] 李玉梅, 黄海, 余燕华.我国重症监护病房器官捐献的现状及对策[J].医学与社会, 2015, 28(2):15-17. DOI: 10.13723/j.yxysh.2015.02.005.LI YM, HUANG H, YU YH. Status and countermeasure of organ donation in the intensive care unit[J]. Med Soc, 2015, 28(2):15-17.DOI: 10.13723/j.yxysh.2015.02.005. [4] FLAYOU K, KOUAM N, MIARA H, et al. Attitudes toward organ donation among personnel from the University Hospital of Rabat[J]. Saudi J Kidney Dis Transpl, 2016, 27(4):758-761. DOI: 10.4103/1319-2442.185239. [5] 史丽珠, 曾明月, 陈琼瑶, 等.器官捐赠量表信效度之建立[J].长庚护理, 1998, 9(4):11-19.SHI LZ, ZENG MY, CHEN QY, et al. Establishment of reliability and validity of organ donation scale[J]. J Changgeng Nurs, 1998, 9(4):11-19. [6] 雷蕾, 张慧兰, 董鹤, 等.重庆地区医学与非医学生器官捐献认知的横断面调查[J].护理学杂志, 2017, 32(18):96-99.DOI: 10.3870/j.issn.1001-4152.2017.18.096.LEI L, ZHANG HL, DONG H, et al. Medical and non-medical college student perceptions of organ donation in Chongqing: a cross-sectional study[J]. J Nurs Sci, 2017, 32(18):96-99. DOI: 10.3870/j.issn.1001-4152.2017.18.096. [7] 杜素珍, 史丽珠, 廖美南.北部某医学中心护理人员对器官捐献意愿、态度、知识之调查[J].秀传医学杂志, 2002, 3(4):115-125.DU SZ, SHI LZ, LIAO MN. Survey of organ donation's willingness, attitude and cognition in a medical center in the north[J]. Show-Chwan Med J, 2002, 3(4):115-125. [8] ZAMBUDÍO AR, MARTÍNEZ-ALARCÓN L, PARRILLA P, et al. Attitude of nursing staff toward organ donation in a Spanish hospital with a solid-organ transplant program[J]. Prog Transplant, 2009, 19(4):371-377. doi: 10.1177/152692480901900415 [9] BABAIE M, HOSSEINI M, HAMISSI J, et al. Knowledge, attitude and practice of nurses regarding organ donation[J]. Glob J Health Sci, 2015, 7(6):129-137. DOI: 10.5539/gjhs.v7n6p129. [10] 焦怡琳, 高丽, 金艳鸿.对ICU护士器官捐献劝捐经验和捐献意愿现状的调查[J].中华现代护理杂志, 2013, 19(15):1745-1748.DOI: 10.3760/cma.j.issn.1674-2907.2013.15.003.JIAO YL, GAO L, JIN YH. Investigation of the status of the experience of persuading to donate and the willingness toward organ donation for ICU nurses[J]. Chin J Mod Nurs, 2013, 19(15):1745-1748.DOI: 10.3760/cma.j.issn.1674-2907.2013.15.003. [11] 王敏勤.梅陇镇社区护士的死亡态度及临终关怀态度的现状调查及分析[J].系统医学, 2017, 2(22):36-40. DOI: 10.19368/j.cnki.2096-1782.2017.22.036.WANG MQ. Investigation on death attitude and hospice care attitude of community nurses in Meilong Town[J]. Syst Med, 2017, 2(22):36-40. DOI: 10.19368/j.cnki.2096-1782.2017.22.036. [12] 雷蕾, 张慧兰, 罗羽.大学生死亡态度对其器官捐赠意愿的影响研究[J].护理管理杂志, 2018, 18(3):198-201, 206. DOI:10.3969/j.issn.1671-315x.2018.03.011.LEI L, ZHANG HL, LUO Y. Study about the influence of death attitude on willingness of organ donation among college students[J]. J Nurs Administr, 2018, 18(3):198-201, 206. DOI: 10.3969/j.issn.1671-15x.2018.03.011. [13] 田丽娟, 於晓芳, 朱小洁, 等.基于文献分析的中国民众器官捐献意愿及影响因素研究[J].卫生软科学, 2018, 32(3):50-53. DOI: 10.3969/j.issn.1003-2800.2018.03.012.TIAN LJ, YU XF, ZHU XJ, et al. Research on Chinese people's willingness to donate organs and its influencing factors based on literature analysis[J]. Soft Sci Health, 2018, 32(3):50-53. DOI: 10.3969/j.issn.1003-2800.2018.03.012. [14] 高汉, 王彧, 姜莉, 等.论器官捐献中家属意愿的影响因素与对策[J].医学与哲学, 2016, 37(9A):45-48.DOI: 10.12014/j.issn.1002-0772.2016.09a.13.GAO H, WANG Y, JIANG L, et al. Influencing factors of family members' willingness for organ donation and the corresponding solutions[J]. Med Philos, 2016, 37(9A):45-48. DOI: 10.12014/j.issn.1002-0772.2016.09a.13. [15] SIMPKIN AL, ROBERTSON LC, BARBER VS, et al. Modifiable factors influencing relatives' decision to offer organ donation: systematic review[J]. BMJ, 2009, 338:b991. DOI: 10.1136/bmj.b991. [16] WALKER W, BRODERICK A, SQUE M. Factors influencing bereaved families' decisions about organ donation: an integrative literature review[J]. West J Nurs Res, 2013, 35(10):1339-1359. DOI: 10.1177/0193945913484987.
计量
- 文章访问数: 215
- HTML全文浏览量: 72
- PDF下载量: 24
- 被引次数: 0