[1]鲁 瑞,付 鲲.器官移植供体改革背景下医学专业人群器官捐献意愿的Meta分析[J].医学信息,2022,35(23):84-88，92.[doi:10.3969/j.issn.1006-1959.2022.23.014]
　LU Rui,FU Kun.Meta-analysis of Organ Donation Willingness of Medical Professionals Under the Background of Organ Transplant Donor Reform[J].Journal of Medical Information,2022,35(23):84-88，92.[doi:10.3969/j.issn.1006-1959.2022.23.014]
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器官移植供体改革背景下医学专业人群器官捐献意愿的Meta分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年23期
页码:
84-88，92
栏目:
论著
出版日期:
2022-12-01

文章信息/Info

Title:
Meta-analysis of Organ Donation Willingness of Medical Professionals Under the Background of Organ Transplant Donor Reform
文章编号:
1006-1959（2022）23-0084-06
作者:
鲁 瑞; 付 鲲
（天津中医药大学第二附属医院科研科，天津 300000）
Author(s):
LU Rui; FU Kun
(Department of Scientific Research,the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300000,China)
关键词:
政策改革; 器官捐献; 医学专业人群
Keywords:
Policy reform; Organ donation; Medical professional population
分类号:
R193.3
DOI:
10.3969/j.issn.1006-1959.2022.23.014
文献标志码:
A
摘要:
目的 综合评价我国在2015年以来取消使用死囚器官作为移植供体来源的政策实施背景下医学专业人群的器官捐献意愿情况，探讨提高器官捐献率的措施。方法 检索中国知网、万方数据、中国生物医学文献服务系统、维普资讯、PubMed、Web of Science数据库2015-2020年正式发表的关于医学专业人群器官捐献意愿情况的横断面研究，采用Stata 12.0 软件对纳入的文献进行Meta分析。结果 最终纳入15篇文献，总样本量为9058人；Meta分析显示，医学专业人群的器官捐献意愿率为40.93%（95%CI：31.40%~50.45%）；亚组分析结果显示，医务工作者（45.11%）的捐献意愿高于医学生（37.29%），中部地区（41.54%）的捐献意愿高于东部（38.69%）和西部地区（32.21%）；2019-2020年的捐献意愿率最高，为52.63%；敏感性分析显示结果稳定；Egger回归图显示不存在发表偏倚；纳入研究的15篇文献中，有13篇文献报告了影响研究对象器官捐献意愿的因素，其中报告频次排前3位的因素为受传统观念的影响、相关法律法规不完善、考虑家人意见。结论 我国医学专业人群的总体器官捐献意愿仍处于较低水平，应发挥其专业性优势，从宣传工作、完善制度、给予奖励政策等方面采取措施来提高捐献率。
Abstract:
Objective To comprehensively evaluate the willingness of medical professionals to donate organs under the background of the implementation of the policy of canceling the use of death row organs as transplant donors in China since 2015, and to explore measures to improve the rate of organ donation.Methods A cross-sectional study on the willingness of organ donation among medical professionals was retrieved from China National Knowledge Infrastructure, Wanfang Data, China Biomedical Literature Service System, VIP Information, PubMed and Web of Science databases from 2015 to 2020. Meta-analysis was performed on the included literature using Stata 12.0 software.Results Finally, 15 articles were included, with a total sample size of 9058 people; the results of Meta-analysis showed that the willingness rate of organ donation among medical professionals was 40.93% (95%CI: 31.40%-50.45%). The results of subgroup analysis showed that medical workers (45.11%) had higher willingness to donate than medical students (37.29%), and the willingness to donate in the central region (41.54%) was higher than that in the eastern (38.69%) and western regions (32.21%). The highest rate of willingness to donate in 2019-2020 was 52.63%; sensitivity analysis showed stable results; Egger’s regression diagram showed no publication bias; among the 15 articles included in the study, 13 articles reported the factors affecting the willingness of the subjects to donate organs. Among them, the top three factors of reporting frequency were the influence of traditional concepts, imperfect relevant laws and regulations, and consideration of family opinions.Conclusion The overall donation rate of medical professionals in China is still at a low level, so we should take measures to improve the donation rate from the aspects of publicity, system improvement and reward policy.

参考文献/References:

[1]刘尚昕,王淑君.器官移植,爱心接力使生命延续——专访原卫生部副部长中国人体器官捐献与移植委员会主任委员黄洁夫[J].保健医苑,2015(2):5-9.[2]国家卫生健康委员会.中国医疗质量和技术能力发展报告概述——国家卫生健康委员会2019年10月9日例行新闻发布会散发材料[EB/OL].http://www.nhc.gov.cn/xcs/s7847/201910/c3984f96380b4eb6bdbe5b8b4a399475.shtml,2019-10-09/2021-12-01.[3]杜妍莹,孙俐,吕毅.天津市大学生器官捐献认知、态度及意愿调查[J].医学与社会,2018,31(9):59-62.[4]曾宪涛,刘慧,陈曦,等.Meta分析系列之四:观察性研究的质量评价工具[J].中国循证心血管医学杂志,2012,4(4):297-299.[5]张洁,谢伦芳,宋永霞,等.护理本科生器官捐献与移植认知、意愿和课程需求的调查研究[J].护理研究,2016,30(30):3779-3782.[6]党雯,姜贺.护理学专业学生器官捐献意愿与死亡态度现状的调查分析[J].器官移植,2017,8(6):460-464.[7]徐奇,聂立婷,胡金凤,等.济南市护士及护生器官捐献认知水平及意愿[J].护理学杂志,2019,34(11):83-86.[8]冀冰心.某三甲医院重症监护室医务人员器官捐献知识与捐献态度调查[J].医学教育管理,2018,4(4):338-341.[9]李勇.器官移植捐献认知度和意愿度的研究及建议[J].西昌学院学报(自然科学版),2019,33(1):96-100.[10]王娜,严智星,王晓猛,等.四川省大学生对器官移植态度及捐献意愿的调查研究[J].成都医学院学报,2016,11(2):250-253.[11]雷洁,赵建文,白凤,等.苏州市高校师生器官捐献的认知状况调查[J].中国社会医学杂志,2017,34(2):159-162.[12]张慧,焦臣宇,李梦芸.医务工作者、患者及家属对器官捐献的认知、态度及意愿[J].南京医科大学学报(社会科学版),2018,18(6):438-442.[13]胡冬梅.医务工作者、医学生及民众对器官捐献的认知、态度及意愿的调查研究[D].广州:南方医科大学,2015.[14]刘博君,李宁.医务人员器官捐献意愿及其影响因素探讨[J].北京医学,2017,39(12):1194-1200.[15]马国花,刘晓慧,刘志梅,等.医学生对器官捐献的认知状况和态度的调查研究[J].哈尔滨医药,2017,37(6):571-572.[16]陶军,卢舜飞,孙杨清,等.在校医学生对器官捐献的认知及态度调查研究[J].卫生职业教育,2015,33(23):120-121.[17]Xie JF,Wang CY,He GP,et al.Attitude and Impact Factors Toward Organ Transplantation and Donation Among Transplantation Nurses in China[J].Transplantation Proceedings,2017,49(6):1226-1231.[18]Liu C,Liu S,Liu B.Medical Students’ Attitudes Toward Deceased Organ Donation in China: A Cross Section Cohort Study[J].Transplantation Proceedings,2020,52(10):2890-2894.[19]刘志佳,石炳毅.中华医学会2019年器官移植学年会纪要[J].中华移植杂志(电子版),2020,14(1):62-63.[20]Tackmann E,Kurz P,Dettmer S.Attitudes and knowledge about post-mortem organ donation among medical students, trainee nurses and students of health sciences in Germany: A cross-sectional study[J].Anaesthesist,2020,69(11):810-820.[21]Girma A,Mulu A,Shimeka A,et al.Attitude, Willingness, and Associated Factors in Organ Donation Among Health Professionals in Gondar, Northwest Ethiopia[J].Transplantation Proceedings,2020:S0041-1345(20)30582-0.[22]GODT.Global transplantation activities of solid organs,2016[EB/OL].www.transplant-observatory.org,2018-11-29/2021-12-01.[23]Haverich A,Haller H.Organ transplantation in Germany: critical examination in times of scarce resources[J].Internist,2016,57(1):7-14.[24]付成琴,权明桃,吴华炼,等．我国公民器官捐献的态度及影响因素分析[J].中国医学伦理学,2016,29(3):448-451．

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更新日期/Last Update: 1900-01-01