Ríos A, Ramírez P, Martínez-Alarcón L, Galindo PJ, Montoya MJ, Rodríguez MM, Cascales P, Pons JA, Parrilla P.
Unidad de Trasplantes, Departamento de Cirugía, Hospital Universitario Virgen de la Arrixaca, Servicio Murciano de Salud, El Palmar, Murcia, Spain. ARZRIOS@teleline.es

活体肝脏捐赠因能降低捐赠者的发病率和死亡率，以及对受体有益处等方面的原因，已经逐渐成为人们普遍接受的做法。但是此项技术在西班牙的应用却有所不同，部分工作人员反对将活体肝脏捐赠应用于医疗保健系统中。

目的：本研究的目的是在移植医院的外科工作人员中，分析他们对于活体肝脏捐赠的态度，以及影响他们态度的因素。

材料和方法：在西班牙的一所三级医院中即将展开一项实体器官移植计划，研究人员根据外科领域和工作类型的不同进行了一项抽样调查。对活体肝脏捐赠的态度是通过器官捐赠和器官移植调查问卷来评估的，该调查问卷能评估各种心理变数。研究中使用了t检验和卡方检验。

结果：共有263名工作人员参与了调查（平均年龄为40+/- 9岁）。对于有亲缘关系的活体肝脏捐赠，80%的受访者表示接受（n = 211），10%的受访者表示反对（n = 26），另外10%的受访者则保持中立（n = 26）。但是，对于没有亲缘关系的活体捐赠，仅有10%的受访者表示能接受（n=27）。关于工作类型或服务类型之间，则没有发现差异。以下几种变量跟他们的态度有关系：(1)受访者可能需要脏器（P = .001）；(2)更能接受活体肾移植捐赠（P < .000）；（3）相信存在医疗差错（P = .004）。研究中有一项重要发现，根据受访者是否赞成或反对尸体器官捐赠，他们对活体肝脏捐赠的态度不是很赞成（n=.175）。

结论：如果西班牙能够鼓励活体肝脏捐赠的话，会促进医院的外科工作人员对活体肝脏捐赠持积极态度。

Hospital personnel in surgical services in a transplant hospital faced with living liver donation: an attitudinal survey.
Ríos A, Ramírez P, Martínez-Alarcón L, Galindo PJ, Montoya MJ, Rodríguez MM, Cascales P, Pons JA, Parrilla P.
Unidad de Trasplantes, Departamento de Cirugía, Hospital Universitario Virgen de la Arrixaca, Servicio Murciano de Salud, El Palmar, Murcia, Spain. ARZRIOS@teleline.es

Living liver donation is becoming a more widely accepted practice given the decrease in donor morbidity and mortality and the beneficial results in the recipient. Use of this technique is unusual in Spain. There are a number of workers against its use within the health care system. The objective of this study was to analyze attitudes toward and the variables that affect them concerning living liver donation among surgical services in a transplant hospital.

MATERIALS AND METHODS: A random survey was stratified by surgical area and job category in a Spanish third-level hospital with an ongoing solid organ transplant program. Attitudes toward living liver donation were assessed using a questionnaire about organ donation and transplantation that evaluated various psychosocial variables. Student's t test and the chi square test were used.

RESULTS: A total of 263 workers were surveyed (mean age as 40 +/- 9 years). Regarding attitudes toward living liver donation, the level of acceptance was 80% (n = 211) of respondents, whereas 10% were undecided (n = 26), and another 10% were against (n = 26), assuming that the donations were related. When we asked about unrelated living donation, the percentage in favor decreased to 10% (n = 27). No differences were found with respect to job category or type of service. The variables that are related to such an attitude are the following: (1) possibility of respondent needing an organ (P = .001); (2) favorable attitude toward living kidney donation (P < .000); and (3) a belief that medical errors exist (P = .004). An important finding was that attitudes toward living liver donation were not more favorable according to whether the respondent was in favor or against cadaveric organ donation (P = .175).

CONCLUSION: There was a highly favorable attitude toward living liver donation among hospital personnel in surgical services, which is an important factor to take into account if this type of donation is to be encouraged in Spain.

Transplant Proc. 2007 Sep;39(7):2079-82.
PMID: 17889101 [PubMed - indexed for MEDLINE]

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