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中国传统文化和观念对器官捐献意愿的影响分析
引用本文:杨颖,黄海,邱鸿钟.中国传统文化和观念对器官捐献意愿的影响分析[J].中国临床康复,2014(5):803-808.
作者姓名:杨颖  黄海  邱鸿钟
作者单位:[1]广州中医药大学,广东省广州市 510000 [2]解放军广州军区广州总医院,广东省广州市510010 [3]广州中医药大学,广东省广州市510000
摘    要:背景:中国需要接受器官移植的患者数量还以每年超过10%的增量扩大,由于缺乏公民自愿捐献,中国较世界其他国家面临着更为严峻的供体短缺问题。导致目前中国器官供体短缺的具体原因是什么?中国公民究竟如何看待遗体器官捐献,他们对遗体器官捐献的态度如何?是哪些因素影响了中国公民遗体器官捐献行为的实施?目的:了解中国传统观念对中国公民逝世后器官捐献意愿的影响程度。方法:采用随机整群抽样法,选取来自不同社会阶层的900名接受问卷调查者为研究对象,应用自制的公众对人体器官捐献的认知、态度和行为调查表进行问卷调查。〈br〉 结果与结论:①有55.16%的民众认为进行器官捐献的主要目的是想帮助他人,有24.22%的民众认为进行器官捐献的主要目的是一种社会公德的体现,11.94%的民众认为进行器官捐献其实是自己生命的延续。②有70.00%的民众认为捐献的器官应该用于器官移植事业,以便挽救更多患者的生命,其平均得分为2.53分;而建议将捐献器官应用于医学教学用和病理解剖用的比较接近,平均得分依次为1.72和1.75。③有65.01%的民众支持采取心肺死亡的标准来判断人死亡,24.33%的民众支持采取脑死亡的标准判断人死亡,还有10.66%的民众认为不清楚采取什么方式。④有50.52%的民众认为影响器官捐献的主要因素是中国传统文化和观念的影响,其次是捐献程序和家属感情。调查结果发现,中国传统文化和观念是影响民众进行器官捐献的主要因素,大部分民众认为以心肺死亡的标准来判断人死亡为最佳方法,认为捐献器官的主要目的是想帮助别人,捐献的器官应首先应用于器官移植,以便挽救更多的生命。

关 键 词:实验动物  组织构建  器官捐献  捐献意愿  影响分析  传统文化  观念

Influence of traditional Chinese culture and ideas on organ donation
Yang Ying,Huang Hai,Qiu Hong-zhong.Influence of traditional Chinese culture and ideas on organ donation[J].Chinese Journal of Clinical Rehabilitation,2014(5):803-808.
Authors:Yang Ying  Huang Hai  Qiu Hong-zhong
Institution:1Guangzhou University of Chinese Medicine, Guangzhou 510000, Guangdong Province, China; 2General Hospital of Guangzhou Military Region, Guangzhou 510010, Guangdong Province, China; 3Wu Jing Zong Dui Hospital of Guangdong Province, Guangzhou 510507, Guangdong Province, China)
Abstract:BACKGROUND:The number of patients in need of organ transplantation in China is increased by more than 10%per year. Due to the lack of voluntary donations, China is facing a more severe donor shortage than other countries. What are the specific reasons for the shortage of donor organs in China? What is the attitude toward organ donation in Chinese citizens? What factors are affecting the implementation of organ donation in Chinese citizens? 〈br〉 OBJECTIVE:To investigate the influence of traditional Chinese ideas on the wil ing of Chinese citizens toward organ donation after death.METHODS:By random cluster sampling, 900 persons selected from different social classes as research objects received questionnaire survey. Self-made questionnaire consisted of cognition, attitude and behavior of the public in face of organ donation.RESULTS AND CONCLUSION:(1) 55.16%of persons thought that the main purpose of organ donation was to help others, 24.22%thought that the main purpose of organ donation was a manifestation of social morality, 11.94%thought that organ donation was the continuation of their lives. (2) There were 70.00%who said donations should be used for the cause of organ transplantation, in order to save more lives, and the average score was 2.53 points;while the number of persons who proposed donor organs would be applied in medical teaching was similar to that in pathological anatomy, and the average score was 1.72 and 1.75, respectively. (3) 65.01%of the public supported cardiopulmonary death standard to judge death, 24.33%supported brain death standard to judge death, and moreover, 10.66%of people did not know what to take. (4) 50.52%of people thought that the main factors affecting the organ donation was traditional Chinese culture and ideas, fol owed by the donation program and family feelings. The study found that traditional Chinese culture and ideas are the main factor affecting organ donation in the public, most people think that cardiopulmonary death standard is better to judge death and that the main purpose of organ donation is to help others that organ donation should be applied firstly to organ transplantation in order to save more lives.
Keywords:organ transplantation  kidney transplantation  liver transplantation  lung transplantation  heart-lung transplantation  ethics
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