我国高校学生身后器官捐献意愿的Meta分析
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摘要
综合评价我国高校学生身后器官捐献意愿,探讨促进器官捐献工作的方法。通过检索数据库收集有关我国高校学生身后器官捐献意愿的文献,采用RevMan 5.3软件对文献进行Meta分析。经统计,高校学生身后器官捐献意愿为29%(95%CI=22%～37%)。亚组分析显示,医学类专业学生捐献意愿(38%)高于非医学类专业学生捐献意愿(34%),东部地区高校学生捐献意愿(32%)高于中部地区(22%)及西部地区(21%)。敏感性分析显示结果较稳定,漏斗图提示存在发表偏移的可能性较小。总体来看,我国高校学生身后器官捐献意愿相对较低,应采取多种形式普及知识,完善体制,健全法律以提高捐献意愿。
This paper aims to comprehensively evaluate the willingness of college students to donate organs after death and to explore ways to promote organ donation in China. Through the retrieval of journal databases and collecting literature on the college students' willingness of organ donation in China, meta-analysis was conducted with RevMan 5.3 software. The results showed that the willingness of organ donation after death of college students was 29%(95% CI=22%～37%). Subgroup analysis showed the donation willingness of medical students(38%) was higher than that of non-medical students(34%), and the willingness of college students in the eastern region(32%) was higher than that in the central region(22%) and the western region(21%). Sensitivity analysis showed that the results were stable, and the funnel plot suggested that there was less possibility of publication bias. In general, college students in China had a relatively low willingness to donate organs after death. We should adopt various forms to popularize relevant knowledge, and improve the system and perfect the law to increase willingness of organ donation after death.
This paper aims to comprehensively evaluate the willingness of college students to donate organs after death and to explore ways to promote organ donation in China. Through the retrieval of journal databases and collecting literature on the college students' willingness of organ donation in China, meta-analysis was conducted with RevMan 5.3 software. The results showed that the willingness of organ donation after death of college students was 29%(95% CI=22%～37%). Subgroup analysis showed the donation willingness of medical students(38%) was higher than that of non-medical students(34%), and the willingness of college students in the eastern region(32%) was higher than that in the central region(22%) and the western region(21%). Sensitivity analysis showed that the results were stable, and the funnel plot suggested that there was less possibility of publication bias. In general, college students in China had a relatively low willingness to donate organs after death. We should adopt various forms to popularize relevant knowledge, and improve the system and perfect the law to increase willingness of organ donation after death.
引文
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[27] 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.
[28] 耿子翔,牛天赋,杲舒畅,等.烟台市居民器官捐献意愿影响因素调查分析及新宣传模式的构思[J].器官移植,2018,9(6):445-450.
[29] MARTINEZ-ALARCON L,RAMIS G,GOMEZ-LAGUNA J,et al.Attitude toward living kidney donation:Differences between students from two Spanish universities[J].Transplant Proc,2015,47(1):10-12.
[30] KOBUS G,RESZEC P,MALYSZKO J S,et al.Opinions and attitudes of university students concerning organ transplantation[J].Transplant Proc,2016,48(5):1360-1364.
[31] 崔庚申,翟晓梅.公民逝世后器官捐献的推定同意及其在中国的可行性[J].中国医学伦理学,2014,27(3):373-375.
[2] 朱少进,张军,崔英健,等.公众对器官捐献的认知和意愿的调查分析[J].医学理论与实践,2017,30(10):1556-1558.
[3] 叶子云,肖燕平.中国器官捐献立法完善的若干意见[J].医学与哲学,2018,39(9A):72-76.
[4] 詹思延.第三讲:如何报告观察性流行病学研究:国际报告规范STROBE解读[J].中国循证儿科杂志,2010,5(3):223-227.
[5] 陈月红,杜亮,耿兴远,等.无对照二分类数据的Meta分析在RevMan软件中的实现[J].中国循证医学杂志,2014,14(7):889-896.
[6] 张俊贤,陈学顺,杨一苇,等.330名大学生器官捐献态度及意愿水平分析[J].护理学报,2018,25(24):21-24.
[7] LEI L,DENG J,ZHANG H,et al.Level of Organ Donation-Related Knowledge and Attitude and Willingness Toward Organ Donation Among a Group of University Students in Western China[J].Transplant Proc,2018,50(10):2924-2931.
[8] 孙建萍,高永平,王莲花.大学生对器官移植和器官捐献认知状况及态度的调查研究[J].医学与社会,2005,18(2):1-4.
[9] 王崇峰,杜珍,代广爱.大学生捐献认知调查分析与相关课程建设[J].中国高等医学教育,2013(4):47-48.
[10] 孙海双,郭红霞,贾林红.大学生器官捐献态度及影响因素调查分析[J].河南科技大学学报:医学版,2006(2):149-150.
[11] 吴洪艳.大学生人体器官移植态度与认知的调查[J].医学与哲学:人文社会医学版,2008,29(8):18.
[12] 王梅.高校学生对人体器官捐献认知情况的调查研究[D].乌鲁木齐:新疆医科大学,2013.
[13] 曾春燕,朱奕孜.关于大学生器官捐献认知状况及影响因素的调查研究:以温州茶山高教园区为例[J].中国医学伦理学,2014,27(6):869-872.
[14] 林俊源,庞震苗.广州大学城高校学生对器官捐献认知和态度的调查[J].医药前沿,2013(36):94-95.
[15] 梁永晴,陈唯,张湛,等.广州市某高校学生对器官捐献的认知、态度及意愿调查[J].医学与社会,2017,30(3):48-50.
[16] 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(10C):3779-3782.
[17] 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.
[18] 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.
[19] 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.
[20] 刘畅,刘世庆,刘宝林,等.医学新生对尸体器官捐献的态度及其影响因素分析[J].中国医学伦理学,2013,26(5):559-561.
[21] 艾婷,唐陆林,许玲玲,等.长沙市本科医学生器官捐献知信行现状调查[J].医学美学美容:中旬刊,2015(5):610-611.
[22] 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.
[23] 高强,黄仙红,方琪,等.杭州市大学生对人体器官捐赠的知识、态度及意愿调查[J].浙江预防医学,2015,27(10):1003-1007.
[24] 王丽萍,陈丽玲,陈敏琪,等.东莞高校在校大学生器官捐赠态度、知识与意愿调查研究[J].护理实践与研究,2018,15(3):12-14.
[25] 肖东玲,万艳平,黄芬,等.职业院校学生器官捐赠知识与态度及意愿调查[J].护理学报,2015,22(5):32-35.
[26] 刘佳琪,邓三杀,冷冰,等.大学生器官捐赠知识、态度及意愿调查[J].齐鲁护理杂志,2012,18(25):61-63.
[27] 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.
[28] 耿子翔,牛天赋,杲舒畅,等.烟台市居民器官捐献意愿影响因素调查分析及新宣传模式的构思[J].器官移植,2018,9(6):445-450.
[29] MARTINEZ-ALARCON L,RAMIS G,GOMEZ-LAGUNA J,et al.Attitude toward living kidney donation:Differences between students from two Spanish universities[J].Transplant Proc,2015,47(1):10-12.
[30] KOBUS G,RESZEC P,MALYSZKO J S,et al.Opinions and attitudes of university students concerning organ transplantation[J].Transplant Proc,2016,48(5):1360-1364.
[31] 崔庚申,翟晓梅.公民逝世后器官捐献的推定同意及其在中国的可行性[J].中国医学伦理学,2014,27(3):373-375.