神經加護病房護理人員對腦死知識、器官捐贈的態度、行為意向及其相關因素之探討

Nurses' Knowledge of Brain Death, Attitudes and Behavioral Intentions Toward Organ Donation From Brain Death Patients, and Influencing Factors in a Neurological Intensive Care Unit

柯莉珊(Li-Shan Ke) ； 樓文菁(Wen-Ching Lou) ； 莊雯如(Wen-Ru Chuang) ； 張瑞燕(Jui-Yen Chang) ； 林麗華(Li-Hwa Lin)

《榮總護理》 28卷2期 (2011/06) Pp. 172-183

https://doi.org/10.6142/VGHN.28.2.172

摘要

The aim of this study was to examine nurses' knowledge of brain death, their attitudes and behavioral intentions toward organ donation. The factors influencing behavioral intentions toward organ donation were also analyzed. Using purposive sampling methods, we recruited nurses from a neurological intensive care unit in a medical center from August to December 2008. Fifty valid questionnaires were received, and the response rate was 71.4%. The questionnaire contained six parts: demographic characteristics, knowledge, attitude, behavioral intention, subjective norm, and influencing factors. The content validity index (CVI) of the questionnaire was 0.81. The results were analyzed with SPSS 16.0. The results showed that the nurses' knowledge score was 13.44 (range 1-15) with a 90.3% accurate answer rate. The mean score of nurses' attitude, behavioral intention and subjective norm was 3.66 (range 1-5), 3.78 (range 1-5), and 14.07 (range 1-25) respectively. For the linear regression analysis, we set the ”behavioral intention” as the dependent variable, and the variable showed significance in univariate analysis with behavioral intention as the independent variable. Linear regression revealed that the ideas of ”one's body should remain intact after death”, ”one's body is a precious gift from the parents and thus any injury must be avoided”, and ”whether a potential donor has been identified and actively contacted the organ transplantation team” had a major impact on nurses' behavioral intentions (adjusted R^2 = 0.696, p ＜. 001). We suggest that when promoting organ procurement work, nurses should be supported when they are identifying a potential donor. Also, organ transplantation team should be contacted and a structured notification system should be set up.

關鍵字

器官捐贈 ； 腦死知識 ； 態度 ； 行為意向

並列摘要

The aim of this study was to examine nurses' knowledge of brain death, their attitudes and behavioral intentions toward organ donation. The factors influencing behavioral intentions toward organ donation were also analyzed. Using purposive sampling methods, we recruited nurses from a neurological intensive care unit in a medical center from August to December 2008. Fifty valid questionnaires were received, and the response rate was 71.4%. The questionnaire contained six parts: demographic characteristics, knowledge, attitude, behavioral intention, subjective norm, and influencing factors. The content validity index (CVI) of the questionnaire was 0.81. The results were analyzed with SPSS 16.0. The results showed that the nurses' knowledge score was 13.44 (range 1-15) with a 90.3% accurate answer rate. The mean score of nurses' attitude, behavioral intention and subjective norm was 3.66 (range 1-5), 3.78 (range 1-5), and 14.07 (range 1-25) respectively. For the linear regression analysis, we set the ”behavioral intention” as the dependent variable, and the variable showed significance in univariate analysis with behavioral intention as the independent variable. Linear regression revealed that the ideas of ”one's body should remain intact after death”, ”one's body is a precious gift from the parents and thus any injury must be avoided”, and ”whether a potential donor has been identified and actively contacted the organ transplantation team” had a major impact on nurses' behavioral intentions (adjusted R^2 = 0.696, p ＜. 001). We suggest that when promoting organ procurement work, nurses should be supported when they are identifying a potential donor. Also, organ transplantation team should be contacted and a structured notification system should be set up.

並列關鍵字

brain death ； organ donation ； knowledge ； attitude ； behavioral intention