Investigation of influential factors for aspiration of organ donation

Objective To study the factors influencing the aspiration for organ donation after death in hospitalized patients. Methods One thousand patients in the First People's Hospital of Kunming from December 2009 to June 2010 were randomly-selected and were surveyed about general information (gender, age, education backgroud), perception of brain death, and aspiration for organ donation after death. The influential factors of aspiration for organ donation after death were analyzed by Logistic regression according to the questionnaire results. Results A total of 1 000 questionnaires were sent to the patients with 973 taken back. And 906 questionnaires were qualified. The qualified rate was 93.1%. Three hundred and eight patients (34.0%) accepted the brain death conception and 454 patients(50.1%) were willing to donate organs after death.54.9% (231/421)of the male patients were willing to donate, which was significantly higher than the females (46.0%, 223/485). And 54.8%(182/332)of the patients with college and above education backgroud were willing to donate their organs after death, which was higher than the patients with lower education background(47.4%,272/574). And 66.6%(205/308) of the patients who accepted brain death conception were willing to donate their organs after death, which was higher than the patients who does not accept brain death conception (41.6%,249/598). There were significant differences(P0.01 or P0.05)in all these risk factors. According to the Logistic regression analysis, gender, education background and perception of brain death were the influential factors for patients’ aspiration for organ donation (odds ratio 0.667, 0.789, 2.654) with significant differences(P0.01, P 0.05 and P0.01). Conclusions Males, people with college and above education background, and people accepted brain death conception are more willing to donate organs after death.To enhance the education of brain death conception and organ donation is helpful in improving the organ donating rate.