根据循环标准,加拿大人对死后的心脏捐赠的看法:混合方法研究
Kimia Honarmand1,2, Ian Ball3,4, Maureen O Meade5,6
1Division of Critical Care, Department of Medicine, Mackenzie Health, Vaughan, ON, Canada. kimia.honarmand@mackenziehealth.ca.
概括
加拿大人普遍支持死后的心脏捐赠,通过循环标准 (DCC) 通过直接采购和输液 (DPP) 或常温区域输液 (NRP) 进行决定. 关注的重点是心脏质量和侵入性,并提出了公共教育和参与增加支持的建议.
科学领域:
- 心脏病学 心脏病学
- 移植医学 移植医学
- 公共卫生 公共卫生
背景情况:
- 根据循环标准 (DCC) 进行心脏捐献,为减少加拿大的心脏移植等待名单提供了一个潜在的解决方案.
- 存在DCC的两个主要方法:直接采购和 perfusion (DPP) 和常温区域 perfusion (NRP).
研究的目的:
- 评估加拿大公众对死后心脏捐赠的看法,通过循环标准 (DCC) 确定.
- 确定在加拿大实施DCC协议的潜在障碍和促进者.
主要方法:
- 进行了一项融合混合方法研究.
- 通过21个重点小组和对109名加拿大成年人的调查收集了数据.
主要成果:
- 观察到公众对心脏DCC协议 (DPP和NRP) 的广泛支持.
- 关键问题包括DPP的心脏质量受损和NRP的感知入侵性.
- 第二代移民对公众更广泛接受NRP表示担忧.
结论:
- 加拿大公众论显示,对心脏DCC有很大的支持.
- 解决有关心脏质量 (DPP) 和侵入性 (NRP) 的担忧至关重要.
- 公共教育活动,媒体倡议以及与医疗保健提供者和社区领导人的接触可以加强对心脏DCC的支持.
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