影响造血干细胞志愿捐献者捐献决定的心理因素初步研究

发布时间：2018-01-13 07:28

本文关键词：影响造血干细胞志愿捐献者捐献决定的心理因素初步研究　出处：《中国心理卫生杂志》2016年11期 　论文类型：期刊论文

【摘要】：目的:了解影响无血缘相关造血干细胞志愿捐献者捐献决定的相关心理因素。方法:通过对219名造血干细胞捐献志愿者进行一对一访谈,筛选出捐献意愿明确的志愿者153名,分为同意捐献组(n=121)和不同意捐献组(n=32)。从捐献的心理动机、家庭社会对志愿者的影响、成长经历、捐献的行为意义、捐献过程中的心理活动、捐献过程中的情绪变化6个维度了解志愿者的相关心理因素,并完成艾森克人格问卷(EPQ)成人版测评。结果:除"捐献过程中的情绪变化"维度外,两组在其他5个维度中的"捐献动机是否有变化"、"重要他人对决定影响的程度"、"有无经历过重要他人的重大疾病或死亡体验"、"捐献意义"、"思考过程"、"对采集过程的信任程度"条目上的观点不同(均P0.05)。进一步logistic回归分析显示"需要长时间思考"不利于捐献决定[OR(95%CI)=4.04(1.57~10.40)],而"经历过与自己关系密切的他人的重大疾病或死亡体验"[OR(95%CI)=30.23(2.24~407.20)]、"对捐献造血干细胞过程的信任"[OR(95%CI)=0.18(0.04~0.80)]有利于捐献决定。结论:通过心理访谈可以了解到同意和不同意捐献的志愿者之间相关心理因素的差异,影响志愿捐献者捐献决定的相关心理因素有需要长时间思考、经历过与自己关系密切他人的重大疾病或死亡体验以及对捐献造血干细胞过程的信任。
[Abstract]:Objective: to investigate the psychological factors related to the donation decisions of unrelated voluntary donors of hematopoietic stem cells. Methods: 219 volunteers of hematopoietic stem cell donation were interviewed one-to-one. 153 volunteers with clear donation intention were selected and divided into two groups: agreeing to donate group and disapproving donation group. From the psychological motivation of donation, the influence of family and society on the volunteers. The growth experience, the behavioral significance of donation, the psychological activities in the donation process, and the emotional changes in the donation process are six dimensions to understand the related psychological factors of the volunteers. Eysenck Personality questionnaire (EPQ) adult version was completed. Results: except for the "emotional changes in the donation process", the two groups in the other five dimensions of "donation motivation changes." "the extent to which important others influence decisions", "have you ever experienced a major illness or death of a significant other", "the meaning of giving", "the process of thinking". There were different views on the item "level of trust in the collection process" (all P0.05%). Further logistic regression analysis showed that "the need to think for a long time" was not conducive to the donation decision. ["having experienced a major illness or death experience of someone close to you." ["Trust in the process of donating Hematopoietic Stem cells" [Ori 95CIU 0.18U 0.04U 0.80). Conclusion: through psychological interviews, we can understand the differences of related psychological factors between volunteers who agree with or disagree with donation. The psychological factors related to voluntary donors' donation decisions need to be considered for a long time, experienced major illness or death experience of close relationship with others and trust in the process of donating hematopoietic stem cells.
【作者单位】：首都医科大学宣武医院血液科;渔歌轻樝心理工作室;中国造血干细胞捐献者资料库北京管理中心;北京大学第六医院北京大学精神卫生研究所卫生部精神卫生重点实验室(北京大学);
【分类号】：R193.3;B842
【正文快照】： 北京管理中心,北京1001614北京大学第六医院,北京大学精神卫生研究所,卫生部精神卫生重点实验室(北京大学),北京100191通信作者:周湘yugeqingyang@qq.com)(中国心理卫生杂志,2016,30(11):806-811.)Corresponding author:ZHOU Xiang,yugeqingyang@qq.comPersonality Questionna

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