INVESTIGATION into THE EFFICACY of TRAINING about ORGAN DONATION for PARTICIPANTS in DAILY ACTIVITIES in SOCIAL LIFE CENTERS in ÇANAKKALE

Öz

INVESTIGATION into THE EFFICACY of TRAINING about ORGAN DONATION for PARTICIPANTS in DAILY ACTIVITIES in SOCIAL LIFE CENTERS in ÇANAKKALE - ÇANAKKALE’DE SOSYAL YAŞAM EVLERİNDE GÜNLÜK AKTİVİTELERE KATILANLARA YÖNELİK ORGAN BAĞIŞI KONUSUNDA YAPILAN EĞİTİMİN ETKİNLİĞİNİN İNCELENMESİ

Öz

Bu çalışmanın amacı hedef grupta organ bağışı ve nakli konusunda bilgi düzeyinin artırılması, yanlış ya da eksik bilgilerin giderilmesi ve bu konuda farkındalığı artırmak için yapılan eğitimin etkinliğinin incelenmesidir. Bu araştırma organ bağışı ve nakli eğitiminin etkinliğini saptamayı amaçlayan müdahale tipinde epidemiyolojik bir çalışmadır. Bu çalışma 2016 yılında Kasım-Aralık aylarında ve 2017 yılı Nisan ayında Çanakkale Belediyesi’ne ait Barbaros, Troia ve Esenler Sosyal Yaşam Merkezleri’nde yürütüldü. Sosyal yaşam evlerinde günlük aktivitelere katılan bireylerden çalışmaya katılmaya gönüllü olanlar çalışmaya dâhil edildi. Katılımcılara organ bağışı ve nakli konusunda eğitim verildi. Bu çalışmada katılımcılar (n=55) ön test, son test ve tekrar test uygulanarak değerlendirildi. Çalışma grubunun tamamı kadındı. ‘Beyin ölümü gerçekleşen biri tekrar hayata dönebilir mi?’ sorusuna ön testte katılımcıların %55,8’i, son testte ve tekrar testte %84,6’sı hayır cevabı verdi. Bu fark istatistiksel olarak anlamlıydı (p=0.0001). Katılımcıların ön testte %38,5’i, son testte %59,6’sı ve tekrar testte %55,8’i organ bağışında bulunmayı düşündüğünü belirtti ve bu fark istatistiksel olarak anlamlıydı (p=0.004). Çalışmamızın sonuçları, eğitim öncesi bilgi ve tutum durumlarının eğitim sonrasında iyileştirilebilmesine rağmen 3 ay sonra yapılan tekrar testte bilgi ve tutum durumlarında gerileme olduğunu göstermektedir. Bireylerin tekrarlayıcı eğitimler ve bilgilendirme toplantıları ile bu konudaki duyarlılıklarının artırılması gerekmektedir.

Anahtar Kelimeler: Organ bağışı, beyin ölümü, eğitim etkinliği, Çanakkale

Abstract:

The aim of this study is investigate the efficacy of training given to increase the knowledge levels about organ donation and transplantation in the target group, to correct mistaken or deficient information and to increase awareness of this topic. This research aiming to identify the efficacy of organ donation and transplantation training is an interventional-type epidemiological study. This study was completed in November-December of 2016 and April of 2017 in the Barbaros, Troia and Esenler Social Life Centers belonging to Canakkale Municipality. Individuals in daily activities in the social life centers who volunteered to participate were included in the study. Participants were given training on organ donation and transplantation. Participants (n=52) were assessed pre-test, post-test and repeat test in the present study. The whole study group were women. The rate giving the answer no to the question “Can someone who is brain dead return to life?” was 55.8% on the pre-test, while it was 84.6% on the post-test and repeat test and this difference was statistically significant(p=0.0001). Of participants, 38.5% stated they would consider organ donation on the pre-test, 59.6% said they would on the post-test and 55.8% said they would on the repeat test and this difference was statistically significant(p=0.004). The result of our study is that though knowledge and attitude levels before training were improved after training, repeated test completed 3 months later showed regressions in knowledge and attitude levels. Repeated training and information meetings are required to increase the sensitivity of the individual about this topic.

Anahtar Kelimeler

• Organ donation,brain dead,effiency of training,Çanakkale,Organ bağışı,beyin ölümü,eğitim etkinliği

Kaynakça

1. 1. Edirne T. Organ and tissue transplantations: results and recommended strategies in Turkey. T Klin J Med Sci. 2004;24:261-6.
2. 2. Republic of Turkey Ministry of Health. Health Statistics Yearbook 2015 [Internet]. Ankara 2016 [cited 2018 March 16]. Available from: http://www.sagem.gov.tr/dosyalar/SIY_201 5.pdf
3. 3. Republic of Turkey Ministry of Health. Cadevers or lived donors in Turkey at 2017. [cited 2018 March 16]. Available from: https://organkds.saglik.gov.tr/KamuyaAcik Rapor.aspx?q=ORGANNAKLI
4. 4. Republic of Turkey Ministry of Health. Patients with diagnosis of brain death in Turkey at 2017. [cited 2018 March 16]. Available from: https://organkds.saglik.gov.tr/KamuyaAcikR apor.aspx?q=YOBIS
5. 5. NHS. Organ Donation and Transplantation Activity Data: ENGLAND. [cited 2017 April 11]. Available from: https://nhsbtdbe.blob.core.windows.net/um braco-assets/1070/england.pdf
6. 6. NHS. Organ Donation and Transplantation Activity Data: NORTHERN IRELAND. [cited 2017 April 24]. Available from: https://nhsbtdbe.blob.core.windows.net/umb raco-assets/1069/northern_ireland.pdf.
7. 7. NHS. Organ Donation and Transplantation Activity Data: SCOTLAND. [cited 2017 April 24]. Available from: htps://nhsbtdbe.blob.core.windows.net/umb raco-assets/1068/scotland.pdf
8. 8. NHS. Organ Donation and Transplantation Activity Data: WALES. [cited 2017 April 11]. Available from: https://nhsbtdbe.blob.core.windows.net/umb raco-assets/1518/wales.pdf

9. 9. Organ Procurement and Transplantation Network. Donors recovered in U.S. by donor type [cited 2017 April 25]. Available from: https://optn.transplant.hrsa.gov/data/viewdata-reports/national-data/#
10. 10.Republic of Turkey Ministry of Health. Patients waiting for transplantation in Turkey. [cited 2017 April 25]. Available from: https://organkds.saglik.gov.tr/KamuyaAcikR apor.aspx?q=ORGANBEKLEME
11. 11.Republic of Turkey Ministry of Health. Dialysis patients in Turkey. [cited 2017 April 25]. Available from: https://organ.saglik.gov.tr/0TR/70Istatistik/ TURKDIVES_010101.aspx
12. 12.Özmen D, Çetinkaya AÇ, Sarızeybek B, Zeybek A. Knowledge and views of students of the Celal Bayar University Manisa School of Health towards organ donation. Turkiye Klinikleri J Med Sci. 2008;28 (3):311-8.
13. 13.Obstacle to organ donation in ethnic minorities (Editorial). Pediatr Transplantation. 2001;5:383-5.
14. 14.Tarhan M, Dalar L, Yıldırımoğlu H, Sayar A, Altın S. Level of knowledge and attitudes regarding organ donation and transplantation in high school students in the Zeytinburnu district of Istanbul. Turkish J of Intensive Care Med. 2012;3:27-35.
15. 15.Naçar M, Çetinkaya F, Baykan Z, Elmalı F. Knowledge attitudes and behaviors about organ donation among first and sixth class medical students: a study from Turkey. Transplantation Proceedings. 2015;47:1553-9.
16. 16.Haustein SV, Sellers MT. Factors assosiated with (un)willingness to be an organ donor: importance of public exposure and knowlenge. Clin Transplant. 2004;18:193- 200.
17. 17.Guadagnoli E, Christiansen CL, DeJong W, McNamara P, Beasley C, Christiansen E et al. The public’s willigness to discuss their preference for organ donation with family members. Clin Transplant. 1999;13:342-8.
18. 18.Vijayalakshmi P, Sunitha TS, Gandhi Sailaxmi, Thimmajah R, Math SB. Knowledge attitude and behaviour of the general population towards organ donation: An Indian perspective. The National Medical Journal of India. 2016;29(5).
19. 19.Yazar MA, Açıkgöz MB. Knowlenge levels and attitudes of people living in the city centre of Nevşehir on organ donation and transplantation. Turk J Anaesthesiol Reanim. 2016;44:250-7.
20. 20.Agrawal S, Binsaleem S, Al-Homrani M, AlJuhayim A, Al-Harbi. A knowlenge and attitude towards organ donation among adult population in Al-Kharj, Saudi Arabia. Saudi J Kidney Dis Transpl. 2017;28(1) 81- 9. Eskişehir Türk Dünyası Uygulama ve Araştırma Merkezi Halk Sağlığı Dergisi. 2018; 3(3):12-24. 24
21. 21.Republic of Turkey Ministry of Health. Validity and Reliability of Health Litaracy Scale in Turkey. Ankara; 2016 [cited 2017 March 08]. Available from: https://sbu.saglik.gov.tr/Ekutuphane/Yayin/5 30.
22. 22.Hajjar WM, Bin Abdulqader SA, Aldayel SS, Alfardan AW, Alzaidy NI. Knowledge attitudes and beliefs toward organ donation among social media users. Transplantation Proceedings. 2016;48:2418-22.
23. 23.Balajee KL, Ramachandran N, Subitha L. Awareness and attitudes toward organ donation in rural Puducherry, India. Ann Med Health Sci Res. 2016;6(5):286-90. 24.Tumin M, Tafran K, Tang LY, Chong MC, Jaafar IM, Satar NM, et al. Factors associated with medical and nursing students’ willigness to donate organs. Medicine. 2016; 95(12)