探讨互联网微信平台功能模块微信群在器官捐献协调中的促进作用及应用价值。

回顾性分析2016年1月至2019年12月江西省人民医院4个器官捐献分管片区共446例潜在器官捐献案例，根据器官捐献协调方法不同，分为传统协调模式组(135例，2016年1月至2017年12月捐献案例)与微信平台应用组(311例，2018年1月至2019年12月)。共设置潜在捐献者信息确认、潜在捐献者病情评估、死亡判定、伦理审核以及器官获取与分配5个功能模块微信群，并将相关工作内容和协调要求分别嵌入这5个功能模块微信群。采用成组t检验比较传统协调模式组与微信平台应用组潜在器官捐献者和完成器官捐献者年龄以及每例捐献平均转化时间。采用卡方检验比较两组潜在捐献者转化为器官捐献者比例以及潜在捐献者和完成器官捐献者年龄段、性别和地区分布。P<0.05为差异有统计学意义。

传统协调模式组与微信平台应用组潜在器官捐献者年龄分别为(38±14)和(44±16)岁，差异有统计学意义(t＝-3.391，P<0.05)；两组年龄段、性别及各片区捐献数量差异均无统计学意义(P均>0.05)。传统协调模式组与微信平台应用组潜在器官捐献者分别成功实施器官捐献39(28.9%)和132(42.4%)例，差异有统计学意义(χ²＝7.316，P<0.05)。两组完成器官捐献者年龄分别为(37±15)和(42±13)岁，每例捐献平均转化时间分别为(3.44±0.51)和(2.03±0.24)d，差异均有统计学意义(t＝-2.284和24.090，P均<0.05)；两组完成器官捐献者年龄分布、性别及各片区捐献数量差异均无统计学意义(P均>0.05)。传统协调模式组与微信平台应用组分别获取大器官115个和390个，分别弃用2个和6个。

将互联网微信平台功能模块应用于器官捐献协调中，有利于增加潜在捐献案例转化成功捐献案例数，提高每例捐献协调时效，促进了器官捐献工作的发展。

To explore the promoting effect and application value of WeChat group of internet WeChat platform in organ donation coordination.

A total of 446 potential organ donation donors in 4 organ donation districts of Jiangxi Provincial People′s Hospital from January 2016 to December 2019 were retrospectively analyzed, all potential organ donors were divided into the traditional coordination mode group (135 cases, donation cases from January 2016 to December 2017) and the WeChat platform application group (311 cases, January 2018 to December 2019) according the coordination method in organ donation. The WeChat group consists of 5 functional modules: information confirmation of potential donors, condition assessment of potential donors, death judgment, ethical review, organ acquisition and allocation. Relevant work content and coordination requirements are embedded into the five functional module WeChat groups respectively. Group t test was used to compare the age of potential organ donors, the age of organ donors and the mean conversion time of donation between traditional coordination mode group and WeChat platform application group. The chi-square test was used to compare the conversion ratio of potential organd donors between the 2 groups, and the age, gender and geographical distribution of potential donors and completed donors between the 2 groups. P<0.05 was considered statistically significant.

The age of potential organ donors in the traditional coordination mode group and the WeChat platform application group were (38±14) and (44±16) years old, respectively, the difference was statistically significant (t=-3.391, P<0.05). There were no significant differences in age, gender and donation numbers of each area between the two groups (all P>0.05). Potential organ donors in the traditional coordination mode group and the WeChat platform application group successfully donated 39 (28.9%) and 132 (42.4%) cases, respectively, and the difference was statistically significant (χ²=7.316, P<0.05). The age of completed organ donors in the two groups were (37±15) and (42±13) years old, and the mean conversion time of each case were (3.44±0.51) and (2.03±0.24) d, respectively, the differences were statistically significant (t=-2.284 and 24.090, all P<0.05). There were no significant differences in the age distribution, gender and donation numbers of each area between the two groups (all P>0.05). The traditional coordination mode and the WeChat platform application group obtained 115 and 390 large organs respectively, and abandoned 2 and 6 organs respectively.

The number of successful donation cases and potential donation cases were all increased as well as the time limit of each donation coordination with the application of the function module of internet WeChat platform in organ donation, and also promoted the development of organ donation work.