无偿献血认知在献血行为与生命质量间的调节效应初探
|
摘要
目的探究无偿献血认知在献血行为与生命质量间的调节效应。方法采用横断面现场调查与网络问卷调查相结合的方式开展调研。应用36条目简明健康状况调查问卷和无偿献血认知问卷对839名全血献血者的生命质量和献血认知水平进行评估,献血行为以献血次数评价,采用多层回归分析献血认知在献血行为与生命质量关系间的调节效应。结果献血行为对生命质量的回归分析表明,献血行为可正向促进生理(b′=0.111,P<0.05)和心理(b′=0.099,P<0.05)领域的生命质量水平。进一步的调节效应检验结果显示,献血认知在献血行为与生理领域生命质量间调节效应差异显著(交互项b′=-0.068,P<0.05),交互项系数为负表明:相比于高认知水平,低认知水平下献血者的生理领域(PCS)得分随着献血次数的增加提升更明显。献血认知在献血行为与心理领域生命质量间调节效应差异无统计学意义(交互项b′=-0.057,P>0.05)。结论在无偿献血认知的调节下,随着献血者的献血次数的增加,献血者的生命质量提升。当重复献血者将无偿献血固化为一种行为习惯时,献血认知对二者关系的影响较初始时减弱。
Objective To explore the moderating effect of cognition in blood donation between the act of blood donation and health-related quality of life. Methods 839 participants who had experience in donating whole blood were recruited into the cross-sectional survey. The MOS 36-item short-form health survey(SF-36) and the cognition in voluntary blood donation questionnaire were used to evaluate health-related quality of life(HRQOL) and the level of cognition in blood donation respectively. The act of blood donation was assessed by cumulative frequencies of blood donation. The moderating effect of cognition in blood donation between the act of blood donation and health-related quality of life was analyzed by multiple regression analysis. Results The results revealed that the act of blood donation had a positive influence on quality of life both in physical field(PCS)(b′=0.111,P<0.05) and mental field(MCS)(b′=0.099,P<0.05). The moderating effect test showed that the effect of cognition in blood donation between the act of blood donation and PCS was significant(Interaction item(b′=-0.068,P<0.05). The coefficient of the interaction was negative, which means if donors were at a level of high cognition, the cumulative frequencies of blood donation had a smaller positive impact on physiologic condition than at a low level. There was no significant difference in the moderating effect of cognition in blood donation between the act of blood donation and MCS(Interaction item b′=-0.057,P<0.05).Conclusion Under the regulation of cognition in blood donation, health-related quality of life of donors will raise with the increasing of cumulative frequencies of blood donation. When repeated donors unconsciously cultivate a habit of blooding donation, the effect of cognition in blood donation between the act of blood donation behavior and health will be weakened.
Objective To explore the moderating effect of cognition in blood donation between the act of blood donation and health-related quality of life. Methods 839 participants who had experience in donating whole blood were recruited into the cross-sectional survey. The MOS 36-item short-form health survey(SF-36) and the cognition in voluntary blood donation questionnaire were used to evaluate health-related quality of life(HRQOL) and the level of cognition in blood donation respectively. The act of blood donation was assessed by cumulative frequencies of blood donation. The moderating effect of cognition in blood donation between the act of blood donation and health-related quality of life was analyzed by multiple regression analysis. Results The results revealed that the act of blood donation had a positive influence on quality of life both in physical field(PCS)(b′=0.111,P<0.05) and mental field(MCS)(b′=0.099,P<0.05). The moderating effect test showed that the effect of cognition in blood donation between the act of blood donation and PCS was significant(Interaction item(b′=-0.068,P<0.05). The coefficient of the interaction was negative, which means if donors were at a level of high cognition, the cumulative frequencies of blood donation had a smaller positive impact on physiologic condition than at a low level. There was no significant difference in the moderating effect of cognition in blood donation between the act of blood donation and MCS(Interaction item b′=-0.057,P<0.05).Conclusion Under the regulation of cognition in blood donation, health-related quality of life of donors will raise with the increasing of cumulative frequencies of blood donation. When repeated donors unconsciously cultivate a habit of blooding donation, the effect of cognition in blood donation between the act of blood donation behavior and health will be weakened.
引文
[1] 毛桂仁. 加强临床输血管理的主要措施分析. 当代医学, 2017, 23(1):28-29.
[2] 曾凤芹, 齐村生, 吴绪华, 等. 无偿献血者献血前后血液流变学的变化. 临床输血与检验, 2008, 10 (1):12-13.
[3] 刘萌. 走出献血后“进补”的误区. 人人健康, 2014(16):93-93.
[4] 陶小玲. 献血不会伤“元气”,对身体健康有益. 中国卫生标准管理, 2014, 5(1):109-110.
[5] 季阳. 适量献血对健康无害是科学的结论. 健康必读, 2010(9):6-7.
[6] Adias1 TC, Igwilo AC, Jeremiah Z. Repeat whole blood donation correlates significantly with reductions in BMI and lipid profiles and increasedgamma glutamic transferase (GGT) activity among nigerian blood donors. Open Journal of Blood Diseases, 2012,02(4):90-94.
[7] 刘静,于海忠. 心理护理干预对减少献血不良反应的影响研究. 现代护理,2010,29(12): 133.
[8] Gutiérrez MG,de Tejada ES, Cruz JR. A study of sociocultural factors related to voluntary blood donation in the Americas. Rev PanamSaludPublica/Pan Am J Public Health, 2003,13(2/3):85-90.
[9] Farley SD,Stasson MF. Relative influences of affect and cognition on behavior: Are feelings more related to blood donation intentions? Experimental Psychology, 2003,50(1): 55-62.
[10] 乔清伟. 驻马店市大学生无偿献血认知和行为的调查分析. 当代医学, 2012, 18(10):162-163.
[11] 伍华东, 庄立, 郭德华,等. 元认知心理干预模型在无偿献血中的应用探讨. 中国输血杂志, 2013, 26(4):367-369.
[12] 温忠麟, 侯杰泰, 张雷. 调节效应与中介效应的比较和应用. 心理学报, 2005, 37(2):268-274.
[13] 国家卫生计生委.关于印发《全国无偿献血表彰奖励办法(2014年修订)》的通知.2014.
[14] 朱燕波, 鹿佳, 张笑梅,等. 无偿献血认知问卷的编制与信效度评价. 中国全科医学, 2017, 20(14): 1718-1722.
[15] Mishra G, Schofield MJ. Women′shealth australia: norms for the physical and mental health component summary scores of the SF-36 for young, middle and older aged Australian women. Quality of Life Research, 1998, 7(3):215-220.
[16] 方杰, 温忠麟, 梁东梅,等. 基于多元回归的调节效应分析. 心理科学, 2015(3):715-720.
[17] 李桐,朱燕波, 李彦妮, 等. 无偿献血认知在献血行为与健康间的中介作用研究. 中国全科医学, 2017,20(14):1723-1728.
[18] Meyers DG, Jensen KC, Menitove JE. A historical cohort study of the effect of lowering body iron through blood donation on incident cardiac events.Transfusion, 2002, 42(9):1135-1139.
[19] Zheng H, Cable R, Spencer B, et al. Iron stores and vascular function in voluntary blood donors.Arteriosclerosis Thrombosis & Vascular Biology, 2005, 25(8):1577-1583.
[20] 梁进芳. 云浮地区无偿献血者心理状况调查分析及护理探讨. 中国医药指南, 2010,08(19):162-163.
[21] 唐红峰. 献血量、献血次数与献血反应发生的相互关系探讨. 中国输血杂志, 2012,25(9):888.
[22] 王水珊, 柏淑英, 陈斌,等. 2002年-2011年兰州地区不同献血意愿人群血清学检测结果分析. 中国卫生检验杂志, 2013, 23(4): 945-947.
[23] 付恒, 杨金本, 杨君青,等. 无偿献血者中ALT异常人群生活方式调查. 临床输血与检验, 2018, 20(1):51-52.
[24] 邱梅婷,贾绍华,陈琼霞,等.体育锻炼习惯的形成机制和影响因素研究. 首都体育学院学报, 2005, 17(6):87-89.
[25] 曾于珍, 陈世耀. 临床研究结局指标选择与样本量估计. 协和医学杂志, 2018(1):87-92.
[2] 曾凤芹, 齐村生, 吴绪华, 等. 无偿献血者献血前后血液流变学的变化. 临床输血与检验, 2008, 10 (1):12-13.
[3] 刘萌. 走出献血后“进补”的误区. 人人健康, 2014(16):93-93.
[4] 陶小玲. 献血不会伤“元气”,对身体健康有益. 中国卫生标准管理, 2014, 5(1):109-110.
[5] 季阳. 适量献血对健康无害是科学的结论. 健康必读, 2010(9):6-7.
[6] Adias1 TC, Igwilo AC, Jeremiah Z. Repeat whole blood donation correlates significantly with reductions in BMI and lipid profiles and increasedgamma glutamic transferase (GGT) activity among nigerian blood donors. Open Journal of Blood Diseases, 2012,02(4):90-94.
[7] 刘静,于海忠. 心理护理干预对减少献血不良反应的影响研究. 现代护理,2010,29(12): 133.
[8] Gutiérrez MG,de Tejada ES, Cruz JR. A study of sociocultural factors related to voluntary blood donation in the Americas. Rev PanamSaludPublica/Pan Am J Public Health, 2003,13(2/3):85-90.
[9] Farley SD,Stasson MF. Relative influences of affect and cognition on behavior: Are feelings more related to blood donation intentions? Experimental Psychology, 2003,50(1): 55-62.
[10] 乔清伟. 驻马店市大学生无偿献血认知和行为的调查分析. 当代医学, 2012, 18(10):162-163.
[11] 伍华东, 庄立, 郭德华,等. 元认知心理干预模型在无偿献血中的应用探讨. 中国输血杂志, 2013, 26(4):367-369.
[12] 温忠麟, 侯杰泰, 张雷. 调节效应与中介效应的比较和应用. 心理学报, 2005, 37(2):268-274.
[13] 国家卫生计生委.关于印发《全国无偿献血表彰奖励办法(2014年修订)》的通知.2014.
[14] 朱燕波, 鹿佳, 张笑梅,等. 无偿献血认知问卷的编制与信效度评价. 中国全科医学, 2017, 20(14): 1718-1722.
[15] Mishra G, Schofield MJ. Women′shealth australia: norms for the physical and mental health component summary scores of the SF-36 for young, middle and older aged Australian women. Quality of Life Research, 1998, 7(3):215-220.
[16] 方杰, 温忠麟, 梁东梅,等. 基于多元回归的调节效应分析. 心理科学, 2015(3):715-720.
[17] 李桐,朱燕波, 李彦妮, 等. 无偿献血认知在献血行为与健康间的中介作用研究. 中国全科医学, 2017,20(14):1723-1728.
[18] Meyers DG, Jensen KC, Menitove JE. A historical cohort study of the effect of lowering body iron through blood donation on incident cardiac events.Transfusion, 2002, 42(9):1135-1139.
[19] Zheng H, Cable R, Spencer B, et al. Iron stores and vascular function in voluntary blood donors.Arteriosclerosis Thrombosis & Vascular Biology, 2005, 25(8):1577-1583.
[20] 梁进芳. 云浮地区无偿献血者心理状况调查分析及护理探讨. 中国医药指南, 2010,08(19):162-163.
[21] 唐红峰. 献血量、献血次数与献血反应发生的相互关系探讨. 中国输血杂志, 2012,25(9):888.
[22] 王水珊, 柏淑英, 陈斌,等. 2002年-2011年兰州地区不同献血意愿人群血清学检测结果分析. 中国卫生检验杂志, 2013, 23(4): 945-947.
[23] 付恒, 杨金本, 杨君青,等. 无偿献血者中ALT异常人群生活方式调查. 临床输血与检验, 2018, 20(1):51-52.
[24] 邱梅婷,贾绍华,陈琼霞,等.体育锻炼习惯的形成机制和影响因素研究. 首都体育学院学报, 2005, 17(6):87-89.
[25] 曾于珍, 陈世耀. 临床研究结局指标选择与样本量估计. 协和医学杂志, 2018(1):87-92.