影响初次机采血小板献血者再次捐献的相关因素分析
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摘要
目的探讨影响初次机采血小板献血者再次捐献的相关因素,为制定机采献血者保留策略提供依据。方法选择2016年1月1日—2016年12月31日在广州血液中心首次成功捐献机采血小板的13 899例献血者为研究对象,分析每个献血者献血时性别、年龄、文化程度、是否发生献血不良反应与下一年度是否再次捐献机采血小板的相关性。结果男性献血者再次捐献率(10.68%)高于女性献血者再次捐献率(8.94%),差异有统计学意义(P<0.01);献血者年龄18～25岁组再次捐献率最高为12.86%,46～60岁组再次捐献率最低为6.46%,差异有统计学意义(P<0.001);献血者文化程度高中或职中组再次捐献率最高为11.23%,本科或以上组再次捐献率最低为8.94%,差异有统计学意义(P<0.001);未发生不良反应献血者再次捐献率(10.37%)高于发生不良反应献血者再次捐献率(5.56%),差异有统计学意义(P<0.01)。结论男性、年龄较小、文化程度较低和未发生献血不良反应的献血者更愿意返回再次捐献机采血小板,对这部分献血者采取针对性保留措施,有利于建立起一支固定捐献机采血小板的献血者队伍。
Objective To explore the related factors affecting the re-donation of the first apheresis platelet donors, and to provide a basis for the retention strategy. Methods A total of 13 899 blood donors who successfully donated apheresis platelets for the first time in Guangzhou Blood Center from January 1, 2016 to December 31, 2016 were selected as subjects. The correlation among gender, age, education level, adverse reactions of blood donation and whether platelet collection was re-donated in the next year was analyzed. Results Re-donation rate of male blood donors(10.68%) was higher than that of female blood donors(8.94%). The difference was statistically significant(P<0.01). Re-donation rate of blood donors aged 18～25 was the highest 12.86%, and that of 46～60 was the lowest 6.46%. The difference was significant(P<0.001). Re-donation rate of high school or vocational college blood donors was the highest 11.23%. The lowest re-donation rate was 8.94% in the undergraduate group or above, and the difference was statistically significant(P< 0.001). The re-donation rate of donors without adverse reactions(10.37%) was higher than that of donors with adverse reactions(5.56%). The difference was statistically significant(P<0.01). Conclusion Male, younger, less educated and no adverse reactions to blood donation are more willing to return to donate platelet again. Targeting these donors for reserve measure will conducive to the establishment of a fixed platelet donor team.
Objective To explore the related factors affecting the re-donation of the first apheresis platelet donors, and to provide a basis for the retention strategy. Methods A total of 13 899 blood donors who successfully donated apheresis platelets for the first time in Guangzhou Blood Center from January 1, 2016 to December 31, 2016 were selected as subjects. The correlation among gender, age, education level, adverse reactions of blood donation and whether platelet collection was re-donated in the next year was analyzed. Results Re-donation rate of male blood donors(10.68%) was higher than that of female blood donors(8.94%). The difference was statistically significant(P<0.01). Re-donation rate of blood donors aged 18～25 was the highest 12.86%, and that of 46～60 was the lowest 6.46%. The difference was significant(P<0.001). Re-donation rate of high school or vocational college blood donors was the highest 11.23%. The lowest re-donation rate was 8.94% in the undergraduate group or above, and the difference was statistically significant(P< 0.001). The re-donation rate of donors without adverse reactions(10.37%) was higher than that of donors with adverse reactions(5.56%). The difference was statistically significant(P<0.01). Conclusion Male, younger, less educated and no adverse reactions to blood donation are more willing to return to donate platelet again. Targeting these donors for reserve measure will conducive to the establishment of a fixed platelet donor team.
引文
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[2] 宋翔宇,殷国美.少浆血小板临床输注效果分析 [J].中国输血杂志,2013,26(9):917.
[3] 李雅静,张燕,常缨,等.石家庄市6171名单采血小板献血者分布特征的调查分析 [J].中国输血杂志,2014,27(2):188-190.
[4] 赵冬雁,纪方,何孟靖,等.双因素理论应用于献血者再次献血激励机制的探讨 [J],中国输血杂志,2014,27(9):969-972.
[5] 黄筱曼.心理咨询在献血反应中的应用及前景 [J].中国输血杂志,2008,21(7):556-557.
[6] 安万新.输血技术学 [M].6版.北京:科学技术文献出版社,2006.
[7] 孙革,蓝欲晓,李慧文,等.深圳市志愿捐献机采血小板人群特征研究及招募策略 [J].中国输血杂志,2011,24(90):783-785.
[8] 李军,程丹凤,杨茜.电话保留成功的单采血小板献血者特征分析 [J].临床输血与检验,2018,20(1):45- 46.
[9] 赵玥,周倩.影响单采献血者保留的相关因素分析 [J].北京医学,2017,39(6):634- 640.
[10] 牛宗新,杨占凯,张曼,等.初次献血体验对未来献血行为影响的调查 [J].中国输血杂志,2007,20(5):402.
[11] 崔伟慧.献血不良反应对献血者再次献血的影响及护理要点分析 [J].中国医药指南,2007,15(32):246-247.