摘要
目的研究影响初次全血献血者再次献血的影响因素.方法以2016年1月~2016年12月首次在广州血液中心参加无偿献全血且接受了电话回访的初次献血者66976名,完全随机抽样法抽取2214名献血者,自中心采供血信息管理系统调取相关社会学信息,献血者服务中心对首次献血者的电话回访记录调取回访信息.卡方检验筛选出的对初次全血献血者再次献血的影响有统计学意义的因素,纳入运用多因素Logistic回归分析法进一步分析.结果2214名初次献血者中,卡方检验显示对初次全血献血者是否再次献血有统计学差异的因素是性别、献血类型、献血量和有无献血反应.纳入多因素logistic回归分析后显示,无献血反应(OR=1.753,OR95%CI:1.100~2.794,P=0.018)的初次献血者再次献血可能性较大,男性(OR=0.681,OR95%CI:0.539~0.859,P=0.01),街头献血者(OR=0.641 OR95%CI:0.509~0.808,P<0.001)和200 mL献血量(OR=0.641 OR95%CI:0.509~0.808,P<0.001)的初次献血者再次献血意愿的可能性减少,差异有统计学意义.结论是否有献血反应、献血量、性别及献血类型是首次献血献血者再次献血的影响因素.有献血反应,献血量200 mL,男性,街头的初次献血者更容易流失.
Objective To study the risk factors affecting return of first-time whole blood donors.Methods From January 2016 to December 2016,2 214 in 66 976 first-time blood donors who participated in the blood donation and received a telephone call back at Guangzhou Blood Center were randomly selected.Their sociological information was extracted from the blood collection information management system,other information was from the telephone return visit record to the first blood donor.The multivariate logistic regression analysis was used to adjust and analyze the statistically significant factors after Chi-square test.Results Among the 2 214 first-time blood donors,the chi-square test showed gender differences,blood donor type,quantity of blood donation and adverse blood donation reaction were related to return to donate in first blood donors with statistical significance.multivariate logistic regression analysis showed that first-time donors without adverse blood donation reaction(OR=1.753,OR 95%CI:1.100~2.794,P=0.018)were more likely to donate blood again,males(OR=0.6 8 1,OR=9 5%CI:0.5 3 9~0.8 5 9,P=0.0 1),street donors(OR=0.6 1 6,OR 9 5%CI:0.4 7 2~0.8 0 5,P<0.0 0 1)and donors who donated 200 ml(OR=0.641 OR 95%CI:0.509~0.808,P<0.001)were less likely to repeat blood donation.Conclusion Adverse blood donation reaction,blood donation quantity,gender and blood donor type are risk factors for the first-time blood donors to repeat blood donation.Adverse blood donation reaction,donors donated 200ml,male and street donors are more likely to lead to lose blood donors.
作者
黎世杰
陈锦艳
谢桂芸
梁燕梅
冯凡凡
邓学成
邓阳凡
蓝琴
汪传喜
LI Shi-jie;CHEN Jin-yan;XIE Guiyun(Guangzhou Blood Center,Guangzhou Key Laboratory of Blood Safety,Guangzhou 510095)
出处
《临床输血与检验》
CAS
2019年第4期408-412,共5页
Journal of Clinical Transfusion and Laboratory Medicine
基金
广州市卫生计生科技重大项目（20161A031003）资助
关键词
初次献血者
再次献血
影响因素
First blood donor
Return to donate
Influencing factors
作者简介
黎世杰(1978–),男,广东广州人,副主任技师,学士,主要从事输血安全与血液管理工作,(E-mail)ivonli@126.com;通信作者:汪传喜,男,主任医师,主要从事临床输血管理和安全输血研究,(E-mail)callmm@126.com(Tel)020-83596185。
