生活事件与单采血小板献血者流失的相关性分析  

Correlation between life events and apheresis platelet donors lapsing

作　　者：王韵 汪峰 孙泉 周建华 费小英 WANG Yun;WANG Feng;SUN Quan;ZHOU Jianhua;FEI Xiaoying(Huzhou Central Blood Station,Huzhou 313000,China)

机构地区：[1]湖州市中心血站,浙江湖州313000

出　　处：《中国输血杂志》2022年第5期579-582,共4页Chinese Journal of Blood Transfusion

摘　　要：目的 了解湖州地区单采血小板献血者流失的原因,为更好的维护和建设献血者队伍提供依据。方法 收集2018年11月1日~2021年10月31日共1 128名有效机采血小板献血者信息,将献血者分为固定献血者和流失献血者2组,采用问卷调查的方式了解2组人群工作、社会关系和捐献过程等3方面发生的事件,结合献血者人群基本特征,共15个研究变量,采用SPSS 23.0软件进行t检验、χ^(2)检验和多因素Logistic回归分析。结果 近3年的机采血小板名库中,固定献血者602名(53.37%,602/1 128),流失献血者526名(46.63%,526/1 128)。2组人群的年龄、性别、学历上以及对血站服务人员的服务态度、技术水平和自生献血反应等方面无显著差异(P>0.05),在是否自由职业者、是否新参加工作、每周工作时间(h)、是否有捐献血小板的朋友、是否有亲人接受过血液、是否有亲人发生严重疾病、是否有子女出生、被招募的频次是否满意和捐献是否方便等方面有统计学意义(P<0.05)。多元Logistic回归分析结果显示,被招募频次(OR=2.679)、献血便利(OR=2.486)、有捐献朋友(OR=1.791)、周工作时间(OR=1.011)、新入职(OR=0.558)和子女出生(OR=0.465)等6个变量进入最终回归模型,是献血者流失的影响因素,有统计学意义(P<0.01)。结论 湖州地区机采血小板献血者流失率较高,应建立高效的血站间、血站与献血者以及献血者之间的沟通渠道,采用个性化的服务方式来维系机采血小板固定献血者队伍。Objective To explore the causes of apheresis platelet donors lapsing in Huzhou area, so as to provide basis for better maintenance of blood donor team.Methods The data of 1 128 platelet donors from November 1,2018 to October 31,2021 were collected, and they were divided into regular blood donor group and lapsed blood donor group, and their work situation, social relations and donation process were investigated through questionnaire survey.Based on the basic characteristics of blood donors, 15 variables were set and analyzed by t test, chi-square test and multivariate logistic regression analysis using SPSS 23.0 software.Results There were 602(53.37%,602/1 128) regular blood donors and 526(46.63%,526/1 128) lapsed blood donors in the donor bank during recent 3 years.No significant differences were found in age, gender, educational background, blood donation reaction as well as the satisfaction to service attitude and technical level of blood station staff between the two groups(P>0.05),but significant difference was noticed in whether they were freelancers or changed jobs recently, the working hours per week(h),whether they had friends who donated platelets, had relatives who received/had a serious disease, had children or not, whether satisfied with the frequency of recruitment, and whether the donation was convenient(P<0.05,P<0.01).Multivariate logistic regression analysis showed that recruitment frequency(OR=2.679),convenience of blood donation(OR=2.486),having friends who donated blood(OR=1.791),the working hours per week(OR=1.011),changing jobs(OR=0.558) and having children(OR=0.465) were included in the final regression model and were the influencing factors of blood donor lapsing(P<0.01).Conclusion Platelet donor lapsing is prominent in Huzhou, therefore efficient communication approaches should be established between blood stations, between blood donors and blood donor, and between blood banks;personalized service should be adopted to maintain apheresis platelet donors.

关 键 词：生活事件 血小板 固定献血者 

分 类 号：R331.143[医药卫生—人体生理学] R193.3[医药卫生—基础医学]