自主动机与无偿献血行为的关联研究  

Correlation between voluntary blood donation and autonomous motivation

作　　者：李显文[1] 韩文娟 LI Xianwen;HAN Wenjuan(Hangzhou Medical College,Hangzhou,Zhejiang 310053,China;Blood Center of Zhejiang Province,Hangzhou,Zhejiang 310052,China)

机构地区：[1]杭州医学院,浙江杭州310053 [2]浙江省血液中心,浙江杭州310052

出　　处：《预防医学》2023年第9期786-789,共4页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：浙江省医药卫生科技计划项目(2020KY534)。

摘　　要：目的基于自我决定理论,探讨自主动机与无偿献血行为的关系,为优化无偿献血招募工作提供依据。方法通过浙江省杭州、嘉兴和衢州的血站及医疗机构选择符合献血条件者为调查对象,根据自我决定理论自制问卷调查一般资料、献血知识及获取途径、献血自主动机和控制动机资料;采用多因素logistic回归模型分析自主动机与无偿献血行为的关联。结果调查986人,年龄为18~55岁,其中女性730人,占74.04%;男性256人,占25.96%。有无偿献血经历705人,占71.50%。无偿献血知识得分为(5.76±1.17)分,献血动机总分为(58.21±8.17)分,其中自主动机得分为(40.86±5.46)分,控制动机得分为(17.35±3.26)分。多因素logistic回归分析结果显示:性别(女性,OR=0.419,95%CI:0.273~0.644)、职业(医务工作者,OR=4.027,95%CI:2.440~6.646)、献血知识(OR=1.307,95%CI:1.159~1.475)和自主动机(OR=1.074,95%CI:1.033~1.116)是无偿献血行为的影响因素。结论自主动机对无偿献血行为有促进作用;在献血招募中应注重提升自主动机,合理使用控制动机。Objective To explore the relationship between voluntary blood donation and autonomous motivation based on self-determination theory,so as to provide insights into optimizing voluntary blood donation recruitment.Methods Partic⁃ipants meeting the blood donation criteria were selected from blood stations and medical institutions in Hangzhou City,Ji⁃axing City and Quzhou City,Zhejiang Province.A self-designed questionnaire based on self-determination theory was used to collect basic information,awareness and source of blood donation knowledge,autonomous motivation and con⁃trolled motivation.The correction between autonomous motivation and voluntary blood donation was analyzed using a mul⁃tivariable logistic regression model.Results A total of 986 participants at ages of 18-55 years were surveyed,including 730 females(74.04%)and 256 males(25.96%).Among them,705 participants(71.50%)had experience of voluntary blood donation.The mean score for blood donation knowledge was(5.76±1.17)points,and the total motivation score for blood donation was(58.21±8.17)points,with autonomous motivation scoring(40.86±5.46)points and controlled motivation scoring(17.35±3.26)points.Multivariable logistic regression analysis identified gender(female,OR=0.419,95%CI:0.273-0.644),occupation(medical profession,OR=4.027,95%CI:2.440-6.646),blood donation knowledge(OR=1.307,95%CI:1.159-1.475)and autonomous motivation(OR=1.074,95%CI:1.033-1.116)as factors affecting voluntary blood donation.Conclusions Autonomous motivation may promote voluntary blood donation.In blood donation recruitment efforts,it is vital to enhance autonomous motivation and make appropriate use of controlled motivation.

关 键 词：无偿献血 自主动机 控制动机 自我决定理论 

分 类 号：R193.3[医药卫生—卫生事业管理]