高校团队在成分献血招募中的价值与应用实践

Value and application practice of apheresis blood donor recruitment among college-going students

目的对浙江省血液中心高校学生团队招募策略和应用实践进行系统性评价,为完善成分献血招募策略提供依据。方法分析2016—2018年高校团队献血人次、献血量与同期总人次、总献血量比较,高校团队献血月度分布情况,高校团队成分献血者类型与同期总献血人群比较,一般检查、献血前检测合格率与同期总合格率比较,高校团队一般检查、献血前检测不合格原因分析。采用SPSS19.0软件包进行数据分析。结果 2016—2018年高校团队献血人次和献血量分别为1 403人次和1 656 U,分别占总献血人次和献血总量的2.10%和1.62%,高校团队人均献血量1.18 U,总体人均献血量1.53 U。3—5月高校团队835人次,占全年59.5%,10—12月高校团队499人次,占全年35.6%。高校团队初次献血者比例66.8%,显著高于同期总献血人群的比例26.9%(P<0.05),高校团队固定献血者比例18.3%,显著低于同期总献血人群的比例64.3%(P<0.05)。高校团队与同期总献血人群的体检合格率分别为93.7%和97.4%(P<0.05);献血前检测合格率分别为81.5%和86.8%(P<0.05)。高校团队一般检查不合格原因中熬夜/疲劳、感冒/服药、血压、心率的不合格构成比分别为39.1%,40.0%,19.1%,1.7%(P<0.05)。献血前检测不合格原因中Hb/Hct、Plt、WBC、乳糜血、ALT、HBsAg的不合格构成比分别为21.3%,8.3%,38.7%,12.4%,17.5%和1.9%(P<0.05)。结论高校学生团队季节性变化较大,初次献血者比例高,献血前检查合格率较低,可以作为固定成分献血者的1种补充手段,高校学生团队招募的主要目的为成分献血宣传,发展潜在成分献血者。

Objective To systematically evaluate the strategy and application practice of apheresis blood donor recruitment among ongoing-college students in Zhejiang,so as to provide a basis for improving the recruitment strategy of component blood donation.Methods The difference in such data as blood donation numbers,blood donation units,monthly distribution of blood donation,types of apheresis donors(first-time,repeat or fixed donors),pass rate of physical exam/pre-donation screening and blood donation deferral causes in college donor and overall donors in the corresponding period during 2016-2018 were analyzed.SPSS19.0 software package was used for data analysis,and component ratio and pass rate were tested byχ~2 test;P<0.05 was considered statistically significant.Results From 2016 to 2018,the blood donation numbers and units from college donors was 1403 and 1656(U),accounting for 2.10%and 1.62%of the overall numbers and units.The per capita donation of blood in college donors was 1.18 U and the corresponding overall data was 1.53 U.College donors donated for 835 times from March to May and for 499 times from October to December,which accounts for 59.5%and 35.6%of the donation numbers throughout the year.First-time donors and fixed donors out of college donors accounted for 66.8%and 18.3%,which was significantly higher(26.9%)and lower(64.3%)as compared with the overall donor proportion during the same period(P<0.05).The pass rate of physical exam/pre-donation screening in college students and overall donor population were 93.7%vs.97.4%(P<0.05)and 81.5%vs 86.8%(P<0.05),respectively.Staying up late(39.1%),catching a cold/taking medicine(40.0%),blood pressure(19.1%)and heart rate(1.7%)were the most frequent causes of blood donation deferral in college donor population(P<0.05).Unqualified items as Hb/HCT(21.3%),Plt,(8.3%),WBC(38.7%),chyle blood(12.4%),ALT(17.5%)and HBsAg(1.9%)were the most frequent causes of pre-donation screening failure in college donor population(P<0.05).Conclusion The college blood donors presented a seasonal tendency,with a high proportion of first-time donors and a somewhat low pass rate of pre-blood screening,which can be developed as a replenishment to the fixed apheresis blood donors.To promote component blood donation and develop potential component blood donors are the main purpose of blood donation publicity in college students.