Banning M, Bormanis J, Lander N, Neurath D, Rock G
Department of Psychology, the Ottawa Hospital, Ottawa, ON, Canada.
Vox Sang. 2006 Aug;91(2):157-61. doi: 10.1111/j.1423-0410.2006.00808.x.
We determined the perceptions and motivations of autologous donors to establish their regard for this process and the new blood system established in 1999 in Canada.
Patients were surveyed before and after orthopaedic, cardiac, urological or gynecological procedures.
Patients (n = 100; 57 men and 43 women) ranged in age from 19 to 83 years. Most had finished high school, and 21 had a university degree. Eighty-four had undergone previous surgery and 27 a previous transfusion. Fifty-one had been blood donors and 17 had been autologous donors. Specialists suggested donation to 78 of the patients. Seventy-two participated because they knew that their blood would be there. Three had a mistrust of the blood provider. Sixty-six believed that there is still a risk of receiving contaminated blood. Sixty-nine thought any risk was > or = 1 in 100,000; however, 16 thought the risk was < 1 in 1000. Postsurgery, 83 were happy to have donated their blood and 77 would do it again. Many felt that it improved their outcome. Most felt an increased sense of safety. Eighty-three patients were confident that the Canadian blood system had improved, but 17 were unsure.
Concern about the safety of the allogeneic blood supply still drives the wish to autodonate. The process gives patients a sense of control and security. A large proportion of people felt that the Canadian blood system had improved, as determined by this 2003 study.
我们确定了自体献血者对于这一过程以及1999年在加拿大建立的新血液系统的看法和动机。
对接受骨科、心脏、泌尿或妇科手术的患者在手术前后进行了调查。
患者(n = 100;57名男性和43名女性)年龄在19至83岁之间。大多数人完成了高中学业,21人拥有大学学位。84人曾接受过手术,27人曾接受过输血。51人曾是献血者,17人曾是自体献血者。专科医生建议78名患者进行献血。72人参与是因为他们知道自己的血液会备用。3人不信任血液供应机构。66人认为仍然存在接受被污染血液的风险。69人认为任何风险大于或等于十万分之一;然而,16人认为风险小于千分之一。手术后,83人很高兴自己捐献了血液,77人愿意再次这样做。许多人觉得这改善了他们的手术结果。大多数人感觉安全感增强。83名患者相信加拿大的血液系统有所改善,但17人不确定。
对异体供血安全性的担忧仍然促使人们希望进行自体献血。这一过程给患者一种掌控感和安全感。正如这项2003年研究所确定的,很大一部分人认为加拿大的血液系统有所改善。