Guangzhou Blood Center, Guangzhou, Guangdong, China.
The Key Medical Disciplines and Specialties Program of Guangzhou, Guangzhou, Guangdong, China.
Transfusion. 2020 Nov;60(11):2597-2610. doi: 10.1111/trf.15971. Epub 2020 Aug 7.
The coronavirus disease 2019 (COVID-19) epidemic affected blood collection in Guangzhou, China.
This paper includes three studies. The observational study reported the trends of blood collection during the epidemic in Guangzhou, China. The cross-sectional survey investigated factors influencing blood donation during the COVID-19 epidemic, and a self-administered questionnaire was given to 1584 street whole blood donors (SWBDs) who donated during the epidemic. The randomized controlled trial involved 19 491 SWBDs who donated in 2019 but did not donate during the epidemic. Trial participants were randomly assigned to two intervention groups: Group 1 completed Questionnaire 1, which contained precautionary measures in response to COVID-19 and other messages about blood donation during the epidemic; Group 2 completed Questionnaire 2, which did not include this information. A control group did not receive any questionnaire.
As measures were implemented, the number of blood donors increased accordingly. Both first-time and repeat SWBDs perceived the same level of blood need and donated blood because it would save lives. SWBDs who completed Questionnaire 1 expressed a greater intention to donate during the epidemic. Enabling blood donors to perceive a higher level of blood need and a lower level of COVID-19 infection risk related to blood donation mobilized experienced SWBDs to donate within 3 weeks. Intention-to-treat analyses and average-treatment-effect-on-the-treated estimations confirmed that Questionnaire 1 could motivate SWBDs to actually donate blood.
Various measures could ease blood shortage during the COVID-19 epidemic. Administration of Questionnaire 1 could increase blood donations during the epidemic.
2019 年冠状病毒病(COVID-19)疫情影响了中国广州的采血工作。
本文包括三项研究。观察性研究报告了中国广州疫情期间采血趋势。横断面调查研究了 COVID-19 期间献血的影响因素,对在疫情期间献血的 1584 名街头全血献血者(SWBD)进行了问卷调查。随机对照试验涉及 19491 名 2019 年献血但未在疫情期间献血的 SWBD。试验参与者被随机分配到两个干预组:第 1 组完成问卷 1,其中包含针对 COVID-19 的预防措施和疫情期间献血的其他信息;第 2 组完成不包含这些信息的问卷 2。对照组不接受任何问卷。
随着措施的实施,献血人数相应增加。首次和重复献血的 SWBD 都认为同样程度的血液需求,并献血,因为这可以拯救生命。完成问卷 1 的 SWBD 表示在疫情期间更有献血意愿。使献血者感知到更高水平的血液需求和更低水平的与献血相关的 COVID-19 感染风险,动员有经验的 SWBD 在 3 周内献血。意向性治疗分析和平均治疗效果估计证实,问卷 1 可以激励 SWBD 实际献血。
各种措施可以缓解 COVID-19 疫情期间的血液短缺。实施问卷 1 可以增加疫情期间的献血量。