| Research Background:With the official promulgation of "Blood Donation Law of People’s Republic of China," in 1998,blood donation in China has been steady developed. However, due to the rapid development of medical and health services, clinical blood demand increased rapidly, coupled with so much public’s misunderstanding and miscarriage of justice of the concept of voluntary blood donation, resulting that the contradiction between blood supply and demand have become increasingly prominent, the difficulties of the blood supply is spreading and expanding in the whole country.At first, it is locality, seasonal, structural; and now it is broad and sustainable. Especially in some bigger cities, the contradiction between blood supply and demand are more prominent. And more and more people worried that it has already becoming normalization and common. Considering how to ensure that the needs of blood for clinical use, how to ensure that the lives of the masses receive timely and effective treatment, It is not only the health system itself need to solve the urgent needs, but also involves the vital interests of the entire community. Increasing voluntary blood donors to ensure the clinical blood supply has become a necessity for the whole problem. On the other hand, although blood transfusion is an important means of saving lives, but also the risk of blood-borne diseases do exist. According to testing the blood donors’blood, the blood-borne diseases can be screened. So that the basic blood transfusion safety can be assured. How to recruit low-risk donors more effectively, and how to reduce blood scrap and waste generated by failed blood test, has become an important issue in front of the majority of blood workers.Research purposes:In order to analyze the impacting factors of population distribution of voluntary blood donors in Jinan City, the distribution of the population of blood donation in Jinan City is described.Meanwhile, volunteer blood donors of the blood test in Jinan City is also described, so that we can explore various infecting factors of blood donors in Jinan City. Based on the above analysis, we proposed the corresponding countermeasures and suggestions to increase the blood donors and reduce voluntary blood donors blood test failure rate.Materials and Methods:The blood data and blood testing data in Shandong Province Blood Center from 2010 to 2014 are analyzed, the χ2 test statistical methods and a variety of charts are used to analyze blood collection and supply data.1. investigate the gender, age, education, occupation and other groups in Jinan blood donation population distribution.2. Jinan unpaid blood donors testing situation are surveyed, to analyze the blood donors unqualified various factors.Main results:1. From 2010 to 2014 in Jinan City, Shandong Province Blood Center recruited a total of 414,508 unpaid blood donors passengers, among them, men far more than women;most of them are less than30 years of age, students, college education.2. Blood tests overall failure rate of 2.24%.The detection failure rate decreased year after year from 2010 to 2014.3. ALT and HBsAg are the most important factor in blood tests failure. Considering the failure rate between donors gender, age, occupation, education, the difference was statistically significant. The failure rates in female,students and highly educated people are lower.4. Test results showed no significant difference between the sexes donors in anti-HCV testing. Differences in age, occupation, education has statistical significance.30 to age, military and highly educated people have the lowest failure rate. Rapid detection of ALT can jointly reduce the failure rate of anti-HCV.5. The anti-TP test results in blood donors of different gender, age, occupation and education are different. Women failure rates are larger than men. The 40 years old, unpaid blood donors have the highest failure rate. The 30 years of age have the lowest. Comparison of different occupations, occupation as "other" have the highest failure rate, it is 0.48%.Military have the lowest failure rate, it is only 0.06%. Comparison of different qualifications, failure rate decreased with increasing degree of trend.6. Among the confirming positive anti-HIV samples, male are the absolute majority, most college education, up occupation as "other".7. NAT screening positive rate was 0.06% which have an important role to ensure blood safety.Conclusion and Suggestion:There is great potential for the expansion of the scale of voluntary blood donors in Jinan City. It proposed to increase the working capacity and service levels of blood collection agencies, especially the blood of staff. Change the existing family planning policy. Make full use of the popular Internet tools to promote the young blood donation’s will. Strengthen the advocacy to farmers, women, etc. Jinan City has a lower level failure rate of voluntary blood donors in the whole country. Blood donors with different gender, age, occupation, education have different effects on blood test failure rate. We proposed to continue to strengthen unpaid blood donors’ALT, HBsAg and others’rapid detection before blood sampling. To carry out the recall of detection of false positive blood donors and to cooperate with the disease control departments.So that we can reduce blood test failure rate and guarantee the blood safety. |
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