中国输血杂志2024，Vol.37Issue(3)：331-337,7.DOI:10.13303/j.cjbt.issn.1004-549x.2024.03.012
心率变异性与献血前心理评估的相关性研究
Correlation between heart rate variability and psychological evaluation before blood donation
摘要
Abstract
Objective To investigate the correlation between heart rate variability(HRV)and the degree of nervous-ness before blood donation.Methods The psychological state of 253 blood donors before blood donation was assessed by the self-rating anxiety scale(SAS)and the degree of nervousness and their HRV were measured.The correlation between the SAS score,the degree of nervousness and the HRV parameters was analyzed,and the differences were compared among different types of donors by multivariate linear regression.Results A total of 247 blood donors were included in the study.Five HRV parameters in blood donors aged 18-24 were higher than in those aged 25 years and above(all P<0.05),and the anxiety level was higher in female donors(SAS score 41-46)than in males(SAS score 35-43)(P<0.001);the pre-dona-tion SAS score was consistent with the assessment of the tension level(r=0.970,P<0.001);the pre-donation tension level and the SAS score were all significantly negatively correlated with VLF in HRV parameters(r=0.179,P=0.005),and the associations were independent of confounders such as age,body mass index and gender(P<0.05).Conclusion Compared with SAS and tension assessment,HRV is more objective,and can be used as one of the tests for assessing the tension level of blood donors.The inclusion of HRV in the routine screening of blood donors deserves further study for its application in assessing the anxiety level of blood donors before blood donation,identifying people prone to blood donation-related vasova-gal reaction(DRVR),preventing and reducing the risk of DRVR,and improving the safety of blood donation.关键词
献血不良反应/焦虑/心率变异性/献血相关迷走神经反应/血液安全预警/监测Key words
adverse reaction to blood donation/anxiety/heart rate variability(HRV)/donation related vasovagal reac-tion(DRVR)/haemovigilance分类
医药卫生引用本文复制引用
魏禄川,王永,陈星年,杨冬,向云,关炜峥,石波,田甜,王胜蓝..心率变异性与献血前心理评估的相关性研究[J].中国输血杂志,2024,37(3):331-337,7.基金项目
四川省凉山州技术研究开发与推广应用重点研发项目(No.21ZDYF0134) （No.21ZDYF0134）
四川省民族地区医学重点专科(实验室)建设项目(20120108) （实验室）
