Correlation between heart rate variability and psychological evaluation before blood donation
10.13303/j.cjbt.issn.1004549x.2024.03.012
- VernacularTitle:心率变异性与献血前心理评估的相关性研究
- Author:
Luchuan WEI
1
;
Yong WANG
2
;
Xingnian CHEN
1
;
Dong YANG
1
;
Yun XIANG
3
;
Weizheng GUAN
4
;
Bo SHI
4
;
Tian TIAN
5
;
Shenglan WANG
1
Author Information
1. Liangshan Yi Autonomous Prefecture Central Blood Station, Xichang 615000, China
2. Guangyuan Central Blood Station
3. Department of Psychiatry, Hospital of University of Electronic Science and Technology of China
4. School of Medical Imaging, Bengbu Medical University
5. Sichuan Health Development Research Center
- Publication Type:Journal Article
- Keywords:
adverse reaction to blood donation;
anxiety;
heart rate variability(HRV);
donation related vasovagal reaction(DRVR);
haemovigilance
- From:
Chinese Journal of Blood Transfusion
2024;37(3):331-337
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To investigate the correlation between heart rate variability (HRV) and the degree of nervousness 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-donation 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 vasovagal reaction (DRVR), preventing and reducing the risk of DRVR, and improving the safety of blood donation.
