revbrashematolhemoter.2015;37(6):369–370
w w w . r b h h . o r g
Revista
Brasileira
de
Hematologia
e
Hemoterapia
Brazilian
Journal
of
Hematology
and
Hemotherapy
Scientific
Comment
Scientific
comment
on
health-related
quality
of
life
among
blood
donors
with
hepatitis
B
and
hepatitis
C:
longitudinal
study
before
and
after
diagnosis?
夽
Simone
Cristina
Olenscki
Gilli
CentrodeHematologiaeHemoterapia(HEMOCENTRO),UniversidadeEstadualdeCampinas(UNICAMP),Campinas,SP,Brazil
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Articlehistory:
Received2September2015 Accepted2September2015 Availableonline9October2015
Theblood donationprocessismuchmorecomplexthan is generallyimaginedand doesnotendwiththedepartureof thedonorfromthedonationcenter;theprocesstranscends farbeyondthat.Withoutbeingawareofthefact,thedonor maydepartwithamemorythattheexperiencewasorwas notsatisfactory whichmay last forseveralyears afterand we cannot forget that a positive donation experience has beenrecognized asthemajordeterminantofdonorreturn behavior.Accordingly,donorsshouldbemanaged inaway thatensureshighstandardsofcareandassuresthemofthe concernofthe blood transfusion staff fortheir healthand well-being.
Thedonationexperienceshouldalwaysbepleasurablefor severalreasons: notonlyistheact oneofaltruism,which alwaysbringsasenseofsatisfaction,butbydonatingthe indi-vidualbecomesanactivememberofthecommunityinwhich heor sheisinserted,enablingthemtoparticipate,atleast indirectly,inpromotingthehealthofthecommunity.
DOIoforiginalarticle:http://dx.doi.org/10.1016/j.bjhh.2015.08.004.
夽
SeepaperbyFerreiraetal.onpages381–7.
Correspondingauthorat:UniversidadeEstadualdeCampinas(UNICAMP),FaculdadedeCiênciasMédicas,RuaCarlosChagas,480,Barão Geraldo,13083-970Campinas,SP,Brazil.
E-mailaddress:[email protected]
Nevertheless,whatisexpectedisoftendifferenttowhat happens;let usthinkwhy. Thewordatthis pointis infor-mation.Informationinblooddonationcomprisesanumber ofstages.Beforethedonation,thedonorisinformed about theprocedureshe/shewillundergo,followedbythe counsel-ingphaseduringwhichtheinterviewemphasizesthemedical history,healthandriskofinfectionsthatcouldbetransmitted throughtransfusion,endingwithcounselingaftertheblood donationandtestingofdonatedbloodforbloodgroupserology andinfectionmarkers.1Theaimsofthesestagesare numer-ousbutincludeimprovingdonorawarenessandtrustinthe blood transfusion service, encouragement toadhereto the donorselectioncriteria,duringwhichtheindividual’s suitabil-itytodonatebloodiscarefullyassessedandthecounseling ofdonorswhohaveuncommonredcellserology,rareblood groupsorabnormaltransfusion-transmissibleinfections.All oftheseareanessentialpartofthequalityofthedonation serviceanddonorcare.
http://dx.doi.org/10.1016/j.bjhh.2015.09.002
370
revbrashematolhemoter.2015;37(6):369–370When donors are found to beinfected, they should be notified oftheir infection status, counseled, deferred from blooddonationandreferredfortreatment,careandsupport.2 Counselingafterdonationshouldalwaysbeconductedina safe and conducive environment that protects the donor’s confidentialityusingalanguagefamiliartothedonorandin aculturallysensitivemanner.
Becauseofthestigmaanddiscriminationthatmayarise from having a positive transfusion-transmissible infection testresult,itisvitalthatbloodtransfusionservicestaff under-standthatanysensitiveinformationgivenbydonorsmustbe keptstrictlyconfidentialatalltimes.
Thepsychologicalimpact ofapositive serologicalresult followingblooddonationbydonorswho,untilthatmoment, perceivedthemselvestobehealthyismixedand mayvary from a need for care, support and access to treatment to depression,blameandlossofqualityoflife.Previous iden-tification ofthe possibilitiesand theuse ofinstruments to minimizethenegativeimpactofthisinformationonblood donorswould increasethe health-relatedquality of lifeof blooddonors,andwouldrenderthedonationprocessmore complete,humaneandsatisfactory.
In this issue of the Revista Brasileira de Hematologia e Hemoterapia, Ferreira et al. evaluate the impact of the
notificationoftestresultsforhepatitisBandhepatitisCon thequalityoflifeofblooddonors.3
Conflicts
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interest
Theauthordeclaresnoconflictsofinterest.
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1.WHOGuidelinesApprovedbytheGuidelinesReview Committee.Blooddonorcounselling:implementation guidelines.Geneva:WorldHealthOrganization;2014.Available from:http://www.who.int/bloodsafety/voluntarydonation/
Blooddonorcounselling.pdf[cited02.09.15].
2.Brasil.MinistériodaSaúdeRedefineoregulamentotécnicode procedimentoshemoterápicos.[cited2015September02] PortariaN◦2.712,de12denovembrode2013.Availablefrom:
http://www.jusbrasil.com.br/diarios/61650953/dou-secao-1-13-11-2013-pg-106.
3.FerreiraFB,Almeida-NetoC,TeixeiraMC,StraussE.
Health-relatedqualityoflifeamongblooddonorswith
hepatitisBandhepatitisC:longitudinalstudybeforeandafter
