Abstract：
In recognition of the impact of whole-blood donation on body iron stores, there has been an increased focus assessing the efficacy of strategies to minimise the risk of iron deficiency (ID). Whilst donor behaviour is an important determinant of success, this literature is yet to be fully synthesised to help guide blood collection agencies when implementing these strategies into routine practice. This rapid review identifies strategies for management of low iron, how they have been communicated to donors, donor compliance with advice, donor use of external health services and their effect on donor retention. Web of Science, Medline, CINAHL and Wiley online library databases were searched from 2012 to November 2023, with 29 studies meeting inclusion criteria. Five iron management strategies were identified: oral iron supplementation (IS), education, dietary advice, lengthening inter-donation interval and switching donation type. Most studies (n = 16) focused on IS, with only four reporting how they communicated this to donors. Donor use of IS was high in controlled research environments but has not been evaluated when implemented into routine practice. None of the four studies on dietary advice included findings on donor acceptability. The proportion of donors consulting their doctor about a low iron result or their risk of ID was found to be suboptimal. However, in general, the identified strategies and communications had a positive effect on donor retention. More evidence is needed on how to increase donor knowledge and awareness of donation-related risk of ID as well as to identify how to effectively communicate strategies to donors to ensure optimal acceptability and use.
摘要：
认识到全血捐献对人体铁储备的影响，评估降低缺铁风险(ID)的策略的有效性越来越受到关注.虽然捐赠者的行为是成功的重要决定因素，这些文献尚未得到充分的综合，以帮助指导采血机构将这些策略应用于常规实践。这项快速审查确定了低铁管理的策略，如何将它们传达给捐助者，捐助者遵守建议，捐赠者对外部卫生服务的使用及其对捐赠者保留的影响。WebofScience,Medline,从2012年至2023年11月，搜索了CINAHL和Wiley在线图书馆数据库，其中29项研究符合纳入标准。确定了五种铁管理策略：口服铁补充剂(IS)，教育,饮食建议，延长捐赠间隔，转换捐赠类型。大多数研究(n=16)集中在IS上，只有四个人报告了他们如何将其传达给捐助者。在受控的研究环境中，捐助者对IS的使用很高，但在实施常规实践时尚未进行评估。关于饮食建议的四项研究均未包括有关供体可接受性的发现。向医生咨询低铁结果或ID风险的捐赠者比例被发现是次优的。然而,总的来说,确定的策略和沟通对保留捐赠者有积极影响.需要更多的证据来说明如何增加捐赠者对捐赠相关ID风险的了解和认识，以及如何有效地向捐赠者传达策略，以确保最佳的可接受性和使用。
