Effect of Vibration on the Quality of Blood Transfusion in Whole Blood

Blood transfusion service is a health service effort that includes planning, mobilizing, and maintaining blood donors, supplying blood, distributing blood, and medical acts of giving blood to patients to cure diseases and restore health. Blood for transfusion is transported to the hospital using a cooler box without any equipment. This condition is very likely to reduce blood quality during the transportation process due to vibration during transportation. Indications of damage can be seen in changes in the color of blood plasma. The type of research used in this study was a quasi-experimental design with a pretest-posttest with the control group. This study was divided into 3 groups: Group 1, initial observation without treatment, and final observation in groups 2 and 3. Inclusion criteria were: The age range of 17 to 25 years old, the minimum body weight of 45 kilograms, the minimum HB of 12.5 gr/dl, systolic blood pressure of 110–160 mmHg and diastolic 70–90 mmHg, not currently taking medication within three days, and women not menstruating, pregnant, or breastfeeding. Examination of hemoglobin and erythrocytes was done using a hematology analyzer and LDH examination using spectrophotometry. The results showed that the number of erythrocytes after treatment (posttest) was different according to the treatment group (p = 0.042). Treatment in the 5 Hz vibration group reduced the lowest erythrocyte levels, namely to 4,220,000 /mm3, compared to the control group and 10 Hz vibration. Hemoglobin levels after treatment (posttest) differed according to the treatment group (p = 0.015); treatment at 10 Hz vibration reduced the lowest hemoglobin level, namely 10.77 g/dL, compared to the control group and the 5 Hz vibration group. LDH levels after treatment (posttest) differed according to the treatment group (p = 0.000).