In recent years, the decreasing number of blood donors has been a critical issue, raising concerns about blood shortages in the future. A limited number of studies have examined repeat blood donors. One aspect of their motives for repeat donation examined in this study is the donors' "difficulties in their lives". The results of interviews show that these donors face certain difficulties, especially in regard to educational or occupational attainment, marital status, and social relationships. During the interviews, interviewees said they felt needed when they donated blood, which they realized eased some of their feelings about the difficulties they faced. They felt this especially when they looked at their donation cards, which show the number of donations, or when staff members at blood banks expressed their gratitude. From this study, there are several suggestions for promoting blood donation: communication between donors and staff recording donation frequency on donation cards so that donors can gain a sense of achievement, and distributing awards to donors for repeat donations.
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