Providing shelter to nursing home evacuees in disasters: Lessons from Hurricane Katrina
Providing shelter to nursing home evacuees in disasters: Lessons from Hurricane Katrina
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DOI：
10.2105/ajph.2006.107748
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发表时间：
2008-07-01
影响因子：
12.7
通讯作者：
Richter, Jane V. E.
中科院分区：
文献类型：
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作者：
Laditka, Sarah B.;Laditka, James N.;Richter, Jane V. E.
目标。我们通过研究为卡特里娜飓风疏散人员提供庇护的疗养院的经验，研究了疗养院的准备需求。方法。卡特里娜飓风发生五周后，以及 15 周后，我们再次采访了 4 个州的 14 家疗养院的管理人员，这些疗养院收容了 458 名撤离者。卡特里娜飓风发生九周后，我们对 4 家疗养院进行了实地考察，采访了 4 名管理人员和 38 名工作人员。我们使用扎根理论分析来确定主要主题，并使用主题分析来组织内容。结果。尽管大多数庇护设施都为紧急分诊和治疗做好了充分准备，但我们发现了一些重大的准备不足。疗养院没有被纳入社区规划，也没有被认定为社区卫生保健资源。物资和药品不足，从疗养院疏散到庇护疗养院所提供的有关疏散人员的沟通和信息也不足。 5 个月后，居民和工作人员有明显的心理健康相关需求，保持足够的人员配备是一个挑战。结论。疗养院应制定并实施灾难后庇护和长期获得心理健康服务的程序。疗养院应纳入社区灾害规划，并被归类为与医院类似的紧急优先类别。
Objectives. We examined nursing home preparedness needs by studying the experiences of nursing homes that sheltered evacuees from Hurricane Katrina.Methods. Five weeks after Hurricane Katrina, and again 15 weeks later, we conducted interviews with administrators of 14 nursing homes that sheltered 458 evacuees in 4 states. Nine weeks after Katrina, we conducted site visits to 4 nursing homes and interviewed 4 administrators and 38 staff members. We used grounded theory analysis to identify major themes and thematic analysis to organize content.Results. Although most sheltering facilities were well prepared for emergency triage and treatment, we identified some major preparedness shortcomings. Nursing homes were not included in community planning or recognized as community health care resources. Supplies and medications were inadequate, and there was insufficient communication and information about evacuees provided by evacuating nursing homes to sheltering nursing homes. Residents and staff had notable mental health-related needs after 5 months, and maintaining adequate staffing was a challenge.Conclusions. Nursing homes should develop and practice procedures to shelter and provide long-term access to mental health services following a disaster. Nursing homes should be integrated into community disaster planning and be classified in an emergency priority category similar to hospitals.