Disaster Evacuation for Home-Based Patients with Special Healthcare Needs: A Cross-Sectional Study.

Disaster Evacuation for Home-Based Patients with Special Healthcare Needs: A Cross-Sectional Study.
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DOI:
10.3390/ijerph192215356
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发表时间:
2022-11-21
影响因子:
--
通讯作者:
Miyagi, Yumiko
Miyagi, Yumiko
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Matsumoto, Yukari;Nakai, Hisao;Koga, Yumi;Hasegawa, Tamayo;Miyagi, Yumiko

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最近全球变暖引发的超强台风和暴雨对日本的医疗弱势群体造成了不成比例的巨大影响。本研究旨在确定接受家庭医疗护理的儿科患者的家庭护理人员与疏散到最近的公共避难所的意愿相关的因素。该研究包括来自日本福冈大学医院儿科的这些患者的家庭护理人员,其中包括有特殊医疗需求的年轻人的家庭护理人员。根据之前的研究准备了一份原始调查问卷,并用于访谈调查。总体而言,57 人提供了有效数据并被纳入分析。与疏散意愿相关的因素是不使用家用呼吸机(比值比 [OR] 3.99,95% 置信区间 [CI]:1.13–14.03)和未安排使用非公共避难所(OR 7.29 95% CI:1.62–32.88)。这意味着那些使用机械通风或已找到其他地方可去的人如果需要撤离家园,可能不会在灾难中使用最近的公共避难所。我们建议政策制定者在考虑为这些患者做好防灾准备时,考虑使用机械通风和非公共避难所的可用性作为疏散行为的预测因素。
Recent super-typhoons and torrential rains triggered by global warming have had disproportionately large effects on medically vulnerable people in Japan. This study aimed to identify factors associated with intention to evacuate to the nearest public shelter among family caregivers of pediatric patients receiving home medical care. The study included family caregivers of these patients from the Department of Pediatrics, Fukuoka University Hospital, Japan, including family caregivers of young adults with special healthcare needs. An original questionnaire was prepared drawing on previous studies and used for an interview survey. Overall, 57 individuals provided valid data and were included in the analysis. Factors associated with evacuation intention were non-use of a home ventilator (odds ratio [OR] 3.99, 95% confidence interval [CI]: 1.13–14.03) and not having made arrangements to use a non-public shelter (OR 7.29 95% CI: 1.62–32.88). This means that those who use mechanical ventilation or have secured alternative places to go if they need to evacuate their homes may not use the nearest public shelter in a disaster. We recommend that policy makers consider the use of mechanical ventilation and the availability of non-public shelters as predictors of evacuation behavior when considering disaster preparedness for these patients.
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