Emergency and disaster preparedness for chronically ill patients: a review of recommendations.

Emergency and disaster preparedness for chronically ill patients: a review of recommendations.
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DOI:
10.2147/oaem.s48532
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发表时间:
2014
期刊:
Open access emergency medicine : OAEM
影响因子:
--
通讯作者:
Sato H
Sato H
中科院分区:
其他
文献类型:
--
作者:
Tomio J;Sato H

文献摘要

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最近发生的灾害,特别是发生在发达国家的灾害,突出了慢性病备灾措施的重要性。一些幸存的患者由于与灾害有关的压力、护理中断或两者兼而有之,经历了慢性疾病的恶化,如高血压、糖尿病、癌症和慢性呼吸道疾病;对一些病人来说,这些恶化导致了死亡。在这里,我们回顾了发达国家最近的灾害报告,并总结了慢性病患者备灾的建议。根据从最近的灾害中吸取的教训,已经制定了相当多的建议,这些建议提供了实际和必要的步骤,以防止在灾害期间和之后中断治疗。为了提高防范工作,我们建议卫生保健提供者应注意以下三点建议:1)建议应以证据为基础;2)建议应包含一致的信息;建议应该是可行的。
Recent disasters, especially those in developed countries, have highlighted the importance of disaster preparedness measures for chronic diseases. A number of surviving patients experienced the exacerbation of a chronic illness, such as hypertension, diabetes, cancer, and chronic respiratory diseases, due to disaster-related stress, interruption of care, or both; for some patients, these exacerbations resulted in death. Here, we review reports from recent disasters in developed countries and summarize the recommendations for disaster preparedness of chronically ill patients. A considerable number of recommendations based on the lessons learned from recent disasters have been developed, and they provide practical and essential steps to prevent treatment interruption during and after a disaster. To improve preparedness efforts, we suggest that health care providers should be aware of the following three suggestions: 1) recommendations should be evidence-based; 2) recommendations should contain consistent messages; and 3) recommendations should be feasible.