Factors related to preparedness for emergency hemodialysis in the event of a natural disaster.
Factors related to preparedness for emergency hemodialysis in the event of a natural disaster.
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DOI：
10.1097/md.0000000000029288
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发表时间：
2022-06-17
期刊：
影响因子：
1.6
通讯作者：
Toda D
中科院分区：
文献类型：
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作者：
Nihonyanagi R;Tsukasaki K;Itatani T;Nakai H;Toda D
本研究旨在探讨在自然灾害发生时，患者对紧急血液透析的准备情况，并确定影响这种准备的因素。在北海道的札幌透析机构进行了一项横断面研究。参与者是256名年龄在20岁或以上的门诊患者，其中186名（72.7%）为男性，平均年龄为61.9 ± 10.9岁。 参与者被分为那些准备好接受紧急透析治疗的人和那些没有准备好的人。使用以下参与者属性对2组进行交叉制表：灾难期间透析准备，灾难期间如何保护自己的知识，以及灾难期间透析和疏散的意图，然后进行二项式逻辑回归分析。在256例研究患者中，184例（71.9%）未准备透析治疗。在逻辑回归模型中，没有做好透析治疗准备的患者被发现有更高的就业几率（比值比（OR）：2.469; 95%置信区间（CI）：1.205-5.058），不了解发生灾害时的灾害信息获取方法（OR：4.580，95%; CI：2.048-10.241），未收到透析机构工作人员关于适当灾难响应的解释（OR：2.557，95%CI：1.319-4.954），认为远离家乡的家人不会关心自己（OR：2.021，95%CI：1.062-3.847）。接受透析的病人的备灾工作仍然不足。透析设施需要加强对灾害应对的解释，特别是对工作的中年人。
This study aimed to explore patients’ preparedness for emergency hemodialysis in the event of a natural disaster and to determine the factors affecting such preparedness. A cross-sectional study was conducted in undergoing hemodialysis at dialysis facilities in Sapporo, Hokkaido. The participants were a cohort of 256 outpatients aged 20 years or older, 186 (72.7%) were male, and the average age was 61.9 ± 10.9 years. The participants were divided into those who had prepared for emergency dialysis treatment and those who had not. Cross tabulations were performed on the 2 groups using the following participant attributes: preparedness for dialysis during a disaster, knowledge of how to protect themselves during a disaster, and intention to dialyze and evacuate during a disaster, followed by binomial logistic regression analysis. Of the 256 study patients, 184 (71.9%) were not prepared for dialysis treatment. In logistic regression models, patients who were not prepared for dialysis treatment were found to have higher odds of being employed (odds ratio (OR): 2.469; 95% confidence interval (CI): 1.205-5.058), not being aware of disaster information acquisition methods in the event of a disaster (OR: 4.580, 95%; CI: 2.048-10.241), did not receive explanations on proper disaster response from dialysis facility staff (OR: 2.557, 95%; CI: 1.319-4.954), and believing that their family away from home would not be concerned about them (OR: 2.021; 95% CI: 1.062-3.847). Disaster preparedness in patients undergoing dialysis remain inadequate. Dialysis facilities need to strengthen their explanations of disaster response, particularly with regard to working, middle-aged people.