Factors related to preparedness for emergency hemodialysis in the event of a natural disaster
Abstract. 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 parti...
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Format: | Article |
Language: | English |
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Wolters Kluwer
2022-06-01
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Series: | Medicine |
Online Access: | http://journals.lww.com/10.1097/MD.0000000000029288 |
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author | Reiko Nihonyanagi, MSN Keiko Tsukasaki, DSN Tomoya Itatani, PhD Hisao Nakai, PhD Daisuke Toda, PhD |
author_facet | Reiko Nihonyanagi, MSN Keiko Tsukasaki, DSN Tomoya Itatani, PhD Hisao Nakai, PhD Daisuke Toda, PhD |
author_sort | Reiko Nihonyanagi, MSN |
collection | DOAJ |
description | Abstract. 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. |
first_indexed | 2024-04-13T16:46:02Z |
format | Article |
id | doaj.art-e5a1185e737f45e9a6440e8ba263356f |
institution | Directory Open Access Journal |
issn | 0025-7974 1536-5964 |
language | English |
last_indexed | 2024-04-13T16:46:02Z |
publishDate | 2022-06-01 |
publisher | Wolters Kluwer |
record_format | Article |
series | Medicine |
spelling | doaj.art-e5a1185e737f45e9a6440e8ba263356f2022-12-22T02:39:04ZengWolters KluwerMedicine0025-79741536-59642022-06-0110124e2928810.1097/MD.0000000000029288202206170-00009Factors related to preparedness for emergency hemodialysis in the event of a natural disasterReiko Nihonyanagi, MSNKeiko Tsukasaki, DSNTomoya Itatani, PhDHisao Nakai, PhDDaisuke Toda, PhDAbstract. 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.http://journals.lww.com/10.1097/MD.0000000000029288 |
spellingShingle | Reiko Nihonyanagi, MSN Keiko Tsukasaki, DSN Tomoya Itatani, PhD Hisao Nakai, PhD Daisuke Toda, PhD Factors related to preparedness for emergency hemodialysis in the event of a natural disaster Medicine |
title | Factors related to preparedness for emergency hemodialysis in the event of a natural disaster |
title_full | Factors related to preparedness for emergency hemodialysis in the event of a natural disaster |
title_fullStr | Factors related to preparedness for emergency hemodialysis in the event of a natural disaster |
title_full_unstemmed | Factors related to preparedness for emergency hemodialysis in the event of a natural disaster |
title_short | Factors related to preparedness for emergency hemodialysis in the event of a natural disaster |
title_sort | factors related to preparedness for emergency hemodialysis in the event of a natural disaster |
url | http://journals.lww.com/10.1097/MD.0000000000029288 |
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