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...

Full description

Bibliographic Details
Main Authors: Reiko Nihonyanagi, MSN, Keiko Tsukasaki, DSN, Tomoya Itatani, PhD, Hisao Nakai, PhD, Daisuke Toda, PhD
Format: Article
Language:English
Published: Wolters Kluwer 2022-06-01
Series:Medicine
Online Access:http://journals.lww.com/10.1097/MD.0000000000029288
_version_ 1811333038140817408
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
work_keys_str_mv AT reikonihonyanagimsn factorsrelatedtopreparednessforemergencyhemodialysisintheeventofanaturaldisaster
AT keikotsukasakidsn factorsrelatedtopreparednessforemergencyhemodialysisintheeventofanaturaldisaster
AT tomoyaitataniphd factorsrelatedtopreparednessforemergencyhemodialysisintheeventofanaturaldisaster
AT hisaonakaiphd factorsrelatedtopreparednessforemergencyhemodialysisintheeventofanaturaldisaster
AT daisuketodaphd factorsrelatedtopreparednessforemergencyhemodialysisintheeventofanaturaldisaster