Chinese University of Hong Kong, School of Public Health and Primary Care, Prince of Wales Hospital, Shatin, New Territories, Hong Kong.
Eur J Emerg Med. 2011 Apr;18(2):111-4. doi: 10.1097/MEJ.0b013e32833dba19.
Few studies have focused on chronic health needs immediately after natural disasters in middle-income countries. This study examines chronic medical needs during the acute phase after the 2008 Sichuan earthquake. A descriptive, cross-sectional study was conducted in an emergency triage clinic in Sichuan, China. Information on physical, social, and public health preparedness was collected in predesigned templates. Descriptive and Pearson's χ association analyses were conducted. One hundred and eighty-two evacuees were received at the triage site. Of these, 54% required trauma treatment and 77% of evacuated patients who required care had underlying chronic medical conditions. Tetanus immunizations and the possession of chronic health medication were low, particularly among older patients. Chronic health needs constituted a significant proportion of emergency care during the acute phase in the study population. Effective post-disaster assistance requires attention to demographic and epidemiological population profiles.
鲜有研究关注中等收入国家自然灾害后的慢性健康需求。本研究调查了 2008 年四川地震后急性阶段的慢性医疗需求。在中国四川的一个紧急分诊诊所进行了描述性、横断面研究。使用预设模板收集了身体、社会和公共卫生准备方面的信息。进行了描述性和 Pearson χ 关联分析。有 182 名灾民在分诊点接受治疗。其中,54%需要创伤治疗,77%需要护理的疏散患者有潜在的慢性医疗状况。破伤风免疫和慢性健康药物的使用情况较低,尤其是在老年患者中。在研究人群中,慢性健康需求在急性阶段构成了紧急护理的重要组成部分。有效的灾后援助需要关注人口的人口统计学和流行病学特征。