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中等收入国家自然灾害后即刻存在的慢性健康需求:以 2008 年中国四川地震为例。

Chronic health needs immediately after natural disasters in middle-income countries: the case of the 2008 Sichuan, China earthquake.

机构信息

Chinese University of Hong Kong, School of Public Health and Primary Care, Prince of Wales Hospital, Shatin, New Territories, Hong Kong.

出版信息

Eur J Emerg Med. 2011 Apr;18(2):111-4. doi: 10.1097/MEJ.0b013e32833dba19.

Abstract

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.

摘要

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。

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