Shimamura Norihito, Munakata Akira, Ohkuma Hiroki
Department of Neurosurgery, Hirosaki University Graduate School of Medicine, Japan.
No Shinkei Geka. 2012 Sep;40(9):759-64.
All people in Japan have been affected significantly by the great earthquake in east Japan. We surveyed the care for patients with disturbed consciousness during the disaster, and report the results and lessons learned to prepare for the future. We sent questionnaires about the management strategy for the patients to 17 centers that had reported at the Japan Coma Society meeting in July 2011. Fifteen centers (88%) replied to the questionnaire. Collective results include the following: (1)Disaster strategy manuals exist in 87% of the institutions. (2)Forty-six percent of the manuals have been made during the last 5 years. (3)Manuals, which had been helpful during previous disasters, were effectively used in training for behavioral assessment. (4)Doctors, nurses and facilities management participated in the creation of the manual. (5)There was no tendency for stocking consumable goods. (6)A system for providing needed electricity and fuel during a disaster situation was consistently present. (7)Self-generating electrical power could be continuously provided within 24 hours in 29% of institutions. (8)Provision of batteries to home-care patients was available only in 13% of the institutions. Many institutions had disaster strategy manuals that had been created before the earthquake and these were effectively utilized. Stock control and self-generating emergency power need to be planned for future disaster response. Disaster response for those needing home care is difficult to provide over a long period.
东日本大地震对所有日本人都产生了重大影响。我们调查了灾难期间对意识障碍患者的护理情况,并报告结果及汲取的经验教训,为未来做准备。我们向在2011年7月日本昏迷学会会议上报告过情况的17个中心发送了关于患者管理策略的调查问卷。15个中心(88%)回复了问卷。汇总结果如下:(1)87%的机构有灾难应对策略手册。(2)46%的手册是在过去5年内制定的。(3)在以往灾难中有用的手册被有效用于行为评估培训。(4)医生、护士和设施管理人员参与了手册的编写。(5)不存在储备消耗品的倾向。(6)在灾难情况下持续存在提供所需电力和燃料的系统。(7)29%的机构能够在24小时内持续提供自备电力。(8)只有13%的机构能为居家护理患者提供电池。许多机构有在地震前编写的灾难应对策略手册,且这些手册得到了有效利用。未来应对灾难需要规划库存管理和自备应急电源。为长期需要居家护理的人群提供灾难应对措施存在困难。