Sharief Shimi, Freitas Daniel, Adey Deborah, Wiley James
Clin Nephrol. 2018 Apr;89(4):241-248. doi: 10.5414/CN109280.
Few quantitative assessments have assessed disaster preparation in kidney transplant patients. This is a survey-based assessment of disaster preparedness of 200 patients at the University of California San Francisco, USA.
Patients answered questionnaires assessing their level of preparedness as well as barriers to preparation. Preparedness was scored based on response to 7 questions. Univariate analyses compared participant characteristics extracted from the medical chart against three tertiles of preparedness: low (scores 0 - 2), medium (scores 3 - 4), and high (scores 5 - 7). California counties were coded and mapped by average preparedness scores.
Only 30% of patients were highly prepared for disasters. Participants were prepared with available medication for 2 weeks (78.5%) and least prepared in having a medical ID bracelet (13%). Significant minorities of patients (40% of patients or more) were unprepared with lists of medications, important phone numbers and disaster kits. Preparedness was not associated with demographic and clinical characteristics. Monterey County was the most prepared of the 31 California counties sampled (score of 4.25 out of 7).
CONCLUSION: All patients should be educated regarding disaster preparation. County and medical services should collaborate to address specialized populations in general preparedness planning. .
很少有定量评估对肾移植患者的灾难准备情况进行过评估。这是一项基于问卷调查的对美国加利福尼亚大学旧金山分校200名患者灾难准备情况的评估。
患者回答了评估其准备水平以及准备障碍的问卷。根据对7个问题的回答对准备情况进行评分。单因素分析将从病历中提取的参与者特征与准备情况的三个三分位数进行比较：低（得分0 - 2）、中（得分3 - 4）和高（得分5 - 7）。加利福尼亚各县按平均准备得分进行编码和绘图。
只有30%的患者对灾难有充分准备。参与者准备了可供2周使用的药物（78.5%），而在佩戴医疗身份识别手环方面准备最不足（13%）。相当一部分患者（40%或更多）在准备药物清单、重要电话号码和灾难应急包方面没有做好准备。准备情况与人口统计学和临床特征无关。蒙特雷县是抽样的31个加利福尼亚县中准备最充分的（7分制下得分为4.25）。
应向所有患者进行灾难准备方面的教育。县和医疗服务机构应合作，在总体准备计划中关注特殊人群。
