Gorji Hasan Abolghasem, Jafari Hamid, Heidari Mohammad, Seifi Bahar
School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran. Email:
Asian Pac J Cancer Prev. 2018 Oct 26;19(10):2695-2700. doi: 10.22034/APJCP.2018.19.10.2695.
Background: Disasters affect all social functions. In particular, hospitals must mobilize their resources for response to mass injuries. This process can affected treatment of cancer patients and may resulted in delayed care. Considering the importance of continuity of care for cancer patients, the aim of this systematic review was to identify challenges and preparedness measures for cancer patients during and after disasters. Materials and Methods: This systematic review that was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines between January 2000 to December 2017. The keywords searched included: “disaster,” “emergency,” “crisis,” “disruptive event,” “technological disaster,” “natural disaster,” “cancer,” “cancer patient,” “chronic disease,” “continuity of care,” and “patient with chronic disease. “The Google Scholar, ISI Web of Science, Science Direct, PubMed and Scopus databases were searched. Results: After screening and review of article eligibility, seven were included in the study. The selected articles were compared from several aspects. The results showed that most publications concerned all of the chronic diseases or all types of cancers. In addition breast cancer appeared a field of interest in disaster studies. Cancer studies in disaster management usually concentrated less on technological disasters. Conclusion: In aftermath of disasters, the concentration on measures to provide services for injuries and food, water and shelter, results in many challenges for cancer patients. Thus the health system must prepare cancer patients and caregivers for better responses to disasters. In addition, surge capacity must be considered in hospitals and other medical facilities to guarantee continuity of care.
灾害会影响所有社会功能。尤其是医院必须调动资源应对大规模伤亡情况。这一过程可能会影响癌症患者的治疗，并可能导致护理延迟。考虑到癌症患者连续护理的重要性，本系统评价的目的是确定灾害期间及灾后癌症患者面临的挑战和应对措施。材料与方法：本系统评价依据系统评价与Meta分析的首选报告项目（PRISMA）指南，于2000年1月至2017年12月进行。检索的关键词包括：“灾害”、“紧急情况”、“危机”、“破坏事件”、“技术灾害”、“自然灾害”、“癌症”、“癌症患者”、“慢性病”、“连续护理”以及“慢性病患者”。检索了谷歌学术、ISI科学网、科学Direct、PubMed和Scopus数据库。结果：在筛选并审查文章的合格性后，7篇文章被纳入研究。从几个方面对所选文章进行了比较。结果表明，大多数出版物涉及所有慢性病或所有癌症类型。此外，乳腺癌在灾害研究中是一个受关注的领域。灾害管理中的癌症研究通常较少关注技术灾害。结论：在灾害过后，专注于为受伤人员以及提供食物、水和住所的措施，给癌症患者带来了许多挑战。因此，卫生系统必须让癌症患者及其护理人员做好准备，以便更好地应对灾害。此外，医院和其他医疗设施必须考虑扩充能力，以确保护理的连续性。
