School of Nursing, Kanazawa Medical University, 1-1 Uchinada, Kahoku, 920- 0293, Ishikawa, Japan.
Department of Nursing, Kanazawa Medical University Hospital, 1-1 Uchinada, Kahoku, 920-0293, Ishikawa, Japan.
BMC Cancer. 2024 Aug 10;24(1):990. doi: 10.1186/s12885-024-12760-2.
The study aim was to elucidate the effect of the 2024 Noto Peninsula earthquake on outpatient chemotherapy treatment of cancer survivors at Kanazawa Medical University Hospital (KMUH), Japan.
Medical and nursing records for January 4-31, 2024, from KMUH were retrospectively collected, and data for 286 participants were analyzed.
Of the 286 participants, 95.1% were able to attend their first scheduled appointment. Of the 12 (4.2%) who could not attend because of the earthquake, 7 (58.3%) rescheduled their appointments. A total of 8 participants (2.8%) were unable to attend their second scheduled appointment in January, despite being able to attend their first appointment; 3 (37.5%) of these participants reported that they were unable to attend their appointments because of the effect of the earthquake. Chemotherapy was not administered to 53 (18.5%) participants who did attend, mainly owing to neutropenia, progressive disease, rash, and anemia. Evacuation information was available for 25 participants (8.7%); of these, 8 (28.6%) evacuated to their homes, 7 (25.0%) to public shelters, and 4 (14.3%) to apartments near the hospital. Disaster status information was obtained from 62 participants (21.7%), and indicated experiences such as home damage, water outages, and relying on transportation assistance from family to attend appointments.
Most cancer survivors receiving chemotherapy at KMUH were able to maintain outpatient visits. However, a few could not attend because of the earthquake. Further studies are needed to provide more detailed information on the effect of disasters on cancer survivors and the potential factors underlying non-attendance at medical appointments.
本研究旨在阐明 2024 年能登半岛地震对日本金泽医科大学医院（KMUH）癌症幸存者门诊化疗治疗的影响。
回顾性收集 2024 年 1 月 4 日至 31 日 KMUH 的医疗和护理记录，并对 286 名参与者的数据进行分析。
在 286 名参与者中，95.1%能够按时参加首次预约。因地震无法参加的 12 名（4.2%）参与者中，有 7 名（58.3%）重新安排了预约。共有 8 名（2.8%）参与者尽管能够参加首次预约，但仍无法参加 1 月的第二次预约；其中 3 名（37.5%）参与者表示因地震无法参加预约。53 名（18.5%）按时就诊的参与者未接受化疗，主要原因是中性粒细胞减少症、疾病进展、皮疹和贫血。共有 25 名（8.7%）参与者可提供疏散信息；其中，8 名（28.6%）人疏散回家，7 名（25.0%）人疏散到公共避难所，4 名（14.3%）人疏散到医院附近的公寓。从 62 名（21.7%）参与者处获得了灾害状况信息，表明他们有房屋受损、停水和依靠家人的交通援助来参加预约等经历。
在 KMUH 接受化疗的大多数癌症幸存者能够维持门诊就诊。但是，由于地震，有少数人无法参加。需要进一步研究，以提供有关灾害对癌症幸存者的影响以及导致预约缺勤的潜在因素的更详细信息。
