Department of Nephrology, Institute of Kidney Diseases, West China Hospital of Sichuan University, Chengdu, China.
West China School of Nursing, Sichuan University, Chengdu, China.
Nurs Open. 2024 Aug;11(8):e70005. doi: 10.1002/nop2.70005.
This study aimed to investigate personal preparedness among patients on haemodialysis (HD) and to examine the relationship among sociodemographic characteristics, attitudes toward disaster preparedness and personal preparedness behaviours during natural disaster incidents.
A cross-sectional survey was conducted.
A convenience sampling method was used. A total of 446 participants from six areas of Sichuan province completed the online questionnaire study from February 27 to March 13, 2022. Sociodemographic characteristics, attitudes toward disaster preparedness and personal preparedness behaviours were measured. Descriptive statistics were used to analyse sociodemographic characteristics and attitudes toward disaster preparedness. The relationship among sociodemographic characteristics, attitudes toward disaster preparedness and personal preparedness behaviours were assessed using ordinal regression. Statistical significance was defined as p < 0.05.
A total of 446 participants completed the survey. Of these, 42.15% (N = 188) were poorly prepared, 26.23% (N = 117) were moderately prepared and 31.61% (N = 141) were highly prepared. Ordinal regression showed that knowing about disaster preparedness (Odds Ratio (OR) = 1.691, 95% Confidence Interval (CI) = 1.081-2.644, p = 0.021), participating in disaster evacuation exercises (OR = 2.519, 95% CI = 1.595-3.977, p < 0.001) and learning about disaster preparedness (OR = 2.421, 95% CI = 1.542-3.802, p < 0.001) were associated with high preparedness. Compared to patients with a university degree or higher, patients with a junior high school education or lower (OR = 3.491, 95% CI = 1.760-6.925, p < 0.001) and senior high school degree (OR = 2.052, 95% CI = 1.038-4.057, p = 0.039) were associated with high preparedness. Patients who felt very confident and could deal with all their needs (OR = 3.878, 95% CI = 2.904-7.181, p < 0.001) or patients who felt confident and could meet some of their needs (OR = 1.949, 95% CI = 1.124-3.379, p = 0.017) had higher preparedness than those who felt less confident and were not well prepared to take care of their needs.
After obtaining each participant's consent, they filled out the online questionnaire using their own or a relative's cell phone while undergoing HD.
It is essential that patients should be educated not only on medical specialty topics, but also on general disaster preparedness. Medical institutions should improve and reinforce preparation training among targeted populations. The low level of preparedness is partly due to the lack of participation of patients in disaster preparedness programs. Dialysis center managers should be urged to implement such programs at their centers.
本研究旨在调查血液透析（HD）患者的个人准备情况，并探讨社会人口特征、对灾难准备的态度与自然灾害事件中个人准备行为之间的关系。
这是一项横断面调查。
采用便利抽样法，于 2022 年 2 月 27 日至 3 月 13 日，对四川省 6 个地区的 446 名参与者进行了在线问卷调查。调查内容包括社会人口特征、对灾难准备的态度和个人准备行为。采用描述性统计分析社会人口特征和对灾难准备的态度。采用有序回归评估社会人口特征、对灾难准备的态度与个人准备行为之间的关系。以 p<0.05 为差异有统计学意义。
共 446 名参与者完成了调查。其中，42.15%（N=188）准备较差，26.23%（N=117）准备中等，31.61%（N=141）准备较好。有序回归显示，了解灾难准备（优势比（OR）=1.691，95%置信区间（CI）=1.081-2.644，p=0.021）、参加灾难疏散演习（OR=2.519，95%CI=1.595-3.977，p<0.001）和学习灾难准备（OR=2.421，95%CI=1.542-3.802，p<0.001）与准备良好相关。与具有大学学历或以上的患者相比，具有初中或以下学历（OR=3.491，95%CI=1.760-6.925，p<0.001）和高中学历（OR=2.052，95%CI=1.038-4.057，p=0.039）的患者与准备良好相关。感觉非常有信心并能够满足所有需求的患者（OR=3.878，95%CI=2.904-7.181，p<0.001）或感觉有信心并能够满足部分需求的患者（OR=1.949，95%CI=1.124-3.379，p=0.017）比那些感觉不太自信且准备不足以满足其需求的患者准备得更好。
在获得每位参与者的同意后，他们在接受 HD 治疗的同时，使用自己或亲属的手机填写了在线问卷。
不仅要教育患者医学专业知识，还要教育他们一般的灾难准备知识。医疗机构应针对目标人群改善和加强准备培训。低准备水平部分归因于患者参与灾难准备计划的不足。透析中心管理人员应被敦促在其中心实施此类计划。
