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2024年能登半岛地震后患有既往精神疾病个体的门诊治疗依从性:一项回顾性研究

Adherence to outpatient care among individuals with pre-existing psychiatric disorders following the 2024 Noto Peninsula Earthquake: A retrospective study.

作者信息

Nitta Yusuke, Hashimoto Reiko, Shimizu Yoshihito, Nakai Yuri, Nakai Hisao

机构信息

Department of Neuropsychiatry Kanazawa Medical University Kahoku Japan.

Department of Pharmacy Kanazawa Medical University Kahoku Japan.

出版信息

PCN Rep. 2025 Jan 29;4(1):e70059. doi: 10.1002/pcn5.70059. eCollection 2025 Mar.

Abstract

AIM

The study aim was to investigate the effect of the 2024 Noto Peninsula earthquake on regular psychiatric outpatient check-ups at Kanazawa Medical University Hospital, Japan.

METHODS

We retrospectively collected electronic medical records from January 4 to January 17, 2024, and analyzed data from 656 patients. was used to analyze the association between adherence to scheduled visits and related factors, and the association between inability to attend scheduled visits and self-reported earthquake-related reasons among 84 nonadherent patients. A geographical information system was used to analyze geographic characteristics, such as municipality of residence and seismic intensity distribution.

RESULTS

Of the 656 patients, 572 (87.2%) adhered to their scheduled visits. The failure to keep appointments was significantly associated with residence in areas with a seismic intensity of ≥6 ( = 21, 35.6%;  < 0.001). Among the 84 patients who failed to keep appointments, the inability to keep appointments owing to earthquake-related reasons was significantly associated with residence in areas with a seismic intensity of ≥6 ( = 16, 76.2%;  < 0.001) and presence of an F3 main disease code: Mood (affective) according to the , Tenth Revision ( = 12, 60.0%;  = 0.034).

CONCLUSION

Patients in areas with higher seismic intensity were more likely to miss appointments, probably because of factors such as infrastructure damage and personal losses. Among patients who missed appointments, those with F3 diagnoses were more likely to cite earthquake-related reasons. However, the high overall appointment adherence rate despite the effects of a major earthquake warrants further study.

摘要

目的

本研究旨在调查2024年能登半岛地震对日本金泽医科大学医院定期精神科门诊检查的影响。

方法

我们回顾性收集了2024年1月4日至17日的电子病历,并分析了656例患者的数据。使用[具体分析方法未给出]分析按时就诊的依从性与相关因素之间的关联,以及84例未按时就诊患者中未能按时就诊与自我报告的地震相关原因之间的关联。使用地理信息系统分析地理特征,如居住市町村和地震烈度分布。

结果

656例患者中,572例(87.2%)按时就诊。未按时就诊与居住在地震烈度≥6度的地区显著相关(χ² = 21,35.6%;P < 0.001)。在84例未按时就诊的患者中,因地震相关原因未能按时就诊与居住在地震烈度≥6度的地区显著相关(χ² = 16,76.2%;P < 0.001),并且根据《国际疾病分类第十版》存在F3主要疾病编码:情绪(情感)障碍(χ² = 12,60.0%;P = 0.034)。

结论

地震烈度较高地区的患者更有可能错过预约就诊,可能是由于基础设施损坏和个人损失等因素。在错过预约就诊的患者中,患有F3诊断的患者更有可能提及与地震相关的原因。然而,尽管发生了大地震,但总体预约就诊依从率较高,这值得进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afce/11775910/f5552fdb4e19/PCN5-4-e70059-g002.jpg

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