Portela Dos Santos Omar, Alves Paulo Jorge Pereira, Verloo Henk
Department of Nursing Sciences, School of Health Sciences, HES-SO Valais/Wallis, Sion, Switzerland.
Institute of Health Sciences, Universidade Católica Portuguesa, Porto, Portugal.
JMIR Res Protoc. 2025 Mar 25;14:e67128. doi: 10.2196/67128.
Climate change is affecting public health and well-being. In 2016, Swiss emergency departments (EDs) treated 1,722,000 cases, with 4718 daily admissions. In 2023, the ED of Sion Regional Hospital recorded 75,000 consultations. The links between climate change and health are complex, necessitating urgent research on its impact on cardiopulmonary health in Valais, Switzerland. Raising awareness among frontline professionals is crucial for developing health promotion and disease prevention strategies.
This study explores the preliminary effects of climate change on cardiopulmonary health in Valais and assesses adult patients' knowledge of its health consequences. Findings will inform adaptations in patient care, health promotion, and disease prevention at Sion Hospital's ED. The feasibility of patient selection and data collection will also be evaluated.
Using a convergent, parallel, mixed methods design, data will be collected from September 21, 2024, to September 20, 2025, with a target sample of 60 patients. The quantitative phase will examine patient recruitment feasibility, consultation reasons, and triage levels, correlating them with climate variables (temperature, nitrogen dioxide, particulate matter, sulfur dioxide, and ozone). It will also analyze sociodemographic profiles. The qualitative phase will explore patients' knowledge of climate change and its potential links to their ED visits. The feasibility and acceptability of the study process will be assessed. The protocol follows the SPIRIT (Standard Protocol Items: Recommendations for Interventional Trials) Extension for Pilot and Feasibility Trials.
Data collection started on September 21, 2024, following the approval by the ethical commission. Data collection will take place over 1 year, until September 20, 2025.
This study will test the feasibility of a larger investigation and examine potential associations between Valais' changing microclimate and population health. Findings will establish patient profiles and explore their perceptions and knowledge of climate change, informing future health interventions.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/67128.
气候变化正在影响公众健康和福祉。2016年，瑞士急诊科共处理了172.2万例病例，每日入院4718例。2023年，锡永地区医院急诊科记录了75000次会诊。气候变化与健康之间的联系错综复杂，因此迫切需要研究其对瑞士瓦莱州心肺健康的影响。提高一线专业人员的认识对于制定健康促进和疾病预防策略至关重要。
本研究探讨气候变化对瓦莱州心肺健康的初步影响，并评估成年患者对其健康后果的了解程度。研究结果将为锡永医院急诊科的患者护理、健康促进和疾病预防方面的调整提供依据。同时还将评估患者选择和数据收集的可行性。
采用收敛性、平行性混合方法设计，于2024年9月21日至2025年9月20日收集数据，目标样本为60名患者。定量阶段将研究患者招募的可行性、会诊原因和分诊级别，并将其与气候变量（温度、二氧化氮、颗粒物、二氧化硫和臭氧）相关联。还将分析社会人口统计学特征。定性阶段将探索患者对气候变化的了解及其与急诊科就诊之间的潜在联系。将评估研究过程的可行性和可接受性。该方案遵循适用于试点和可行性试验的SPIRIT（标准方案项目：干预试验建议）扩展版。
经伦理委员会批准后，数据收集于2024年9月21日开始。数据收集将持续1年，直至2025年9月20日。
本研究将测试大规模调查的可行性，并研究瓦莱州不断变化的微气候与人群健康之间的潜在关联。研究结果将确定患者特征，并探索他们对气候变化的认知和了解，为未来的健康干预提供依据。
国际注册报告识别码（IRRID）：DERR1-10.2196/67128
