Factors related to the disaster preparedness of patients on haemodialysis from Sichuan, China, during COVID-19: A cross-sectional study.

IF 2 4区 医学 Q2 NURSING
Nursing Open Pub Date : 2024-08-01 DOI:10.1002/nop2.70005
Linfang Zhu, Yang Liu, Sijian Li, Ruoxi Liao, Ping Fu, Huaihong Yuan
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引用次数: 0

Abstract

Aim: 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.

Design: A cross-sectional survey was conducted.

Methods: 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.

Results: 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.

Patient or public contribution: After obtaining each participant's consent, they filled out the online questionnaire using their own or a relative's cell phone while undergoing HD.

Implication for practice: 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.

中国四川血液透析患者在 COVID-19 期间的备灾相关因素:横断面研究。
目的:本研究旨在调查血液透析(HD)患者的个人备灾情况,并研究自然灾害发生时社会人口学特征、备灾态度和个人备灾行为之间的关系:方法:采用方便抽样法:方法:采用方便抽样法。2022 年 2 月 27 日至 3 月 13 日,来自四川省六个地区的 446 名参与者完成了在线问卷调查。调查内容包括社会人口学特征、备灾态度和个人备灾行为。研究采用描述性统计方法对社会人口学特征和备灾态度进行了分析。使用序数回归法评估了社会人口特征、备灾态度和个人备灾行为之间的关系。统计显著性定义为 p 结果:共有 446 名参与者完成了调查。其中,42.15%(N = 188)的人准备不足,26.23%(N = 117)的人准备一般,31.61%(N = 141)的人准备充分。序数回归显示,了解备灾知识(Odds Ratio (OR) = 1.691,95% Confidence Interval (CI) = 1.081-2.644,p = 0.021)、参与灾难疏散演习(OR = 2.519,95% CI = 1.595-3.977,p 患者或公众贡献:在征得每位参与者的同意后,他们在接受 HD 治疗时使用自己或亲属的手机填写了在线问卷:对实践的启示:不仅要对患者进行医学专业知识的教育,还要对他们进行一般的防灾教育。医疗机构应改善并加强对目标人群的备灾培训。患者备灾水平低的部分原因是他们没有参与备灾计划。应敦促透析中心管理人员在其中心实施此类计划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Nursing Open
Nursing Open Nursing-General Nursing
CiteScore
3.60
自引率
4.30%
发文量
298
审稿时长
17 weeks
期刊介绍: Nursing Open is a peer reviewed open access journal that welcomes articles on all aspects of nursing and midwifery practice, research, education and policy. We aim to publish articles that contribute to the art and science of nursing and which have a positive impact on health either locally, nationally, regionally or globally
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