Pre-disaster family visits and post-evacuation return to Fukushima among psychiatric inpatients evacuated to out-of-area hospitals after the nuclear accident.

IF 2.5 4区 医学 Q2 PSYCHIATRY
Yuko Suzuki, Toshihiro Terui, Yasuto Kunii, Takeyasu Kakamu, Tomoo Hidaka, Daisuke Gotoh, Nobuo Anzai, Shin-Ichi Niwa, Hirooki Yabe
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Abstract

Objective: This study aimed to elucidate the effects of pre-evacuation family hospital visits on post-evacuation returns to Fukushima Prefecture (hometown) among psychiatric inpatients who mandatorily evacuated to hospitals outside the prefecture because of the Fukushima Daiichi Nuclear Power Plant (FDNPP) accident.

Method: Of the inpatients in Fukushima, 44 were admitted to a hospital in the nearby Soso district on March 11, 2011, and were therefore included in the current analysis. We collected information on their discharge after the evacuation and family visits before the evacuation by reviewing the medical records of both the evacuation destination and former hospitals.

Results: The average durations from the accident to post-evacuation return among patients with and those without former family visits were 681.8 days (standard error [SE] = 163.3) and 1,027.8 days (SE = 152.0), respectively. The log-rank test showed a tendency of earlier return to Fukushima among inpatients who had received family visits to the hospital before evacuation (p = .073).

Conclusions: The results highlight the critical need for close collaboration between psychiatric medical practitioners and families, to not only support patients' community reintegration into daily life but also facilitate a timely return to their hometowns following long-distance evacuation caused by an unforeseen large-scale disaster.

核事故后被疏散到地区外医院的精神科住院病人在灾前探亲和疏散后返回福岛的情况。
研究目的本研究旨在阐明因福岛第一核电站(FDNPP)事故而被强制疏散到县外医院的精神科住院患者中,疏散前家庭医院探视对疏散后返回福岛县(家乡)的影响:在福岛县的住院患者中,有 44 人于 2011 年 3 月 11 日在附近的曾我区医院住院,因此被纳入本次分析。我们通过查阅避难目的地医院和原医院的病历,收集了他们在避难后出院和避难前家属探视的信息:有家属探视和没有家属探视的患者从事故发生到撤离后返回医院的平均时间分别为 681.8 天(标准误差 [SE] = 163.3)和 1,027.8 天(标准误差 = 152.0)。对数秩检验显示,在疏散前曾接受家属探视的住院患者有提前返回福岛的趋势(p = .073):研究结果凸显了精神科医生和家属之间密切合作的重要性,这不仅有助于患者重新融入社区日常生活,还有助于他们在因不可预见的大规模灾难而长途疏散后及时返回家乡。
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来源期刊
CiteScore
12.30
自引率
1.30%
发文量
120
期刊介绍: The International Journal of Social Psychiatry, established in 1954, is a leading publication dedicated to the field of social psychiatry. It serves as a platform for the exchange of research findings and discussions on the influence of social, environmental, and cultural factors on mental health and well-being. The journal is particularly relevant to psychiatrists and multidisciplinary professionals globally who are interested in understanding the broader context of psychiatric disorders and their impact on individuals and communities. Social psychiatry, as a discipline, focuses on the origins and outcomes of mental health issues within a social framework, recognizing the interplay between societal structures and individual mental health. The journal draws connections with related fields such as social anthropology, cultural psychiatry, and sociology, and is influenced by the latest developments in these areas. The journal also places a special emphasis on fast-track publication for brief communications, ensuring that timely and significant research can be disseminated quickly. Additionally, it strives to reflect its international readership by publishing state-of-the-art reviews from various regions around the world, showcasing the diverse practices and perspectives within the psychiatric disciplines. This approach not only contributes to the scientific understanding of social psychiatry but also supports the global exchange of knowledge and best practices in mental health care.
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