Assessing Frailty and Earthquake Preparedness Among Geriatric Patients in an Emergency Care Setting: A Cross-Sectional Study in 2 Tertiary Hospitals in Istanbul.

IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Gorkem Alper Solakoglu, Martina Valente, Cagatay Nuhoglu, Kurtulus Aciksari
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引用次数: 0

Abstract

Objectives: The overall objective of this study is to shed light on the disaster preparedness status of geriatric patients visiting tertiary hospitals in Istanbul while assessing the relationship between frailty scores, self-efficacy, and independence among geriatric patients.

Methods: This prospective cross-sectional study was conducted in the Emergency Medicine Departments of 2 tertiary centers in Istanbul. In the survey, health and frailty status, demographics, and earthquake preparedness and planning were assessed. The Clinical Frailty Scale (CFS), Tilburg Frailty Indicator (TFI), and PRISMA-7 score were administered. Contingency tables were constructed to examine the associations between frailty categories and categorical outcomes related to disaster preparedness, self-efficacy, and independence.

Results: A small portion (5.4%) of patients had received earthquake preparedness training. Regarding emergency preparedness, 32.4% had easy access to a list of emergency contacts, and 32.1% knew the location of the emergency kit. A relationship was found between the presence of an earthquake preparedness kit and the CFS and TFI (P<0.005). All the self-efficacy and independence parameters needed during disasters were found to be significantly higher among frailer patients (P<0.005).

Conclusions: Inadequate disaster preparedness, characterized by low self-efficacy and high external dependence, are influenced by frailty. Enhancing disaster preparedness requires identifying and supporting frail individuals.

评估急诊环境中老年患者的虚弱和地震准备:伊斯坦布尔两所三级医院的横断面研究
目的:本研究的总体目的是了解在伊斯坦布尔三级医院就诊的老年患者的备灾状况,同时评估老年患者的衰弱评分、自我效能和独立性之间的关系。方法:本前瞻性横断面研究在伊斯坦布尔的2个三级医疗中心的急诊科进行。在调查中,评估了健康和脆弱状况、人口统计以及地震防备和规划。采用临床虚弱量表(CFS)、Tilburg虚弱指数(TFI)和PRISMA-7评分。我们构建了列联表来检验脆弱类别和与备灾、自我效能和独立性相关的分类结果之间的关联。结果:一小部分(5.4%)患者接受过防震培训。关于应急准备,32.4%的人很容易获得应急联系人名单,32.1%的人知道应急包的位置。研究发现,备灾工具箱的存在与CFS和TFI之间存在一定的关系。结论:备灾不足,以自我效能低和外部依赖高为特征,受到脆弱性的影响。加强备灾需要识别和支持体弱多病的个人。
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来源期刊
Disaster Medicine and Public Health Preparedness
Disaster Medicine and Public Health Preparedness PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.40
自引率
7.40%
发文量
258
审稿时长
6-12 weeks
期刊介绍: Disaster Medicine and Public Health Preparedness is the first comprehensive and authoritative journal emphasizing public health preparedness and disaster response for all health care and public health professionals globally. The journal seeks to translate science into practice and integrate medical and public health perspectives. With the events of September 11, the subsequent anthrax attacks, the tsunami in Indonesia, hurricane Katrina, SARS and the H1N1 Influenza Pandemic, all health care and public health professionals must be prepared to respond to emergency situations. In support of these pressing public health needs, Disaster Medicine and Public Health Preparedness is committed to the medical and public health communities who are the stewards of the health and security of citizens worldwide.
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