Are disaster support measures for children with medical complexities in depopulated areas adequate? A pediatric nursing perspective based on a local government survey

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-10-03 DOI:10.1016/j.pedn.2025.09.023

Hiroyuki Ogihara , Yuka Watanabe

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引用次数: 0

Abstract

Purpose

We aimed to clarify differences in disaster support measures for children with medical complexities (CMCs) and their families in depopulated areas and highlight the need for continuous support in pediatric nursing from local governments.

Methods

From November 2021 to February 2022, municipal disaster prevention officials in 650 depopulated areas across northern, eastern, and western Japan completed questionnaires. Data from 296 respondents were analyzed.

Results

By our estimate, over approximately 589 CMCs live in depopulated areas. Depopulated areas in western Japan had an approximately 10 % higher disaster experience rate than general depopulated areas. Despite municipalities recognizing the severity of the CMCs' needs, the evacuation support plan development and evacuation drill performance rates for them remained low.

Conclusion

Disaster preparedness in depopulated areas requires a robust network of municipalities and medical institutions that support CMCs and their families. Pediatric nurses must implement standardized, evidence-based disaster protocols to ensure the safety of CMCs and their families.

查看原文本刊更多论文

在人口稀少地区，对患有复杂医疗问题的儿童采取的灾害支助措施是否足够？基于地方政府调查的儿科护理观点

目的本研究旨在阐明人口稀少地区对患有医疗复杂性的儿童及其家庭的灾害支持措施的差异，并强调地方政府对儿科护理持续支持的必要性。方法2021年11月至2022年2月，对日本北部、东部和西部650个人口稀少地区的市政防灾官员进行问卷调查。对296名受访者的数据进行了分析。结果根据我们的估计，超过589名cmc生活在人口稀少的地区。日本西部人口稀少地区的灾害经历率比一般人口稀少地区高约10%。尽管市政当局认识到cmc需求的严重性，但疏散支持计划的制定和疏散演习的执行率仍然很低。结论：人口稀少地区的备灾需要一个由市政当局和医疗机构组成的强大网络，以支持cmc及其家属。儿科护士必须实施标准化的、基于证据的灾难协议，以确保cmc及其家属的安全。

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

Journal of Pediatric Nursing-Nursing Care of Children & Families NURSING-PEDIATRICS

CiteScore

3.70

自引率

8.30%

发文量

291

审稿时长

65 days

期刊介绍： Official Journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society (PENS) The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society. Cecily L. Betz, PhD, RN, FAAN is the Founder and Editor in Chief. Journal content covers the life span from birth to adolescence. Submissions should be pertinent to the nursing care needs of healthy and ill infants, children, and adolescents, addressing their biopsychosocial needs. JPN also features the following regular columns for which authors may submit brief papers: Hot Topics and Technology.