Challenges in Providing Care for Patients with Chronic Diseases during Disasters: A Qualitative Study with Focus on Diabetes and Chronic Respiratory Diseases in Iran.

Q3 Medicine
Tanaffos Pub Date : 2023-01-01
Elham Ghazanchaei, Kiyoumars Allahbakhshi, Davoud Khorasani-Zavareh, Javad Aghazadeh-Attari, Iraj Mohebbi
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引用次数: 0

Abstract

Background: Non-communicable diseases are of the major health challenges and the leading cause of death in Iran and at the global level. Moreover, Iran is a disaster-prone country and considering the exacerbation of diabetes and chronic respiratory diseases in natural disasters, its healthcare system is facing challenges. This study was designed to explore challenges in providing healthcare services to patients with diabetes and chronic respiratory diseases during disasters in Iran.

Materials and methods: The conventional content analysis is used in this qualitative study. Participants included 46 patients with diabetes and chronic respiratory diseases, and 36 of stakeholders were experienced and had theoretical knowledge. Participants' selection started by means of purposive sampling and continued to the point of data saturation. Data collection was carried out employing semi-structured interviews. Data analysis was performed using Graneheim and Lundman method.

Results: Based on participants' experiences, four major challenges in providing care to patients with diabetes and chronic respiratory diseases during natural disasters include integrated management (with three subcategories: control and supervision, patient data management, volunteer management), physical, psychosocial health (with three subcategories: psychological impacts, exacerbation of signs and symptoms, special patient characteristics), health literacy and the behavior (with three subcategories: risk perception, values and beliefs, education and awareness) and barriers to healthcare delivery (with three subcategories: facilities and human resources, financial and living problems and insurances, accessibilities and geographic access).

Conclusion: Developing countermeasures against medical monitoring system shutdown in order to detect medical needs and problems faced by chronic disease patients including those with diabetes and chronic obstructive pulmonary disease (COPD), is essential in preparedness for future disasters. Developing effective solutions may result in improved preparedness and better planning of diabetic and COPD patients for disasters, and potentially promote health outcomes during and after disasters.

灾难期间为慢性病患者提供护理的挑战:一项针对伊朗糖尿病和慢性呼吸系统疾病的定性研究。
背景:非传染性疾病是伊朗和全球范围内的主要健康挑战和主要死亡原因。此外,伊朗是一个易受灾国家,考虑到糖尿病和慢性呼吸道疾病在自然灾害中的恶化,其医疗系统面临挑战。这项研究旨在探讨在伊朗灾难期间为糖尿病和慢性呼吸道疾病患者提供医疗服务的挑战。材料与方法:本研究采用常规的内容分析法。参与者包括46名糖尿病和慢性呼吸系统疾病患者,其中36名利益相关者具有丰富的经验和理论知识。参与者的选择从有目的的抽样开始,一直持续到数据饱和。数据收集采用半结构化访谈。数据分析采用Graneheim和Lundman方法。结果:根据参与者的经验,在自然灾害期间为糖尿病和慢性呼吸系统疾病患者提供护理的四大挑战包括综合管理(分为三个子类别:控制和监督、患者数据管理、志愿者管理)、物理、,心理社会健康(分为三个子类:心理影响、体征和症状恶化、特殊患者特征),健康素养和行为(有三个子类别:风险感知、价值观和信念、教育和意识)以及医疗保健提供的障碍(有三子类别:设施和人力资源、财务和生活问题以及保险、可及性和地理可及性)。结论:制定医疗监测系统关闭的对策,以检测包括糖尿病和慢性阻塞性肺病(COPD)患者在内的慢性病患者的医疗需求和面临的问题,对于应对未来的灾难至关重要。开发有效的解决方案可能会提高糖尿病和慢性阻塞性肺病患者对灾难的准备和更好的规划,并有可能促进灾难期间和之后的健康结果。
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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Tanaffos
Tanaffos Medicine-Critical Care and Intensive Care Medicine
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1.10
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