目的:本研究旨在调查血液透析(HD)患者的个人准备情况,并检查社会人口统计学特征之间的关系。自然灾害事件期间对备灾的态度和个人备灾行为。
方法:进行横断面调查。
方法:采用方便抽样方法。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研究。社会人口统计学特征,测量了对备灾的态度和个人备灾行为。描述性统计数据用于分析社会人口统计学特征和对备灾的态度。社会人口统计学特征之间的关系,使用顺序回归评估了对备灾和个人备灾行为的态度。统计学显著性定义为p<0.05。
结果:共有446名参与者完成了调查。其中,42.15%(N=188)制备不良,适度制备了26.23%(N=117),高度制备了31.61%(N=141)。有序回归表明,了解灾害准备(赔率比(OR)=1.691,95%置信区间(CI)=1.081-2.644,p=0.021),参加灾难疏散演习(OR=2.519,95%CI=1.595-3.977,p<0.001)和学习灾难准备(OR=2.421,95%CI=1.542-3.802,p<0.001)与高度准备相关.与大学或更高学历的患者相比,初中或初中以下文化程度(OR=3.491,95%CI=1.760-6.925,p<0.001)和高中学历(OR=2.052,95%CI=1.038-4.057,p=0.039)的患者与高准备相关.感到非常自信并可以满足所有需求的患者(OR=3.878,95%CI=2.904-7.181,p<0.001)或感到自信并可以满足某些需求的患者(OR=1.949,95%CI=1.124-3.379,p=0.017)比那些感到不那么自信且没有做好充分满足其需求的患者的准备更高。
■获得每位参与者的同意后,他们在接受HD时使用自己或亲戚的手机填写了在线问卷。
结论:至关重要的是,不仅要对患者进行医学专业主题的教育,还有一般的备灾。医疗机构应改善和加强对目标人群的准备培训。备灾水平低的部分原因是患者缺乏参与备灾计划。应敦促透析中心经理在其中心实施此类计划。
OBJECTIVE: 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.
METHODS: 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.
UNASSIGNED: After obtaining each participant\'s consent, they filled out the online questionnaire using their own or a relative\'s cell phone while undergoing HD.
CONCLUSIONS: 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.