背景:研究目的是阐明2024年诺托半岛地震对金泽医科大学医院(KMUH)癌症幸存者门诊化疗治疗的影响,日本。
方法:回顾性收集了KMUH2024年1月4日至31日的医疗和护理记录,分析了286名参与者的数据.
结果:在286名参与者中,95.1%的人能够参加他们的第一次预定约会。在12名(4.2%)因地震不能出席的人中,7人(58.3%)重新安排了约会。共有8名参加者(2.8%)未能出席一月的第二次预定预约,尽管能够参加他们的第一次约会;3(37.5%)这些参与者报告说,由于地震的影响,他们无法参加他们的约会。未对53名(18.5%)参加的参与者进行化疗,主要是因为中性粒细胞减少症,进行性疾病,皮疹,和贫血。25名参与者(8.7%)获得了疏散信息;其中,8人(28.6%)被疏散到家中,7(25.0%)前往公共收容所,和4(14.3%)到医院附近的公寓。从62名参与者(21.7%)获得了灾难状态信息,并指出了房屋损坏等经历,停水,依靠家人的交通援助参加约会。
结论:大多数在KMUH接受化疗的癌症幸存者能够维持门诊就诊。然而,由于地震,一些人不能参加。需要进一步的研究,以提供更详细的信息,说明灾难对癌症幸存者的影响以及不参加医疗预约的潜在因素。
BACKGROUND: The study aim was to elucidate the effect of the 2024 Noto Peninsula earthquake on outpatient chemotherapy treatment of cancer survivors at Kanazawa Medical University Hospital (KMUH), Japan.
METHODS: Medical and nursing records for January 4-31, 2024, from KMUH were retrospectively collected, and data for 286 participants were analyzed.
RESULTS: Of the 286 participants, 95.1% were able to attend their first scheduled appointment. Of the 12 (4.2%) who could not attend because of the earthquake, 7 (58.3%) rescheduled their appointments. A total of 8 participants (2.8%) were unable to attend their second scheduled appointment in January, despite being able to attend their first appointment; 3 (37.5%) of these participants reported that they were unable to attend their appointments because of the effect of the earthquake. Chemotherapy was not administered to 53 (18.5%) participants who did attend, mainly owing to neutropenia, progressive disease, rash, and anemia. Evacuation information was available for 25 participants (8.7%); of these, 8 (28.6%) evacuated to their homes, 7 (25.0%) to public shelters, and 4 (14.3%) to apartments near the hospital. Disaster status information was obtained from 62 participants (21.7%), and indicated experiences such as home damage, water outages, and relying on transportation assistance from family to attend appointments.
CONCLUSIONS: Most cancer survivors receiving chemotherapy at KMUH were able to maintain outpatient visits. However, a few could not attend because of the earthquake. Further studies are needed to provide more detailed information on the effect of disasters on cancer survivors and the potential factors underlying non-attendance at medical appointments.