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Treatment-related Problems and Countermeasures for Patients Undergoing Maintenance Hemodialysis Following Tropical Cyclones: A Scoping Review

Published online by Cambridge University Press:  18 September 2024

Fengxue Yang Open the ORCID record for Fengxue Yang [Opens in a new window] ,
Linfang Zhu Open the ORCID record for Linfang Zhu [Opens in a new window]  and
Sijian Li
Fengxue Yang
Affiliation:
Sichuan Nursing Vocational College, Chengdu, Sichuan, China
Linfang Zhu*
Affiliation:
Department of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University, Chengdu, Sichuan, China
Sijian Li
Affiliation:
School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hum Hung, China
*
Corresponding author: Linfang Zhu; Email: [email protected]
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Abstract

Background

Patients undergoing maintenance hemodialysis face heightened vulnerability during disasters like tropical cyclones, yet there is sparse research on their treatment-related challenges and countermeasures. This scoping review aims to highlight the issues maintenance hemodialysis patients encounter following tropical cyclones.

Methods

A systematic scoping review of 19 articles from 2000 to 2023 was conducted, evaluating eligibility against predefined criteria.

Results

Hemodialysis patients encounter substantial challenges during and after tropical cyclones in the United States, Puerto Rico, Australia, and Taiwan. Thematic analysis identified 3 themes related to “challenges” (Hemodialysis health-related challenges, socially relevant challenges, and challenges of management inefficiencies). “Recommendations” comprised 4 themes and 4 phases across the “mitigation phase” (fortifying healthcare infrastructure and mobilizing community-focused risk mitigation initiatives), “preparedness” (emergency plan development, training, and patient education), “response” (activation of emergency plans and providing emergency healthcare services), and “recovery” (intersectoral collaboration for recovery and rebuilding).

Conclusion

This scoping review underscores challenges confronted by patients undergoing maintenance hemodialysis post-tropical cyclones, highlighting the urgent need for targeted strategies to ensure the continuity of dialysis care during and after such disasters.

Keywords

cyclonic stormskidney failurehemodialysis
Type
Systematic Review
Information
Disaster Medicine and Public Health Preparedness , Volume 18 , 2024 , e117
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

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