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Development of Disaster Pamphlets Based on Health Needs of Patients with Chronic Illnesses

Published online by Cambridge University Press:  28 June 2012

Emi Motoki ,
Kikuko Mori ,
Hidesuke Kaji ,
Yoko Nonami ,
Chika Fukano ,
Tomonori Kayano ,
Terue Kawada ,
Yukari Kimura ,
Kumiko Yasui  and
Hiroko Ueki
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Emi Motoki*
Affiliation:
Postgraduate, College of Nursing Art and Science, University of Hyogo, Kobe City, Japan
Kikuko Mori
Affiliation:
Associate Professor, College of Nursing Art and Science, University of Hyogo, Kobe City, Japan
Hidesuke Kaji
Affiliation:
Professor, College of Nursing Art and Science, University of Hyogo, Kobe City, Japan
Yoko Nonami
Affiliation:
Professor, College of Nursing Art and Science, University of Hyogo, Kobe City, Japan
Chika Fukano
Affiliation:
Former Instructor, College of Nursing Art and Science, University of Hyogo, Kobe City, Japan
Tomonori Kayano
Affiliation:
Instructor, College of Nursing Art and Science, University of Hyogo, Kobe City, Japan
Terue Kawada
Affiliation:
Instructor, College of Nursing Art and Science, University of Hyogo, Kobe City, Japan
Yukari Kimura
Affiliation:
Instructor, College of Nursing Art and Science, University of Hyogo, Kobe City, Japan
Kumiko Yasui
Affiliation:
Instructor, College of Nursing Art and Science, University of Hyogo, Kobe City, Japan
Hiroko Ueki
Affiliation:
Postgraduate, College of Nursing Art and Science, University of Hyogo, Kobe City, Japan
Kazuhiro Ugai
Affiliation:
Professor, College of Nursing Art and Science, University of Hyogo, Kobe City, Japan
*
13-71 Kitaoji-cho, Akashi, 673-8588, Japan E-mail: [email protected]
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Abstract

The aim of this research was to develop a pamphlet that would enable patients with diabetes, rheumatic diseases, chronic respiratory disease, and dialysis treatment to be aware of changes in their physical conditions at an early stage of a disaster, cope with these changes, maintain self-care measures, and recover their health.

Illness-specific pamphlets were produced based on disaster-related literature, news articles, surveys of victims of the Great Hanshin-Awaji Earthquake Disaster and Typhoon Tokage, and other sources.

Each pamphlet consisted of seven sections—each section includes items common to all illnesses as well as items specific to each illness. The first section, “Physical Self-Care”, contains a checklist of 18 common physical symptoms as well as symptoms specific to each illness, and goes on to explain what the symptoms may indicate and what should be done about them. The main aim of the “Changes in Mental Health Conditions” section is to detect post-traumatic stress disorder (PTSD) at an early stage. The section “Preventing the Deterioration of Chronic Illnesses” is designed to prevent the worsening of each illness through the provision of information on cold prevention, adjustment to the living environment, and ways of coping with stress. In the sections, “Medication Control” and “Importance of Having Medical Examinations”, spaces are provided to list medications currently being used and details of the hospital address, in order to ensure the continued use of medications. The section, “Preparing for Evacuations” gives a list of everyday items and medical items needed to be prepared for a disaster. Finally, the “Methods of Contact in an Emergency” section provides details of how to use the voicemail service. The following content-specific to each illness also was explained in detail: (1) for diabetes, complications arising from the deterioration of the illness, attention to nutrition, and insulin management; (2) for rheumatic diseases, a checklist of factors indicating the worsening of the illness and methods of coping with stress; (3) for chronic respiratory disease, prevention of respiratory infections and management of supplemental oxygen; and (4) for patients requiring dialysis, conditions of dialysis (such as dry weight, dialyzer, number of dialysis treatments, and dialysis hours) and what to do if a disaster occurs during dialysis.

It is expected that these pamphlets will be useful to patients with chronic illnesses, and will be used to prepare for disasters, thereby helping the patients cope with the unusual situation that during a disaster and recover as soon as possible.

Keywords

chronic illnesschronic respiratory diseasediabetesdialysis treatmentdisasterpamphletpreventionrheumatic diseaseself-care
Type
Special Report
Information
Prehospital and Disaster Medicine , Volume 25 , Issue 4 , August 2010 , pp. 354 - 360
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2010

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References

1.Baba, S, Taniguchi, H, Nambu, S, et al: The great Hanshin earthquake. Lancet 1996;347:307–309.CrossRefGoogle ScholarPubMed
2.Takakura, R, Himeno, S, Kanayama, Y, et al: Follow-up after the HanshinAwaji earthquake: diverse influences on pneumonia, bronchial asthma, peptic ulcer and diabetes mellitus. Intern Med 1997;36:87–91.CrossRefGoogle ScholarPubMed
3.Matsuoka, T, Yoshioka, T, Oda, J, et al: The impact of a catastrophic earthquake on morbidity rates for various illnesses. Am J Public Health 2000;114:249–253.Google ScholarPubMed
4.Mori, K, Ugai, K, Nonami, Y, et al: Health needs of patients with chronic diseases who lived through the great Hanshin earthquake. Disaster Manage Response 2007;5:8–13.CrossRefGoogle ScholarPubMed
5.Kopp, JB, Ball, LK, Cohen, A, et al: Kidney patient care in disasters: Lessons from the hurricanes and earthquake of 2005. Clin J Am Soc Nephrol 2007;2:814–824.CrossRefGoogle ScholarPubMed
6.Chitwood, M, Lewis, C, Harle, C: Preparing for natural disasters: A survival plan for persons with diabetes. Diabetes Educ 1992;18:246–250.CrossRefGoogle ScholarPubMed
7.Hyogo Prefecture Health Department: 1996 Report on health survey of households suffering from disaster. Hyogo: Hyogo Prefecture, 1997, pp 7–55. (in Japanese).Google Scholar
8.Suzuki, S, Sakamoto, S, Miki, T, et al: Hanshin-Awaji earthquake and acute myocardial infarction. Lancet 1995;345:981.CrossRefGoogle ScholarPubMed
9.Ogawa, K, Tsuji, I, Shiono, K, et al: Increased acute myocardial infarction mortality following the 1995 great Hanshin-Awaji earthquake in Japan. Int J Epidemiol 2000;29:449–455.CrossRefGoogle ScholarPubMed
10.Saito, K, Kim, JI, Maekawa, K, et al: The great Hanshin-Awaji earthquake aggravates blood pressure control in treated hypertensive patients. Am J Hypertens 1997;10:217–221.CrossRefGoogle ScholarPubMed
11.Kario, K, Matsuo, T, Shimada, K, et al: Factors associated with the occurrence and magnitude of earthquake-induced increases in blood pressure. Am J Med 2001;111:379–384.CrossRefGoogle ScholarPubMed
12.Aoyama, N, Kinoshita, Y, Fujimoto, S, et al: Peptic ulcers after the HanshinAwaji earthquake: Increased incidence of bleeding gastric ulcers. Am J Gastroenterol 1998;93:311–316.CrossRefGoogle ScholarPubMed
13.Kato, H, Asukai, N, Minakawa, K, et al: Post-traumatic symptoms among younger and elderly evacuees in the early stages following the 1995 HanshinAwaji earthquake in Japan. Acta Psychiatr Scand 1996;93:477–481.CrossRefGoogle ScholarPubMed
14.Weisaeth, L: Torture of a Norwegian ship's crew. Acta Psychiatr Scand 1989;80:63–72.CrossRefGoogle Scholar
15.Inoue, K: Venous thromboembolism in earthquake victims. Disaster Manage Response 2006;4:25–27.CrossRefGoogle ScholarPubMed
16.University of Hyogo Graduate School of Nursing Art and Science Research Institute of Nursing Care for People and Community: The 21 st Century Center of Excellence Program, Disaster Nursing in a Ubiquitous Society, Report on Activities for 2005. RINCPC, 2006, pp 119–131.Google Scholar
17.Greenough, PG, Lappi, MD, Hsu, EB, et al: Burden of disease and health status among hurricane Katrina—Displaced persons in shelters: A population-based cluster sample. Ann Emerg Med 2008;51:426–432.CrossRefGoogle ScholarPubMed
18.The Disaster Response Task Force: American Diabetes Association statement on emergency and disaster preparedness: A report of the Disaster Response Task Force. Diabetes Care 2007;30:2395–2398.CrossRefGoogle Scholar
19.Inui, A, Kitaoka, H, Majima, M, et al: Effect of the Kobe earthquake on stress and glycemic control in patients with diabetes mellitus. Arch Intern Med 1998;158:274–278.CrossRefGoogle ScholarPubMed
20.Masutani, K, Ugai, K: Physical and psychological stress analysis in rheumatoid patients suffering from Hanshin-Awaji earthquake. Coll Nurs Art Sci Hyogo Bull 1998;5:15–26. (abstract in English).Google Scholar