Challenges of providing health services to patients with cardiovascular diseases during disasters in Iran: A qualitative study
نویسندگان
1 Health Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran Fahimeh Barghi Shirazi
2 Department of Health in Disasters and Emergencies, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
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چکیده
BACKGROUND: Cardiovascular diseases are the most common causes of death in the world.Because of the rate of emergencies and disasters in the country, this study was conducted toinvestigate the challenges of providing health services to cardiovascular patients in emergenciesand disasters in Iran.MATERIALS AND METHODS: This conventional content analysis study was conducted in 2020.Subjects were selected from among 16 Iranian experts) epidemiologists, cardiologists, PhD in DisasterHealth, and PhD in Nursing (using purposeful and snowball sampling methods. Data were collectedusing semi‑structured interviews and were analyzed by the content analysis.RESULTS: The results were obtained after analyzing the data in the pre‑emergency phase (lackof training on medication and nutrition, lack of training vulnerable groups, lack of databases ofcardiovascular patients, and lack of identification of patients before disasters), the emergencyresponse phase (lack of sleep and rest patterns, lack of health forces, lack of blood pressure control,lack of proper nutrition, increased medication needs, and lack of mental health interventions), andthe post‑emergency phase (lack of planning, lack of management of patients’ mental problems).CONCLUSION: Developing strategies for planning, training, providing resources, and mentalhealth during the three phases of the emergency management cycle for specific groups such ascardiovascular patients together with empowering these patients in the event of disasters is one ofthe key strategies which can be used after curbed emergencies and disasters to reduce the rate ofmortality.