Impact of large-scale disasters on breast cancer care: A qualitative analysis of patient experiences during the 2011 triple disaster in Fukushima, Japan

被引：2

作者：

Kaneda, Yudai ^{[1
]}

Ozaki, Akihiko ^{[2
,3
]}

Murakami, Michio ^{[4
,11
]}

Saito, Hiroaki ^{[5
,6
]}

Sawano, Toyoaki ^{[3
,6
,7
]}

Yamashita, Erika ^{[8
]}

Gonda, Kenji ^{[2
,9
]}

Tachibana, Kazunoshin ^{[9
]}

Ohtake, Tohru ^{[9
]}

Tsubokura, Masaharu ^{[3
,6
]}

Ohira, Hiromichi ^{[10
]}

机构：

[1] Hokkaido Univ, Sch Med, Sapporo, Hokkaido, Japan

[2] Jyoban Hosp Tokiwa Fdn, Breast & Thyroid Ctr, Iwaki, Fukushima, Japan

[3] Minamisoma Municipal Gen Hosp, Res Ctr Community Hlth, Minamisoma, Fukushima, Japan

[4] Fukushima Med Univ, Sch Med, Dept Hlth Risk Commun, Fukushima, Fukushima, Japan

[5] Soma Cent Hosp, Dept Internal Med, Soma, Fukushima, Japan

[6] Fukushima Med Univ, Sch Med, Dept Radiat Hlth Management, Fukushima, Fukushima, Japan

[7] Jyoban Hosp Tokiwa Fdn, Dept Surg, Iwaki, Fukushima, Japan

[8] Med Governance Res Inst, Tokyo, Japan

[9] Fukushima Med Univ, Dept Breast Surg, Fukushima, Japan

[10] Minamisoma Municipal Gen Hosp, Dept Surg, Minamisoma, Fukushima, Japan

[11] Osaka Univ, Ctr Infect Dis Educ & Res, Suita, Osaka, Japan

来源：

INTERNATIONAL JOURNAL OF DISASTER RISK REDUCTION | 2024年 / 109卷

关键词：

Breast cancer; 2011 triple disaster; Delivery of health care; Qualitative research; Japan; NATURAL DISASTER; SELF-COMPASSION; EVACUATION; SERVICES;

D O I：

10.1016/j.ijdrr.2024.104582

中图分类号：

P [天文学、地球科学];

学科分类号：

07 ;

摘要：

Large-scale disasters can severely impact breast cancer care, leading to treatment disruptions and delays. While empirical studies on these effects are limited, patient narratives provide valuable insights. This study explored treatment continuity and medical access among local breast cancer patients affected by the 2011 triple disaster through qualitative research methods. The study involved 21 local breast cancer patients diagnosed before the disaster. After obtaining consent, semi-structured interviews ranging from 20 min to an hour were conducted, and data were analyzed using inductive thematic analysis. The analysis identified five key themes: medical challenges, family roles and burdens, information access and communication, mental health effects, and evacuation difficulties. These themes highlight the range of challenges from immediate response to long-term recovery, showcasing the profound impacts of infrastructure damage and treatment disruptions, exacerbated by familial constraints and the need for reliable information, contributing to psychological and logistical complexities during evacuation. The findings underscore the critical need for ongoing care and address key challenges for breast cancer patients during disasters. Future research should focus on developing practical and prompt solutions to address these issues in disaster settings.

引用

页数：12

共 58 条

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