The Evaluation of Health Consultation Activities by Nurses for Survivors of Sichuan Earthquake in China

Thursday, July 14, 2011

Aiko Yamamoto, PhD1
Xiu-Ying Hu2
Yi-juan Cheng2
Ji-ping Li2
Yan-Li Luo2
Hatsumi Kanzaki, PhD3
Yuko Ushio, PhD4
Akiko Kurotaki3
(1)Research Institute of Nursing Care for People & Community, University of Hyogo, Akashi city, Japan
(2)West China Hospital/West China Medical School, Sichuan University, Chengdu, China
(3)Research Institute of Nursing Care for People & Community, University of Hyogo, Akashi, Japan
(4)college of Nursing Art and Science, University of Hyogo, Akashi, Japan

Learning Objective 1: The learner will be able to know the nursing activities for facilitaing health among survivors after disaster.

Learning Objective 2: The learner will be able to know the survivors’ daily lives and health conditions after Sichuan earthquake.

Disasters frequently happen over the world. Issues of nurses are how to recovery and sustain survivors’ health.

 

<Purpose> This study was conducted for evaluating responses of health conditions among survivors receiving health consultation by nurses in China.

 

<Method> Data was collected by questionnaires including demographic data, health conditions, and others before and after receiving health consultations. SPSS 18.0 software was utilized for analysis. Nurses had the training program developed by the researchers including lectures, practices (the methods of home visiting, health consultation) and follow-up workshop. The health activities were provided for one month in 2009.

 

<Ethical Consideration> The study was conducted after obtaining approval in Ethical Review Board of West China Hospital / West China medical School at Sichuan University.

<Results> Three hundred thirteen survivors aged 18 years and over provided consent for the study. Mean age was 41.95 years and 69.3% was farmers. They received home visiting and health consultations by nurses. As for the mean value of score about health self evaluation (before: 2.48-after 2.55, P<0.01, analyzed by pared t-test) were significantly increased after intervention. Healthy survivors increased from 42% before intervention to 50% after intervention. Meanwhile, survivors answered “not very healthy” decreased from 46% to 38%. The mean of score about customs of knowing health status (1.45- 1.78, P<0.001) and having advisor about health (1.75- 1.81, P<0.05) were significantly increased. With regard to the psychological condition, the mean value of IES-R score was 24.7±15.5 before intervention. After intervention, the mean value significantly decrease (17.08±12.03, p<0.001, by pared t-test). Nurses told that survivors who had no concern for their health changed to be interested in it. Moreover, they tend to have a health consultation after intervention.

<Conclusion> Although this was not comparative study with two groups, survivors’ health status tends to improve after intervention.