Document Type : Original Article
Authors
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
Abstract
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 to
investigate the challenges of providing health services to cardiovascular patients in emergencies
and 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 Disaster
Health, and PhD in Nursing (using purposeful and snowball sampling methods. Data were collected
using semi‑structured interviews and were analyzed by the content analysis.
RESULTS: The results were obtained after analyzing the data in the pre‑emergency phase (lack
of training on medication and nutrition, lack of training vulnerable groups, lack of databases of
cardiovascular patients, and lack of identification of patients before disasters), the emergency
response 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), and
the post‑emergency phase (lack of planning, lack of management of patients’ mental problems).
CONCLUSION: Developing strategies for planning, training, providing resources, and mental
health during the three phases of the emergency management cycle for specific groups such as
cardiovascular patients together with empowering these patients in the event of disasters is one of
the key strategies which can be used after curbed emergencies and disasters to reduce the rate of
mortality.
Keywords
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