南予医学雑誌20巻

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－6－南予医誌 Vol.20　No. 1　2020　Hospitals within a 30-kilometer radius of nuclear power plants need to develop evacuation plans for nuclear accidents. A questionnaire was administered to determine how many inpatients would evacuate themselves and how many would prefer to be evacuated with support of the hospital or local government.　Materials and methods: All hospitalized patients at Yawatahama Municipal Hospital on July 11, 2014 were classied into three aid categories. Interviews were performed with all of these patients from July 11 to July 17. The questions were: 1） Would they leave the hospital by themselves or wait until the hospital secured a means to evacuate, and 2） who would decide their evacuation route. In cases in which an interview was not possible in the hospital, the answers were obtained in a phone call with a family member. The phone interview was done within 1 week of starting the interviews at the hospital.　Results: Among 167 patients hospitalized at Yawatahama Municipal Hospital on July 11, 2014, 57 （34.1%） could walk on their own, 70 （41.9%） needed to be escorted, and 40 （24.0%）needed stretchers. A total of 107 （64.0%） of the 167 patients, and 34 （85.0%） of the 40 patients who needed stretchers, would choose to wait until the hospital secured a means to evacuate. The 107 patients also preferred to be hospitalized in a place of refuge. Sixty （35.3%） of the 167 patients and 23 （57.5%） of the 40 patients who needed stretchers could not determine the evacuation route by themselves.　In our 2013 study, 514 of 1,799 hospitalized patients within a 30-kilometer radius of a nuclear power plant needed stretchers for transport. The present study suggests that approximately 400 patients （85.0% of 514） will need stretchers and ambulances in the case of a nuclear accident, and more than 1,100 patients （64.0% of 1,799） will need to be hospitalized in places of refuge.　We conclude that our data will help us to determine the number of buses and ambulances needed to transport patients hospitalized within areas near nuclear plants and to assume the number of hospital beds in places of refuge.1) Dept. of Anesthesiology and Emergency Medicine2) Nursing Department, Disaster Prevention Ofce Yawatahama City General HospitalAbstractKey words: nuclear accidents, refuge of hospitalized patients, Ikata nuclear plant, simulation studyGenro Ochi 1), Kumi Kawaguchi 2),Kumi Ishimi 2),Rie Miyatani 2)A simulation study on hospitalized patients who need evacuation from the Ikata nuclear power plant