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Life Recovery After Disasters: A Qualitative Study in the Iranian Context

Published online by Cambridge University Press:  31 October 2013

Hamidreza Khankeh
Affiliation:
University of Social Welfare & Rehabilitation Sciences, Tehran, Iran Department of Clinical Science and Education, Karolinska Institute, Stockholm, Sweden
Maryam Nakhaei*
Affiliation:
University of Social Welfare & Rehabilitation Sciences, Tehran, Iran
Gholamreza Masoumi
Affiliation:
Iran University of Medical Sciences, Tehran, Iran
Mohammadali Hosseini
Affiliation:
University of Social Welfare & Rehabilitation Sciences, Tehran, Iran
Zohreh Parsa-Yekta
Affiliation:
Tehran University of Medical Sciences, Tehran, Iran
Lisa Kurland
Affiliation:
Department of Clinical Science and Education, Karolinska Institute, Stockholm, Sweden
Maaret Castren
Affiliation:
Department of Clinical Science and Education, Karolinska Institute, Stockholm, Sweden
*
Correspondence: Maryam Nakhaei Nursing Department University of Social Welfare & Rehabilitation Sciences Koodakyar Alley, Daneshjoo Boulevard, Evin Street, Tehran, Iran E-mail Maryamnakhaee.mn@gmail.com

Abstract

Introduction

Planned and organized long-term rehabilitation services should be provided to victims of a disaster for social integration, economic self-sufficiency, and psychological health. There are few studies on recovery and rehabilitation issues in disaster situations. This study explores the disaster-related rehabilitation process.

Method

This study was based on qualitative analysis. Participants included 18 individuals (eight male and ten female) with experience providing or receiving disaster health care or services. Participants were selected using purposeful sampling. Data were collected through in-depth and semi-structured interviews. All interviews were transcribed and content analysis was performed based on qualitative content analysis.

Results

The study explored three main concepts of recovery and rehabilitation after a disaster: 1) needs for health recovery; 2) intent to delegate responsibility; and 3) desire for a wide scope of social support. The participants of this study indicated that to provide comprehensive recovery services, important basic needs should be considered, including the need for physical rehabilitation, social rehabilitation, and livelihood health; the need for continuity of mental health care; and the need for family re-unification services. Providing social activation can help reintegrate affected people into the community.

Conclusion

Effective rehabilitation care for disaster victims requires a clear definition of the rehabilitation process at different levels of the community. Involving a wide set of those most likely to be affected by the process provides a comprehensive, continuous, culturally sensitive, and family-centered plan.

KhankehH, NakhaeiM, MasoumiG, HosseiniM, Parsa-YektaZ, KurlandL, CastrenM. Life Recovery After Disasters: A Qualitative Study in the Iranian Context. Prehosp Disaster Med. 2013;28(6):573-579.

Type
Original Research
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2013 

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References

1.Guba-Sapir, D, Femke, V, Below, R, Ponserre, S. Annual Disaster Statistical Review 2011: The Numbers and Trends. http://www.cred.be/sites/default/files/ADSR_2011.pdf. Accessed July 22, 2012.Google Scholar
2.North, CS. Epidemiology of disaster mental health. In: Ursano RJ, Fullerton CS, Weisaeth L, Beverly R, eds. Textbook of Disaster Psychiatry. New York, USA: Cambridge University Press; 2007:29-48.CrossRefGoogle Scholar
3.Norris, FH, Friedman, MJ, Watson, PJ, Byrne, CM, Diaz, E, Kaniasty, K. 60,000 disaster victims speak, part I: an empirical review of the empirical literature, 1981-2001. Psychiatry. 2002;65(3):207-239.CrossRefGoogle Scholar
4.Katz, CL, Pellegrino, L, Pandya, A, Ng, A, DeLisi, LE. Research on psychiatric outcomes and interventions subsequent to disasters: a review of the literature. Psychiatry Res. 2002;110(3):201-217.CrossRefGoogle ScholarPubMed
5.Briere, J, Elliott, D. Prevalence, characteristics, and long-term sequelae of natural disaster exposure in the general population. J Trauma Stress. 2000;13(4):661-679.CrossRefGoogle ScholarPubMed
6.Yzermans, CJ, Donker, GA, Kerssens, JJ, Dirkzwager, AJ, Soeteman, RJ, ten Veen, PM. Health problems of victims before and after disaster: a longitudinal study in general practice. Int J Epidemiol. 2005;34(4):820-826.CrossRefGoogle ScholarPubMed
7.Leon, GR. Overview of the psychosocial impact of disasters. Prehosp Disaster Med. 2004;19(1):4-9.CrossRefGoogle ScholarPubMed
8.Dhameja, A. Disaster rehabilitation: toward a new perspective. In: Pinkowski J, editor. Disaster Management Handbook. NW, USA: Taylor & Francis Group L.L.C; 2008:477-490.Google Scholar
9.Coppola, DP, editor. Introduction to International Disaster Management. Butterworth-Heinemann, USA: Elsevier Inc; 2007:299-303.Google Scholar
10.Phillips, BD. Disaster Recovery. NW, USA: Taylor & Francis Group; 2009.CrossRefGoogle Scholar
11.Ardalan, A, Masoomi, GR, Goya, MM, et al. Disaster health management: Iran's progress and challenges. Iranian J Publ Health. 2009;38(Suppl l):93-97.Google Scholar
12.SadrMomtaz, N, Tabebi, SJ, Mahmod, M. A comparative study in disaster planning in selected countries. Tehran University Medical Journal (TUMJ). 2007;65(Suppl 1):14-19.Google Scholar
13. National report of the Islamic Republic of Iran on disaster reduction. Report presented at: World Conference on Disaster Reduction; January 18-22, 2005; Kobe, Hyogo, Japan.Google Scholar
14.Khankeh, HR, Khorasani-Zavareh, D, Johanson, E, Mohammadi, R, Ahmadi, F, Mohammadi, R. Disaster health-related challenges and requirements: a grounded theory study in Iran. Prehosp Disaster Med. 2011;26(3):1-8.CrossRefGoogle ScholarPubMed
15.Djalali, A, Khankeh, H, Öhlén, G, Castrén, M, Kurland, L. Facilitators and obstacles in pre-hospital medical response to earthquakes: a qualitative study. Scand J Trauma Resusc Emerg Med. 2011;19:30.CrossRefGoogle ScholarPubMed
16.Strauss, A, Corbin, J. Basics of Qualitative Research, 3rd ed. Los Angeles, CA: Sage Publishing Inc.; 2008.Google Scholar
17.Polit, DF, Beck, CT. Nursing Research Principles & Methods, 7th ed. Philadelphia, USA: Lippincott Williams & Wilkins; 2004.Google Scholar
18.Streubert, HJ, Carpenter, DR. Qualitative Research in Nursing: Advancing the Humanistic Imperative, 4th ed. Philadelphia, USA: Lippincott Williams & Wilkins; 2007.Google Scholar
19.Graneheim, UH, Lundman, B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105-112.CrossRefGoogle ScholarPubMed
20.Priebe, MM. Spinal cord injuries as a result of earthquakes: lessons from Iran and Pakistan. J Spinal Cord Med. 2007;30(4):367-368.CrossRefGoogle ScholarPubMed
21.Tauqir, SF, Mirza, S, Gul, S, Ghaffar, H, Zafar, A. Complications in patients with spinal cord injuries sustained in an earthquake in Northern Pakistan. J Spinal Cord Med. 2007;30(4):373-377.CrossRefGoogle Scholar
22.Rathore, FA, Farooq, F, Muzammil, S, New, PW, Ahmad, N, Haig, AJ. Spinal cord injury management and rehabilitation: highlights and shortcomings from the 2005 earthquake in Pakistan. Arch Phys Med Rehabil. 2008;89(3):579-585.CrossRefGoogle ScholarPubMed
23.Gosney, JE Jr. Physical medicine and rehabilitation: critical role in disaster response. Disaster Med Public Health Prep. 2010;4(2):110-112.CrossRefGoogle ScholarPubMed
24.Raissi, GR. Earthquakes and rehabilitation needs: experiences from Bam, Iran. J Spinal Cord Med. 2007;30(4):369-372.CrossRefGoogle ScholarPubMed
25.Cultman-Smith, G. Disaster psychology: a dual perspective. In: Pinkowski J, ed. Disaster Management Handbook. NW, USA: Taylor & Francis Group L.L.C; 2008:445-456.Google Scholar
26.Chen, CH, Tan, HK, Liao, LR, et al. Long-term psychological outcome of 1999 Taiwan earthquake survivors: a survey of a high-risk sample with property damage. Compr Psychiatry. 2007;48(3):269-275.CrossRefGoogle ScholarPubMed
27.Livanou, M, Kasvikis, Y, Başoğlu, M, et al. Earthquake-related psychological distress and associated factors 4 years after the Parnitha earthquake in Greece. Eur Psychiatry. 2005;20(2):137-144.CrossRefGoogle ScholarPubMed
28.Chakrabhan, ML, Chandra, V, Levav, I, et al. Panel 2.6: mental and psychosocial effects of the tsunami on the affected populations. Prehosp Disaster Med. 2005;20(6):414-419.CrossRefGoogle ScholarPubMed
29.Madrid, PA, Sinclair, H, Bankston, AQ, et al. Building integrated mental health and medical programs for vulnerable populations post-disaster: connecting children and families to a medical home. Prehosp Disaster Med. 2008;23(4):314-321.CrossRefGoogle ScholarPubMed
30.Maheshwari, N, Yadav, R, Singh, NP. Group counseling: a silver lining in the psychological management of disaster trauma. J Pharm Bioallied Sci. 2010;2(3):267-274.Google Scholar
31.Hussain, A, Weisaeth, L, Heir, T. Changes in religious beliefs and the relation of religiosity to posttraumatic stress and life satisfaction after a natural disaster. Soc Psychiatry Psychiatr Epidemiol. 2011;46(10):1027-1032.CrossRefGoogle ScholarPubMed
32.Carmil, D, Breznitz, S. Personal trauma and world view: are extremely stressful experiences related to political attitudes, religious beliefs, and future orientation? J Trauma Stress. 1991;4(3):393-405.CrossRefGoogle Scholar
33.Drescher, KD, Foy, DW. Spirituality and trauma treatment: suggestions for including spirituality as a coping resource. NCP Clinical Quarterly. 1995;5(1):4-5.Google Scholar
34.Hackney, CH, Sanders, GS. Religiosity and mental health: a meta-analysis of recent studies. J Sci Study Relig. 2003;42(1):43-55.CrossRefGoogle Scholar
35.Harrison, MO, Koenig, HG, Hays, JC, Eme-Akwari, AG, Pargament, KI. The epidemiology of religious coping: a review of recent literature. Int Rev Psychiatry. 2001;13(2):86-93.CrossRefGoogle Scholar
36.Koenig, HG, Larson, DB. Religion and mental health: evidence for an association. Int Rev Psychiatry. 2001;13(2):67-78.CrossRefGoogle Scholar
37.Dasgupta, R. Disaster Management and Rehabilitation. New Delhi, India: Mittal Publication; 2007:215-252.Google Scholar
38.Broughton, DD, Allen, EE, Hannemann, RE, Petrikin, JE. Getting 5000 families back together: reuniting fractured families after a disaster: the role of the National Center for missing & exploited children. Pediatrics. 2006;117(5 Pt 3):S442-S445.CrossRefGoogle ScholarPubMed
39.Nager, AL. Family reunification-concepts and challenges. Clin Pediatr Emerg Med. 2009;10(3):195-207.CrossRefGoogle Scholar
40.Catani, C, Jacob, N, Schauer, E, Kohila, M, Neuner, F. Family violence, war, and natural disasters: a study of the effect of extreme stress on children's mental health in Sri Lanka. BMC Psychiatry. 2008;8:33.CrossRefGoogle ScholarPubMed
41.Blake, N, Stevenson, K. Reunification: keeping families together in crisis. J Trauma. 2009;67(2 Suppl):S147-S151.Google ScholarPubMed
42.Bokszczanin, A. Parental support, family conflict, and over protectiveness: predicting PTSD symptom levels of adolescents 28 months after a natural disaster. Anxiety Stress Coping. 2008;21(4):325-335.CrossRefGoogle Scholar
43.Rowe, CL, La Greca, AM, Alexandersson, A. Family and individual factors associated with substance involvement and PTS symptoms among adolescents in greater New Orleans after Hurricane Katrina. J Consult Clin Psychol. 2010;78(6):806-817.CrossRefGoogle ScholarPubMed
44.Hafstad, GS, Gil-Rivas, V, Kilmer, RP, Raeder, S. Parental adjustment, family functioning, and posttraumatic growth among Norwegian children and adolescents following a natural disaster. Am J Orthopsychiatry. 2010;80(2):248-257.CrossRefGoogle ScholarPubMed
45.Jester, R. ed. Advanced Rehabilitation Nursing. Oxford, UK: Blackwell Publishing; 2007:42-65.CrossRefGoogle Scholar
46.Eadie, C. Holistic Disaster Recovery: Ideas for Building Local Sustainability after a Natural Disaster. Darby, PA, USA: Diane Publishing Co; 2001.Google Scholar
47.Chang, Y, Wilkinson, S, Potangaroa, R, Seville, E. Donor-driven resource procurement for post-disaster reconstruction: constraints and actions. Habitat International. 2011;35(2):199-205.CrossRefGoogle Scholar
48.Choguill, MBG. A ladder of community participation for underdeveloped countries. Habitat International. 1996;20(3):431-444.CrossRefGoogle Scholar
49.Bazeghi, F, Baradaran, HR. The role of non-governmental organizations in the management of separated and unaccompanied children, following disasters in Iran. BMC Res Notes. 2010;3:256.CrossRefGoogle Scholar