This study investigated factors affecting disaster preparedness and evacuation intentions among home-care patients dependent on electrical power for life support. Health professionals interviewed 53 home-care patients using the Kanazawa and Kochi Disaster Preparedness Checklist. About half of the participants requiring continuous artificial ventilation or aspiration indicated that they would not or could not evacuate following a disastereven though their lives could be at risk. The availability of emergency medical equipment for use during a power outage was positively associated with the desire to evacuate. Our results indicate the need for improved systems to assist power-dependent home-care patients.Despite having escaped the immediate impact of the earthquake tremors and tsunami, users of artificial respirators and oxygen concentrators died owing to power outages following the 2011 Great East Japan Earthquake (Ministry of Health, Labour, and Welfare, 2011). Further, there is insufficient preparation for blackouts caused by hurricanes or earthquakes in the United States, despite the fact that blackout conditions could endanger electricity-dependent children (Sakashita, Matthews, & Yamamoto, 2013). In this way, both nationally and internationally, home-care patients and children using electricity-dependent medical equipment can suffer more damage than that caused by the disaster itself, as their conditions can be exacerbated-and life crises caused-by interruption of their use of medical equipment. Therefore, it is essential to prepare for electricity-dependent individuals to be provided with stable use of medical equipment during a blackout until they can evacuate to institutions, such as hospitals, with secure electricity supplies. However, it is unrealistic to expect patients or their families to shoulder the major burden of such preparations alone. Some individuals who did not evacuate, despite the evacuation order, were not able to evacuate for a physical reason by themselves or because they had to care for someone else (Brodie, Weltzien, Altman, Blendon, & Benson, 2011). It would be effective to prepare evacuation methods and provide for the secure evacuation of supporters in patients' living environments and health professionals who support everyday life.In the United States, the Federal Emergency Management Agency and American Red Cross have established and widely disseminated an approach to help people with disabilities and special needs to prepare for a disaster or emergency. The planning process includes identifying-in conjunction with family members, friends, and personal care attendants-the support and HEALTH NURSING 2016, VOL. 33, NO. 4, 196-208 http://dx.doi.org/10.1080/07370016.2016 resources that would be required (Federal Emergency Management Agency, & American Red Cross, 2004). Similarly, the Australian Red Cross (2015) and New Zealand Ministry of Civil Defence and Emergency Management (2010) have developed approaches to establish personal support networks and prepare for emergen...