fa بررسی وضعیت سلامت عمومی کارکنان بهداشتی امدادرسان در زلزله غرب ایران در کرمانشاه سلامت در بلایا و فوریت ها Health in disasters and emergencies پژوهشي Research <div style="text-align: justify;"><span style="font-size:10pt"><span style="line-height:20.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-YE" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">مقدمه: </span></span></span></b><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">در دهه</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">های اخیر بلایای طبیعی و تأثیر آن</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">ها بر جوامع انسانی رو به افزایش می</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">باشد. حوادث و بلایا می</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">تواند تأثیرات نامطلوبی بر سلامت عمومی کارکنان بهداشتی به ویژه کارکنان درگیر امدادرسانی در مناطق تحت تأثیر بلایا داشته باشد.</span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:20.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-YE" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">هدف: </span></span></span></b><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">این پژوهش با هدف بررسی وضعیت سلامت عمومی کارکنان بهداشتی امدادرسان در زلزله کرمانشاه، انجام گردید.</span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:20.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-YE" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">مواد و روش</span></span></span></b><b><span dir="LTR" style="font-size:11.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span></b><b><span lang="AR-YE" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">ها: </span></span></span></b><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">این پژوهش یک مطالعه توصیفی- تحلیلی (مقطعی) می</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">باشد که در سال 98- 1397 انجام گرفت. 242 نفر از کارکنان بهداشتی که در زلزله کرمانشاه (حدود یک سال قبل از انجام مطالعه)، به زلزله زدگان امدادرسانی کرده بودند، به روش در دسترس وارد مطالعه شدند. پرسشنامه استاندارد سلامت عمومی&nbsp;</span></span></span><span dir="LTR" gn="" style="font-family:" times=""><span style="color:black">28</span></span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">-</span></span></span><span dir="LTR" gn="" style="font-family:" times=""><span style="color:black">GHQ</span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">&nbsp;</span></span></span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">جهت بررسی وضعیت سلامت عمومی استفاده شد. تجزیه و تحلیل داده</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">ها با استفاده از نرم</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">افزار </span></span></span><span dir="LTR" gn="" style="font-family:" times=""><span style="color:black">SPSS</span></span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black"> نسخه 22 انجام شد.</span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:20.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-YE" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">یافته</span></span></span></b><b><span dir="LTR" style="font-size:11.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span></b><b><span lang="AR-YE" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">ها: </span></span></span></b><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">میانگین امتیاز کسب شده پرسشنامه در واحدهای مورد پژوهش 12/18</span></span></span><span calibri="" dir="LTR" style="font-family:"><span style="color:black">&plusmn;</span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">26/43 بود. واحدهای مورد پژوهش از نظر میانگین نمره شکایات جسمانی، اضطراب و اختلال خواب و افسردگی، در حد متوسط و از نظر اختلال عملکرد اجتماعی، در حد مطلوب بودند. ارتباط معنی</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">دار بین جنس، سابقه کار و رده خدمتی با وضعیت سلامت عمومی واحدهای مورد پژوهش وجود داشت (0/05</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span dir="LTR" gn="" style="font-family:" times=""><span style="color:black">P<</span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">).</span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:20.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-YE" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">نتیجه</span></span></span></b><b><span dir="LTR" style="font-size:11.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span></b><b><span lang="AR-YE" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">گیری: </span></span></span></b><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">بلایا می</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">تواند تأثیرات نامطلوبی بر سلامت عمومی کارکنان بهداشتی در مناطق تحت تأثیر داشته باشد. نتایج این پژوهش می</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">تواند جهت تدوین راهکارهای مداخله</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">ای پیشگیرانه و درمانی در جهت ارتقاء سلامت عمومی و به ویژه سلامت روان کارکنان بهداشتی به منظور بهبود کیفیت زندگی و داشتن عملکرد مطلوب</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">تر در زمینه ارائه خدمات به ویژه در بحران</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">هایی همچون زلزله مورد استفاده قرار گیرد.</span></span></span></span></span></span></span></span></span></span><br> <br> <br> <span dir="LTR"></span><span dir="LTR"></span></div> <div style="text-align: justify;"><span style="font-size:10pt"><span style="line-height:15.0pt"><span style="tab-stops:11.35pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span new="" roman="" style="font-family:" times=""><b><span style="color:black">Introduction: </span></b><span style="color:black">In recent decades, natural disasters and their consequences on human societies have been increasing. Disasters can have negative impacts on the general health of individuals, especially health care workers involved in disaster relief.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:15.0pt"><span style="tab-stops:11.35pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span new="" roman="" style="font-family:" times=""><b><span style="color:black">Objective: </span></b><span style="color:black">This study aimed to investigate the general health status of health care workers involved in the Kermanshah earthquake in the west of Iran.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:15.0pt"><span style="tab-stops:11.35pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span new="" roman="" style="font-family:" times=""><b><span style="color:black">Materials and Methods: </span></b><span style="color:black">This cross-sectional (descriptive-analytical) study was conducted in 2019-2020 on health care workers (n=242) who were selected based on the convenience sampling method. The study instruments included the demographic characteristics form and the General Health Standard Questionnaire (GHQ-28). The data (descriptive and inferential statistics) were analyzed using SPSS software (version 22).</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:15.0pt"><span style="tab-stops:11.35pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span new="" roman="" style="font-family:" times=""><b><span style="color:black">Results: </span></b><span style="color:black">The mean&plusmn;SD score obtained by the participants (using the questionnaire) was 26.43&plusmn;12.18. Based on the results, the participants had a moderate condition in terms of the mean score of physical complaints, anxiety, sleep disorders, and depression, and a desirable condition in terms of the mean score of social dysfunction. There was a significant relationship between gender, work experience, and job category with the general health status of the participants (P<0.05).</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:15.0pt"><span style="tab-stops:11.35pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span new="" roman="" style="font-family:" times=""><b><span style="color:black">Conclusion: </span></b><span style="color:black">Disasters can have negative consequences on the general health status of workers in the affected regions. The results of this study can be used to develop preventive and therapeutic interventional strategies to promote general health, especially the mental health of people working in the health care sector, to improve their quality of life and performance (in providing disaster relief services), especially during the crises such as earthquakes.</span></span></span></span></span></span></span><br> &nbsp;</div> بحران, زلزله, سلامت عمومی, کارکنان بهداشتی Crisis, Disaster, Earthquake, General Health, Healthcare Worker 35 44 http://mcs.ajaums.ac.ir/browse.php?a_code=A-10-73-1&slc_lang=fa&sid=1 Somayeh Azarmi سمیه آزرمی azarmi1363@yahoo.com 100319475328460012138 100319475328460012138 No Ph.D. of Health in Emergencies and Disasters, Instructor, Health in Emergencies and Disasters Department, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran دکترای تخصصی سلامت در بلایا و فوریت‌ها، مربی، گروه سلامت در بلایا و فوریت‌ها، دانشکده پرستاری، دانشگاه علوم پزشکی آجا، تهران، ایران Faeze Baniyaghoobi فائضه بنی یعقوبی faeze.baniyaghoobi@gmail.com 100319475328460012139 100319475328460012139 No MSc in Nursing, Instructor, Military Nursing Department, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran کارشناس ارشد پرستاری نظامی، مربی، گروه پرستاری نظامی، دانشکده پرستاری، دانشگاه علوم پزشکی آجا، تهران، ایران Zahra Farsi زهرا فارسی zahrafarsi@gmail.com 100319475328460012140 100319475328460012140 No Ph.D. Medical- Surgical Nursing, Professor, Research and Community Health Departments, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran دکترای تخصصی پرستاری (آموزش داخلی - جراحی)، استاد، گروه بهداشت جامعه و معاون پژوهش، دانشکده پرستاری، دانشگاه علوم پزشکی آجا، تهران، ایران Saeed Safshekan سعید صف شکن Saeed.66saf@gmail.com 100319475328460012141 100319475328460012141 No MSc in Disaster Management, Health, Relief and Treatment Department of NahAja کارشناس ارشد مدیریت سوانح، اداره بهداشت، امداد و درمان نهاجا Simin Taj SHarififar سیمین تاج شریفی فر S_sharififar@yahoo.com 100319475328460012142 100319475328460012142 Yes Ph.D. Health in Disaster and Emergency, Assistant Professor, Health in Disaster and Emergency Department, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran دکترای تخصصی سلامت در بلایا و فوریت‌ها، استادیار، گروه سلامت در بلایا و فوریت‌ها، دانشکده پرستاری، دانشگاه علوم پزشکی آجا، تهران، ایران