Quality of Life Assessment in Pre-Hospital and Hospital Emergency Healthcare Workers: A Pilot Study

M. Nasr Isfahani, Mohammad Hatami, Donya Sheibani Tehrani
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Abstract

Introduction Quality of life (QoL) is an important index of general and mental health. Several studies have demonstrated healthcare staff can provide higher quality services to patients when they have a better QoL. Working in emergency care services has a heavy workload therefore poor QoL can lead to poor quality of service to patients. We aimed to assess the QoL in pre-hospital and hospital emergency healthcare workers in Isfahan province in Iran via the WHOQOL-BREF (World Health Organization Quality of Life) questionnaire. Methods A total of 891 pre-hospital and hospital emergency personnel were selected via the census method. The WHOQOL-BREF questionnaire was filled out by the participants over a period of 1 year. Results A total of 891 subjects participated. About 33.7% of the participants were pre-hospital emergency staff, 59.1% emergency department nurses, 5.3% emergency department physicians, and 1.6% emergency medicine specialists. Approximately 412 participants (48.8%) were women and 469 (53.2%) were men (mean age 37.72 ± 11.02 years). QoL in pre-hospital and hospital emergency personnel had the highest mean score in the general health domain (61.43 ± 21.38) and the lowest mean score in the environmental health domain (48.54 ± 17.62). Social relationships with a mean score of 53.30 ± 23.56 were not significantly different to the average (p>0.05). Workplace and work experience had a significant effect on all domains of QoL. Conclusion Pre-hospital and hospital emergency personnel in Isfahan province had an optimal QoL, except in environmental health. Therefore, to increase the QoL in this area the periodical evaluation of environmental health is recommended. Appropriate training to create workplace adjustment and work experience can also improve QoL.
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院前和医院急救医护人员的生活质量评估:一项试点研究
生活质量(Quality of life, QoL)是综合健康和心理健康的重要指标。几项研究表明,当医护人员的生活质量较好时,他们可以为患者提供更高质量的服务。急诊护理工作工作量大,因此生活质量差会导致对患者的服务质量差。我们旨在通过WHOQOL-BREF(世界卫生组织生活质量)问卷评估伊朗伊斯法罕省院前和医院急诊医护人员的生活质量。方法采用普查方法,抽取891名院前和医院急救人员。WHOQOL-BREF问卷由参与者在1年的时间内填写。结果共纳入891名受试者。约33.7%的参与者为院前急救人员,59.1%为急诊科护士,5.3%为急诊科医生,1.6%为急诊医学专家。其中女性412人(48.8%),男性469人(53.2%),平均年龄37.72±11.02岁。院前和院内急救人员的生活质量平均得分最高的是一般健康领域(61.43±21.38),最低的是环境健康领域(48.54±17.62)。社会关系得分为53.30±23.56分,与平均值无显著差异(p>0.05)。工作场所和工作经历对生活质量的各方面均有显著影响。结论除环境健康外,伊斯法罕省院前和医院急救人员的生活质量最佳。因此,为了提高该地区的生活质量,建议定期进行环境健康评价。适当的培训,以创造工作场所的适应和工作经验,也可以提高生活质量。
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