Background and Objectives: Iran is considered as a country prone to accidents due to its geographical situations. The health and medical teams at the National and International Crescent Society have always played a central role in responding to crises. In addition to financial and psychological damage, psychological damage is one of the indemnities that people living in affected areas and relief workers pay in natural and man-made disasters. Therefore, improving the mental health of emergency forces is essential. Method: This study was an experimental study with control group. The research community comprised 126 members of the Primary Care teams in the Red Crescent Health Care. Sampling was done randomly from among the health care teams of the Red Crescent society. Subjects in both experimental and control groups completed the Mental Health Questionnaire (GHQ) in the pre-test and post-test. At last, the data were analyzed using SPSS software and descriptive statistical tests such as Kolmogorov-Smirnov, Mann-Whitney U test and Wilcoxon. Results:The results of this study showed that resiliency training has been effective in promoting the mental health of members in the Red Crescent Health Care Teams. Indices of physical symptoms, anxiety, social performance and depression were not significantly different in the control group before and after the training. Indices of physical symptoms, anxiety and social performance were significant in the exerimrntal group before and after the training. However, the depression index was not significant in the experimental group before and after the training (55 = p). Indices of physical symptoms, anxiety, social performance and depression were not significantly different in the pretest between the control and the experimental group. Indices of physical symptoms, anxiety and depression were significant in the post test between the control and experimental groups. However, social performance index was not significantly different between the two groups in the post test (291 = P). Conclusion: Regarding to the fact that the mental health of the members of Red Crescent health care teams have been enhanced by resiliency training and will ultimately affect the future performance of the health and medical personnel in crisis situations, it's recommended that coherent training courses be held in all the provinces.
The COVID-19 pandemic has had many effects on the process of receiving medical services in patients with chronic diseases such as cardiovascular diseases. The focus of all attention and the allocation of resources to control the epidemic has made it difficult for cardiovascular patients to access health services. This study aimed to identify the challenges of providing cardiovascular patients with health services during the COVID-19 pandemic in Iran. Methods: This applied study was performed via a qualitative descriptive method. Participants included 15 cardiologists, emergency medicine specialists, internal medicine specialists, and cardiac nurses. Collected through semi-structured interviews, the data were analyzed by qualitative content analysis using MAXQDA software. Results: In the present study, four categories and nine subcategories were extracted. The categories included lack of resources in the cardiovascular department [lack of physical space, allocation of resources to patients with COVID-19, limitations of equipment and facilities], weaknesses in providing efficient and effective education [fear of disease, lack of sufficient information], weaknesses in the hospital preparedness program [inadequate service delivery planning, inefficient resource management planning], poor quality and quantity of health care services [reduction in the amount of care provided, inadequate and untimely medical care. Conclusion: Providing cardiovascular patients with health services has been challenged due to the simultaneous response to the COVID-19 pandemic. Properly allocating resources, informing and educating the community and medical staff, and developing preparedness programs can help address these challenges and provide cardiovascular patients with optimal health services.
The article's abstract is not available.
Providing health care in times of complex emergencies (CEs) is one of the most vital needs of people. CEs are situations in which a large part of the population is affected by social unrest, wars, and food shortages. This systematic review study was conducted to identify the challenges of health-care delivery in CEs. We searched terms related to health-care delivery and CEs in PubMed, Web of Sciences, Science Direct, and Google scholar databases, as well as Persian databases SID and Magiran. The searching keywords included: “Health Care, Complex Crises, War, Humanitarian, Refugees, Displaced Persons, Health Services, and Challenges.” Of 409 records, we selected 6 articles based on the Preferred Reporting Items for Systematic Reviews (PRISMA) checklist. Studies were analyzed through qualitative content analysis. The results show that CEs affect health-care delivery in 4 primary areas: the workforce, infrastructure, information access, and organization of health services. These areas can pose potential threats for health-care providers and planners at times of emergencies. Thus, they should be informed about these challenges to strengthen the health-care system.
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