Sanatkhah Alireza, Rahmani Ravari Ali, Ghanizade Shoabjarei Reza
Department of Sociology, Kerman Branch, Islamic Azad University, Kerman, Iran.
Front Public Health. 2025 Jul 3;13:1497197. doi: 10.3389/fpubh.2025.1497197. eCollection 2025.
Medical staff that was under a lot of pressure and had insufficient resources and facilities during the outbreak of COVID-19. Accordingly, the present study attempts to gain a wider understanding of the reasons and factors affecting the mental health of Birjand EMS personnel during COVID-19.
The Grounded Theory method was used in the present study. Using in-depth and free interview technique according to this theory and also, by using targeted sampling, based on the inclusion criteria, the required data was collected and adjusted from 25 personnel of this organization. The samples were selected according to theoretical saturation and using the purposive sampling method. A semi-structured interview was used as a data collection tool. Additionally, three methods of control or validation by members, analytical comparisons and the use of audit techniques were used so as to achieve the criterion of validity.
Based on the results of the present study, stressful work and social environments, the risk of mistakes and occupational accidents, as well as physical disorders are known as the most important causal conditions. Undesirable salary and benefits, perceived social dignity and trust, and perceived social hope have been proposed as intervening factors. Distrust in management and cultural-educational infrastructural defects are mentioned as background conditions and reformatory measures of the government, increase in the level of public awareness, increase in the motivation of personnel, improvement of work and professional skills as action-interactions, behavioral-functional reaction and physical-psychological symptoms have been identified as outcomes.
The mental health of personnel is formed under the influence of internal and external organizational (social) factors. The most important factor that affect it is management performance in society.
在新冠疫情爆发期间，医护人员面临巨大压力，且资源和设施不足。因此，本研究试图更广泛地了解影响比尔詹德急救医疗服务人员在新冠疫情期间心理健康的原因和因素。
本研究采用扎根理论方法。根据该理论，运用深入和自由访谈技术，并基于纳入标准采用针对性抽样，从该组织的25名人员中收集并整理所需数据。样本根据理论饱和度并采用立意抽样法选取。采用半结构化访谈作为数据收集工具。此外，还采用了成员控制或验证、分析比较和审计技术三种方法以达到效度标准。
基于本研究结果，工作和社会环境压力大、犯错和职业事故风险以及身体不适被认为是最重要的因果条件。不理想的薪资和福利、感知到的社会尊严和信任以及感知到的社会希望被提出作为干预因素。对管理层的不信任和文化教育基础设施缺陷被提及为背景条件，而政府的改革措施、公众意识水平的提高、人员积极性的提高、工作和专业技能的提升作为行动互动，行为功能反应和身体心理症状被确定为结果。
人员的心理健康是在内部和外部组织（社会）因素的影响下形成的。影响它的最重要因素是社会中的管理绩效。
