Farahmandnia Iman, Karimiankakolaki Zohreh
Social Determinants of Health Research Center, Shk.C., Islamic Azad University, Shahrekord, Iran.
BMC Health Serv Res. 2025 Sep 2;25(1):1173. doi: 10.1186/s12913-025-13376-3.
Earthquakes are recognized as one of the most dangerous and destructive types of natural disasters. Therefore, decision-making and crisis management are of great importance in these circumstances. The aim of the present study was to investigate the effect of the crisis management training intervention in earthquake simulation conditions in prehospital emergency and incident management center personnel in Chaharmahal Bakhtiari, Iran in 2024.
The present study was a semi-experimental pre-test-post-test type. The statistical population was 64 emergency medical personnel at emergency bases in Iran, who were selected from the study population by simple random method and according to the inclusion criteria and were randomly assigned to two intervention and control groups based on a lottery. The educational-operational intervention program was presented to the intervention group in four two-hour sessions. A crisis management questionnaire was used to collect data. Data were analyzed using SPSS26 software, t-test, and structural equation modeling.
The mean age of the participants was 38.6±1.33. The crisis management score before training the crisis management model in the intervention group was 37.03±3.63 and in the control group was 37.34±4.22; there was no statistically significant difference (p=0.761). The crisis management score after training the crisis management model in the intervention group was 43.45±6.00 and in the control group was 37.91±4.31, which was statistically significant (p<0.001).
Considering the positive effect of crisis management training in earthquake simulation conditions on emergency medical personnel at emergency bases, it seems that this method can improve the performance of emergency medical personnel. Therefore, it can be suggested that crisis management training intervention in earthquake incidents with simulated training (maneuver) be used to increase the performance of emergency medical personnel.
地震被认为是最危险、最具破坏性的自然灾害之一。因此,在这些情况下,决策和危机管理至关重要。本研究的目的是调查2024年在伊朗恰哈马哈勒-巴赫蒂亚里省的院前急救和事件管理中心人员中,危机管理培训干预在地震模拟条件下的效果。
本研究为半实验性的前测-后测类型。统计总体为伊朗应急基地的64名急救人员,通过简单随机方法从研究总体中选取,并根据纳入标准,通过抽签随机分为干预组和对照组。教育-操作干预方案以四个两小时的课程形式呈现给干预组。使用危机管理问卷收集数据。数据使用SPSS26软件、t检验和结构方程模型进行分析。
参与者的平均年龄为38.6±1.33岁。干预组在培训危机管理模型之前的危机管理得分是37.03±3.63,对照组是37.34±4.22;无统计学显著差异(p=0.761)。干预组在培训危机管理模型之后的危机管理得分是43.45±6.00,对照组是37.91±4.31,具有统计学显著性(p<0.001)。
考虑到危机管理培训在地震模拟条件下对应急基地急救人员的积极影响,似乎这种方法可以提高急救人员的表现。因此,可以建议在地震事件中采用模拟培训(演习)的危机管理培训干预来提高急救人员的表现。