fa ارزیابی عملکرد خانه های بهداشت شهرستان کرمان در مقابله با کووید-19 بهداشت عمومی Public Health پژوهشي Research <span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:.5in"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><strong new="" roman="" style="font-family:" times=""><span b="" lang="AR-SA" lotus="" style="font-family:">زمینه و هدف<i>: </i></span></strong><span b="" lang="AR-SA" lotus="" style="font-family:">ارزیابی عملکرد راهی مفید جهت کسب اطلاعات برای تصمیم</span>‌<span b="" lang="AR-SA" lotus="" style="font-family:">گیری و مدیریت سازمان</span>‌<span b="" lang="AR-SA" lotus="" style="font-family:">های بهداشتی درمانی می&shy;باشد. </span><span b="" lang="AR-SA" lotus="" style="font-family:">هدف مطالعه حاضر، ارزیابی عملکرد خانه</span>‌<span b="" lang="AR-SA" lotus="" style="font-family:">های بهداشت شهرستان کرمان در دوران دنیا</span>‌<span b="" lang="AR-SA" lotus="" style="font-family:">گیری کووید- 19</span><span b="" lang="FA" lotus="" style="font-family:">می باشد</span><span b="" lang="AR-SA" lotus="" style="font-family:">. </span><strong new="" roman="" style="font-family:" times=""><span calibri="" dir="LTR" style="font-family:"><span style="font-weight:normal"></span></span></strong></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><strong new="" roman="" style="font-family:" times=""><span b="" lang="AR-SA" lotus="" style="font-family:">روش&shy;کار:</span></strong> <span b="" lang="FA" lotus="" style="font-family:">این </span><span b="" lang="AR-SA" lotus="" style="font-family:">مطالعه مقطعی به شیوه توصیفی-تحلیلی در سال 1400 انجام شد. </span><span b="" lang="AR-SA" lotus="" style="font-family:">جامعه پژوهش شامل 57 </span><span b="" lang="FA" lotus="" style="font-family:">خانه بهداشت</span><span b="" lang="AR-SA" lotus="" style="font-family:"> شهرستان کرمان بود که به </span><span dir="LTR" new="" roman="" style="font-family:" times="">‌</span><span b="" lang="AR-SA" lotus="" style="font-family:">صورت سرشماری وارد مطالعه شدند. </span><span b="" lang="FA" lotus="" style="font-family:">ابزار جمع</span><span dir="LTR" new="" roman="" style="font-family:" times="">‌</span><span b="" lang="FA" lotus="" style="font-family:">آوری داده</span><span dir="LTR" new="" roman="" style="font-family:" times="">‌</span><span b="" lang="FA" lotus="" style="font-family:">ها، چک</span><span dir="LTR" new="" roman="" style="font-family:" times="">‌</span><span b="" lang="FA" lotus="" style="font-family:">لیست ارزیابی عملکرد خانه</span><span dir="LTR" new="" roman="" style="font-family:" times="">‌</span><span b="" lang="FA" lotus="" style="font-family:">های بهداشت معاونت بهداشتی وزارت بهداشت بود که برای نظارت بر عملکرد خانه</span><span dir="LTR" new="" roman="" style="font-family:" times="">‌</span><span b="" lang="FA" lotus="" style="font-family:">های بهداشت در دوران </span><span b="" lang="AR-SA" lotus="" style="font-family:">همه </span>‌<span b="" lang="AR-SA" lotus="" style="font-family:">گیری کووید-19 </span><span b="" lang="FA" lotus="" style="font-family:">تدوین شده بود. </span><span b="" lang="AR-SA" lotus="" style="font-family:">تحلیل داده</span>‌<span b="" lang="AR-SA" lotus="" style="font-family:">ها توسط نرم</span>‌<span b="" lang="AR-SA" lotus="" style="font-family:">افزار </span><span dir="LTR" new="" roman="" style="font-family:" times="">SPSS 26</span> <span b="" lang="FA" lotus="" style="font-family:">و با استفاده از آمار توصیفی شامل میانگین و انحراف معیار و آمار تحلیلی </span><span b="" lang="FA" lotus="" style="font-family:">شامل تی</span><span dir="LTR" new="" roman="" style="font-family:" times="">‌</span><span b="" lang="FA" lotus="" style="font-family:">مستقل، آنالیز واریانس</span> <span b="" lang="FA" lotus="" style="font-family:">یک</span><span dir="LTR" new="" roman="" style="font-family:" times="">‌</span><span b="" lang="FA" lotus="" style="font-family:">طرفه، همبستگی پیرسون و اسپیرمن انجام شد.</span><span dir="LTR" style="font-family:"Times New Roman",serif"></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><strong new="" roman="" style="font-family:" times=""><span b="" lang="AR-SA" lotus="" style="font-family:">نتایج:</span></strong><strong new="" roman="" style="font-family:" times=""><i> </i></strong><span b="" lang="AR-SA" lotus="" style="font-family:">میانگین نمره عملکرد خانه</span>‌<span b="" lang="AR-SA" lotus="" style="font-family:">های بهداشت مشارکت کننده در پژوهش (تعداد=55) در مدیریت همه </span>‌<span b="" lang="AR-SA" lotus="" style="font-family:">گیری کووید-19، معادل 37/96 از حداکثر 13</span><span b="" lang="FA" lotus="" style="font-family:">6</span><span b="" lang="AR-SA" lotus="" style="font-family:">به دست آمد. در گو</span><span b="" lang="FA" lotus="" style="font-family:">یه</span>‌<span b="" lang="FA" lotus="" style="font-family:">های نصب </span><span b="" lang="AR-SA" lotus="" style="font-family:">کروکی روستا به دیوار خانه بهداشت (3/92</span><span b="" lang="FA" lotus="" style="font-family:">%</span><span b="" lang="AR-SA" lotus="" style="font-family:">) و غربالگری و پیگیری افراد مثبت و اطلاع</span>‌<span b="" lang="AR-SA" lotus="" style="font-family:">رسانی به تیم مراقبت جهت رهگیری و جداسازی افراد در تماس نزدیک (6/84%) بیشترین و </span><span b="" lang="FA" lotus="" style="font-family:">تزریق </span><span b="" lang="AR-SA" lotus="" style="font-family:">دوز سوم (8/78</span><span b="" lang="FA" lotus="" style="font-family:">%</span><span b="" lang="AR-SA" lotus="" style="font-family:">) و دوز دوم واکسن کووید (75%) کمترین امتیاز را کسب کرده&shy;اند. </span><span b="" lang="FA" lotus="" style="font-family:">از بین ویژگی&shy;های مورد بررسی بهورزان و خانه&shy;های بهداشت، متغیر بومی </span>‌<span b="" lang="FA" lotus="" style="font-family:">بودن بهورزان با نمره عملکرد ارتباط مثبت معنی</span>‌<span b="" lang="FA" lotus="" style="font-family:">داری از لحاظ آماری داشت (01/0=</span><span dir="LTR" new="" roman="" style="font-family:" times="">p</span><span b="" lang="FA" lotus="" style="font-family:">). همچنین خانه های بهداشت با بهورز بیشتر عملکرد بهتری از خانه های تک بهورز داشتند (05/0=</span><span dir="LTR" new="" roman="" style="font-family:" times="">p</span><span b="" lang="FA" lotus="" style="font-family:">).</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="text-autospace:none"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><strong new="" roman="" style="font-family:" times=""><span b="" lang="AR-SA" lotus="" style="font-family:">نتیجه</span></strong><strong new="" roman="" style="font-family:" times=""><span calibri="" dir="LTR" style="font-family:">‌‌</span></strong><strong new="" roman="" style="font-family:" times=""><span b="" lang="AR-SA" lotus="" style="font-family:">گیری:</span></strong><span b="" lang="AR-SA" lotus="" style="font-family:"> ارزیابی عملکرد واحدهای بهداشتی درمانی</span> <span b="" lang="AR-SA" lotus="" style="font-family:">در مواقع بروز بحران</span>&shy;<span b="" lang="FA" lotus="" style="font-family:">&shy;ها</span> <span b="" lang="AR-SA" lotus="" style="font-family:">از جمله بروز اپیدمی بیماریهای واگیر امکان شناسایی گلوگاه&shy;های نیازمند بهبود و ایجاد آمادگی هر چه بیشتر در آینده </span><span b="" lang="FA" lotus="" style="font-family:">را</span> <span b="" lang="AR-SA" lotus="" style="font-family:">میسر </span><span b="" lang="FA" lotus="" style="font-family:">خواهد نمود<b>.</b> بر اساس یافته&shy;های پژوهش حاضر، گسترش پوشش واکسیناسیون </span><span b="" lang="AR-SA" lotus="" style="font-family:">کووید-19، مشخص و به روزرسانی وضعیت بروز بیماری، عملکرد تیم&shy;های مراقبت در منزل و پیشرفت برنامه عملیاتی بیشترین موارد نیازمند بهبود بودند. </span><b><span lang="FA" style="font-family:"B Lotus""></span></b></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Background and Aim</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">: </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Performance evaluation is a useful way to obtain information for decision-making and management of healthcare organizations. The purpose of this study was to assess the performance of health houses in rural areas in Kerman City, Iran during the outbreak of Covid-19.</span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Lotus""></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Materials and Methods:</span></span></b> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">This cross-sectional study was conducted in 2021-22 using descriptive and analytical methods. The research population included all the health houses in Kerman City (n=57), Iran. The tool for data collection was the Health House Performance Evaluation Checklist of the Ministry of Health and Medical Education developed to supervise the performance of health houses during the outbreak of Covid-19. Data analysis was done using SPSS 26 software, the statistical tests being descriptive statistics (mean and standard deviation) and analytical statistics including independent t-test, one-way analysis of variance and Pearson and Spearman correlations.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="background:white"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Results</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">: </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">The average performance score of the health houses (n =55) in managing Covid-19 was 96.37 out of 136. Installation of the village map on the wall of the health house &nbsp;(92.3%), screening and following up the positive-test individuals and informing the health care team to track and isolate individuals in close contact (84.6%) were found to have the highest, and injecting the third dose (78.8%) and the second dose (75%) of the Covid vaccine the lowest, &nbsp;scores. From among the characteristics investigated the variable of native Behvarzes (the personnel of health houses) had a statistically significant positive relationship with the performance score (p=0.01). In addition, the health houses with more than one Behvarz were found to perform better than those with only one Behvarz (p=0.05).</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusion</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">: </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Assessing the performance of health care units at times of crisis, including communicable diseases epidemics, will make it possible to identify the bottlenecks that need improvement for better preparedness in the future. Based on the findings of this&nbsp; research, the expansion of the coverage of the covid-19 vaccination, updating the disease incidence, the performance of health care teams at home visits, and the progress of the operational plan were the variables that needed improvement most.</span></span></span></span></span><br> &nbsp; مراقبت‌های بهداشتی اولیه, خانه بهداشت, بهورز, سنجش عملکرد, کووید-19, کرمان, ایران Primary Health Care, Health House, Behvarz, Performance Evaluation, Covid-19, Kerman City, Iran 1 16 http://sjsph.tums.ac.ir/browse.php?a_code=A-10-1-216&slc_lang=fa&sid=1 Maryam Tajvar مریم تاجور No Ph.D. Associate Professor, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran دانشیار، گروه علوم مدیریت، سیاستگذاری و اقتصاد بهداشت، دانشکده بهداشت، دانشگاه علوم پزشکی تهران، تهران، ایران Omolbanin Atashbahar ام البنین آتش بهار No Ph.D. Assistant Professor, Department of Public Health, Sirjan School of Medical Sciences, Sirjan, Iran استادیار، گروه بهداشت عمومی، دانشکده علوم پزشکی سیرجان، سیرجان، ایران Firoozeh Dadras فیروزه دادرس No MSc. Education and Development Center of Kerman University of Medical Sceinces, Kerman, Iran کارشناس ارشد، مرکز مطالعات و توسعه دانشگاه علوم پزشکی کرمان، کرمان، ایران Haniye Sadat Sajadi حانیه سادات سجادی hsajjadi@tums.ac.ir Yes Ph.D. Associate Professor, Knowledge Utilization Research Center, University Research and Development Center, Tehran University of Medical Sciences, Tehran, Iran دانشیار، مرکز تحقیقات بهره برداری از دانش سلامت، مرکز تحقیق و توسعه دانشگاه، دانشگاه علوم پزشکی تهران، تهران، ایران