Alborz University Medical Journal
نشریه علمی پژوهشی دانشگاه علوم پزشکی البرز
aumj
Medical Sciences
http://aums.abzums.ac.ir
1
admin
2322-3839
2588-3046
10.61186/aums
fa
jalali
1404
3
1
gregorian
2025
6
1
14
3
online
1
fulltext
fa
بررسی نقش مدتزمان فعالیت، احساس آسایش و سازگاری حرارتی بر عملکرد شناختی و خستگی عمومی کارکنان فضاهای درمانی (مطالعه موردی: کارکنان بیمارستانهای شهر ایلام)
Investigating the role of activity duration, sense of comfort, and thermal adaptation on cognitive performance and general fatigue of healthcare workers (Case study: Hospital workers in Ilam)
عمومى
General
پژوهشي
Research
<p><span style="font-size:10.5pt"><span style="text-justify:inter-ideograph"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:14.0pt"><span style="line-height:115%"><span b="" style="font-family:" titr="">مقدمه<a name="_Hlk168364073">:</a></span></span></span></b> <span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">در محیطهای درمانی، سلامت و کارایی کارکنان نقشی کلیدی در ارائه خدمات به بیماران ایفا میکند. ازآنجاکه متغیرهای مختلفی نظیر مدتزمان فعالیت، احساس آسایش و سازگاری حرارتی میتوانند بر عملکرد شناختی و خستگی عمومی اثرگذار باشند، بررسی این عوامل ضروری است. هدف پژوهش حاضر بررسی</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> نقش مدتزمان فعالیت، احساس آسایش و سازگاری حرارتی بر عملکرد شناختی و خستگی عمومی کارکنان فضاهای درمانی</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> شهر ایلام است.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10.5pt"><span style="text-justify:inter-ideograph"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:14.0pt"><span style="line-height:115%"><span b="" style="font-family:" titr="">روش کار:</span></span></span></b><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> این مطالعه بهصورت</span></span></span> <span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> میدانی</span></span></span> <span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">باهدف بررسی پارامترهای محیطی و شغلی کارکنان درمانی انجام شد. جامعه مورد مطالعه شامل پرسنل</span></span></span> <span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">پنج بیمارستان شهر ایلام</span></span></span> <span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">بود که از</span></span></span> <span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">مرداد تا آبان ۱۴۰۲</span></span></span> <span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">مورد ارزیابی قرار گرفتند</span></span></span><span dir="LTR" lang="EN-US" style="font-size:13.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">.</span></span></span> <span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">در کنار مطالعات کتابخانهای، حضور فیزیکی در این اماکن و انجام مطالعات میدانی، همزمان پاسخ 400 نفر به پرسشنامهها ثبت و مورد تجزیهوتحلیل قرار گرفت.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:15pt"><span style="text-justify:inter-ideograph"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" light="" style="font-family:"><b><span lang="FA" style="font-size:14.0pt"><span style="line-height:115%"><span b="" style="font-family:" titr="">یافتهها:</span></span></span></b> <span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">یافتهها نشان داد، مقدار دمای خنثی برابر 19 درجه سانتیگراد می باشد که این مقدار با </span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">استاندارد جهانی</span></span></span> <span dir="LTR" lang="EN-US" style="font-size:13.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">ISO7730</span></span></span> <span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">و استاندارد جهانی (اشری 55) امریکا</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> تفاوت دارد. </span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">با توجه به مقادیر آماره فیشر </span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">مدت فعالیت کارکنان هم بر عملکرد شناختی </span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">(</span></span></span><span dir="LTR" lang="EN-US" style="font-size:13.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">F(1,395)=85.778 , p<0.05</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">)</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> و هم بر خستگی عمومی </span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">(</span></span></span><span dir="LTR" lang="EN-US" style="font-size:13.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">F(1,395)=67.590 , p<0.05</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">)</span></span></span> <span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">تأثیر معناداری دارد. این مؤید این است که مدت زمان فعالیت کارکنان عاملی تأثیرگذار است که منجر به پذیرش فرضیه تحقیق در رابطه با نقش آن در عملکرد شناختی و خستگی می شود.</span></span></span> <span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">آسایش حرارتی با ضریب </span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">(</span></span></span><span dir="LTR" lang="EN-US" style="font-size:13.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">F(1,395)=5.829 , p<0.05</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">)</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> تاثیر معناداری بر خستگی عمومی دارد، اما تأثیر معنی داری برعملکرد شناختی </span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">(</span></span></span><span dir="LTR" lang="EN-US" style="font-size:13.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">p>0.05</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">)</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> ندارد.</span></span></span> <span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">از سوی دیگر، سازگاری حرارتی تاثیر معناداری برعملکرد شناختی </span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">(</span></span></span><span dir="LTR" lang="EN-US" style="font-size:13.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">F(1,395)=5.915 , p<0.05</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">)</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> و خستگی عمومی </span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">(</span></span></span><span dir="LTR" lang="EN-US" style="font-size:13.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">F(1,395)=8.002 , p<0.05</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">)</span></span></span> <span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">دارد.</span></span></span> <span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">با این حال، اثر متقابل آسایش حرارتی و سازگاری حرارتی تأثیر معنیداری بر عملکرد شناختی یا خستگی عمومی نشان نمیدهد </span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">(</span></span></span><span dir="LTR" lang="EN-US" style="font-size:13.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">p>0.05</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">)</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">.</span></span></span><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> در نتیجه، فرضیه تأثیر ترکیبی این دو عامل پذیرفته نمی شود.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10.5pt"><span style="text-justify:inter-ideograph"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:14.0pt"><span style="line-height:115%"><span b="" style="font-family:" titr="">نتیجهگیری:</span></span></span></b><b> </b><span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">نتایج نشان داد</span></span></span> <span lang="FA" style="font-size:13.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">نقطه آسایش حرارتی مطلوب برای کارکنان محیطهای درمانی ۱۹ درجه سانتیگراد است. همچنین، مدتزمان فعالیت و سازگاری حرارتی نقش کلیدی در بهبود عملکرد شناختی و کاهش خستگی دارند. کاهش دامنه آسایش و سازگاری حرارتی میتواند منجر به افزایش خطاهای کاری در پرسنل درمانی شود.</span></span></span></span></span></span></span></span></span></p>
<p><span style="font-size:10.5pt"><span style="font-family:Calibri,"><span style="line-height:normal"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Introduction:</span></span></b><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> In healthcare settings, the health and efficiency of employees </span></span><span lang="en-UG" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">are crucial for</span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> providing </span></span><span lang="en-UG" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">quality patient care. This</span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> study </span></span><span lang="en-UG" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">aims</span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> to investigate the </span></span><span lang="en-UG" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">impact</span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> of activity duration, sense of comfort, and thermal adaptation on cognitive performance and general fatigue </span></span><span lang="en-UG" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">among</span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> healthcare </span></span><span lang="en-UG" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">employees</span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> in Ilam.</span></span><b><span lang="EN-US" style="font-size:13.0pt"><span style="background:white"><span style="font-family:"Times New Roman",serif"></span></span></span></b></span></span></span></span></span><br>
<span style="font-size:10.5pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Methods:</span></span></b><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> The study </span></span><span lang="en-UG" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">involved</span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> personnel from five hospitals in Ilam city</span></span><span lang="en-UG" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">,</span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> evaluated from August to </span></span><span lang="en-UG" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">November 2023. Data was collected through</span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> questionnaires and analyzed</span></span><span lang="en-UG" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> using statistical methods</span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">.</span></span><b><span lang="EN-US" style="font-size:13.0pt"><span style="background:white"><span style="font-family:"Times New Roman",serif"></span></span></span></b></span></span></span></span></span><br>
<span style="font-size:10.5pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Results:</span></span></b><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> The findings </span></span><span lang="en-UG" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">indicated</span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> a neutral temperature of 19°C, </span></span><span lang="en-UG" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">which deviates</span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> from global standards ISO 7730 and ASHRAE 55. </span></span><span lang="en-UG" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Analysis</span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> showed that </span></span><span lang="en-UG" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">work</span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> duration significantly </span></span><span lang="en-UG" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">affects</span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> both cognitive performance </span></span><span lang="en-UG" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">and general fatigue.</span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> Thermal comfort significantly </span></span><span lang="en-UG" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">impacts</span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> general fatigue but not cognitive performance</span></span><span lang="en-UG" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">. Thermal</span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> adaptation</span></span><span lang="en-UG" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">, however,</span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> significantly </span></span><span lang="en-UG" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">affects</span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> both cognitive performance and general fatigue</span></span><span lang="en-UG" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">. No</span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> significant interaction effect was found between thermal comfort and thermal adaptation on cognitive performance or general fatigue</span></span><span lang="en-UG" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">.</span></span><b><span lang="EN-US" style="font-size:13.0pt"><span style="background:white"><span style="font-family:"Times New Roman",serif"></span></span></span></b></span></span></span></span></span><br>
<span style="font-size:10.5pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusion: </span></span></b><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">The optimal thermal comfort point for healthcare workers is 19°C. </span></span><span lang="en-UG" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Activity</span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> duration and thermal adaptation play a key role in </span></span><span lang="en-UG" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">enhancing</span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> cognitive performance and reducing fatigue. Reducing the range of comfort and thermal adaptation can lead to increased work errors </span></span><span lang="en-UG" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">among</span></span><span lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> healthcare personnel.</span></span><b><span lang="EN-US" style="font-size:13.0pt"><span style="background:white"><span style="font-family:"Times New Roman",serif"></span></span></span></b></span></span></span></span></span></p>
مراکز مراقبت از سلامت, سلامت کارکنان, عملکرد شناختی, خستگی عمومی, سازگاری حرارتی
Healthcare settings, Employee health, Cognitive performance, General fatigue, Thermal adaptation
233
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http://aums.abzums.ac.ir/browse.php?a_code=A-10-1656-1&slc_lang=fa&sid=1
Karen
Fatahi
کارن
فتاحی
karenfatahi@yahoo.com
100319475328460013679
100319475328460013679
Yes
Department of Architecture, Ilam Branch, Islamic Azad University, Ilam, Iran.
گروه معماری، واحد ایلام، دانشگاه آزاد اسلامی، ایلام، ایران.
maryam
begi
مریم
بیگی
Beigimaryam35@gmail.com
100319475328460013680
100319475328460013680
No
Department of Architecture, Ilam Branch, Islamic Azad University, Ilam, Iran.
گروه معماری، واحد ایلام، دانشگاه آزاد اسلامی، ایلام، ایران.