Hospital Practices and Research

Abstract Background: Numerous factors involve in the incidence of addiction including social, economic and psychological stress.
Objectives: The present study aimed at studying the effectiveness of cognitive-behavioral stress management on irrational beliefs and resilience of drug addicts.
Methods: In an experimental study, 20 addicts who were in the camp were randomly assigned into two groups of experimental (10 individuals) and control (10 individuals). The experimental group were being treated with cognitive-behavioral stress management for ten 90-minute sessions, and the control group did not receive any treatment. All participants in the study, at the beginning and the end of the treatment and two months after treatment filled out the irrational beliefs and resiliency questionnaire. Analysis of covariance and multivariate analysis of covariance (MANCOVA) was used to analyze the collected data.
Results: The findings of analysis of covariance between two groups in the post-test was significant in ten aspects of irrational beliefs including the need to recognize and protect others (F = 4.09), high expectations of themselves (F = 16.84), tend to blame (F = 17.03), reaction to frustration (F = 11.88), emotional irresponsibility (F = 10.97), excessive preoccupation (F = 10.97), avoiding the issues (F = 8.48), dependency (F = 12.45), despair to change (F = 8.94), and perfectionism (F = 15.56) in the one present level. In addition, the results of analysis of covariance of second hypothesis showed that resilience (F = 22.61) in the experimental group had a significant difference with the control group. Also, the obtained results were significant at the 0.01 level. Therefore, according to the above-mentioned finding, cognitive-behavioral stress management training is effective in reducing irrational beliefs and increasing the resilience of addicts.
Conclusion: According to the lower average scores of the experimental group in the post-test stage in the dimensions of irrational beliefs, it can be concluded that stress management training in a cognitive-behavioral way reduces the irrational beliefs of addicts. Also, according to the higher average scores of the experimental group in the post-test stage in resilience, it can be concluded that cognitive-behavioral stress management training is effective in increasing the resilience of addicts.

Abstract Background: Resilience refers to human ability for adapting to disasters, traumas, pain, and suffering from important troubles and stressors in life.
Objectives: Regarding the fact that people are continuously exposed to various physical and mental health traumatic stimuli, this study aimed to investigate the resilience correlations in Emergency Medical Services (EMS) workers.
Methods: The study was descriptive-correlation which examined 15 individuals for each scale and subscale. Therefore, 150 EMS workers were selected for this study.
Results: All four variables, including resilience, self-control, problem-solving style, and self-compassion, were above average. Resilience had a positive and significant correlation with self-control, problem-solving, creativity, confidence in problem-solving, and tendency (a subscale of problem-solving). Self-control had a positive and significant correlation with self-compassion. The final model was as resilience = 0.454 + 41.317 [15.941+ 0.622 (self-compassion)] + 3.453 (tendency) + 3.255 (creativity).
Conclusion: According to the findings of the present study, it is suggested to strengthen four variables of resilience, self-compassion, self-control, and problem-solving styles in the EMS personnel.

Abstract Background: In recent decades, some countries have experienced imbalanced and rapid development of physical spaces, leading to negative social, economic, and physical consequences. The trend towards urbanization, combined with recent disease outbreaks, has put a strain on healthcare services in large cities.
Objectives: To reduce vulnerability to natural disasters and improve adaptive capacity, it's important to evaluate, monitor, and plan for healthcare resilience. A comprehensive model for measuring hospital resilience to accidents and disasters, including the COVID-19 pandemic, is essential.
Methods: This research identifies, collects, and classifies factors that affect user resilience and spatial definition of healthcare services usage against COVID-19. To better quantify the results, the research combines the conceptual framework of the DPSIR model with the structural equation model (SEM-PLS).
Results: According to the fuzzy cognitive map, the index of economic factors with weights of 62%, 62%, and 5% respectively has a two-way and positive relationship with environmental and natural factors. This factor with a weight of 65% has a two-way and negative relationship with the index of social factors. In addition, the index of economic factors with a weight of 69% has a one-way and negative relationship with the index of physical factors.
Conclusion: The results also show that the economic factors in the model of redefining the spatial pattern of therapeutic uses of big cities at the time of the emergence of a pandemic disease with a resilience approach have more centrality than other factors.