social health and quality of life in health workers in Qorveh and Dehgolan

Background and Aim: Health workers are the most fundamental element of the health system whose mission is to improve the health of the rural community. Assessing and measuring the level of health is one of the important health issues. Health is a broad concept with multiple dimensions. Physical, mental and social health among these three, social health is a concept that has become increasingly important in scientific, policy and executive circles. Social health emphasizes aspects of health that are related to a personchr('39')s relationship with other people or the communities in which he lives. One of the factors affecting social health is quality of life. Quality of life is a multidimensional concept that has many important factors such as It is affected by physical and mental condition. Assessing the quality of life is important in order to determine physical, mental and social performance. These dimensions can be discussed independently, but there is a correlation between them. Certainly, the development of health promotion programs in the community, regardless of the social and cultural context of the community in question leads to inefficient solutions. As a result, it is necessary to pay attention to their physical, mental, social health and quality of life. Achieving goals in the field of health, which include death prevention, reducing disability, improving the quality of life and efficient workforce. Since health workers are at the forefront of health to provide services to villagers, it is necessary to have good social health and quality of life. Therefore, this study was conducted to determine the social health and quality of life in health workers in Qorveh and Dehgolan in 2019.   Methods: This study was conducted to evaluate the social health and quality of life of health workers in Qorveh and Dehgolan cities affiliated to Kurdistan University of Medical Sciences. This is a descriptive cross-sectional study and includes 198 health workers working in health centers in Qorveh and Dehgolan cities; 87 of them work in 42 health centers of Dehgolan and 111 of them work in 58 health centers of Qorveh city. Samples were selected by census sampling method. After obtaining approval from the Research Ethics Committee and receiving a letter of introduction from Iran University of Medical Sciences and submitting it to Kurdistan University of Medical Sciences, the researcher obtained permission to participate in the research environment. In order to observe ethical considerations, the researcher first explained the objectives and method of the study to the officials of Qorveh and Dehgolan health centers and coordinated them in the workshops where the researcher attended as a lecturer after obtaining informed consent, demographic information form, social health questionnaire and SF quality of life questionnaire. -36 was provided to health workers to be completed after 10 days and Qorveh health workers to deliver it to the Dehgolan Welfare Training Center and Dehgolan health workers to deliver it to Dehgolan Health Center. The researcher thanked the health workers and collected the information of the health workers who were on leave in the days of the workshops in the health centers. After the collection which lasted for 3 months, the data were analyzed using SPSS software version 21. Results: The findings of the present study showed that most of the health workers in this study were women, their average age was 37 years, the majority were married and officially employed and had a diploma level, and most of them assessed their economic situation at a moderate level, had a private home and the majority They stated that they do not have an underlying disease. The total score of social health is 6/7±28/69 Which indicates that the average is social health in health workers, the highest and lowest mean scores obtained among the dimensions of social health were social cohesion with an average of 67/20±09/4 and social acceptance with an average of64/0±96/2, respectively. The total score of quality of life of health workers is 87/20±30/63, which indicates their average quality of life. Quality of life is highest in the dimension of physical function with an average of 74/29±35/73 and in the dimension of general health with an average of 74/21±82/57 obtained the lowest mean score. Also, the physical health dimension with an average of 58/24±85/63   is higher than the mental health dimension with an average of 29/21±75/62. The only variable that had a statistically significant relationship with the social health of health workers was housing status (p = 0.005). Two-to-two Tukey comparison showed that the average score of social health obtained in health workers with a private home was significantly higher than rent (p = 0.005) In other cases, this difference was not significant. But all demographic variables of health workers had a statistically significant relationship with quality of life. The results show that the quality of life in male health workers compared to women (p = 0.012), health workers with diploma level compared to health workers with secondary education (p <0.001) and single health workers compared to married (p <0.001) Health workers who had no history of disease had a higher quality of life than others (p <0.001). Age was another variable that had a statistically significant relationship with quality of life (p <0.001). Quality of life in health workers with formal employment was significantly lower than corporate health workers (p <0.001) and also contracted (p = 0.007). And at other levels this difference was not significant. Quality of life in health workers with more than 20 years of experience was significantly lower than health workers 19 to 10 years (p <0.001) and also less than 10 years (p <0.001). The quality of life in health workers with poor economic status was significantly lower than average (p = 0.04) and at other levels this difference was not significant. Housing status was another variable that had a statistically significant relationship with quality of life (p = 0.009). Also, the mean score of quality of life obtained in health workers with a private home was significantly higher than rent (p = 0.018) and in other cases this difference was not significant. Conclusion: The present study showed that the social health of health workers was higher than the mean score of 60, ie the highest and lowest scores obtained in the dimensions of social health were social cohesion and social acceptance, respectively. Also, the quality of life of health workers was moderate. Physical function dimension had the highest and general health obtained the lowest mean score. The mean score in the physical dimension was higher than the mental health dimension. The study on the effect of demographic variables showed that the only variable that had a statistically significant relationship with social health was housing status. The cases of this difference were not significant but all demographic variables of health workers had a statistically significant relationship with quality of life Variable quality of life and social health is a dynamic concept and changes over time. Examining and measuring this concept depicts the state of human development in society, so continuous monitoring of quality of life and social health is essential. The health system will have the desired efficiency when its problems and needs of its employees are taken into account in its design and management. The results of this study highlight the importance of implementing health education and health promotion interventions in the field of social health and quality of life among employees.