Abstract：
Emergency medical service (EMS) personnel and firefighters (FFs) are first responders in dangerous and stressful situations. They experience high stress due to the nature of their jobs, which can affect their quality of life and various health dimensions. This study aimed to compare quality of life, job stress, and coping strategies in a sample of EMS personnel and FF employees in Iran. This cross-sectional study included 186 FFs and EMS, who were selected using a census sampling method. Our results showed that FFs had a better quality of life, lower perceived stress, and better coping skills than EMS. Individuals living in rural areas, government officials, and staff with regular work shifts also reported less perceived stress. Furthermore, our results indicated a negative and significant correlation between perceived stress and quality of life and a positive and significant correlation between stress management and quality of life in both groups. Given the inevitability of stress in EMS and FF jobs, policymakers need to take interventional measures to reduce anxiety and enhance the quality of life and work for these personnel. Occupational health policies in Iran generally follow the International Labor Organizational recommended standards, however, more attention to managerial interventions that reduce job demands and job stress combined with health promotion programs to improve coping are advised.
摘要：
紧急医疗服务（EMS）人员和消防员（FF）是危险和压力情况下的第一响应者。由于工作的性质，他们经历了很大的压力，这会影响他们的生活质量和各种健康方面。这项研究旨在比较生活质量，工作压力,以及伊朗EMS人员和FF员工样本的应对策略。这项横断面研究包括186个FF和EMS，他们是使用人口普查抽样方法选择的。我们的结果表明，FF有更好的生活质量，较低的感知压力，和更好的应对能力比EMS。生活在农村地区的个人，政府官员,定期轮班的工作人员也报告了较少的感知压力。此外，我们的结果表明,在两组中,感知压力和生活质量之间存在显著负相关,压力管理和生活质量之间存在显著正相关.鉴于EMS和FF工作中压力的必然性，政策制定者需要采取干预措施，以减少焦虑，提高这些人员的生活和工作质量。伊朗的职业卫生政策通常遵循国际劳工组织建议的标准，然而,建议更多地关注减少工作需求和工作压力的管理干预措施，并结合健康促进计划来改善应对。
