scholarly journals Faktor yang Mempengaruhi Kecemasan pada Tenaga Kesehatan Dalam Upaya Pencegahan Covid-19

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Fadli Fadli ◽  
Safruddin Safruddin ◽  
Andi Sastria Ahmad ◽  
Sumbara Sumbara ◽  
Rohandi Baharuddin

ABSTRAKTenaga kesehatan dalam melaksanakan tugas sebagai garda terdepan penanganan, pencegahan, dan perawatan pasien Covid-19 mengalami kecemasan karena disebabkan oleh beberapa faktor, salah satunya adalah ketersediaan alat pelindung diri. Penelitian ini dilakukan untuk mengetahui faktor-faktor yang paling mempengaruhi kecemasan petugas kesehatan dalam pencegahan Covid-19. Penelitian kuantitatif mengunakan metode obsevasional analitik dengan rancangan cross-sectional ini dilakukan di tiga Rumah Sakit dan  sembilan Layanan Kesehatan pada bulan April 2020. Penentuan teknik pengambilan sampel menggunakan cluster random sampling dengan jumlah sampel 115 reponden. Uji pearson chi-square dilakukan untuk menilai hubungan antara kecemasan dan usia, jenis kelamin, status keluarga, kejujuran pasien, ketersediaan peralatan perlindungan pribadi, dan pengetahuan. Masing-masing variabel independen dievaluasi menggunakan analisis uji regresi logistik untuk menetukan variabel yang paling berpengaruh. Hasil penelitian ini menunjukkan bahwa ada pengaruh usia (p=0.024); status keluarga (p=0.022); kejujuran pasien (p=0.034); ketersediaan alat pelindung diri (0.014); pengetahuan (p=0.030) terhadap kecemasan petugas. Dari hasil uji regresi logistik menunjukkan variabel ketersediaan alat pelindung diri yang paling berpengaruh terhadap kecemasan (r=0.517;CI=1.34-8.06), yang artinya ketersediaan alat pelindung memilliki pengaruh 51.7% terhadap kecemasan petugas kesehatan dalam upaya pencegahan Covid-19. Oleh karena itu, pemerintah harus memberikan perhatian yang sangat besar kepada petugas kesehatan yang berada digarda terdepan dalam pencegahan covid-19 terkait masalah kebutuhan alat pelindung diri sesuai protokol dari WHO. ABSTRACTHealth workers in carrying out their duties as the frontliners in handling, preventing and caring of COVID-19 patients experience anxiety caused by several factors and one of them is the availability of personal protective equipment (PPE). This study is conducted to determine some factors that mostly influence the anxiety of health workers in preventing of Covid-19. Quantitative research is used by analytical obsevational methods with cross-sectional design and is conducted in three Hospitals and nine Health Services in April 2020. Sampling techniques used cluster random sampling (n=115. Person          chi-square tests are conducted to assess the relationship between anxiety and age, family status, availability of personal protective equipment, and knowledge. Independent variable is evaluated using logistic regression test analysis to determine the most influential variable. The results of this study indicate that there are influences of age (p-value=0.024); family status (p-value=0.022); patient honesty (p-value=0.034); the availability of personal protective equipment (p-value=0.014); knowledge (p-value=0.030) on staffs’ anxiety. The logistic regression test result clarifies that the availability of personal protective equipment is the most influential on anxiety (r=0.517; CI=1.34-8.06), which means the availability of protective devices has a 51.7% influence on the anxiety of health workers in preventing of Covid-19. Therefore, the government must pay great attention to health workers who are at the frontliners in preventing covid-19 related to the problem of personal needs for personal protective equipment based on the protocol from WHO.

2021 ◽  
Vol 10 (1) ◽  
pp. 108-115
Author(s):  
Yurike Septianingrum ◽  
Andikawati Fitriasari ◽  
Erika Martining Wardani

Background: During the Covid-19 outbreak, health workers, especially nurses, are vulnerable to potential psychological symptoms such as anxiety, which can prevent nurses from carrying out their role as caregivers in health services (Lai et al., 2020; Shanafelt et al., 2020). Objectives: The purpose of this study is to analyze the factors that can influence the anxiety of nurses in playing the role of caregiver during the Covid-19 pandemic. Methods: This is a cross-sectional study with a population of all nurses who met the inclusion criteria as much as 105 nurses. The research sample was selected through stratified random sampling and obtained 84 nurses. This research was conducted at RSI Jemursari Surabaya from June until September 2020. The research instruments used in this study were the demographic observation sheet, knowledge questionnaire, and the Hamilton Anxiety Rank Scale (HARS). Data analysis used Pearson chi-square test and multivariate logistic regression. Results: The results of the Pearson Chi-square test showed that of all the factors studied, only age (p = 0.004), availability of personal protective equipment (p = 0.002), and knowledge (p = 0.017) influenced nurses' anxiety. The results of the analysis using multivariate logistic regression test showed that the factor that most influenced nurses' anxiety was the availability of personal protective equipment (p = 0.001; OR = -3.062). Conclusion: Younger nurses, inadequate personal protective equipment, and less knowledgeable nurses were at high risk for more severe anxiety. Regular observation of the psychological condition of nurses and the fulfillment of the need for personal protective equipment is needed to prevent increased anxiety in nurses.   Keywords: Nurse, anxiety, Covid-19, caregiver.


2020 ◽  
Vol 10 (1) ◽  
pp. 1238-1245
Author(s):  
Suzana Indragiri ◽  
Liha Salihah

Salah satu upaya pencegahan kecelakaan tenaga kerja adalah dengan mengharuskan memakai Alat Pelindung Diri (APD) yang memenuhi syarat, yaitu nyaman dalam penggunaan, tidak menghalangi dalam proses bekerja, dan memberikan perlindungan efektif terhadap jenis-jenis bahaya. Dalam meningkatkan kepatuhan  penggunaan APD pada pekerja juga diperlukan adanya faktor pengawasan yang berfungsi sebagai pengendalian pelaksanaan setiap kegiatan yang  merupakan usaha pencapaian tujuan yang telah ditentukan. Pengawasan ini pada dasarnya adalah pengawasan terhadap proses dan hasil serta orang yang melakukan pekerjaan. Tujuan penelitian ini adalah untuk mengetahui Hubungan pengawasan dan kelengkapan dengan tingkat kepatuhan penggunaan alat pelindung diri (APD) pada pekerja produksi area bagging off  di PT Japfa Comfeed Indonesia Tbk. Unit Cirebon tahun 2018. Rancangan dalam penelitian ini adalah pendekatan kuantitatif dengan desain cross sectional. Populasi penelitian adalah seluruh Pekerja produksi area bagging off  PT Japfa Comfeed Indonesia Tbk. Unit Cirebon yang berjumlah 55 orang pada bulan Mei 2018. Jumlah sampel menggunakan total sampling karena jika jumlah populasi kurang dari 100 maka seluruh populasi dijadikan sampel penelitian. Metode pengumpulan data menggunakan data primer berupa observasi dan wawancara dan instrumen pengumpulan data menggunakan kuesioner. Data dianalisis dengan menggunakan Uji Chi Square pada tingkat kemaknaan 5% (0,05). Hasil uji statistik didapatkan bahwa ada hubungan antara pengawasan dengan kepatuhan penggunaan APD diperoleh p value sebesar 0,049. Dan ada hubungan antara kelengkapan APD terhadap kepatuhan penggunaan APD diperoleh p value sebesar 0,001.Kata kunci : ABSTRACTOne effort to prevent workplace accidents is to require that you wear Personal Protective Equipment (PPE) that meets the requirements, which is comfortable in use, does not hinder the work process, and provides effective protection against types of hazards. In increasing the compliance of PPE usage to workers, it is also necessary to have a supervisory factor that functions as a control for the implementation of each activity which is an effort to achieve the stated goals. This supervision is basically the supervision of the process and results and the people who do the work. The purpose of this study was to determine the relationship of supervision and completeness with the level of compliance with the use of personal protective equipment (PPE) on workers producing bagging off areas at PT Japfa Comfeed Indonesia Tbk. Cirebon Unit in 2018.The design in this study is a quantitative approach with cross sectional design. The study population was all workers producing bagging off areas of PT Japfa Comfeed Indonesia Tbk. The Cirebon unit which numbered 55 people in May 2018. The number of samples uses total sampling because if the population is less than 100 then the entire population is used as a sample. Data collection method uses primary data in the form of observation and interviews and data collection instruments using questionnaires. Data were analyzed using Chi Square Test at a significance level of 5% (0.05).Statistical test results showed that there was a relationship between supervision with compliance with PPE obtained p value of 0.049. And there is a relationship between the completeness of PPE to the APD usage compliance obtained p value of 0,001.


2021 ◽  
Vol 2 (1) ◽  
pp. 81
Author(s):  
Darmiati Darmiati

Background: Pesticides are dangerous poisons that can have positive or negative effects on humans and the environment. To prevent pesticide poisoning it is necessary to identify a number of risk factors that have an influence on pesticide poisoning on farmers.Objectives: Research Objective to determine the factors associated with the risk of pesticide poisoning to farmers in Lam Mayang Village, Peukan Bada, Aceh Besar District.Methods: Using descriptive analytic research method with cross sectional study design. Subjects are onion farmers, sample size 30 (total sample). Data collection has been carried out by interview and observation using a questionnaire. Using the Chi square test.Results: Laboratory tests showed 3 blood samples had abnormal levels of cholinesterase and 27 blood samples had normal cholinesterase levels. There are 2 variables related to cholinesterase levels, using personal protective equipment p value 0.030 < 0.05 and knowledge p value 0.041 < 0.05.Conclusion: Counseling to increase farmers' knowledge about pesticides is needed. Using  personal protective equipment and farmers' compliance with using personal protective equipment will reduce the incidence of pesticide poisoning.


2020 ◽  
Vol 1 (2) ◽  
Author(s):  
Febrial R. P. Mongkau ◽  
Joy A. M. Rattu ◽  
Lery F. Suoth

Abstract: Furniture worker is one of the jobs that is at risk of working accidents and illness related to work. Therefore, it is necessary to control work hazard, one of them is by using personal protective equipment (PPE). During observation, many workers had lack of understanding about the importance of using PPE. This study was aimed to obtain the relationship between knowledge and attitude and the action of using PPE among furniture workers at Leilem, Sonder. This was a quantitative study with a cross sectional design. The instruments in this study were questionnaires and chek-list sheets. We used the chi-square test with a p-value of 0.05 to analyze the relationships. The results showed that of 68 respondents, 67 had good level of knowledge about the PPE, while 1 respondent had low level of know-ledge. There were 36 respondents that had good attitude about using PPE meanwhile those with poor attitude were 32 respondents. Respondents that did not use complete PPE were 18 worker while those who did not use PPE were 50 worker. The chi-square test showed a p-value of 1.00 for the relatjonship between knowledge and the action of using PPE and a p-value of 0.418 for the relationship between attitude and the action of using PPE. In conclusion, there were no relationships between knowledge and the action of using PPE as well as between attitude and the action of using PPE among the furniture workers at Leilem, Sonder.Keywords: knowledge, attitude, action of using personal protective equipment Abstrak: Pekerja mebel merupakan salah satu pekerjaan yang berisiko kecelakan kerja dan penyakit akibat kerja. Untuk itu perlu adanya pengendalian bahaya salah satunya dengan menggunakan alat pelindung diri (APD). Dari hasil pengamatan banyak pekerja yang kurang memahami pentingnya penggunaan APD saat melaksanakan pekerjaan. Penelitian ini bvertujuan untuk mengetahui hubungan antara pengetahuan dan sikap dengan tindakan penggunaan APD pada pekerja mebel di Desa Leilem Dua Kecamatan Sonder Kabupaten Minahasa. Jenis penelitian ialah kuantitatif dengan desain potong lintang. Instrumen penelitian ini menggunakan kuesioner dan lembar chek-list. Analisis hubungan menggunakan uji chi-square (p=0,05). Hasil penelitian mendapatkan 68 responden penelitian. Responden dengan tingkat pengetahuan baik tentang APD sebanyak 67 orang, sedangkan yang pengetahuan kurang baik berjumlah 1 orang. Responden dengan sikap baik terhadap penggunaan APD ialah 36 orang dan yang sikap tidak baik 32 orang. Responden yang menggunakan APD tidak lengkap 18 orang dan yang tidak menggunakan APD 50 orang. Hasil uji chi-square hubungan pengetahuan dengan tindakan penggunaan APD mendapatkan nilai p=1,00 dan hubungan sikap dengan tindakan penggunaan APD mendapatkan nilai p=0,418. Simpulan penelitian ini ialah tidak terdapat hubungan antara pengetahuan dan sikap dengan tindakan penggunaan APD pada pekerja mebel di Desa Leilem Dua, Sonder.Kata kunci: pengetahuan, sikap, tindakan penggunaan alat pelindung diri


Author(s):  
Valen Fridolin Simak ◽  
Kristamuliana Kristamuliana

The COVID 19 pandemic is a case which continues to be felt by the community especially health workers. Data shows an increase in cases of health workers, especially nurses as the frontliner, this is due to one of them the use of protective equipment. The purpose of this study was to analyze the relationship between the knowledge of the use of personal protective equipment with the Puskesmas Nurses self-efficacy on the management of COVID 19. The method used in this study was analytic descriptive with a cross-sectional approach and used 146 samples surveyed online for 1 month based on inclusion and exclusion criteria. The variable knowledge of the use of personal protective equipment was measured using a questionnaire developed by researchers based on the personal protective equipment guidelines by the Covid Task Force 19, (2020); Ministry of Health, (2020), while the variable of self-efficacy uses the General Self-efficacy Scale questionnaire by Schwarzer and Jerusalem (2010). The results showed a significant relationship between the knowledge of the use of personal protective equipment with the efficacy of the Puskesmas Nurse on the management of COVID 19 p-value 0.016. OR 2,780 which means nurses who have knowledge using good personal protective equipment have an opportunity of 2,780 times to have a good self-efficacy (sure) to the management of COVID 19 compared to nurses who have less knowledge. Based on the results of this study, it is necessary to develop human resources including nurses conducted by the government as policy makers. Through this research, the researcher proposes that further researchers can develop this research by linking other factors that can influence nurse self-efficacy.


2018 ◽  
Vol 9 (2) ◽  
pp. 164-182
Author(s):  
Hairil Akbar

Family Planning Program is an effort to measure the number and distance of child that is desired. In order to achieve this program, several options are made to prevent or delay pregnancy through the implementation of quality family planning services. The purpose of this study was to determine the factors associated with the use of contraception in couples of childbearing age in Lohbener Village, Indramayu Regency. This study applied observational-analytic study, with a cross sectional study design. The population in the study were all women of childbearing age aged 15-49 years and married, while the sample in this study were parts of women of childbearing age aged 15-49 years and married in Lohbener village, Indramayu Regency. The sampling technique was conducted using simple random sampling and logistic regression test. Based on the results of logistic regression test, factors related to the use of contraception in of women of childbearing age in Lohbener Village, Indramayu Regency were husband's support (p value = 0.000; CI: 4.229-70.362), and knowledge (p value = 0.000; CI: 3.012-34.233 ), while unrelated factors were work status (p value = 0.577; CI: 0.214-15.902), parity (p value = 0.319; CI: 0.193-1.710), and access to family planning services (p value = 0.984; CI: 0.315-3.250) with the use of contraceptives in Lohbener Village, Indramayu Regency. Therefore it is advised that women of childbearing ages over ≥ 20 years to pay more concern to their health through good family planning such as regulating the number of births, sparing pregnancies, and more actively consulting to the health workers to conduct family planning programs.


2020 ◽  
Vol 5 (1) ◽  
pp. 1
Author(s):  
Melda Yenni ◽  
Ede Surya Darmawan

<p><em>Awareness of the benefits of using personal protective equipment (PPE) needs to be instilled in every workforce, because feeling uncomfortable (uncomfortable, hot, heavy, disturbed) is one reason why a worker does not use personal protective equipment (PPE). This study aims to look at the factors that influence workers in the use of Personal Protective Equipment (PPE) at PT. X This research is an analytic study with cross sectional approach. The study population was all workers at PT X while the study sample was workers at PT X as many as 77 workers. The sampling technique using purposive sampling technique based on inclusion criteria. The study was conducted in August to September 2017. The research instrument was a questionnaire. Data collection techniques with interviews. Data were analyzed using a statistical test that is chi square. The results showed that workers who are not compliant in usage are categorized as bad, that is 61.0%. Bivariate results indicate variables that influence workers in the use of PPE are supervision (p-value = 0.001). Variables that did not affect the behavior of PPE use were coworkers (p-value = 0.522) and punistment (p-value = 0.281). From the results above it can be concluded that the compliance of PPE usage in PT. X is influenced by supervision.</em></p><p> </p><p><em>Kesadaran akan manfaat penggunaan alat pelindung diri (APD) perlu ditanamkan pada setiap tenaga kerja, karena perasaan tidak nyaman (risih, panas, berat, terganggu) merupakan salah satu alasan mengapa seorang pekerja tidak menggunakan alat pelindung diri (APD). Penelitian ini bertujuan untuk melihat faktor yang mempengaruhi pekerja dalam pemakaian Alat Pelindung Diri (APD) pada PT. X .</em></p><p><em>Penelitian ini merupakan penelitian analitik dengan pendekatan potong lintang (cross sectional). Populasi penelitian adalah seluruh pekerja di PT X sedangkan sampel penelitian adalah pekerja di PT X sebanyak 77 pekerja. Teknik pengambilan sampel dengan mengunakan teknik purposive sampling berdasarakan kriteria inklusi. Penelitian dilakukan pada bulan Agustus sampai dengan September 2017. Instrumen penelitian adalah kuesioner. Teknik pengumpulan data dengan wawancar. Data dianalisis mengunakn uji statistik yaitu chi square.</em><em> </em><em>Hasil penelitian diperoleh bahwa pekerja yang tidak patuh dalam pemakain dikategorikan buruk  yaitu sebesar 61,0%. Hasil bivariat menunjukkan variabel yang mempengaruhi pekerja dalam pemakaian APD yaitu pengawasan (p-value=0,001). Variabel yang tidak mempengaruhi perilaku pemakaian APD adalah rekan kerja (p-value=0,522) dan punistment (p-value=0,281).</em><em> </em><em>Dari hasil diatas dapat disimpulkan bahwa kepatuhan pemakian APD di PT. X dipengaruhi oleh pengawasan.</em></p>


2021 ◽  
Vol 7 (3) ◽  
pp. 162
Author(s):  
Ardi Artanto ◽  
Ratih Pratiwi ◽  
Hilma Tri Ayu Rizda

Hospitals are not only as a place of treatment, but also as a health service facility that can be a source of infection for other people. Doctors, nurses and other medical personnel are often exposed to potential hazards in hospitals, thus requiring protection in the form of personal protective equipment (PPE). However, compliance with the use of PPE is not always high, which makes doctors and nurses more vulnerable to risk of occupational diseases in hospitals. In one of conducted studies, the conditions that were less compliant in using PPE for health workers were 30%. One of the things that might affect this level of compliance is knowledge about PPE. The purpose of this study was to determine the relationship between knowledge and compliance level to use personal protective equipment among doctors and nurses in operating room installation from a private hospital in 2020. Analytic observational by using cross sectional research design was used in this study. The population were all doctors and nurses at operating room installation of mentioned hospital above. Sampling was taken by total sampling method and 26 samples met the inclusion criteria. In this study, there were 23 respondents (88.5%) obeyed the use of personal protective equipment, meanwhile 3 respondents (11.5%) who did not. The 3 respondents were on loop or circular nurses. So, there was a significant relationship between the level of knowledge and compliance in the use of personal protective equipment with p-value = 0.027and OR=44. Keywords: personal protective equipment, knowledge level, compliance level


2018 ◽  
Vol 21 (3) ◽  
pp. 179-187
Author(s):  
Rustika Rustika ◽  
Esny Burase

Since 2014, the program to provide masks for Hajj pilgrims from Indonesia in Saudi Arabia as one of the efforts to prevent ISPA, continues to be increased in 2015 Ministry of Health Perform Movement Use Mask (GERMAS). Based on this case, this research focuses on the relationship of Knowledge and Attitude with Mask Usage Behavior among Prayer Hajj Indonesia in Saudi Arabia Year 2016 in preventing the incidence of Acute Respiratory Tract Infection. The design used is cross sectional with quantitative approach. The population in this study is all pilgrims who perform the pilgrimage, amounting to 168,800 people with a sample of 163 respondents. Data analysis techniques include univariate analysis, bivariate analysis with Chi-Square test, and multivariate analysis using multiple logistic regression test. The result of bivariate selection shows that the knowledge variable has no significant correlation with relationship p-value is 0.284 > 0.05. Where as attitude variable have relationship because p-value value 0.000 < 0.05. In multivariate analysis multiple logistic regression test showed that attitude variable which has the most dominant significance with the mask use on haj pilgrims with p-value 0.000 <0.05 and Odds Ratio 3.558. This means that attitude that does not support the use of masks has a 3 times chance of experiencing ISPA events. Abstrak Sejak tahun 2014 program pemberian masker bagi jemaah haji asal Indonesia di Arab Saudi sebagai salah satu upaya pencegahan ISPA, terus ditingkatkan pada tahun 2015 Kementerian Kesehatan melakukan Gerakan Memakai Masker (GERMAS). Tujuan penelitian ini untuk melihat hubungan pengetahuan, sikap dengan tindakan penggunaan masker pada jemaah haji Indonesia. Desain yang digunakan cross sectional, dengan pendekatan kuantitatif. Populasi dalam penelitian adalah seluruh jemaah haji yang melakukan ibadah haji sebanyak 168.800 jiwa, sampel adalah jemaah haji Indonesia yang berada di Mekkah dan Madinah sebanyak 163 responden. Teknik analisis data meliputi analisis univariat, analisis bivariat dengan uji Chi-Square, dan analisis multivariat dengan menggunakan uji regresi logistik berganda. Hasil seleksi bivariat menunjukkan bahwa variabel pengetahuan tidak memiliki hubungan yang signifikan dimana nilai p-value 0,284 > 0,05, sedangkan variabel sikap memiliki hubungan karena nilai p-value 0,000 < 0,05. Pada analisis multivariat uji regresi logistik berganda diperoleh bahwa variabel sikap yang memiliki signifikansi paling dominan dengan penggunaan masker pada jemaah haji atau nilai p-value 0,000 < 0,05 dan Odds Ratio 3,558, artinya sikap yang tidak mendukung penggunaan masker berpeluang sebesar 3 kali mengalami kejadian ISPA.


2018 ◽  
Vol 1 (1) ◽  
pp. 21
Author(s):  
Widya Rizki Septianingtyas ◽  
FX. Ady Soesetijo ◽  
Ristya Widi E. Y

Immunization is an attempt to actively generate or enhance a person's immunity to a disease, so that when exposed to the disease will not experience pain or only mild illness. Immunization program for baby aims to make every baby get immunization basic complete. The successfull of baby in obtaining basic immunization can be measured by complete basic immunization indicator (IDL). Basic immunization status on the children can be influenced by several factors associated with people behavior. Cadre's support is one of the important factors in immunization activities so that Posyandu activities can work as on schedule. Jelbuk and Klatakan public health center have complete basic immunization coverage lowest in Jember district in 2015 and 2016 years. The aim of this research was to analyze the influence of cadre’s support in the complete basic immunization. This research used analytic observational with cross Sectional analysis design. The location of this research was in the working area Jelbuk and Klatakan public health center on August – September 2017. The data was collected from 100 mothers who has children aged 12-23 months. Sampling method was using cluster random sampling. The results of this research by the logistic regression test showed that cadre support has an influence on complete basic immunization with p-value= 0,013. Therefore, its recommended for cadres to improve public education about complete basic immunization so that complete basic immunization coverage may increase.<br/> Keywords : Cadre’s Support, Complete Basic Immunization


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