Analisis Korelasi Faktor Resiko Kematian Di Ruang Isolasi Covid-19

Health workers and various other sectors are currently busy with handling world health cases of the Sars Cov-2 virus pandemic. The transmission of COVID-19 is very easy and dangerous, which is the cause of the increasing number of deaths. The large percentage of mortality rates for COVID-19 sufferers can be caused by internal factors and external factors. The purpose of this study was to analyze various factors that caused the death of COVID-19 sufferers. This scientific report uses observational analytics with a retrospective study design. The research target of Covid-19 patients in the isolation room of the Graha Medika hospital in August - December 2020 was 437 respondents. The research sample amounted to 305 respondents who were selected with simple random sampling technique. The instruments that the researchers used in data collection were writing instruments and medical records of patients in the COVID-19 isolation room. Most of the respondents were female, namely 161 respondents (52.8%), Almost half of the respondents aged >60 years, namely 119 respondents (39%), Almost all respondents underwent treatment for 1-5 days, namely 251 respondents (82.3% ), and most of the respondents had comorbidities, namely 228 respondents (74.8%). Factors of age, sex, comorbidities, had a statistical value (p<0.05) while the length of treatment was not related to the value (p>0.05). The most comorbid disease experienced by respondents was diabetes mellitus, and contributed to the death rate of 72 respondents (23.6%). Immediate handling and appropriate intervention for elderly COVID-19 sufferers of various genders and especially those with comorbidities to minimize the mortality rate of COVID-19 sufferers.

What Is Preparedness and Capacity of Intensive Care Service in Indonesia to Response to COVID-19? A Mixed-method Study

BACKGROUND: Pandemics can increase disease spread, as well as unpredictable and highly in patient demand, which can have a negative impact on hospital capacity and the overall functioning of the health-care system. The preparedness and capacity of intensive care services to respond to COVID-19 in Indonesia are remain unknown. AIM: This study aimed to investigate the preparedness and capacity of intensive care services in Indonesia to respond to the initial stage of the COVID-19 pandemic. METHODS: A mixed-method research design was used in this study using in-depth interviews and an online survey. An in-depth interview was conducted with the medical team (intensive care consultant and an anesthesiologist) who is actively involved in the provision of COVID-19 services in 15 national referral hospitals. The online survey was conducted to all medical teams that provide direct care to the COVID-19 patients. A total of 459 (response rate was 95.2%) agreed to join the survey. The content analysis technique was used to analyze qualitative data and a descriptive analysis was used to describe issues encountered in providing health services to COVID-19 patients. RESULTS: The analysis preparedness and capacity of intensive care service in Indonesia to respond to the initial stage of the COVID-19 pandemic resulting in 4 themes with 12 sub-themes. The four themes were limited quality and quantity of standardized intensive care unit (ICU) isolation room (inadequate zoning systems, adequacy of the standardized ICU isolation room, the readiness of the hospital infrastructure, and telemedicine facilities are not yet widely used, including in the COVID-19 isolation room), limited medical service support (lack of personal protective equipment (personal protective equipment [PPE], re-used PPE, lack of availability of medical devices), limitations in the medical team’s quality and quantity management (lack of number and distribution of expert doctors and medical team screening for ICU), and command systems (task shifting, effective communication, and leadership). CONCLUSION: Medical team encounters several difficulties, particularly related to the quality of facilities, staff preparedness, and systems for the provision of services to COVID-19 patients with critical conditions. There is a critical need for well-defined pathways, legal protection, and occupational health for medical teams providing services in the aftermath of a pandemic.

Physical Measurement Analysis in Pre-Utility Covid-19 Isolation Room: A Case Study Universitas Mataram Teaching Hospital

Background: Negative pressure room is recommended for the treatment of COVID-19 patients. Aim this study to describe physical measurement analysis of isolation room Universitas Mataram Teaching Hospital. Methods: Newly developed negative pressure isolation room was physical measure using following instruments: anemometer, moisture meter, hygrometer and pressure gauge. Results: This study showed physical measurement as follow: 1) ACH (air change per hour) 23.3 / hour [minimum: 12+ ACH]; 2) the difference in pressure gradient between the inpatient room and anteroom -30 Pa [minimum -15 Pa]; 3) the mean of air temperature 24.8°C [21-24]; 4) air humidity 58% [maximum 65%] and 5) concrete moisture 22.45%. Conclusion: The COVID-19 isolation room at the Universitas Mataram Teaching Hospital meets the standard criteria.

Smart Infusion and Web Based Monitoring Infusion Fluids in Isolation Room Based on Fuzzy Logic

High-tech improvements with reference for health advance to develop numerous medical tools have been build to support doctors and nurses performances. This analysis research applied web-based system of infusion monitoring and microprosessor or microcontroller to grease performances of nursers and pharmaceutical helping in clinics or public health centers of the district. In this research, smart infusion web-based is builded for providing for the infusions by applying Node MCU and ESP 8266 Wi-Fi module. Smart Infusion aimed at helping nursers and medical helpers handling infusions of contagious complaint cases or Covid-19 cases to provide for infusion situation in isolation room or emergency room at hospital also public health centers at the district. Detecting the infusion weight, volume and percentage by applying a digital scale and the Load Cell sensors. This monitoring tools or devices is created to count the display from LCD and infusion weight the volumes and percentage of infusion with 3 colors alert display on the Website such as red color, yellow color, and green color depend on a web developed by php language, C programming with Arduino by C language embedded in microprocessor or microcontroller and based on fuzzy logic. Testing results have been achieved, monitoring device can work efficiently and completely when calculating weight, percentage, and volume. Scanning data of success accuracy of Load Cell sensors is 98,00%.

Association between Airborne Infection Isolation Room Utilization Rates and Healthcare Worker COVID-19 Infections in Two Academic Hospitals

We compared healthcare worker SARS-CoV-2 infection rates between March-August 2020 in two similar hospitals with high versus low airborne infection isolation room utilization rates but otherwise identical infection control policies. We found no difference in healthcare worker infection rates between the two hospitals nor between patient-facing vs non-patient-facing providers.

Description of the Burnout Pandemic on Nurses in the Isolation Room at RSUD Wangaya Denpasar

During this pandemic, health workers, especially nurses, are at the forefront of dealing with the Covid-19 outbreak. Nurses will experience stress, this is because the workload that occurs on nurses is very large, so nurses tend to experience pandemic burnout. The purpose of this study was to determine the description of the pandemic burnout on nurses in the Isolation Room of Wangaya Hospital Denpasar based on 3 dimensions of burnout. Data collection tool using Maslach Burnout Inventory questionnaire. This research method is descriptive quantitative by using a survey. The sample in this study was selected with a total sampling technique of 39 respondents. The results of this study are most of the respondents experienced pandemic burnout in the low category as many as 32 people (82.1%). Dimension emotional exhaustion most of the respondents answered "always" as many as 7 people (17.9%), the dimension depersonalization most of the respondents answered "always" as many as 13 people (33.3%) and the dimension of dimished personal accomplishment most of the respondents answered "always" as many as 1 person (2.6%). This pandemic has occurred for more than a year, nurses are getting used to their work and are used to using level 3 PPE. It is recommended for nurses to be in isolation rooms, attend webinars or seminars on handling Covid-19 patients, psychological webinars, yoga, and other spiritual improvement activities that can reduce nurse burnout.

Antara Semangat Pengabdian dan Keterbatasan Diri: Studi Fenomenologi tentang Stress Kerja Perawat yang Bertugas di Ruang Intensif dan Isolasi COVID-19

KATA KUNCI KEYWORDS ABSTRAK COVID 19, perawat, stress kerja Penelitian ini menggunakan pendekatan fenomenologi dan bertujuan untuk memahami pengalaman perawat di ruang intensif yang rentan mengalami distres psikologis dan bagaimana mereka memaknai pengalamannya. Masih sedikit penelitian yang mencoba untuk menggali lebih dalam mengenai kondisi psikologis perawat dilihat dari sisi subjektif. Pengumpulan data dilakukan dengan wawancara mendalam terhadap tiga orang perawat yang sedang atau pernah bekerja di ruang intensif. Satu perawat ditugaskan Ruang Isolasi COVID 19 yang pernah bertugas di ruang intensif. Hasil penelitian ini menunjukkan beberapa tema yang sama antar partisipan terkait dengan pengalaman mereka di ruang intensif dan ruang isolasi COVID 19 seperti adanya rasa cemas, pekerjaan yang melelahkan. Tema yang muncul sebagian besar mengandung emosi negatif dan distres psikologis yang dialami selama bertugas dalam konteks yang beragam antar partisipan. Terlepas dari emosi negatif, partisipan masih terdapat sikap positif yang menjadi motivasi mereka untuk tetap mengabdi. Penelitian ini mengungkapkan secara spesifik tantangan unik yang dialami oleh partisipan dan dampaknya terhadap kesehatan mental mereka yang tidak dapat dijelaskan melalui penelitian kuantitatif. ABSTRACT This study uses a phenomenological approach and aims to perceive nurses' experiences in the intensive room which has vulnerable to have psychological distress and how they interpret their experiences. There are limited studies that reveal about psychological distress from nurse’s subjective view. Data is collected through a depth of interviews with three new nurses, who are on duty in intensive care room and a nurse in the COVID 19 Isolation Room, who has also served in the ICU. The result of this study shows some similar themes about their experiences in intensive care and COVID 19 isolation room such as anxiety and exhausting job. Majority of theme contain negative emotion and psychological distress while on duty in special context among participants. Regardless negative emotion dominated, positive attitude that encourage instrinsic motivation to serve patiens live. The study revealed specific challenge and experience among participants and how affect their mental health which not revealed from quantitative study.