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

Fadli Fadli, Safruddin Safruddin, Andi Sastria Ahmad, Sumbara Sumbara, Rohandi Baharuddin

Abstract


ABSTRAK

Tenaga 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.

 

ABSTRACT

Health 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.


Keywords


Kecemasan; Alat Pelindung Diri; Tenaga kesehatan; Status keluarga; Anxiety Health workers; Family status; Personal protective equipment

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References


Cheng, Q., Liang, M., Li, Y., He, L., Guo, J., Fei, D., Zhang, Z. (2020). Correspondence Mental health care for medical staff in China during the COVID-19. Lancet, 7, 15–26. https://doi.org/10.1016/S2215-0366(20)30078-X

Chua, S., Cheung, V., Mcalonan, G., Tang, S., Cheung, C., McAlonan, G. M., Chang, M. T. (2004). Psychological Effects of the SARS Outbreak in Hong Kong on High-Risk Health Care Workers. The Canadian Journal of Psychiatry, 49(6), 391–393. https://doi.org/10.1177/070674370404900609

Gates, B. (2020). Responding to Covid-19-A Once-in-a-Century Pandemic? New England Journal of Medicine, 386(18), 1677–1679. https://doi.org/DOI: 10.1056/NEJMp2003762

Ghufron, M. N., & Risnawita, R. (2014). Teori-Teori Psikologi. Jogjakarta: Ar- Ruzz Media.

Guo, Y., Cao, Q., Hong, Z., Tan, Y., Chen, S., Jin, H., Yan, Y. (2020). The origin , transmission and clinical therapies on coronavirus disease 2019 ( COVID-19 ) outbreak – an update on the status. Military Medical Research, 7(11), 1–10.

Heymann, D. L. (2020). A novel coronavirus outbreak of global health concern. Lancet, 395, 470–473. https://doi.org/10.1016/S0140-6736(20)30185-9

IASC. (2020). Catatan tentang aspek kesehatan jiwa dan psikososial wabah Covid-19 (pp. 1–20).

Kemenkes., RI. (2020). Perkembagan Kasus Covid-19 Kumulatif Di Indonesia. Retrieved from http://pusatkrisis.kemkes.go.id/

Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., Li, R. (2020). Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA, 3(3), 1–12. https://doi.org/10.1001/jamanetworkopen.2020.3976

Li, Q., Guan, X., Wu, P., Wang, X., Zhou, L., Tong, Y., Feng, Z. (2020). Early Transmission Dynamics in Wuhan, China, of Novel Coronavirus–Infected Pneumonia. The New England Journal of Medicine, 382(13), 1199–1207. https://doi.org/10.1056/NEJMoa2001316

Lockhart, S. L., Duggan, F. L. V, Wax, F. R. S., Saad, S., & Grocott, H. P. (2020). Personal protective equipment ( PPE ) for both anesthesiologists and other airway managers : principles and practice during the COVID-19 pandemic. Canadian Journal of Anesthesia. https://doi.org/10.1007/s12630-020-01673-w

Maben, J., & Bridges, J. (2020). Covid-19: Supporting nurses’ psychological and mental health. Journal of Clinical Nursing, 29(10), 1423–1424. https://doi.org/10.1111/jocn.15307

PDPI. (2020). Panduan Praktik Klinis: Pneumonia 2019 n-CoV. Jakarta: PDPI.

Pemprov., SulSel. (2020). Sulsel Tanggap Covid-19. 1 S. Pemprov, (2020). Retrieved from https://covid19.sulselprov.go.id/data

Phelan, L. A., Katz, R., & Gostin, L. O. (2020). The Novel Coronavirus Originating in Wuhan , China Challenges for Global Health Governance. JAMA, 323(8), 709–710. https://doi.org/10.1001/jama.2020.1097

Prompetchara, E., Ketloy, C., & Palaga, T. (2020). Immune responses in COVID-19 and potential vaccines : Lessons learned from SARS and MERS epidemic. Asian Pacific Journal of Allergy and Immunology, 38, 1–9. https://doi.org/10.12932/AP-200220-0772

Puspanegara, A. (2019). Pengaruh usia terhadap hubungan mekanisme koping dengan kecemasan. Jurnal Ilmu Kesehatan Bhakti Husada, 10(2), 142–149. https://doi.org/10.34305/JIKBH.V10I2.102

Ramadhan, A. (2020). Vitalnya ketersediaan APD untuk melindungi tenaga kesehatan. Jakarta. Retrieved from https://www.antaranews.com/berita/1411158/vitalnya-ketersediaan-apd-untuk-melindungi-tenaga-kesehatan

Razai, M. S., Doerholt, K., Ladhani, S., & Oakeshott, P. (2020). Coronavirus disease 2019 ( covid-19 ): a guide for UK. Medical lLadersip and Management, (March), 1–5. https://doi.org/10.1136/bmj.m800

Remuzzi, A., & Remuzzi, G. (2020). Health Policy COVID-19 and Italy : what next ? Health Policy, 2, 10–13. https://doi.org/10.1016/S0140-6736(20)30627-9

Repici, A., Maselli, R., Colombo, M., Gabbiadini, R., Spadaccini, M., Anderloni, A., Lagioia, M. (2020a). Coronavirus ( COVID-19 ) outbreak : what the department of endoscopy should know. Gastrointestinal Endoscopy Journal, 1–6. https://doi.org/10.1016/j.gie.2020.03.019

Repici, A., Maselli, R., Colombo, M., Gabbiadini, R., Spadaccini, M., Anderloni, A., Lagioia, M. (2020b). Coronavirus ( COVID-19 ) outbreak : what the department of endoscopy should know. Gastrointestinal Endoscopy, 1–6. https://doi.org/10.1016/j.gie.2020.03.019

Rothe, C., Schunk, M., Sothmann, P., Bretzel, G., Froeschl, G., Wallrauch, C., Janke, C. (2020). Transmission of 2019-nCoV Infection from an Asymptomatic Contact in Germany. The New England Journal of Medicine, 382(10). https://doi.org/10.1056/NEJMc2001468

Shanafelt, T., Ripp, J., Sinai, M., & Trockel, M. (2020). Understanding and Addressing Sources of Anxiety Among Health Care Professionals During the COVID-19 Pandemic. JAMA. https://doi.org/10.1001/jama.2020.5893

Shereen, M. A., Khan, S., Kazmi, A., Bashir, N., & Siddique, R. (2020). COVID-19 infection : Origin , transmission , and characteristics of human coronaviruses. Journal of Advanced Research, 24, 91–98. https://doi.org/10.1016/j.jare.2020.03.005

Stuart, G. W. (2016). Prinsip dan Praktik Keperawatan Kesehatan Jiwa. Singapore: Elsevier.

WHO. (2020a). Coronavirus disease 2019 (COVID-19)Situation Report –67.

WHO. (2020b). The World Health Organization declared the coronavirus outbreak a Global Public Health Emergency. Retrieved from https://www.worldometers.info/coronavirus/

Wu, Y., Chen, C., & Chan, Y. (2020). The outbreak of COVID-19 : An overview. Journal of the Chinese Medical Association, 83(3), 217–220. https://doi.org/10.1097/JCMA.0000000000000270

Yuliana. (2020). Corona Virus Diseases (COVID-19): Sebuah tinjauan literatur. Wellness And Healthy Magazine, 2(February), 187–192. Retrieved from https://wellness.journalpress.id/wellness/article/view/21026

Zhu, N., Zhang, D., Wang, W., Le, X., Yang, B., Song, J., & Zhoa, X. (2020). A Novel Coronavirus from Patients with Pneumonia in China, 2019. Journal of Medicine, 382(8), 727–733. https://doi.org/10.1056/NEJMoa2001017

Zung, W. W. K. (1997). Rating anxiety for anxiety disorder physychosomatic. USA: Mosby Company.




DOI: https://doi.org/10.17509/jpki.v6i1.24546

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