Ditemukan 35730 dokumen yang sesuai dengan query :: Simpan CSV
Hasil penelitian menunjukkan bahwa terdapat hubungan signifikan antara penghasilan (p=0,001), riwayat penyakit selain COVID-19 (p=0,006), aktivitas fisik (p=0,000), stress (p=0,000), dan dukungan sosial (p=0,000) dengan kualitas hidup mahasiswa S1 Reguler Fakultas Kesehatan Masyarakat Universitas Indonesia selama pandemi COVID-19.
This thesis discusses how the situation of community anxiety in dealing with the COVID-19 pandemic in Indonesia, especially in DKI Jakarta, Bogor City, Depok City, TangerangCity, and Bekasi City. Variables to be analyzed include biological variables (gender andcigarette consumption) and social variables (policy and political situation, level and typeof education, distribution of information, status and type of work, as well as knowledgeof COVID-19). This research is a mixed method research (quantitative and qualitative)with descriptive study design. The results of quantitative analysis indicate that womenhave a greater chance of having a higher level of anxiety towards COVID-19 than men.The results of qualitative analysis indicate that the COVID-19 pandemic can cause avariety of responses from the community, both positive and negative responses. Inaddition, the implementation of policies for COVID-19 prevention can also affect one'sanxiety during the COVID-19 pandemic.Key words:COVID-19, anxiety, information dissemination, public policy.
Kata kunci: COVID-19, kecemasan, Depok
The Pandemic of Coronavirus Disease 2019 (COVID-19) has affected various aspects of life, especially in Depok, where the first case was reported in Indonesia. The increasing cases and existence of public health policies to limit various social activities over the past four months potentially cause anxiety for the community. This study aims to determine the description and factors associated with anxiety during COVID-19 pandemic in Depok. The study design was cross sectional. The data used are primary data obtained by distributing online questionnaires to various social media randomly. The anxiety was measured with Generalized Anxiety disorder-7 (GAD-7) questionnaires. The results showed the proportion of anxiety in Depok was 36.6% and the factor associated with COVID-19 pandemic was level of education (p-value = 0.004, OR 2.305 95% CI 1,295-4,105). Based on the results, it is recommended for the government to conduct an anxiety assessment in the general public and continue to provide education about COVID-19 to the public both through social media and other media.
Key words: COVID-19, anxiety, Depok
Hospital admissions and mortality due to pneumonia increased during the COVID-19 pandemic, both due to COVID-19 and other pathogens, Thus, risk factors need to be identified. The research was conducted to simultaneously analyze the relationship between various biological, lifestyle, environmental and health service determinants on the survival rate of pneumonia patients during the COVID-19 pandemic. This research uses mixed methods design. First, a quantitative retrospective cohort study was performed using cox regression analysis, interaction analysis was carried out using stratification and multiplication methods. Simple random sampling was done from medical records list of pneumonia patients who were treated during the COVID-19 pandemic in May 2020December 2021 at Dr. Cipto Mangunkusumo Hospital, Jakarta. Second, a sequential explanatory qualitative study was performed with a case study design. Information was collected through in-depth interviews of six informants to explain the dynamics of health determinants and inpatient survival from a hospital resilience perspective. There were 1945 subjects, the incidence of mortality during hospitalization was 34.1%. Biological determinants associated with an increased risk of mortality were initial conditions of severe pneumonia (HR 1,8; CI95% 1,38-2,43), CCI score ≥2 (HR 1,5; CI95% 1,16-2,08), complications ≥2 (HR 5,9; 95%CI 2,9-11,9), the trend of inpatient mortality increases with increasing age. The risk of death was lower in subjects with primary infection of organs other than the lungs (HR 0,4; 95% CI 0,35-0,51). Determinants of health care that are associated with an increased risk of death are intubation (HR 1,6; 95% CI 1,27-2,05) and waiting time in the ER ≥8 hours (HR 1,4; 95% CI 1,12-1,63), mortality risk was lower in subjects who received intensive care (HR 0,3;95%CI 0,25-0,41), anticoagulant therapy (HR 0,3;95%CI 0,27-0,44) and steroid therapy in severe non-COVID-19 pneumonia (0,7; 95%CI 0,5-0,9). In COVID-19 pneumonia subjects, the risk of death during hospitalization was lower if they received empiric antibiotics (HR 0,4; 95%CI 0,26-0,58), anticoagulant therapy (HR 0,3; 95%CI 0,23-0,4), and antiviral therapy (HR 0,4;95% CI 0,3-0,5). Steroids (HR 0,4; CI95% 0,3-0,6), convalescent plasma therapy (HR 0,2; CI95% 0,08-0,57), and anti-interleukin-6 therapy (HR 0,7; IK95% 0,46-1,03) reduces the risk of inpatient death in severe COVID-19 pneumonia. Hospital resilience is maintained by having zoning policies, implementing risk mitigation principles, and modulating services according to the principle of proportionality. Hospital networks help reduce financial burdens through providing donations or grants. Hospital vulnerabilities include the fragility of infrastructure, slower process of return to regular services, fearness among health workers and pre-hospital triage not adequately performed. There was no interaction between the pneumonia etiology variable and the surge phase of cases, and there was no interaction between the pneumonia etiology variable and the length of stay in the ER. Biological, environmental and health service determinants are associated to the inpatient survival rate of pneumonia during the COVID-19 pandemic. Hospital resilience needs to be assessed by looking at the impact of the pandemic on mortality from COVID-19 pneumonia and non-COVID-19 pneumonia. Management of the surge capacity due to the COVID-19 pandemic needs to consider zoning principles, proportional service modulation, psychological readiness of health workers, financial condition of hospitals, and infrastructure readiness. Prehospital triage is an external factor that helps improve hospital resilience. Keywords : Pneumonia; COVID-19; Pandemic; survival; hospital resilience
Hasil penelitian menunjukkan bahwa proporsi kecemasan ringan sebesar 37,8%, kecemasan sedang sebesar 27,3%, dan kecemasan berat sebesar 15,4%. Hasil penelitian menunjukkan bahwa terdapat hubungan yang signifikan antara coping (PR=1,79 95%CI: 1,33-2,41; p=0,000) dan dukungan sosial (PR=1,85 95%CI: 1,38-2,48; p=0,000) dengan kecemasan pada mahasiswa S1 Rumpun Ilmu Kesehatan Universitas Indonesia selama pandemi COVID19. Kemudian, hasil penelitian menunjukkan bahwa tidak terdapat hubungan yang signifikan antara usia, jenis kelamin, tempat tinggal, tingkat ekonomi keluarga, riwayat penyakit, dan riwayat kontak COVID-19 dengan kecemasan pada mahasiswa S1 Rumpun Ilmu Kesehatan Universitas Indonesia selama Pandemi COVID-19.
