FAKTOR BERHUBUNGAN DENGAN LAMA RAWAT PASIEN TERKONFIRMASI COVID-19 DI WILAYAH PUSKESMAS BREBES
DOI:
https://doi.org/10.5281/zenodo.8094843Kata Kunci:
characteristics, clinical symptoms, comorbidities, length of stay, COVID-19Abstrak
Background: The average length of stay for COVID-19 patients in Central Java is 17 days, Brebes regency and in the working area of the Brebes Health center is 14 days. COVID-19 patients are at risk of increasing length of stay due to various factors and the increased length of stay can increase the burden of health services. The purpose of this study was to determine the factors that influence the length of stay of COVID-19 patients. Methods: This type of research was analytic descriptive with a correlational design. The population of this study was patients with confirmed COVID-19 in the working area of the Brebes Community Health Center which was 642 patients, with a total sample of 247 determined by the Slovin formula. The used analyses were univariate, bivariate analysis with Chi-square, andMultivariate analysis with multiple logistic regression. Results: Chi-Square test showed age variable with p-value 0.002, gender p-value 0.995, work p value 0.007, clinical symptoms p-value 0.001, comorbid p-value 0.022, administration day admission p-value 0.603, administration discharge status p-value 0.001. Mutivariate resulth obtained Odds Ratio (OR) on clinical symptoms OR 16,995, discharge status OR 12.264, comorbities OR 6.855. Conclusion: There is a relationship between the variables of age, clinical symptoms, comorbidities, adminstration and lengh of stay of patients confirmed with COVID-19 in the working area of the Brebes Publich Center. Clinical symtoms are determinants of the length of stay for COVID. It is recommented that Health Center Brebes and Hospital can improve the quality of COVID care services.
Referensi
Arief, I., Sumarny, R., Sumiyati, Y., & Kusuma, I. (2021). Hubungan Karakteristik Klinik dan Profil Pengobatan dengan Parameter Hematologi dan Lama Rawat Pasien Covid-19 Di Rumah Sakit Yarsi Jakarta. Syntax Literate ; Jurnal Ilmiah Indonesia, 6 (11).
Athifa, S. D. (2021). Pemodelan Lama Rawat Pasien COVID-19 di Provinsi Sumatera Barat. In Universitas Andalas. http://scholar.unand.ac.id/75967/
Azhari, F, M, Heldayani, S. (2021). The Relationship of Anxiety Level With Length of Stay Corona Virus Disease 2019 (Covid-19) Patient’s in Special Quarantine Bapelkes Banjarbaru. Journal of Nursing and Health Education, 1(1), 30–37.
Baihaqi, F. A., & Rumaropen, H. (2022). Faktor-Faktor yang Berhubungan dengan Lama Rawat Inap Pasien COVID-19 di RSUD Serui Provinsi Papua: Studi Potong Lintang. Jurnal Penyakit Dalam Indonesia, 8, 187–194.
Chiam, T., Subedi, K., Chen, D., Best, E., Bianco, F. B., Dobler, G., & Papas, M. (2021). Hospital length of stay among COVID-19-positive patients. Journal of Clinical and Translational Research, 7, 377–385.
Dewanti, R. (2021). Hubungan Komunikasi Terapeutik Perawat Dengan Lama Perawatan Pasien Di Ruang Rawat Inap RSUD Wates. In Fakultas Kesehatan Universitas Jendral Achmad Yani Yogyakarta.
Dinas Kesehatan Kabupaten Brebes. (2022). Data Kasus COVID 19 Brebes, Jawa Tengah.
Jamini, T. (2022). Gambaran Lama Hari Rawat Inap Pasien COVID-19 Berdasarkan Karakteristik Demografi, Klinis dan Hasil Laboratorium Pasien di Ruang Perawatan Covid-19 RSUD H. Boejasin Pelaihari Tahun 2021.
Kemenkes, RI. (2020). Peta Sebaran COVID-19 | Covid19.go.id. https://covid19.go.id/peta-sebaran-covid19
Kemenkes RI. (2021a). Keputusan Menteri Kesehatan Republik Indonesia Nomor Hk.01.07/Menkes/4641/2021 Tentang Panduan Pelaksanaan Pemeriksaan, Pelacakan, Karantina, Dan Isolasi Dalam Rangka Percepatan Pencegahan Dan Pengendalian Coronavirus Disease 2019 (Covid-19). In KMK/ Nomor HK ,01,07/MENKES/4641/2021 (Vol. 169, Issue 4, pp. 308–311).
Kemenkes RI. (2021b). Biaya Perawatan Pasien Covid-19 Rata-rata Rp 50 Juta. Cnbcindonesia.Com. https://www.cnbcindonesia.com/news/20200611190739-4-164770/kemenkes-biaya-perawatan-pasien-covid-19-rata-rata-rp50-juta
Kemenkes RI. (2022a). Data & Fakta Kasus Covid-19 di Indonesia Semakin Meledak.Cnbcindonesia.Com. https://www.cnbcindonesia.com/news/20220203171212-16-312703/data-fakta-kasus-covid-19-di-indonesia-semakin-meledak
Kemenkes RI. (2022b). Infeksi Emerging Kementerian Kesehatan RI. Www.Infeksiemerging.Kemkes.Go.Id. https://infeksiemerging.kemkes.go.id/uncategorized/qna-pertanyaan-dan-jawaban-terkait-covid-19
Lancet, T. (2020). COVID-19: protecting health-care workers. Lancet, 395, 1–2.
Lubis, I. K., & Susilawati, S. (2018). Analisis Length of Stay (Los) Berdasarkan Faktor Prediktor Pada Pasien DM Tipe II di RS PKU Muhammadiyah Yogyakarta. Jurnal Kesehatan Vokasional, 2(2), 161.
Minuljo, T. T., Prima, Y., Anindita, C., Nugroho, H., Seno, H., Gde, T., Pemayun, D., Achsan, M., & Sofro, U. (2020). Karakteristik dan Keluaran Pasien COVID-19 dengan DM di RS Umum Pusat Dr . Kariadi. Medica Hospitalia, 7(1A), 150 –158.
Ndaparoka. (2021). Kajian literatur: gambaran lama rawat pasien covid-19.
Niu, S., Tian, S., Lou, J., Kang, X., Zhang, L., Lian, H., & Zhang, J. (2020). Clinical characteristics of older patients infected with COVID 19 : A descriptive study. Archives of Gerontology and Geriatrics, 89, 0167–4943.
Nopianto, H. (2012). Faktor-Faktor Yang Berpengaruh Terhadap Lama Rawat Inap pada Pasien Demam Berdarah Dengue di RSUP Dr Kariadi Semarang. Universitas Diponegoro.
Nurhayatun, S., Fitriyanti, N., Sonia, D., Medis, R., Kesehatan, I., Piksi, P., & Bandung, G. (2021). Analisis Average Length of Stay (Avlos) Kasus Covid-19 Di Rumah Sakit X Bandung. Jurnal Ilmiah Manusia Dan Kesehatan, 4 (3), 412–418.
Nursalam. (2006). Manajemen keperawatan Aplikasi dalam Praktik Keprawatan Profesional. Salemba Medika.
Puskesmas Brebes. (2022). Data Kasus Terkonfirmasi Covid 19 Wilayah Kerja Puskesmas Brebes, Jawa Tengah, Tahun 2020-2021.
Putri, Putra, & Mariko. (2021). Hubungan Usia, Jenis Kelamin Dan Gejala Dengan Kejadian COVID- 19 di Sumatera Barat. Hubungan Usia, Jenis Kelamin Dan Gejala Dengan Kejadian COVID-19 Di Sumatera Barat, 44 (2), 104–111.
Ramanathan, K., Antognini, D., Combes, A., Paden, M., Zakhary, B., Ogino, M., Maclaren, G., & Brodie, D. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet.
Rees, E. M., Nightingale, E. S., Jafari, Y., Waterlow, N. R., Clifford, S., Carl, C. A., Group, C. W., Jombart, T., Procter, S. R., & Knight, G. M. (2020). COVID-19 Length Of Hospital Stay: A Systematic Review And Data Synthesis. BMC Medicine, 18(1).
Sasmita, E. D. (2020). Hubungan Karakteristik Personal Pasien Dengan Lama Rawat Pasien Moderate Care di Rumah Sakit Ortopedi Prof. Dr. R. Soeharso Surakarta. Universitas Muhammadiyah Surakarta.
Shiddiq, A, Fauzar, Kurniati, R, Kam, A. (2020). Hubungan Lama Rawat Inap dengan Usia dan Komorbiditas Pasien COVID - 19 di Semen Padang Hospital dari Maret hingga Juli 2020. Health and Medical Jurnal, 4, 36–39.
Sulastri, S. (2020). Faktor-Faktor Yang Mempengaruhi Tingkat Kesembuhan Cidera Pada Tulang Akibat Bencana. Jurnal Ilmiah Cerebral Medika, 1 (1), 8.
Tedja, V. R. (2012). Hubungan Antara Faktor Individu, Sosial Demografi, dan Administrasi dengan Lama Hari Rawat Pasien Rawat Inap Rumah Sakit Pantai Inndah Kapuk Tahun
Tresnasari, C. Dharmmika, S. (2020). COVID-19 dan Tatalaksana Kedokteran Fisik serta Rehabilitasi Pasien. Kopidpedia, 203–215.
Wang, D., Hu, B., Hu, C., Zhu, F., Liu, X., Zhang, J., Wang, B., Xiang, H., Cheng, Z., Xiong, Y., Zhao, Y., Li, Y., Wang, X., & Peng, Z. (2020). Clinical Characteristics of 138 Hospitalized Patients with 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. JAMA - Journal of the American Medical Association, 323 (11), 1061–1069.
Wang, H. Y., Chew, G., Kung, C. Te, Chung, K. J., & Lee, W. H. (2007). The Use Of Charlson Comorbidity Index For Patients Revisiting The Emergency Department Within 72 Hours 2007. Chang Gung Medical Journal, 30 (5), 437–444.
Wartawan, I. W. (2012). Analisis Lama Hari Rawat Pasien Yang Menjalani Pembedahan di Ruang Rawat Inap Bedah Kelas III RSUP Sanglah
WHO, W. H. O. (2022). Strategic Preparedness, Readiness and Response Plan to End the Global COVID - 19 Emergency in 2022 (Issue March).
Winugroho, T., Imansyah, M., Bangun, E., Apriyadi, R. K., & Hidayat, A. (2021). Analisis Pengaruh Faktor Demografi terhadap Lama Karantina pada Perawat Terpapar Covid-19 di Jawa Tengah. PENDIPA Journal of Science Education, 5(2), 229–236.
Wu, C., Chen, X., Cai, Y., Xia, J., Zhou, X., Xu, S., Huang, H., Zhang, L., Zhou, X., Du, C., Zhang, Y., Song, J., Wang, S., Chao, Y., Yang, Z., Xu, J., Zhou, X., Chen, D., Xiong, W., … Song, Y. (2020). Risk Factors Associated with Acute Respiratory Distress Syndrome and Death in Patients with Coronavirus Disease 2019 Pneumonia in Wuhan, China. JAMA Internal Medicine, 180 (7), 934–943.
Wu, S., Xue, L., Legido-Quigley, H., Khan, M., Wu, H., Peng, X., Li, X., & Li, P. (2020). Understanding Factors Influencing the Length of Hospital Stay Among Non-Severe COVID-19 Patients: a Retrospective Cohort Study in a Fangcang Shelter Hospital. PLoS ONE, 15 (10 October), 1–14.
Yunitasari, L. N. (2013). Hubungan Beberapa Faktor Demografi Dengan Tingkat Kecemasan Pasien Pasca Diagnosis Kanker di RSUP Dr. Kariadi Semareang. Medica Hospitalia : Journal of Clinical Medicine, 1 (2), 127–129.
Zhao, W., Yu, S., Zha, X., Wang, N., Pang, Q., Li, D., & Li, A. (2020). Clinical characteristics and durations of hospitalized patients with COVID-19 in Beijing: a retrospective cohort study. medRxiv. https://doi.org/10.1101/2020.03.13.20035436
