Search Results

Abstract : This study aimed to understand the primary reasons for the workers to receive the vaccine during the initial vaccine rollout and the mass vaccination program in Makassar city, Indonesia. This study was an analytical descriptive with a cross-sectional design. We used a self-administered online survey through a multi-item questionnaire via Microsoft Form from August to September 2021. A total of 252 valid questionnaires were analyzed from respondents over 20 years of age, where the majority of the participants were female (74.60%), 25-39 years old (63.10%), college-educated (85.32%), teaching staff (tutor, teacher, lecturer) (34.13%), without a history of COVID-19 infection (77.78%), vaccinated (at least one dose) (80.56%), have a workplace vaccination policy (61.90%). Based on the bivariate analysis, it was found that there was a significant relationship between the workplace vaccination policy and the vaccination status of the employee in Makassar city (p-value = 0.001; PR = 3.059, 95% CI = 1.800-5.199). This finding proves that respondents who have not received the COVID-19 vaccine are more in the group of employees who do not have a workplace vaccination policy. This study found that the workplace vaccination policy plays a vital role in determining the employee's intention in taking the COVID-19 vaccine. However, efforts to increase people's intention to receive COVID-19 vaccinations are still needed to increase vaccination coverage in Indonesia. Further study with a broader scope to validate that people receive vaccines not because of external factors but are aware of vaccines' benefits is necessary.

Abstract : Sepsis is a life-threatening organ dysfunction caused by a dysregulated host response to infection. The incidence of sepsis are between 300 to 1000 cases per 100,000 people per year. Red cell distribution width (RDW) is an index variation of RBC volume, which is a cost-effective and easy tool for predicting the prognosis of critically ill patients. RDW value can be used as an independent indicator of mortality in septic patients. Sepsis can increase RDW through various mechanisms, such as the role of inflammatory mediators, which directly induce red blood cell damage, increased nitric oxide (NO) levels, which play a role in interfering with the deformability of erythrocyte membranes, and oxidative stress, which can interfere with erythropoiesis, thereby increasing the production of premature erythrocytes, reduce the survival of erythrocytes, interfere with the deformability of the erythrocyte membrane, and erythrocyte half-life. Retrospective with a cross-sectional study design. Data were taken from the medical records. The severity of sepsis was assessed by the SOFA score, and RDW was taken from routine blood data. Data analysis used SPSS version 22 and Pearson's correlation test. There is a significant correlation between the SOFA score and RDW with p value 0.000 (p<0.05). The resulting coefficient is +0.510, there is a linear correlation with moderate strength between the SOFA score and RDW. There is a significant correlation between the severity of sepsis as assessed by the SOFA score and RDW.

Abstract : The relationship between smoking and lung damage is part of the inflammatory process, increased oxidative stress, and protease. Many of these processes are modulated by Vitamin D. Current data shows that Vitamin D deficiency is associated with respiratory disorders. This study aims to compare the Vitamin D values of male smokers and nonsmokers in Indonesia and their exhaled (Carbon Monoxide) CO values. A cross-sectional study was conducted on healthy male subjects at X office Jakarta in August 2017. A sample of 60 people consisting of 30 smokers and 30 nonsmokers was selected via consecutive sampling. Interviews were conducted to fill in the baseline data questionnaire, Fagerstrom questionnaire, sun exposure score, and nutritional intake. Exhaled CO measurement was done using a portable CO measuring device, and Vitamin D level was examined from blood drawn. This study found that most participants (90%) had Vitamin D deficiency. The mean value of Vitamin D of the smoker group was lower than the nonsmoker group (15.21 ± 3.15 ng/ml vs. 16.9 ± 2.9 ng/ml, p = 0.029). The Mean exhaled CO level was higher in smokers than nonsmokers (17.3 ± 12.54 ppm vs. 5.4 ± 2.51 ppm, p = 0.000). Most participants had Vitamin D deficiency. The value of Vitamin D in smokers was lower than that of nonsmokers. Exhaled CO level of smokers was higher than nonsmokers.

Abstract : Mental health nurses work in potentially high stress environment and challenging setting. One of the essential stress caused by burnout. the aim of this study was to describe burnout of mental health nurses. This Sample was 131 participants mental health nurses in all the psychiatric hospitals in Central Java were invited to participate in this study. this was determined using the stratified random sampling method in psychiatric hospital in Central Java. The burnout questionnaire used the Maslach burnout inventory (MBI-HSS) that assess three dimensions of burnout. The prevalence of burnout with a sample of n = 131 mental health nurses are 72% for low emotional exhaustion, 65% for depersonalization, and 47% for low personal accomplishment. From a workforce development and safety perspective, it is important for managers to address low personal accomplishment aspects of burnout reported in the workplace by mental health nurses.

Abstract : Work-related burnout seriously affects all healthcare workers (HCWs). Frontline HCWs, primarily nurses, who treat patients with COVID-19 are more likely to burn out. This study aimed at assessing the factors associated with work-related burnout among nurses during the COVID-19 pandemic. Participants’ demographics, relevant characteristics, stress, anxiety, depression, and COVID-19-related stress items were also assessed and examined for associations with work-related burnout. A cross-sectional, descriptive, correlative design was used to assess factors associated with work-related burnout among nurses during the COVID-19 pandemic. Valid and reliable self-reported questionnaires were used to evaluate COVID-19-related stress items, burnout, stress, anxiety, and depression. A sample of 726 nurses was enrolled in this study. Nurses reported high means of work-related burnout (20.31 ± 6.34). 15.1, 30.9, and 18.3 nurses reported stress, anxiety, and depression, respectively. This study found that work-related burnout was significantly associated with anxiety, stress, and depression (p-value < 0.001). Age, COVID-19-related items, stress, and depression were all significant predictors of burnout among nurses. These four factors could explain 51% of nurses’ burnout during the COVID-19 pandemic. Our study demonstrated high levels of stress, anxiety, depression, and work-related burnout among nurses during the COVID-19 pandemic. Age, stress, depression, and COVID-19 related-stress acted as independent predictors for work-related burnout. To ensure support is available to nurses at risk, existing psychological support interventions must be evaluated using targeted approaches.