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Lovia Lova
Analisis Manajemen Keperawatan ICU Covid-19 Rs Hasanah Graha Afiah selama Pandemi Covid-19 = Covid-19 ICU Nursing Management Readiness Analysis at Hasanah Graha Afiah Hospital During the Covid-19 Pandemic
"Pendahuluan: Dengan ditetapkannya Covid-19 sebagai kondisi kegawatdaruratan kesehatan dunia oleh WHO pada bulan Januari 2020, dan angka kematian yang terlihat lebih tinggi pada pasien dengan ARDS (Acute Respiratory Distress Syndrome), maka kebutuhan akan pelayanan unit intensif (ICU) sangat meningkat. Lonjakan pasien yang terjadi sangat cepat, mengharuskan rumah sakit beradaptasi dan segera mempersiapkan pelayanan khusus ICU Covid-19. Strategi manajemen keperawatan diperlukan untuk mengatasi kebutuhan tenaga keperawatan ICU yang ikut melonjak. Sementara jumlah tenaga keperawatan dengan kualifikasi ICU yang belum memadai kondisi pandemi Covid yang belum pernah dialami sebelumnya, menyebabkan tenaga keperawatan banyak yang menolak untuk melayani pasien Covid-19.
Tujuan : Mengetahui bagaimana kesiapan dan hal apa saja yang dilakukan oleh manajemen keperawatan ICU Covid-19 RS Hasanah Graha Afiah dalam menghadapi pandemi Covid-19 ini, sehingga pelayanan ICU Covid-19 dapat tetap berjalan dengan baik.
Metode : Penelitian ini menggunakan desain penelitian studi kasus dengan pendekatan dekriptif kualitatif, menganalisis hasil wawancara dengan informan terpilih.
Hasil : Dalam menghadapi pandemi Covid-19 ini, manajemen keperawatan ICU Covid-19 bekerjasama dengan seluruh unit terkait terutama dengan komite Pengendalian dan Pencegahan Infeksi, melakukan perencanaan dari pemetaan ketenagaan merekrut tenaga perawat secara internal maupun external dan pemberian insentif dari internal maupun external. Perencanaan, pengorganisasian, pengarahan dan pengendalian dari sistem manajemen keperawatan diatur berkesinambungan dengan tujuan untuk menyeimbangkan antara jumlah dan kualifikasi tenaga keperawatan Icu Covid-19 dengan beban kerja perawat dan tetap mengutamakan kesehatan dan keselamatan mereka.
Kesimpulan : Berdasarkan seluruh tindakan yang sudah dilakukan dan penilaian dari daftar tilik kesiapan RS HGA dalam menghadapi pandemi Covid-19 ini komponen Sumber Daya Manusia, Lonjakan Pasien, Komunikasi internal dan Pengendalian dan pencegahan Infeksi dapat dinyatakan bahwa manajemen keperawatan ICU Covid-19 RS HGA siap dalam menghadapi pandemi Covid-19.
Introduction : With the determination of Covid-19 as a world health emergency by WHO in January 2020, and the higher mortality rate in patients with ARDS (Acute Respiratory Distress Syndrome), the need for intensive unit (ICU) services has greatly increased. The surge in patients is happening very quickly, requiring hospitals to adapt and immediately prepare for the Covid-19 intensif care unit. A nursing management strategy is needed to address the increasing need for ICU nursing staff. Meanwhile, the number of nursing staff with ICU qualifications has not been adequate in the conditions of the Covid-19 pandemic, which has never been experienced before, causing many nursing staff to refuse to serve Covid-19 patients.
Aim : knowing how to prepare and what kind of things were done by the nursing management of the Covid-19 ICU at Hasanah Graha Afiah Hospital in the face of the Covid-19 pandemic, so that the Covid-19 ICU service could continue to run well.
Method : This study is a case study research design with a qualitative descriptive approach, analyzing the results of interviews with selected informants.
Results: In dealing with the Covid-19 pandemic, the Covid-19 ICU nursing management collaborated with all related units, especially with the Infection Control and Prevention committee, carried out planning from mapping the workforce to recruit nurses internally and externally and providing incentives from internal and external. Planning, organizing, directing and controlling the nursing management system is regulated continuously with the aim of balancing the number and qualifications of the COVID-19 ICU nursing staff with the workload of nurses and still prioritizing their health and safety.
Conclusion : Based on all the actions that have been taken and the assessment of the HGA Hospital readiness checklist in the face of the Covid-19 pandemic, the components of Human Resources, Patient Surges, Internal Communications and Infection Control and Prevention can be stated that the nursing management of the Covid-19 ICU HGA Hospital is ready to face Covid-19 pandemic.
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Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2022
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UI - Tesis Membership  Universitas Indonesia Library
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Angela Nathania
Korelasi infeksi sekunder bakterial pada pasien ICU COVID-19 RSCM terhadap lama rawat dan outcome mortalitas = Correlation between secondary bacterial infections in COVID-19 ICU patients on length of stay and mortality outcome
"Diketahui bahwa insidensi infeksi sekunder bakterial cukup tinggi pada pasien ICU COVID-19 yang diduga dapat memengaruhi kondisi kesehatan pasien. Penelitian ini meneliti hubungan antara infeksi sekunder bakterial terhadap lama rawat serta outcome mortalitas pasien ICU COVID-19. Penelitian dilakukan terhadap data rekam medis pasien ICU COVID-19 di RSCM menggunakan desain penelitian cohort retrospektif. Data yang dihimpun berupa data demografis (usia dan jenis kelamin), status infeksi sekunder bakterial, lama rawat, dan outcome mortalitas. Analisis hubungan infeksi sekunder bakterial dengan lama rawat dilakukan dengan analisis regresi linear, sedangkan hubungan infeksi sekunder bakterial dengan mortalitas dilakukan dengan analisis regresi logistik biner. Dari 173 pasien ICU COVID-19 yang memenuhi kriteria inklusi, hampir separuhnya (47,98%; n=83) mengalami infeksi sekunder bakterial. Median usia pasien secara keseluruhan adalah 20 (1–80) tahun, dengan 54,9% pasien berjenis kelamin laki-laki. Adanya infeksi sekunder bakterial dinilai memperpanjang lama rawat pasien selama 12,5 hari (R=0,911; B coefficient=12,486; p=0,000). Selain itu, infeksi sekunder bakterial juga meningkatkan risiko kematian sebesar 3,993 kali lipat (OR=3,993; CI=95%; p=0,020). Sehingga dapat disimpulkan bahwa terdapat hubungan yang signifikan antara infeksi sekunder bakterial dengan lama rawat dan outcome mortalitas pasien.
It is known that the incidence of secondary bacterial infections is quite high among COVID-19 patients in the ICU, which is suspected to affect the patients' health conditions. This study examines the relationship between secondary bacterial infections and the length of stay as well as the mortality outcome of COVID-19 ICU patients. The research was conducted on the medical records of COVID-19 ICU patients at RSCM using a retrospective cohort study design. Data collected included demographic information (age and gender), the status of secondary bacterial infections, length of stay, and mortality outcome. The relationship between secondary bacterial infections and the length of stay was analyzed through linear regression, while the association between secondary bacterial infections and mortality was examined using binary logistic regression. Out of 173 COVID-19 ICU patients who met the inclusion criteria, almost half (47.98%, n=83) experienced secondary bacterial infections. The overall median age of the patients was 20 years (range: 1–80 years), with 54.9% of patients being male. The presence of secondary bacterial infections was found to significantly extend the length of stay for patients by 12.5 days (R=0.911; B coefficient=12.486; p=0.000). Additionally, secondary bacterial infections increased the risk of mortality by 3.993 times (OR=3.993; CI=95%; p=0.020). Hence, it can be concluded that there is a significant relationship between secondary bacterial infections, the length of stay, and the mortality outcome of patients."
Jakarta: Fakultas Kedokteran Universitas ndonesia, 2023
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UI - Skripsi Membership  Universitas Indonesia Library
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Irene Kenichi Johan
Profil Kunjungan Pasien di IGD RS Universitas Indonesia Depok pada Masa Pandemi COVID-19 = Patients Visit Profile at the Emergency Department of Universitas Indonesia Hospital Depok during the COVID-19 Pandemic
"Latar belakang: Pandemi COVID-19 di Indonesia dilaporkan dengan penambahan kasus yang semakin meningkat. Karena hal tersebut, beberapa rumah sakit di Indonesia dijadikan sebagai rumah sakit rujukan COVID- 19, salah satunya RSUI Depok. Dengan demikian, penelitian ini bertujuan untuk meneliti profil kunjungan iGD RSUI yang ditinjau dari aspek demografi, triase, dan diagnosis pasien
Metode: Penelitian ini potong lintang ini mengambil sampel berupa data sekunder, yaitu data riwayat pasien yang tercatat dalam rekam medis IGD RSUI untuk periode 2020 (1 Januari 2020 – 31 Desember 2020). Data yang diperoleh akan dianalisis secara deskriptif menggunakan software Microsoft Excel akan dilanjutkan analisis bivariat dengan teknik analisis chi-square menggunakan software SPSS versi 20.
Hasil: Pasien dalam rekam medis berjumlah 2.735 orang. Pola kunjungan umum dan pasien COVID-19 IGD RSUI mengalami peningkatan selama masa pandemi COVID-19. Terjadi peningkatan pada bulan Maret, menurun hingga bulan Mei, dan meningkat kembali secara bertahap hingga bulan Desember untuk kedua pola kunjungan. Setiap kunjungan memiliki karakteristik yang ditandai oleh aspek demografi (jenis kelamin, usia, pendidikan, pekerjaan, wilayah tempat tinggal), triase, dan diagnosis.
Kesimpulan: Masa pandemi COVID-19 telah telah berperan terhadap banyaknya perubahan yang terjadi dalam profil kunjungan IGD RSUI selama tahun 2020.
Background: The COVID-19 pandemic in Indonesia is reported with the addition of increasing cases. Within the condition, several hospitals in Indonesia have been used as COVID-19 referral hospitals, one of which is RSUI Depok. Thus, this study aims to examine the profile of IGD RSUI visits in terms of demographics, triage, and patient diagnosis.
Methods: This cross sectional study took secondary database for the samples, which is IGD RSUI patient medical records for one period in 2020 (January 1st 2020 - December 31th 2020). Data obtained was analyzed descriptively using Microsoft Excel software continued with bivariate analysis with chi-square analysis techniques using SPSS version 20 software.
Results: Patients in the medical record amounted to 2,735 people. The pattern of general visits, as well as patients with COVID-19 visits, has increased during the COVID-19 pandemic. There was increasing number in March, decreasing until May, and gradually increased until December for both visit patterns. Each visit has characteristics that are identified by demographic aspects (gender, age, education, occupation, area of residence), triage, and diagnosis.
Conclusion: The COVID-19 pandemic period has played a role in the many changes that have occurred in the profile of RSUI's Emergency Department (ED) in 2020"
Depok: Fakultas Kedokteran Universitas Indonesia, 2021
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UI - Skripsi Membership  Universitas Indonesia Library
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Gatra Satria
Kualitas Hidup Penyintas COVID-19 dengan Riwayat ARDS Pasca Penggunaan Alat Bantu Napas di Ruang Perawatan Intensif = Quality of Life of COVID-19 Survivors with ARDS after Using Ventilatory Support in the Intensive Care Unit
"Pada era pandemi COVID-19, perawatan intensif menjadi krusial bagi pasien dengan sindrom gangguan pernapasan akut (ARDS) yang memerlukan alat bantu napas. Setelah perawatan intensif, penting untuk mengevaluasi kualitas hidup penyintas COVID-19 untuk mengetahui dampak jangka panjang terhadap kesehatan fisik dan mental. Penelitian ini bertujuan untuk menilai kualitas hidup dan karakteristik yang memengaruhinya pada penyintas COVID-19 dengan riwayat ARDS pasca penggunaan alat bantu napas, baik invasif dan non-invasif, di ruang perawatan intensif. Penelitian ini menggunakan pendekatan cross-sectional dan dilaksanakan secara multicenter dengan total 56 responden yang memenuhi kriteria inklusi dari tiga rumah sakit rujukan COVID-19 nasional yang masuk dalam jejaring Academic Health System (AHS) Universitas Indonesia. Instrumen yang digunakan adalah The St. George Respiratory Questionnaire (SGRQ). Pada hasil penelitian ini, ditemukan Tingkat kualitas hidup yang rendah berkaitan dengan sistem pernapasan pada domain Tanda dan Gejala serta Aktivitas. Akan tetapi, domain Dampak mempunyai skor kualitas hidup yang baik. Total skor kualitas hidup pada kelompok invasif tergolong rendah yaitu 12 (0-64,9), dan non-invasif (NIV, HFNC dan NRM) yaitu 14 (0,7-57,8). Selain itu, terdapat hubungan kualitas hidup pada kelompok yang menggunakan alat bantu napas non-invasif terhadap usia, pekerjaan, rentang waktu survivor, dan APACHE II.
In the era of the COVID-19 pandemic, intensive care has become crucial for patients with Acute Respiratory Distress Syndrome (ARDS) who require breathing assistance. After intensive treatment, it is important to evaluate the quality of life of COVID-19 survivors to determine the long-term impact on physical and mental health. This study aims to assess the quality of life and the characteristics that influence it in COVID-19 survivors with ARDS after using ventilatory support, both invasive and non-invasive, in the Intensive Care Unit (ICU). This research used a cross-sectional approach and was carried out in a multicenter manner with a total of 56 respondents who met the inclusion criteria from three national COVID-19 referral hospitals within the University of Indonesia's Academic Health System (AHS) network. The instrument used was The St. George Respiratory Questionnaire (SGRQ). In the results of this study, it was found that a low quality of life was related to the respiratory system in the Signs and Symptoms and Activity domains. However, the Impact domain has a good quality of life score. The total quality of life score in the invasive group was low, namely 12 (0-64.9), and non-invasive (NIV, HFNC and NRM) namely 14 (0.7-57.8). Apart from that, there was a relationship between the quality of life in the group using non-invasive ventilatory support on age, occupation, period of survivors, and APACHE II score."
Fakultas Ilmu Keperawatan Universitas Indonesia, 2024
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Unggah3  Universitas Indonesia Library
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Elsa Novitasari
Analisis Asuhan Keperawatan Pada Pasien COVID-19 Dengan Ansietas Menggunakan Penerapan Teknik Distraksi Di Rumah Sakit Universitas Indonesia = Analysis of Nursing Care Plan in COVID-19 Patients with Anxiety Using the Application of Distraction Technique at University of Indonesia Hospital
"Analisis Asuhan Keperawatan Pada Pasien COVID-19 Dengan Ansietas Menggunakan Penerapan Teknik Distraksi Di Rumah Sakit Universitas Indonesia

 

Jenis pneumonia virus baru ditemukan pada 31 Desember 2019 yang berasal dari Wuhan, Cina yang diberi nama penyakitnya sebagai Coronavirus Disease 2019 (COVID-19). Pasien dengan COVID-19 mengalami ansietas, diskriminasi, stigma sosial yang buruk, berada dalam karantina mengalami kebosanan, kesepian, dan kemarahan. Karya ilmiah akhir ners (KIAN) ini bertujuan untuk menjabarkan hasil analisis asuhan keperawatan psikososial ansietas menggunakan penerapan teknik distraksi pada klien dengan COVID-19 di ruang Wijaya Kusuma RS Universitas Indonesia. Asuhan keperawatan yang diberikan sudah disesuaikan dengan matriks asuhan keperawatan kesehatan jiwa psikososial; sementara pengukuran evaluasi dilakukan dengan menggunakan Hospital Anxiety and Depression Sclae (HADS) yang menunjukkan penurunan dari total skor 15 menjadi 6 selama 12 hari perawatan. Masalah psikososial (ansietas) dan fisik (COVID-19) pada klien saling memengaruhi, sehingga diperlukan rancangan tindakan keperawatan yang terintegrasi secara holistik yang meliputi bio-psiko-sosial-spiritual untuk mengatasi ansietas klien.

A new type of viral pneumonia was discovered on December 31, 2019 from Wuhan, China, which was named as Coronavirus Disease 2019 (COVID-19). Patients with COVID-19 experience anxiety, discrimination, poor social stigma, being in quarantine experiencing boredom, loneliness, and anger. The purpose of this scientific work is to outlining the analysis result of psychosocial nursing care plans for anxiety using the application of distraction techniques to COVID-19 patients in Wijaya Kusuma Unit at University of Indonesia Hospital. Nursing care for anxiety which was given to the patient already customized with psychosocial mental health nursing care matrix; and this thesis using Hospital Anxiety and Depression Scale (HADS) to evaluate the work that shows decreasing in total score from 15 to 6 in 12 days of hospitalization. This thesis result suggests that mentally & physically probles affect each other, so we need a holistic integrated nursing care plan that includes bio-psycho-social-spiritual to solve anxiety problems."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2020
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UI - Tugas Akhir  Universitas Indonesia Library
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Tamana Ihda Husna Zain
Analisis asuhan keperawatan keluarga dengan risiko COVID-19 melalui penerapan telenursing = Analysis of family nursing care with COVID-19 risk through the application of telenursing
"ABSTRAK
Pengendalian COVID-19 belum terselesaikan di Indonesia, kasus satu keluarga terinfeksi COVID-19 juga banyak ditemukan. Hal tersebut didasari pada rendahnya perilaku pencegahan COVID-19 pada individu dan anggota keluarga khususnya di rumah. Melihat pandemi ini dan protokol pencegahan yang ditetapkan asuhan keperawatan dengan penerapan telenursing adalah opsi yang direkomendasikan. Asuhan keperawatan dengan penerapan telenursing menjadi intervensi unggulan dalam peningkatkan kemampuan pencegahan COVID-19. Intervensi dilakukan dalam tiga minggu dengan pemberian asuhan keperawatan jarak jauh dan menggunakan teknologi komunikasi, serta media visual dan audiovisual. Hasil dari intervensi adalah, pengetahuan keluarga terkait penyakit COVID-19 dan tindakan pencegahan serta perawatan meningkat. Adopsi perilaku pencegahan dari pembelajaran yang dilakukan juga diterapkan keluarga dalam aktivitas harian.
ABSTRACT
Control of COVID-19 has not been resolved in Indonesia, cases of one family infected with COVID-19 are also found. This is based on the low COVID-19 prevention behavior in individuals and family members, especially at home. Looking at this pandemic and the prevention protocol established by nursing care with the application of telenursing is a recommended option. Nursing care with the application of telenursing is the leading intervention in enhancing the ability to prevent COVID-19. The intervention was carried out in three weeks by providing remote nursing care and using communication technology, as well as visual and audiovisual media. As a result of the intervention, family knowledge related to COVID-19 disease and prevention and care measures increased. The adoption of preventive behaviors from learning is also applied by families in daily activities."
2020
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UI - Tugas Akhir  Universitas Indonesia Library
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Julia
Analisis Asuhan Keperawatan Pada Klien Covid-19 Dengan Ansietas Menggunakan Penerapan Teknik Relaksasi Napas Dalam, Teknik Distraksi Dan Spiritual Di Rumah Sakit Universitas Indonesia = Nursing Care Analysis Of Covid-19 Clients With Anxiety Using The Application Of Breathing Relaxation Techniques, Distraction Techniques and Spiritual In University Indonesia Hospitals
"Pada 31 Desember 2019, ditemukan jenis pneumonia virus baru yang berasal dari Wuhan, Cina, yang diberi nama Coronavirus Disease 2019 (Covid-19). Klien dengan Covid-19 mengalami kecemasan, stigma sosial yang buruk, diskriminasi, berada dalam karantina dan kebosanan, kesepian juga kemarahan. Karya Ilmiah Akhir Ners (KIAN) ini bertujuan untuk menjabarkan hasil analisis asuhan keperawatan pada klien Covid-19 dengan kecemasan menggunakan penerapan teknik relaksasi napas dalam, teknik distraksi, dan spiritual di Rumah Sakit Universitas Indonesia Ruang Rawat Inap Covid Lt.14. Asuhan keperawatan dimulai pengkajian, penetapan masalah dan diagnosis keperawatan, membuat rencana keperawatan, dan memberikan asuhan dan evaluasi keperawatan. Pengukuran evaluasi yang dilakukan adalah dengan menggunakan Hospital Anxiety and Depression Scale (HADS). Masalah fisik dan psikososial klien saling mempengaruhi, sehingga diperlukan rancangan tindakan keperawatan yang terintegrasi, yang meliputi bio-psiko-sosial-spiritual untuk mengatasi ansietas klien.
a new type of pneumonia virus was discovered originating from Wuhan, China, which was named Coronavirus Disease 2019 (Covid-19). Clients with Covid-19 experience anxiety, poor social stigma, discrimination, are in quarantine and boredom, loneliness is also anger. This Final Scientific Nurse (KIAN) work aims to describe the results of the analysis of nursing care for Covid-19 clients with anxiety using the application of deep breathing, distraction, and spiritual relaxation techniques at the University of Indonesia Hospital 14th flor Covid Room. Nursing care starts assessment, determining the problem and diagnosis of nursing, making nursing plans, and providing nursing care and evaluation. Evaluation measurements performed are using the Hospital Anxiety and Depression Scale (HADS). The clients physical and psychosocial problems influence each other, so an integrated nursing action plan is needed, which includes bio-psycho-social-spiritual to overcome client anxiety."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2020
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UI - Tugas Akhir  Universitas Indonesia Library
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Anggi Fadhilah Putri
Analisis implementasi manajemen keselamatan dan kesehatan kerja selama pandemi covid-19 di PT. XYZ = Analysis of the implementation of occupational health and safety management during covid-19 in PT. XYZ
"Penelitian ini membahas tentang analisis implementasi manajemen keselamatan dan kesehatan kerja selama pandemi COVID-19 di PT XYZ yang merupakan salah satu industri manufaktur di Indonesia. Desain penelitian yang digunakan merupakan studi deskriptif analitik dengan pendekatan kualitatif. Pengumpulan data didapatkan melalui wawancara dan telaah dokumen. Analisis data dilakukan dengan melihat gambaran dari impelmentasi SMK3 menurut elemen yang diusulkan oleh Clare Gallagher dan standar ISO 45001:2018. Dilakukan pula analisis mengenai upaya pengendalian serta implementasi kebijakan K3 terkait pademi COVID-19 berdasarkan Keputusan Menteri Kesehatan No. HK.01.07/MENKES/328/2020 tentang Panduan Pencegahan dan Pengendalian COVID-19 di tempat kerja perkantoran dan industri dalam mendukung keberlangsungan usaha pada situasi pandemi dan Keputusan Menteri Kesehatan No. HK.01.07/MENKES/413/2020 tentang Pedoman Pencegahan dan Pengendalian COVID-19. Hasil akhir data merupakan gambaran perubahan implementasi manajemen keselamatan dan kesehatan kerja di PT XYZ pada masa pandemi COVID-19, dimana terdapat penetapan Kebijakan K3 baru mengenai adaptasi kebiasaan baru.
This study aims to analyze the implementation of occupational health and safety management during COVID-19 pandemic at PT XYZ which is one of the manufacturing industries in Indonesia. The study is an analytical descriptive study with a qualitative approach. Data were collected by interview and document review to analyze the implementation of OHSMS based Clare Gallagher standard element and ISO 45001:2018. The study also examines the implementation of Decree of Minister of Health No. HK.01.07/MENKES/328/2020, Decree of Minister of Health No. HK.01.07/MENKES/328/2020, and Decree of Minister of Health No. HK.01.07/MENKES/413/2020 about about Prevention and Control of COVID-19 Guideline in office and industrial workplaces in supporting business continuity during pandemic situation. The final result of the data is an illustration of changes in the implementation of occupational health and safety management during COVID-19 pandemic at PT XYZ, where there is a new policy regarding the new normal situation."
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2021
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UI - Skripsi Membership  Universitas Indonesia Library
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Siregar, Jihan Rihadatul Aisy
Evaluasi Layanan Klinik Kesehatan di Kondisi Pandemi Covid-19 dengan Menggunakan Metode Fuzzy AHP dan QFD = Evaluation of Health Clinic Services in Covid-19 Pandemic Conditions Using Fuzzy AHP and QFD Methods
"Kesehatan menjadi salah satu sektor terpenting di era pandemi ini. Sebuah survei dari firma riset pasar MarkPlus yang dirilis pada Juni 2020 mengungkapkan bahwa 71,8% responden mengatakan mereka tidak pernah ke rumah sakit atau klinik sejak awal pandemi. Penelitian ini bertujuan untuk mengevaluasi dan meningkatkan pelayanan di sebuah klinik kesehatan di masa pandemi Covid-19. Penelitian ini menggunakan klinik Makara UI di Depok sebagai objek penelitian. Penelitian ini menggunakan metode Integration of Analytical Hierarchy Process (AHP) dan quality function deployment (QFD), AHP digunakan untuk mendapatkan preferensi konsumen terhadap layanan klinis secara matematis, QFD digunakan untuk menentukan tindakan korektif dan target pelayanan sesuai kebutuhan pasien. Berdasarkan hasil pembobotan AHP didapatkan 11 kebutuhan pelanggan dan dari studi literatur didapatkan 18 persyaratan teknis yang menjawab kebutuhan pelanggan.
Health is one of the most important sectors in this pandemic era. A survey from market research firm MarkPlus released in June 2020 revealed that 71.8% of respondents said they had never been to a hospital or clinic since the start of the pandemic. This study aims to evaluate and improve services at a health clinic during the Covid-19 pandemic. This study uses the Makara UI clinic in Depok and use Analytical Hierarchy Process (AHP) and quality function deployment (QFD) methods, AHP is used to obtain consumer preferences for clinical services mathematically, QFD is used to determine corrective actions and service targets according to patient needs. Based on the results of the AHP weighting, 11 customer needs were obtained and from the literature study 18 technical requirements were found that answered customer needs."
Depok: Fakultas Teknik Universitas Indonesia, 2021
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UI - Skripsi Membership  Universitas Indonesia Library
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Harsya Dwindaru Gunardi
Analisis D-Dimer, Fibrinogen, dan Karakteristik Luaran Pasien Trombosis Vena Dalam di Rumah Sakit Cipto Mangunkusumo Sebelum dan Selama Pandemi COVID-19 = Analysis of D-Dimer, Fibrinogen, and Outcome Characteristics of Deep Vein Thrombosis Patients at Cipto Mangunkusumo Hospital Before and During the COVID-19 Pandemic
"Setidaknya 1 dari 200 pasien COVID-19 akan mengalami DVT, dan sekitar 20% kasus VTE berhubungan dengan COVID-19. Risikonya meningkat empat kali lipat pada pasien COVID-19. Munculnya berbagai faktor patofisiologis yang berkontribusi terhadap terjadinya DVT pada pasien COVID-19 menimbulkan pertanyaan menarik mengenai perbedaan dalam karakteristik luaran pasien DVT sebelum dan selama pandemi, serta variasi dalam perawatan dan hasil pasien. Desain penelitian yang digunakan adalah studi kohort retrospektif untuk melihat perbandingan karakteristik dan manajemen pasien DVT (Deep Vein Thrombosis) sebelum dan selama pandemi COVID-19. Didapatkan data 489 subyek yang diikutsertakan dalam penelitian ini dengan nilai rata-rata usianya adalah 50.72 ± 18.00. Berdasarkan waktu terkenanya DVT, dari 489 subyek tersebut, sebagian besar sampel yaitu sebanyak 344 orang (72.9%) merupakan pasien yang mengalami DVT selama pandemi COVID. Berdasarkan status mortalitas, terdapat 336 orang (71.8%) yang masih hidup setelah mengalami DVT. Berdasarkan keberadaan perdarahan hebat, sebagian besar subyek yaitu 402 orang (82.2%) tidak mengalami perdarahan hebat. Berdasarkan status rekurensi, terdapat 321 orang (65.7%) yang mengalami rekurensi yaitu kembali dirawat dengan diagnosa yang sama dalam 1 tahun pertama setelah pertama kali dirawat. Sebanyak 479 orang (97.9%) tidak mengalami emboli paru. Didapatkan nilai rata-rata durasi rawat inap selama 13.41 ± 9.89 hari. Berdasarkan hasil pemeriksaan D-Dimer, didapatkan nilai rata-rata 3008.21 ± 1494.59 ng/mL. Sedangkan hasil pemeriksaan fibrinogen, didapatkan nilai rata-rata 301.06 ± 58.63 mg/dL. Dalam melihat komparasi data DVT sebelum dan selama pandemic COVID-19, dari 4 variabel yang dilihat, hanya D-Dimer yang memiliki perbedaan yang signifikan berupa peningkatan nilai rata-rata apabila dibandingkan antara sebelum pandemic COVID (2052.34 ± 568.30 ng/mL) dan selama COVID (3363.89 ± 1573.79 ng/mL) dengan nilai p < 0.001. Hasil berbeda terjadi pada fibrinogen yang tidak memiliki perbedaan yang signifikan antara sebelum pandemic COVID (295.66 ± 57.28 mg/dL) dibandingkan dengan selama COVID (303.06 ± 59.08 mg/dL) dengan nilai p 0.223. Ditemukan bahwa pada pasien COVID-19 didapati nilai D-Dimer yang lebih tinggi (nilai p <0.001) serta fibrinogen yang lebih tinggi secara signifikan (p=0.032).
At least 1 in 200 COVID-19 patients will experience DVT, and approximately 20% of VTE cases are related to COVID-19. The risk increases fourfold in COVID-19 patients. The emergence of various pathophysiological factors that contribute to the occurrence of DVT in COVID-19 patients raises interesting questions regarding differences in the outcome characteristics of DVT patients before and during the pandemic, as well as variations in patient care and outcomes. The research design used was a retrospective cohort study to compare the characteristics and management of DVT (Deep Vein Thrombosis) patients before and during the COVID-19 pandemic. Data were obtained for 489 subjects who were included in this study with an average age value of 50.72 ± 18.00. Based on the time of DVT, of the 489 subjects, the majority of the sample, namely 344 people (72.9%) were patients who experienced DVT during the COVID pandemic. Based on mortality status, there were 336 people (71.8%) who were still alive after experiencing DVT. Based on the presence of severe bleeding, the majority of subjects, namely 402 people (82.2%) did not experience severe bleeding. Based on recurrence status, there were 321 people (65.7%) who experienced recurrence, namely being treated again with the same diagnosis within the first year after first being treated. A total of 479 people (97.9%) did not experience pulmonary embolism. The average duration of hospitalization was 13.41 ± 9.89 days. Based on the results of the D-Dimer examination, an average value of 3008.21 ± 1494.59 ng/mL was obtained. Meanwhile, the results of the fibrinogen examination showed an average value of 301.06 ± 58.63 mg/dL. In looking at the comparison of DVT data before and during the COVID-19 pandemic, of the 4 variables looked at, only D-Dimer had a significant difference in the form of an increase in the average value when compared between before the COVID pandemic (2052.34 ± 568.30 ng/mL) and during COVID (3363.89 ± 1573.79 ng/mL) with p value < 0.001. Different results occurred in fibrinogen which did not have a significant difference between before the COVID pandemic (295.66 ± 57.28 mg/dL) compared to during COVID (303.06 ± 59.08 mg/dL) with a p value of 0.223. It was found that COVID-19 patients had higher D-Dimer values (p value <0.001) and significantly higher fibrinogen (p=0.032)."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2023
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UI - Tugas Akhir  Universitas Indonesia Library
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