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"Latar belakang: Post-acute sequelae COVID-19 atau long covid terjadi ketika ditemukannya gejala fase-akut 12 minggu setelah onset. Bermanifestasi secara multi-sistem, long covid berpotensi mempengaruhi kualitas hidup. Vaksinasi COVID-19 telah dilaporkan memberikan resolusi klinis lebih baik. Hal ini cukup penting, terutama untuk tenaga kesehatan yang memiliki risiko COVID-19 tinggi. Maka, studi ini bertujuan untuk mengetahui hubungan status vaksinasi dengan kualitas hidup tenaga kesehatan dengan long covid.Metode: Penelitian ini dilakukan secara potong-lintang dengan mengolah data sekunder. Rekrutmen subjek dilakukan dalam jangka waktu Juni 2021 – Maret 2022 untuk tenaga kesehatan teridentifikasi dengan gejala long covid. Analisis data dilakukan secara deskriptif dan analitik dengan menggunakan uji chi-square dan regresi logistikHasil: 70 subjek diikutsertakan dengan mean usia 35.56 ± 8.85. Gejala long covid yang paling umum dilaporkan berupa: kelelahan (63.3%), kebingungan (41.8%), dan nyeri otot (40.5%). Subjek penelitian memiliki mean skor total SGRQ 12.33±11.9. Ditemukannya hubungan signifikan antara status vaksinasi dengan skor SGRQ [PR 0.489 (0.312, 0.768), p=0.007)]. Uji regresi logistik menghasilkan tidak adanya pengaruh signifikan antara usia, jenis kelamin, IMT, komorbid, riwayat merokok, riwayat alkohol, frekuensi terinfeksi COVID-19, dan jumlah gejala fase akut dengan skor SGRQ.Kesimpulan: Terdapatnya hubungan signifikan antara status vaksinasi dengan kualitas hidup tenaga kesehatan dengan long covid.

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Introduction: Post-acute sequelae COVID-19 or long covid occur when acute-phase symptoms persist 12 weeks after onset. Due to its multi-system nature, long covid is highly regarded to impact quality of life. COVID-19 vaccination is reported with better clinical resolution. This is detrimental, especially for healthcare workers with heightened risk of COVID-19 infection. Hence, this study aims to understand the association between vaccination status and quality of life among healthcare workers.

Method: This study implemented a cross-sectional design using secondary data. Recruitment of subjects were done within June 2021 – March 2022 for healthcare workers identified with long covid symptoms. Analyses were done descriptively and analytically using chi-square and logistic regression.

Results: 70 subjects were included with a mean age of 35.56 ± 8.85. Lethargy (63.3%), confusion (41.8%) and muscle ache (40.5%) were among the most reported long covid symptoms. Significant association was found between vaccination status and SGRQ score [PR 0.489 (0.312, 0.768), p=0.007)]. Logistic regression yielded no significant association between age, gender, BMI, comorbidities, smoking, alcohol. frequency of getting COVID-19, and number of acute-phase symptoms with SGRQ score.

Conclusion: Significant association between vaccination and quality of life of healthcare workers diagnosed with long covid was shown."

"Pandemi COVID-19 memberikan dampak pada peningkatan kejadian Long COVID, terutama pada rentang usia produktif. Penelitian ini dilakukan sebagai respon tingginya riwayat peningkatan jumlah kasus COVID-19 di wilayah Jabodetabek dan sebagai upaya untuk menggambarkan risiko gejala Long COVID. Penelitian ini bertujuan untuk memberikan gambaran mengenai kualitas hidup penyintas COVID-19 terutama pada penyintas yang memiliki risiko gejala Long COVID pada usia produktif di wilayah Jabodetabek. Metode penelitian yang digunakan adalah cross-sectional. Sampel terdiri dari individu yang pernah terinfeksi COVID-19 pada tahun 2021-2022, usia 15-64 tahun, dan berdomisili di wilayah Jabodetabek. Jumlah sampel terkumpul sebanyak 430 berdasarkan teknik cluster sampling. Metode pengumpulan data menggunakan kuesioner yang terdiri dari karakteristik demografi dan klinis responden, serta instrument kualitas hidup Short Form Health Survey (SF-36) yang telah diuji validitas dan reliabilitasnya. Analisis data dilakukan dengan pendekatan statistik deskriptif kuantitatif. Hasil penelitian didapatkan bahwa Hasil penelitian didapatkan bahwa sebagian besar responden memiliki kualitas hidup baik (76,3%). Diikuti kualitas hidup sedang (17%), dan lemah (6,7%). Responden dengan risiko gejala Long COVID memiliki proposi kualitas hidup yang lebih rendah dibandingkan dengan responden tanpa risiko gejala Long COVID. Domain fungsi sosial adalah domain kualitas hidup baik terbanyak, sedangkan domain energi adalah domain dengan kategori baik terendah. Penemuan ini diharapkan dapat memberikan wawasan dan pemahaman untuk pengembangan intervensi dalam meningkatkan kualitas hidup penyintas COVID-19 dan mengurangi dampak jangka panjang yang dialami.

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The COVID-19 pandemic has had an impact on the increased occurrence of Long COVID, especially among the productive age group. This research was conducted in response to the high history of increasing COVID-19 cases in the Jabodetabek area and as an effort to describe the risk of Long COVID. This research was also conducted an overview of the quality of life of COVID-19 survivors, especially those at risk of Long COVID symptoms in the productive age group in the Jabodetabek area. The method that is used is cross-sectional. The sample consists of individuals who had been infected by COVID-19 in 2021-2022, aged 15-64 years, and living in Jabodetabek area. The total collected samples was 430 based on cluster sampling technique. Data was collected through a questionnaire which included respondents' demographic and clinical characteristics, as well as the Short Form Health Survey (SF-36) quality of life instrument which has been tested for validity and reliability. A quantitative descriptive statistical approach is used to analyze the data. The research findings showed that the majority of respondents had good quality of life (76.3%), followed by moderate quality of life (17%), and weak quality of life (6.7%). Respondents at risk of Long COVID symptoms had a lower proportion of quality of life compared to those without the risk of Long COVID symptoms. The social function domain had the highest proportion of good quality of life, while the energy domain had the lowest proportion of good quality of life. These findings are expected to provide insight and understanding for the development of interventions to improve the quality of life of COVID-19 survivors and reduce the long-term impacts they experience."

"Latar Belakang: Pandemi COVID-19 menyebabkan mortalitas dan morbiditas yang tinggi khususnya pada tenaga kesehatan di Indonesia, Studi mengenai manfaat dari vaksin booster mRNA-1273 yang diawali vaksinasi primer Coronavac masih minim sehingga diperlukan penelitian lebih lanjut.Tujuan: Penelitian ini dilakukan untuk mengetahui faktor yang berhubungan dengan insiden COVID-19 pasca vaksinasi booster mRNA-1273 yang diberikan vaksinasi primer Coronavac sebelumnya serta profil antibodi pada tenaga kesehatan di Indonesia.Metode: Penelitian ini menggunakan gabungan desain kohort retrospektif dan potong lintang pada 300 tenaga kesehatan yang dipilih secara acak dari data penerima vaksin booster mRNA-1273 di salah satu RS tersier (RSCM). Subjek yang terpilih kemudian dilakukan wawancara mendalam mengenai riwayat vaksinasi COVID-19, riwayat terinfeksi COVID-19, komorbiditas dan dilakukan pengambilan sampel darah untuk menilai kadar antibodi IgG sRBD. Dari hasil wawancara kemudian dinilai faktor-faktor yang berhubungan terhadap kejadian COVID-19 pasca vaksinasi booster mRNA-1273 serta profil antibodi subjek.Hasil: 56 orang (18,6%) mengalami COVID-19 setelah divaksinasi booster dalam 5 bulan. Incidence rate per person per month sebesar 3,2%. Median antibodi IgG sRBD dalam 8 bulan 6627 AU/ml (min-max, 729-20374 AU/ml) dan tidak berhubungan dengan variabel usia, jenis kelamin, komorbiditas, KIPI pasca booster ataupun riwayat infeksi pasca booster. Usia, jenis kelamin, diabetes melitus tipe 2, hipertensi, obesitas dan KIPI pasca booster tidak berhubungan terhadap insiden COVID-19 pasca booster. Riwayat COVID-19 sebelum vaksinasi booster berhubungan signifikan terhadap penurunan kejadian COVID-19 pasca vaksinasi booster dengan RR 0,20 (95 % CI: 0,09-0,45).Simpulan: Insiden COVID-19 mencapai 18,6% dalam 5 bulan pasca vaksinasi booster dengan riwayat COVID-19 sebelum vaksinasi booster berperan dalam menurunkan risiko kejadian COVID-19 pasca vaksinasi booster.

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Background: COVID-19 pandemic has caused high mortality and morbidity especially among healthcare workers in Indonesia. Studies on the benefits of the mRNA-1273 booster vaccine preceded with Coronavac primary vaccine are still minimal so further studies are needed.

Purpose: Knowing the factors associated with the incidence rate of SARS-CoV-2 infection after mRNA-1273 booster vaccination starting with the Coronavac primary vaccination and the antibody profile of healthcare workers in Indonesia.

Method: This study used combined design of retrospective cohort and cross sectional study. Three hundreds healthcare workers at one of tertiary hospital in Indonesia that obtain mRNA-1273 booster vaccine minimal after 5 months were randomly selected. Subjects were then interviewed regarding their history of COVID-19 vaccination, history of SARS-CoV-2 infection, comorbidities and blood samples were taken to assess IgG sRBD antibody levels. Factors related to antibody profile and incidence of SARS-CoV-2 infection after the mRNA-1273 booster vaccination were then analyzed.

Results: 56 subjects (18.6%) experienced SARS-CoV-2 infection after mRNA-1273 booster vaccination. Median antibody IgG sRBD in 8 months was 6627 AU/ml (min-max, 729-20374 AU/ml) and not related to age, gender, comorbidities, AEFI after booster and infection after booster. Age, gender, diabetes type 2, hypertension, obesity, AEFI after booster were not related to COVID-19 incidence after booster. History of SARS-CoV-2 infection before booster vaccination was significantly associated with reduced risk of SARS-CoV-2 infection after booster vaccination with RR 0,20 (95 % CI: 0,09-0,45).

Conclusion: Cumulative incidence of SARS-CoV-2 infection in 5 months was 18,6% with history of COVID-19 before booster correlated with reduced risk of COVID-19 after booster."

"Vaksin memang menjadi harapan besar umat manusia sebagai salah satu senjata utama mengendalikan COVID-19 karena dianggap merupakan upaya yang paling efektif dan efisien dalam mencegah penularan penyakit yang berbahaya. Vaksinasi COVID-19 bertujuan untuk meminimalisir penyebaran COVID-19, menurunkan angka positif dan kematian akibat COVID-19, mencapai kekebalan kelompok (herd imunity) dan melindungi masyarakat dari COVID-19 agar tetap produktif secara sosial dan ekonomi. Pemberian vaksin booster dapat meningkatkan daya tahan tubuh melawan virus corona. Pemerintah Indonesia, melalui Kementrian Kesehatan RI menetapkan booster dilakukan secara homolog atau heterolog dengan vaksin primer. Tujuan penelitian ini adalah untuk mengetahui efektifitas jenis vaksin dengan kejadian COVID-19. Penelitian ini menggunakan desain studi case-control (1:1) dengan jumlah sampel sebanyak 5.574 responden yang diambil dari data penyelidikan epidemiologi COVID-19 DKI Jakarta bulan Januari – Mei 2022 berdasarkan hasil RT-PCR. Hasil analisis univariat pada kelompok kasus menunjukkan sebagian besar responden telah mendapat vaksin 2 kali (81,92%) dan jenis vaksin homolog (88,87%). Kemudian hasil analisis bivariat menunjukkan bahwa ada hubungan antara jenis vaksin dengan kejadian infeksi COVID-19 (95% CI: 1,593-2,363). Hal ini diperkuat oleh hasil analisis multivariat yang menunjukkan bahwa responden yang mendapat jenis vaksin homolog berisiko 3,220 kali terinfeksi COVID-19 dibandingkan yang mendapat jenis vaksin heterolog (95%CI: 0,0330,045). Hasil explorasi referensi menunjukkan bahwa pemberian vaksin booster heterolog dapat meningkatkan daya tahan tubuh melawan virus corona. Tidak lupa kekebalan tubuh seseorang yang telah menerima vaksin booster heterolog juga mengalami peningkatan beberapa kali lipat dibandingkat yang menerima vaksin booster homolog. Saran kepada pemerintah Indonesia melalui Kementrian Kesehatan RI agar dapat meningkatkan capaian program vaksinasi hingga dosis booster dengan metode heterolog pada populasi berisiko.

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One of the efforts to get Indonesia out of the COVID-19 pandemic is vaccination. Data on the achievement of the COVID-19 primary vaccine in DKI Jakarta as of July 2022 is very good, reaching 106.5%, with 78% of them having DKI ID cards. But at the same time the daily cases of COVID-19 in DKI Jakarta reached 1,749 cases per day. Therefore, this study aims to determine the relationship between vaccine status and type of vaccine with the incidence of COVID-19 infection. The study design chosen was case-control (1:1) with a total sample of 5,574 respondents who were selected from the DKI Jakarta COVID-19 data. Enforcement of research samples based on positive or negative results of COVID-19 by RT-PCR. Univariate results showed that most of the case respondents had received the vaccine twice (81.92%) and the type of vaccine was homologous (88.87%). The results of the multivariate analysis of the relationship between vaccination status and the incidence of COVID-19 infection showed contradictory results, where in the group with insufficient vaccination status (vaccine 1 time or not yet vaccinated) it actually provided protection from COVID-19 infection of 77.5%. Then the results of the multivariate analysis of the relationship between the type of vaccine and the incidence of COVID-19 infection showed that the group that received the homologous vaccine was 3,220 times more at risk of being infected with COVID-19 compared to the group that received the heterologous vaccine (95%CI: 0.033-0.045). Further research is needed using different study designs or using different data sources as an effort to validate the results of this study. Efforts to reduce COVID-19 cases can be done by increasing the achievement of the vaccination program to booster doses with the heterologous method in at-risk populations."

"Penelitian ini menggunakan metode literature review yang membahas mengenai faktor-faktor yang berhubungan dengan terjadinya infeksi Covid-19 pasca vaksinasi. Vaksinasi Covid-19 merupakan salah satu upaya dalam pemutusan rantai penularan Covid-19 dengan cara membentuk kekebalan pada tubuh manusia. Namun nyatanya, sejumlah orang dinyatakan positif Covid-19 padahal sudah mendapatkan dua dosis vaksin baik itu di Indonesia ataupun di luar negeri. Tujuan dari penulisan adalah untuk mengetahui apa saja faktor-faktor yang berhubungan dengan terjadinya infeksi Covid-19 pasca vaksinasi. Penelitian dilakukan menggunakan metode literature review dengan mencari artikel penelitian yang dipublikasi di tahun 2021. Semua informasi didapatkan melalui pencarian artikel yang telah terpublikasi dengan menggunakan akses online database yaitu Google Scholar, ProQuest, Scopus, dan Oxford Academic. Hasil peninjauan literatur didapatkan sembilan artikel penelitian yang dianalisis. Hasil penelitian didapatkan bahwa mutasi varian virus Covid-19 dan peningkatan kemampuan transmisi dari virus merupakan hal terbanyak yang ditemukan dari literature review serta ditemukan pengaruh pekerjaan terkait risiko terpaparnya virus Covid-19 dan perilaku individu sebagai hasil temuan literature review yang berpengaruh terhadap terjadinya infeksi Covid-19 walaupun sudah mendapatkan vaksinasi. Saran literature review untuk faktor-faktor yang berhubungan dengan terjadinya infeksi Covid-19 pasca vaksinasi adalah perlu bagi masyarakat dan setiap individu untuk tetap melakukan pencegahan dan pengendalian Covid-19. Pencegahan dan pengendaliannya melaksanakan protokol kesehatan 3M, 3T, dan mendukung pelaksanaan vaksinasi.

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This study uses a literature review method which discusses the factors associated with the occurrence of covid-19 infection post-vaccination. The Covid-19 vaccination is one of the efforts to break the chain of transmission of Covid-19 by forming immunity in the human body. But in fact, a number of people have tested positive for Covid-19 even though they have received two doses of the vaccine, both in Indonesia and abroad. The purpose of the writing is to find out what are the factors associated with the occurrence of covid-19 infection post-vaccination. The research was conducted using the literature review method by searching for some research articles published in 2021. All information was obtained through searching for published articles using online database access, namely Google Scholar, ProQuest, Scopus, and Oxford Academic. The results of the literature review showed that nine research articles were analyzed. The results of the study found that mutations of the Covid-19 virus variant and increased transmission ability of the virus were the most common things found from the literature review and found the influence of work related to the risk of exposure to the Covid-19 virus and individual behavior as a result of the literature review findings that affected the occurrence of Covid-19 infection 19 despite getting vaccinated. Suggestions for a literature review for factors associated with the occurrence of covid-19 infection postvaccination is that it is necessary for the community and every individual to continue to prevent and control Covid-19. Prevention and control implement the health protocols such as 3M, 3T, and support the implementation of vaccinations."

"Latar Belakang: Tenaga kesehatan (nakes) menjadi garda terdepan dalam pelayanan kesehatan di saat pandemi COVID-19. Tidak hanya dokter, perawat atau bidan dan nakes penunjang seperti petugas radiologi rentan untuk risiko terinfeksi COVID-19. Zona kerja nakes merupakan salah satu faktor yang berpengaruh terhadap risiko terinfeksi COVID-19. Penelitian ini bertujuan untuk mengetahui faktor risiko kejadian COVID-19 pada nakes yang bekerja di perawatan isolasi COVID-19.Metode Penelitian: Penelitian ini merupakan studi potong lintang dengan metode total sampling pada tenaga kesehatan yang bekerja di ruang rawat inap isolasi COVID-19 periode Maret sampai Desember 2020. Respons kuesioner penelitian elektronik yang disebarkan akan ditabulasi dan dianalisis.Hasil Penelitian: Subjek penelitian yang memenuhi kriteria inklusi sebanyak 292 orang dengan mayoritas berusia ≥30 tahun (75,7%), profesi nondokter (91,8%), bekerja di zona kerja non-ICU (70,2%) dan hasil PCR COVID-19 negatif (64%). Zona kerja non-ICU, jenis kelamin, kekerapan kadang-kadang, jarang dan tidak pernah dalam penggunaan APD level 3 serta pelatihan PPI dari RS dalam hal standar APD era pandemi bermakna meningkatkan peluang risiko kejadian COVID-19. Sedangkan, kepatuhan protokol kesehatan dalam hal kontak erat dengan selain orang serumah, salah satu tidak memakai masker dan lama kontak >15 menit, pemasangan kanula hidung dan kontak dengan kolega positif COVID-19 bermakna menurunkan peluang risiko kejadian COVID-19.

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k Berbahasa Inggris:

Background: : Health workers are at the forefront of health services during the COVID-19 pandemic. Not only doctors, nurses or midwives and supporting health workers such as radiology officers are vulnerable to being infected with COVID-19. The health worker's work zone is one of the factors that influences the risk of contracting COVID-19. This study aims to determine the risk factors for the occurrence of COVID-19 in health workers who work in isolation care for COVID-19.

Methods: This research is a cross-sectional study using total sampling method on healthcare workers who work in the COVID-19 isolation ward from March to December 2020. The responses of the distributed electronic research questionnaire will be tabulated and analyzed.

Results: There were 292 subjects who met the inclusion criteria with the majority aged ≥30 years (75.7%), non-doctors (91.8%), working in non-ICU work zones (70.2%) and negative COVID-19 PCR results (64%). Non-ICU working zone, gender, frequency of sometimes, rarely and never in the use of level 3 PPE as well as PPI training from hospitals in terms of PPE standards in the pandemic era significantly increased the risk of COVID-19 incident. Meanwhile, adherence to health protocols in terms of close contact with other than people in the household, one of them does not wear a mask and the duration of contact is >15 minutes, installation of nasal cannulae and contact with positive COVID-19 colleagues significantly reduced the COVID-19 incident."

"Tesis ini bertujuan untuk mengetahui korelasi antara derajat sesak napas dan kualitas hidup terkait kesehatan pada lanjut usia pasca COVID-19. Penelitian ini merupakan studi potong lintang pada pasien lanjut usia pasca perawatan COVID-19 di RSUP Persahabatan. Pengambilan data dilakukan menggunakan aplikasi audio-video Whatsapp dan Zoom. Penilaian sesak napas dilakukan dengan skala sesak Borg (modified Borg dyspnea scale) dan skala sesak modified Medical Research Council (mMRC). Penilaian kualitas hidup terkait kesehatan dilakukan dengan instrumen EQ-5D-5L versi bahasa Indonesia. Pada penelitian ini didapatkan 44 subjek lanjut usia pasca COVID-19. Dari hasil penilaian skala sesak Borg didapatkan adanya sesak napas ringan pada 15,9% pasien dan sesak napas sedikit berat pada 6,8% subjek. Dari hasil penilaian skala sesak mMRC didapatkan nilai mMRC > 1 pada 20,4% subjek. Terdapat korelasi antara skala sesak Borg dengan EQ-5D-5L pada komponen kemampuan berjalan (r=0,42; p<0,01), perawatan diri (r=0,51; p<0,01), rasa cemas/depresi (r=0,52; p<0,01), dan EQ-VAS (p=-0,53; p<0,01). Terdapat korelasi antara skala sesak mMRC dengan EQ-5D-5L pada komponen kemampuan berjalan (r=0,65; p<0,01), perawatan diri (r=0,62; p<0,01), kegiatan yang biasa dilakukan (r=0,69; p<0,01), dan EQ VAS (r=-0,58; p<0,01). Kesimpulan penelitian ini adalah adanya hubungan korelasi positif sedang antara derajat sesak napas dengan komponen perawatan diri dan rasa cemas/depresi. Didapatkan adanya korelasi negatif sedang antara derajat sesak napas dengan nilai EQ VAS.

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This study aims to determine the correlation between the severity of shortness of breath and health-related quality of life in the elderly after COVID-19. This is a cross-sectional study on elderly patients after COVID-19 inpatient treatment at Persahabatan Hospital, Jakarta. Data collection was carried out using the Whatsapp and Zoom audio-video application. Dyspnea severity was assessed using the modified Borg dyspnea scale and the modified Medical Research Council (mMRC) dyspnea scale. Health-related quality of life assessment was carried out with the Indonesian version of the EQ-5D-5L instrument. A total of 44 elderly subjects post COVID-19 were included in this study. From the results of the modified Borg dyspnea scale assessment, it was found that there was mild dyspnea in 15.9% of subjects and somewhat severe dyspnea in 6.8% of subjects. From the results of the mMRC dyspnea scale assessment, the mMRC value more than 1 is found in 20.4% of the subjects. There was a correlation between the modified Borg dyspnea scale and EQ-5D-5L on the components of mobility (r=0.42; p<0.01), self-care (r=0.51; p<0.01), anxiety/depression (r=0.52; p<0.01), and EQ-VAS (p=-0.53; p<0.01). There is a correlation between the mMRC shortness scale and EQ-5D-5L on the components of mobility (r=0.65; p<0.01), self-care (r=0.62; p<0.01), usual activities (r=0.69; p<0.01), and EQ VAS (r=-0.58; p<0.01). There is a moderate positive correlation between the severity of dyspnea with components of self-care and anxiety/depression. There was a moderate negative correlation between the degree of dyspnea and the EQ VAS value."

"Program wajib vaksinasi Covid-19 merupakan salah satu bentuk upaya yang dilakukan oleh Pemerintah Indonesia untuk memutus rantai penyebaran virus Covid-19. Namun, program vaksinasi Covid-19 tersebut mendapatkan berbagai macam respon dari masyarakat, sebagian menyambut dan menerima dengan suka cita, namun sebagian lain menaruh keraguan dan berakhir pada keputusan untuk menolak vaksinasi Covid-19. Perbedaan keputusan tersebut ternyata terjadi tidak hanya pada masyarakat umum, tetapi juga pada tenaga kesehatan. Banyak faktor terlibat di dalam proses pengambilan keputusan tersebut. Dalam penelitian ini ditemukan bahwa terdapat keterlibatan affect dan biopower sebagai faktor yang secara signifikan mendorong tenaga kesehatan dalam memutuskan keputusannya terhadap vaksinasi Covid-19. Penelitian ini merupakan penelitian etnografi yang dilakukan di Puskesmas Kecamatan Asih. Studi pustaka, observasi partisipan, dan wawancara mendalam dilakukan sebagai teknik pengumpulan data dalam penelitian ini.

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The Covid-19 vaccination program is one of the efforts made by the Government of Indonesia to break the chain of spread of the Covid-19 virus. However, the Covid-19 vaccination program received various responses from the public, some welcomed and accepted it, but others put their doubts and ended up with the decision to refuse the Covid-19 vaccination. These differences in these decisions occur not only in the general public, but also in the health workers. Many factors are involved in the decision-making process. This study found that affect and biopower were involved as factors that significantly encourage the health workers in their decision-making process regarding Covid-19 vaccination. This research is an ethnographic research conducted at Puskesmas Asih Kecamatan Asih. Literature study, participant observation, and in-depth interviews were conducted as data collection techniques in this study."

"Pandemi COVID-19 berdampak buruk terhadap kesehatan fisik dan mental. Hal ini disebabkan karena semakin menurunnya tingkat aktivitas fisik masyarakat selama pandemi berlangsung. Rendahnya tingkat aktivitas fisik juga berpengaruh terhadap kesehatan mental seseorang. Tidak terkecuali pada petugas layanan kesehatan yang memiliki risiko untuk terpapar COVID-19 lebih tinggi. Tujuan penelitian ini adalah mengetahui gambaran tingkat aktivitas fisik dan kesehatan mental (depresi, ansietas, stres) pada petugas layanan kesehatan di masa pandemi COVID-19. Metode: Penelitian potong lintang dengan menggunakan data primer. Pengambilan data di bulan Mei-Juni 2022 dan melalui metode kuesioner hybrid (daring dan luring). Aktivitas fisik dinilai dengan GPAQ (Global Physical Activity Questionaire) dan kesehatan mental dengan DASS-21 (Depression, Anxiety, Stress Scale-21). Hasil: Terdapat sebanyak 107 subjek yang ikut kedalam penelitian ini. Tingkat aktivitas fisik kurang didapatkan pada 55,1% petugas layanan kesehatan. Gejala kesehatan mental pada petugas layanan kesehatan didapatkan sebesar 23,4% untuk depresi, 31,8% untuk ansietas, dan 22,4% untuk stres. Dilakukan analisis bivariat untuk hubungan tingkat aktivitas fisik dengan depresi (PR = 0,881 (0,444-1,750); p>0,05), ansietas (PR = 0,915 (0,525-1,595); p>0,05), dan stres (PR = 0,961 (0,474-1,949); p>0,05). Kesimpulan: Tidak ditemukan hubungan yang bermakna antara tingkat aktivitas fisik dengan tingkat depresi, ansietas, dan stres. Kata Kunci: aktivitas fisik; ansietas; depresi; kesehatan mental; petugas layanan kesehatan; stres.

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The COVID-19 pandemic has devastating impact both on physical and mental health. This is due to decreasing level of physical activity among people during the pandemic. Low level of physical activity also affect a person's mental health. Healthcare workers are no exception, who might have higher risk of being exposed to COVID-19. The purpose of this study was to describe the level of physical activity and mental health (depression, anxiety, stress) among healthcare workers during the COVID-19 pandemic. Methods: Cross-sectional study using primary data. Data collection was conducted in May-June 2022 and using questionnaire delivered through hybrid method (online and offline). Physical activity was assessed by GPAQ (Global Physical Activity Questionnaire) and mental health by DASS-21 (Depression, Anxiety, Stress Scale-21). Results: There were 107 subjects who participated in this study. Inadequate levels of physical activity were found in 55.1% of health care workers. Mental health symptoms among healthcare workers was 23.4% for depression, 31.8% for anxiety, and 22.4% for stress. Bivariate analysis was conducted for the association between levels of physical activity and depression (PR = 0.881 (0.444-1.750); p>0.05), anxiety (PR = 0.915 (0.525-1.595); p>0.05), and stress (PR = 0.961 (0.474-1.949); p>0.05). Conclusion: There was no significant association between the level of physical activity and the level of depression, anxiety, and stress."

"Tenaga kesehatan berperan penting dalam penanganan Corona Virus Disease 2019 (COVID-19). Alat pelindung diri (APD) diperlukan saat mereka bekerja. Waktu kerja maksimal penggunaan APD adalah enam jam, dan harus digunakan sesuai dengan risiko di lokasi kerja. Sayangnya, dalam praktiknya, APD sering digunakan lebih dari enam jam. Selain itu, bahan gaun terbuat dari bahan yang tidak dapat menyerap keringat. Para tenaga kesehatan juga mengenakan masker berlapis-lapis. Faktor-faktor ini dapat menyebabkan kelelahan. Penelitian ini bertujuan untuk mengukur prevalensi kelelahan kronis dan faktor APD yang dapat mempengaruhi kelelahan kronis. Penelitian ini dilakukan dengan pendekatan cross sectional berdasarkan data sekunder yang dikumpulkan oleh Program Studi Magister Kedokteran Kerja Fakultas Kedokteran Universitas Indonesia. Kami menggunakan skala penilaian kelelahan untuk memperkirakan prevalensi kelelahan kronis. Kami menemukan bahwa prevalensi kelelahan kronis di antara petugas kesehatan sangat tinggi (82,8%). Namun, tidak ditemukan hubungan yang signifikan antara tingkat APD, bahan gaun, jenis masker dan kelelahan kronis (p>0,05). Namun demikian, terdapat hubungan yang signifikan antara masker ganda (masker tidak/ya) dengan kelelahan kronis (p <0,05). Penelitian lebih lanjut untuk memasukkan pengukuran yang lebih objektif dalam penggunaan APD harus dilakukan di masa depan.

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Healthcare workers play a crucial role in the management of Corona Virus Disease 2019 (COVID-19). When working, personal protective equipment (PPE) is required. The maximum working time while wearing PPE is six hours, and it should be worn in accordance with the risk at the work site. Unfortunately, in practice, PPE is frequently worn for longer than six hours. In addition, the gown is made from nonabsorbent materials. Layered masks are also worn by the healthcare workers. These factors may result in fatigue. This study aims to determine the prevalence of chronic fatigue and PPE factors that may contribute to it. This study was conducted using a cross-sectional design with secondary data gathered by the Master of Occupational Medicine Program, Faculty of Medicine, Universitas Indonesia. We used the Fatigue Assessment Scale (FAS) to measure chronic fatigue. We found a very high prevalence of chronic fatigue among healthcare workers (82.8 percent). However, there was no significant correlation between the level of PPE, gown material, mask type and chronic fatigue (p > 0.05). Nevertheless, there was a significant relationship between double mask (no/yes mask) and chronic fatigue (p < 0.05). Future research should incorporate more objective measurement for the use of PPE."