Analisis Kesehatan Mental pada Perawat Puskesmas Kota Bandung Saat Lonjakan Kasus COVID-19
DOI:
https://doi.org/10.58185/j-mestahat.v4i1.112Kata Kunci:
Beban kerja, Gangguan mental emosi, Perawat puskesmas, PTSD, PsikosisAbstrak
Pandemik COVID-19 berpengaruh di semua lini kehidupan dan melumpuhkan semua sektor di masyarakat.
Dampak signifikan terjadi dan menjadi perhatian khusus dalam bidang kesehatan karena menjadi garda
terdepan. Lonjakan kasus terkonfirmasi COVID-19 berpengaruh pada beban perawat yang meningkat.
Perawat puskesmas yang berhadapan langsung dengan masyarakat sangat kewalahan dengan banyaknya
kasus. Penelitian ini bertujuan untuk menganalisis beban perawat puskesmas di Kota Bandung saat terjadi
lonjakan kasus COVID-19, khususnya pada varian Delta. Penelitian menggunakan metode kuantitatif
deskriptif dengan pendekatan cross sectional, dan teknik sampel yang digunakan accidental sampling.
Jumlah sampel 43 orang, pengumpulan kuesioner pada bulan Juni 2021. Analisis data univariat
menggunakan deskriptif frekuensi. Analisis data bivariat menggunakan chi-square. Hasil analisis statistik
dengan distribusi frekuensi didapatkan bahwa terdapat gangguan mental emosional sebanyak 44 perawat.
86%, 44,2% dan 41,9% perawat puskesmas yang menangani pasien COVID-19 masing-masing mengalami
gejala psikosis, gangguan mental emosional dan PTSD (Post Traumatic Stress Disorder), mengalami beban
kerja yang meningkat, tertekan dan tidak mempunyai banyak waktu istirahat. Perawat Puskesmas
mengalami burn out karena selama kurun waktu 24 jam selalu dihubungi oleh warga dengan keluhan dan
permintaan dalam penangan kasus COVID-19. Perlu ada nya tindak lanjut bila ada perawat yang mengalami
gangguan dan perlu adanya penelitian lebih lanjut.
Kata kunci: beban kerja; gangguan mental emosi; perawat puskesmas; PTSD; psikosis.
Unduhan
Referensi
Aeni, N. (2021). Pandemi COVID-19: Dampak Kesehatan, Ekonomi, & Sosial. Jurnal Litbang: Media Informasi Penelitian, Pengembangan Dan IPTEK, 17(1), 17–34. https://doi.org/10.33658/jl.v17i1.249
Agustin, I. M., Nurlaila, Yuda, H. T., & Yulia. (2020). Pilot Study Kondisi Psikologis Relawan Bencana Covid 19. Jurnal Ilmu Keperawatan Jiwa, 3(2), 113–118.
Andrews, L. J., & Benken, S. T. (2020). COVID-19: ICU delirium management during SARS-CoV-2 pandemic - Pharmacological considerations. Critical Care, 24(1), 1–9. https://doi.org/10.1186/s13054-020-03072-5
Azkur, A. K., Akdis, M., Azkur, D., Sokolowska, M., van de Veen, W., Brüggen, M. C., O’Mahony, L., Gao, Y., Nadeau, K., & Akdis, C. A. (2020). Immune response to SARS-CoV-2 and mechanisms of immunopathological changes in COVID-19. Allergy: European Journal of Allergy and Clinical Immunology, 75(7), 1564–1581. https://doi.org/10.1111/all.14364
Bahris, S., Syafar Sangkala, M., Seniwati, T., Studi, P., Keperawatan, I., & Keperawatan, F. (2020). Overview of Post Traumatic Stress Disorder (Ptsd) Symptoms of Post-Road Traffic Accident Patients. Indonesian Contemporary Nursing Journal, 5(1), 27–35.
Chew, N. W. S., Lee, G. K. H., Tan, B. Y. Q., Jing, M., Goh, Y., Ngiam, N. J. H., Yeo, L. L. L., Ahmad, A., Ahmed, F., Napolean, G., Sharma, A. K., Komalkumar, R. N., & Meenakshi, P. V. (2020). A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID19 outbreak. Journal Homepage: Www.Elsevier.Com/Locate/Ybrbi A, 88(January), 559–565. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7172854/
Dianovinina, K. (2018). Depresi pada Remaja: Gejala dan Permasalahannya. Journal Psikogenesis, 6(1), 69–78. https://doi.org/10.24854/jps.v6i1.634
Dobson, H., Malpas, C. B., Burrell, A. J. C., Gurvich, C., Chen, L., Kulkarni, J., & Winton-Brown, T. (2021). Burnout and psychological distress amongst Australian healthcare workers during the COVID-19 pandemic. Australasian Psychiatry, 29(1), 26–30. https://doi.org/10.1177/1039856220965045
Galehdar, N., Kamran, A., Toulabi, T., & Heydari, H. (2020). Exploring nurses’ experiences of psychological distress during care of patients with COVID-19: A qualitative study. BMC Psychiatry, 20(1), 1–9. https://doi.org/10.1186/s12888-020-02898-1
Greenberg, N. (2020). Mental health of health-care workers in the COVID-19 era. Nature Reviews Nephrology, 16(8), 425–426. https://doi.org/10.1038/s41581-020-0314-5
Hofmeyer A, Taylor R, K. K. (2020). Knowledge for nurses to better care for themselves so they can better care for others during the Covid-19 pandemic and beyond. January.
Hu, W., Su, L., Qiao, J., Zhu, J., & Zhou, Y. (2020). Countrywide quarantine only mildly increased anxiety level during COVID-19 outbreak in China 1 . Xuzhou Oriental People ’ s Hospital , Xuzhou , Jiangsu , China 2 . Xuzhou Medical University , Xuzhou , Jiangsu , China 3 . CAS Key Laboratory of Behavior Sci.
Idaiani, S., Yunita, I., Tjandrarini, D. H., Indrawati, L., Darmayanti, I., Kusumawardani, N., & Mubasyiroh, R. (2019). Prevalensi Psikosis di Indonesia berdasarkan Riset Kesehatan Dasar 2018. Jurnal Penelitian Dan Pengembangan Pelayanan Kesehatan, 3(1), 9–16. https://doi.org/10.22435/jpppk.v3i1.1882
Karimi, Z., Fereidouni, Z., Behnammoghadam, M., Alimohammadi, N., Mousavizadeh, A., Salehi, T., Mirzaee, M. S., & Mirzaee, S. (2020). The lived experience of nurses caring for patients with COVID-19 in iran: A phenomenological study. Risk Management and Healthcare Policy, 13, 1271–1278. https://doi.org/10.2147/RMHP.S258785
Kemenkes. (2020a). Protokol Pelayanan Dukungan Kesehatan Jiwa dan Psikososial Bagi Petugas Kesehatan dalam Pandemi Coronavirus Disease COVID-19 di Fasilitas Pelayanan Kesehatan. Germas, 402. https://infeksiemerging.kemkes.go.id/document/download/0yDrP2Yd2b
Kemenkes, R. (2020b). Buku Pedoman Penyelenggaraan Kesehatan Jiwa di Fasilitas Kesehatan Tingkat Pertama. Direktorat Promosi Kesehatan Kementerian Kesehatan RI, 5–23. https://promkes.kemkes.go.id/buku-pedoman-penyelenggaraan-kesehatan-jiwa-di-fasilitas-kesehatan-tingkat-pertama%0Ahttp://files/3729/buku-pedoman-penyelenggaraan-kesehatan-jiwa-di-fasilitas-kesehatan-tingkat-pertama.html
Kholifah, S., Soeharto, S., & Supriati, L. (2016). Hubungan Faktor-Faktor Internal Dengan Kejadian Kelelahan Mental (Burnout) Pada Perawat. Jurnal Kesehatan Mesencephalon, 2(4), 251–259. https://doi.org/10.36053/mesencephalon.v2i4.4
Liu, Y., et. al. (2020). Experiences of front-line nurses combating coronavirus disease-2019 in China: A qualitative analysis (pp. 757–763). https://doi.org/10.1111/phn.12768
Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V. G., Papoutsi, E., & Katsaounou, P. (2020). Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, Behavior, and Immunity, 88(May), 901–907. https://doi.org/10.1016/j.bbi.2020.05.026
Pasay-an, E. (2020). Exploring the vulnerability of frontline nurses to COVID-19 and its impact on perceived stress. Journal of Taibah University Medical Sciences, 15(5), 404–409. https://doi.org/10.1016/j.jtumed.2020.07.003
Pinggian, B., Opod, H., & David, L. (2021). Dampak Psikologis Tenaga Kesehatan Selama Pandemi COVID-19. Jurnal Biomedik (Jbm), 13(2), 144. https://doi.org/10.35790/jbm.13.2.2021.31806
Poyiadji, N., Shahin, G., Noujaim, D., Stone, M., Patel, S., & Griffith, B. (2020). COVID-19-associated acute hemorrhagic necrotizing encephalopathy: Imaging features. Radiology, 296(2), E119–E120. https://doi.org/10.1148/radiol.2020201187
Purwaningsih, C. I. I., & Darma, G. S. (2021). Menelisik Stres Kerja Tenaga Kesehatan Dimasa Pandemi Covid-19 di Rumah Sakit. Jurnal Manajemen Bisnis, 18(3), 361–381. https://doi.org/10.38043/jmb.v18i3.3179
Rastanti, P. D. (2021). Pengaruh Stress Kerja Terhadap Kinerja Tenaga Kesehatan. Pelayanan Kesehatan, 115. http://library.oum.edu.my/repository/725/2/Chapter_1.pdf
Severance, E. G., Dickerson, F. B., Viscidi, R. P., Bossis, I., Stallings, C. R., Origoni, A. E., Sullens, A., & Yolken, R. H. (2011). Coronavirus immunoreactivity in individuals with a recent onset of psychotic symptoms. Schizophrenia Bulletin, 37(1), 101–107. https://doi.org/10.1093/schbul/sbp052
Shah, M. K., Gandrakota, N., Cimiotti, J. P., Ghose, N., Moore, M., & Ali, M. K. (2021). Prevalence of and Factors Associated with Nurse Burnout in the US. JAMA Network Open, 4(2), 1–11. https://doi.org/10.1001/jamanetworkopen.2020.36469
Smith, C. M., Komisar, J. R., Mourad, A., & Kincaid, B. R. (2020). COVID-19-associated brief psychotic disorder. BMJ Case Reports, 13(8), 1–3. https://doi.org/10.1136/bcr-2020-236940
Sultana, A., Sharma, R., Hossain, M. M., Bhattacharya, S., & Purohit, N. (2020). Burnout among healthcare providers during COVID-19: Challenges and evidence-based interventions. Indian Journal of Medical Ethics, V(4), 1–6. https://doi.org/10.20529/IJME.2020.73
Taylor, D., Lindsay, A. C., & Halcox, J. P. (2010). Correspondance Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1. Nejm, 0–2.
Vibriyanti, D. (2020). Kesehatan Mental Masyarakat: Mengelola Kecemasan Di Tengah Pandemi Covid-19. Jurnal Kependudukan Indonesia, 2902, 69. https://doi.org/10.14203/jki.v0i0.550
Yuniswara, E. O. (2021). Tinjauan Sistematis: Gambaran Kesehatan Mental Perawat yang Menangani Pasien Covid-19. Journal An-Nafs: Kajian Penelitian Psikologi, 6(1), 93–109. https://doi.org/10.33367/psi.v6i1.1373
Yustiana, A. V., & Alit Aryani, L. N. (2019). Gangguan psikotik akibat penggunaan ganja (cannabis): studi kasus. Medicina, 50(2), 400–403. https://doi.org/10.15562/medicina.v50i2.123