ABSTRAKTenaga kesehatan dalam melaksanakan tugas sebagai garda terdepan penanganan, pencegahan, dan perawatan pasien Covid-19 mengalami kecemasan karena disebabkan oleh beberapa faktor, salah satunya adalah ketersediaan alat pelindung diri. Penelitian ini dilakukan untuk mengetahui faktor-faktor yang paling mempengaruhi kecemasan petugas kesehatan dalam pencegahan Covid-19. Penelitian kuantitatif mengunakan metode obsevasional analitik dengan rancangan cross-sectional ini dilakukan di tiga Rumah Sakit dan  sembilan Layanan Kesehatan pada bulan April 2020. Penentuan teknik pengambilan sampel menggunakan cluster random sampling dengan jumlah sampel 115 reponden. Uji pearson chi-square dilakukan untuk menilai hubungan antara kecemasan dan usia, jenis kelamin, status keluarga, kejujuran pasien, ketersediaan peralatan perlindungan pribadi, dan pengetahuan. Masing-masing variabel independen dievaluasi menggunakan analisis uji regresi logistik untuk menetukan variabel yang paling berpengaruh. Hasil penelitian ini menunjukkan bahwa ada pengaruh usia (p=0.024); status keluarga (p=0.022); kejujuran pasien (p=0.034); ketersediaan alat pelindung diri (0.014); pengetahuan (p=0.030) terhadap kecemasan petugas. Dari hasil uji regresi logistik menunjukkan variabel ketersediaan alat pelindung diri yang paling berpengaruh terhadap kecemasan (r=0.517;CI=1.34-8.06), yang artinya ketersediaan alat pelindung memilliki pengaruh 51.7% terhadap kecemasan petugas kesehatan dalam upaya pencegahan Covid-19. Oleh karena itu, pemerintah harus memberikan perhatian yang sangat besar kepada petugas kesehatan yang berada digarda terdepan dalam pencegahan covid-19 terkait masalah kebutuhan alat pelindung diri sesuai protokol dari WHO. ABSTRACTHealth workers in carrying out their duties as the frontliners in handling, preventing and caring of COVID-19 patients experience anxiety caused by several factors and one of them is the availability of personal protective equipment (PPE). This study is conducted to determine some factors that mostly influence the anxiety of health workers in preventing of Covid-19. Quantitative research is used by analytical obsevational methods with cross-sectional design and is conducted in three Hospitals and nine Health Services in April 2020. Sampling techniques used cluster random sampling (n=115. Person          chi-square tests are conducted to assess the relationship between anxiety and age, family status, availability of personal protective equipment, and knowledge. Independent variable is evaluated using logistic regression test analysis to determine the most influential variable. The results of this study indicate that there are influences of age (p-value=0.024); family status (p-value=0.022); patient honesty (p-value=0.034); the availability of personal protective equipment (p-value=0.014); knowledge (p-value=0.030) on staffs’ anxiety. The logistic regression test result clarifies that the availability of personal protective equipment is the most influential on anxiety (r=0.517; CI=1.34-8.06), which means the availability of protective devices has a 51.7% influence on the anxiety of health workers in preventing of Covid-19. Therefore, the government must pay great attention to health workers who are at the frontliners in preventing covid-19 related to the problem of personal needs for personal protective equipment based on the protocol from WHO.

The spread of Covid-19 disease has reached epidemiological criteria which need to be declared a pandemic because it has infected more than 100,000 people in 100 countries. The purpose of this study was to determine the criteria for anxiety levels in health workers in the prevention of covid-19. In carrying out their duties, most of health workerd experienced anxiety due to lack of personal protective equipments and family safety. This study uses a a cross sectional survey design and cluster random sampling techniques with 80 respondents. The results showed that the average health workers 52 respondets (65.0%) had experienced mild anxiety, 11 respondents (13.8%) had experienced moderate anxiety, and 2 respondents (2.5%) had experienced severe anxiety and 15 respondents (18.8%) who didn’t experienced anxiety.The contributing factor is the lack of personal protective equipment, so the health workers worried to transmited the corona virus to their family. They also felt stigmatized because they felt related to patients infected by the virus. In addition, the patients honesty when visited health services, many of them keep it a secret of a visit history to the plague area or areas that have suffered many cases of Covid-19.

Kondisi kegawatdaruratan di IGD sering menimbulkan respon kecemasan pada pasien, tanda gejala somatis dan psikologis kecemasan pada pasien adalah terjadinya peningkatan skala nyeri, nadi cepat dan tekanan darah meningkat. Hal ini dapat memperburuk kondisi kesehatan pasien oleh karena itu ketepatan respon time sesuai batasan waktu triase dalam pelayanan gawat darurat memegang peranan yang sangat penting dalam mengatasi masalah pasien terutama pada kategori ATS 2 dan 3 yang mempunyai karakteristik perburukan yang cepat. Tujuan penelitian ini adalah mengidentifikasi hubungan respon time perawat dengan tingkat kecemasan pasien kategori ATS 2 dan 3 di IGD. Design penelitian descriptive correlation dengan pendekatan cross sectional, sample terdiri dari 41 responden kategori ATS 2 dan 3 di IGD RSU Pindad yang didapatkan melalui tehnik accidental sampling. Pengukuran respon time menggunakan stopwatch dan lembar observasi sedangkan pengukuran tingkat kecemasan menggunakan instrument HARS. Hasil penelitian dengan analisa univariat distribusi frekuensi didapatkan 21 perawat (51%) melakukan respon time yang tepat pada pasien kategori ATS 2 dan 3 dan 16 pasien (39,02%) mengalami tingkat kecemasan sedang, sedangkan analisa bivariate berdasarkan uji statistic chi square, dengan α=0,05, didapatkan P-value 0,032 dimana P-value<α yang berarti ketepatan respon time perawat berdampak pada tingkat kecemasan pasien ATS 2 dan 3. Ketepatan Respon time perawat merupakan salah satu sumber koping selain edukasi dan pemberian informasi rencana tindakan yang dapat memicu peningkatan GABA pada sel saraf dan akan mempengaruhi gyrus parietalis sehingga akan menurunkan respon kecemasan. Saran untuk perawat dan manajemen RS untuk melakukan pelatihan kegawat daruratan dan triage sangat diperlukan sehingga pemberian respon time perawat dapat tepat sesuai dengan SPM IGD dan prioritas dalam penatalaksanaan kegawatdaruratan pada pasien kategori ATS 2 dan 3 sesuai dengan hasil penilaian triage

Wet cupping therapy  removes toxins  thereby increasing blood flow and  stimulating baroreceptors sensitivity which provides a stimulus to the autonomic nerves. This stimulus reduces the sympathetic nerves’ work and inhibits  the vasomotor center, leading to vasodilation, therefore decreasing blood pressure and pulse frequency. This research aims to determine the effect of wet cupping therapy on baroreceptors sensitivity with blood pressure and pulse frequency indicators. It was conducted in Sidenreng Rappang Regency, South Sulawesi, eastern Indonesia from February to May 2021. Randomized Controlled Trial (RCT) method was used including two groups of 31 respondents each. The intervention group used wet cupping therapy to regulate anti-hypertensive drugs and the control group used anti-hypertensive drugs with blood pressure and pulse frequency measurements until 6 weeks after the therapy. Wet cupping affects baroreceptor sensitivity by reducing the indicators. The result showed a significant difference in blood pressure measurement (systolic; diastolic) before and after the 2-week follow-up period (P = 0.000; P = 0.001), and between 2 and 4 weeks (P = 0.000; P = 0.000), but between 4 and 6 weeks there was no significant difference in the intervention group (P = 0.248; P = 0.583). There was a significant difference in pulse frequency at 2 and 4 weeks after the intervention (P = 0.016). In conclusion, wet cupping therapy effectively increases baroreceptor sensitivity by reducing blood pressure and pulse frequency indicators in hypertensive patients up to 4 weeks limit after the therapy, without any serious side effects experienced by respondents.