Medical Scope Journal

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EISSN : 2715-3312
Published by: Universitas Sam Ratulangi (10.35790)
Total articles ≅ 92
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Thaliannisa E. Abas, Sekplin A.S Sekeon, Arthur H.P Mawuntu
Published: 23 January 2022
Medical Scope Journal, Volume 3, pp 121-129; https://doi.org/10.35790/msj.v3i2.35702

Abstract:
: Chronic pain is one of the clinical manifestations that is frequently reported in post-Covid-19 patients. This condition may be triggered by specific psychosocial or biological stressors in some organs previously affected by the infection. This study aimed to obtain the incidence of chronic pain in post-Covid-19 patients and its pathomechanisms. This was a literature review study using two databases, PubMed and Science Direct, with the modified Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) method for literature review. The results showed that there were 504 articles according to the keywords and 10 articles that matched the criteria. Chronic pain was experienced by 36.5%-62.5% of patients. Most literatures associated post-Covid-19 chronic pain with systemic tissue injury leading to increased production of proinflammatory cytokines and the presence of somatization due to psychosocial and emotional distress. Infections experienced by post-Covid-19 patients affected the sensitivity of nociceptors as recipients of pain stimuli and nerve hypersensitivity so that patients can experience chronic pain for a long time. In conclusion, the incidence of chronic pain in post-Covid-19 patients is high. Post-Covid-19 chronic pain with systemic tissue injury leads to increased production of proinflammatory cytokines and the presence of somatization due to psychosocial and emotional distress. Keywords: chronic pain; post-Covid-19; pathomechanism  Abstrak: Nyeri kronis merupakan salah satu manifestasi klinis yang mulai banyak dilaporkan pada pasien post-Covid-19. Kondisi ini mungkin dipicu oleh stresor psikososial atau biologis spesifik pada beberapa organ yang sebelumnya terdampak infeksi. Penelitian ini bertujuan untuk mendapatkan angka kejadian nyeri kronis pada pasien post-Covid-19 dan patomekanisme melalui telaah literatur menggunakan dua pangkalan data yaitu PubMed dan Science Direct dengan metode Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) yang dimodifikasi untuk telaah literatur. Hasil penelitian mendapatkan 504 artikel sesuai kata kunci dan terdapat sepuluh artikel yang sesuai dengan tujuan penelitian. Nyeri kronis dialami oleh 36,5% - 62,5% pasien. Sebagian besar literatur menghubungkan nyeri kronis post-Covid-19 dengan jejas jaringan sistemik yang menyebabkan peningkatan produksi sitokin proinflamasi serta adanya somatisasi akibat distres psikososial dan emosional. Infeksi yang pernah dialami oleh pasien post-Covid-19 memengaruhi sensitivitas nosiseptor sebagai penerima rangsangan nyeri serta hipersensitivitas saraf sehingga pasien dapat mengalami nyeri kronis secara berkepanjangan. Simpulan penelitian ini ialah angka kejadian nyeri kronis pada pasien post-Covid-19 cukup tinggi. Nyeri kronis post-Covid-19 terjadi karena adanya jejas jaringan secara sistemik yang menimbulkan peningkatan produksi sitokin proinflamasi serta adanya somatisasi akibat distres psikososial dan emosional. Kajian lanjut dan berulang perlu dilakukan mengingat adanya dinamika perkembangan kasus infeksi maupun varian. Kata kunci:nyeri kronis; post-Covid-19; patomekanisme
Jennifer T. Suwontopo, Mallo Nola T. S, Erwin G. Kristanto
Published: 23 January 2022
Medical Scope Journal, Volume 3, pp 143-150; https://doi.org/10.35790/msj.v3i2.37373

Abstract:
There are various cases of problems in the legal field; one of which is homicide. This study aimed to find out whether there was a difference in the number of homicides before the COVID-19 pandemic compared to during the COVID-19 pandemic at Prof. Dr. R. D. Kandou Hospital, Manado. This was a retrospective and descriptive study by reviewing the Visum et Repertum (VeR) data recorded at the Forensic Section of Prof. Dr. R. D. Kandou, Manado. Variables were type of violence, sex of victim, age group of victim, cause of death, and date of examination. The results showed that the number of homicides were 17 cases in the 2018 - 2019 period and seven cases during the COVID-19 pandemic from March 2020 to February 2021 at Prof Dr. R. D Kandou, Manado, which indicated a decrease of 41%. Male was the dominant sex of victims. Group of teenagers aged 17-25 years, early adulthood 26-35 years old, and late adult group 36-45 years old had the same number of cases; each of two cases. The most common cause of death was sharp violence. In conclusion, there is a decrease of homicide cases during the COVID-19 pandemic. Most cases were male with sharp violence as the cause of death. Keywords: homicide case; COVID-19  Abstrak: Terdapat berbagai macam kasus permasalahan yang terjadi di dalam bidang hukum, salah satunya yaitu kasus pembunuhan. Penelitian ini bertujuan untuk mengetahui apakah terdapat perbedaan jumlah kasus pembunuhan sebelum pandemi COVID-19 dibandingkan pada era pandemi COVID-19 di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah deskriptif retrospektif dengan melakukan peninjauan data Visum et Repertum (VeR) yang tercatat di Bagian Forensik RSUP Prof. Dr. R. D. Kandou Manado. Variabel penelitian yang digunakan yaitu: jenis kekerasan, jenis kelamin korban, kelompok usia korban, sebab kematian, tanggal pemeriksaan. Hasil penelitian mendapatkan angka kasus pembunuhan pada era pandemi COVID-19 periode Maret 2020-Februari 2021 di RSUP Prof Dr. R. D. Kandou Manado mengalami penurunan sebesar 41%, yaitu dari 17 kasus pada periode 2018-2019 menjadi tujuh kasus selama pandemi COVID-19 pada periode Maret 2020-Februari 2021 yang dilakukan autopsi; terbanyak didapatkan pada bulan Juli 2020, dengan jenis kelamin korban yang terbanyak yaitu laki-laki. Berdasarkan usia, kelompok usia remaja berusia 17-25 tahun, kelompok dewasa awal 26-35 tahun, kelompok dewasa akhir berusia 36-45 tahun, masing-masing berjumlah dua kasus dengan sebab kematian berupa kekerasan tajam. Simpulan penelitian ini ialah terdapat penurunan jumlah kasus pembunuhan pada era pandemi COVID-19 dibandingkan sebelum pandemi. Korban terbanyak berjenis kelamin laki-laki, dengan sebab kematian berupa kekerasan tajam Kata kunci: kasus pembunuhan; COVID-19
Nathanael T. Tarore, Mayer F. Wowor, Glady I. Rambert
Published: 23 January 2022
Medical Scope Journal, Volume 3, pp 157-164; https://doi.org/10.35790/msj.v3i2.37840

Abstract:
Pregnant women are vulnerable to be infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) due to changes in the anatomy and physiology of the body. Mortality of pregnant women differs by country and can be affected by risk factors. This study aimed to determine the risk factors and outcome of pregnant women with COVID-19 in several Asian countries. This was a literature review study using three databases namely Pubmed, Science Direct, and Google Scholar. The keywords were “Maternal” OR “Pregnancy” OR “Pregnancies” AND “COVID-19” OR “Coronavirus Disease 2019” AND “Outcome” AND “Risk Factor”. Overall, the most common risk factors were hypertension (10.6%), followed by hypothyroidism (8.1%), diabetes (7.7%), obesity (3.8%) and asthma (1.3%). The majority of patients were above 30 years of age and had gestational age at the 3rd trimester. As many as 70.5% of patients were asymptomatic and had only mild symptoms. Qualitatively, the highest mortality rates were found in Iran (4%), followed by Pakistan (2.1%), India (1.74%), Japan (1.3%), and Saudi Arabia (0.5%). Meanwhile, China, Kuwait, Singapore, and South Korea reported no deaths. In conclusion, the most common risk factor was hypertension and the most common clinical outcome was asymptomatic and had mild symptoms. Keywords: COVID-19; pregnant women; risk factor; clinical outcomes  Abstrak: Wanita hamil merupakan kelompok rentan terinfeksi severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) dikarenakan terjadinya perubahan anatomi dan fisiologik tubuh. Mortalitas wanita hamil berbeda pada tiap negara dan dapat dipengaruhi oleh fakor risiko. Penelitian ini bertujuan untuk mengetahui gambaran faktor risiko dan luaran klinis kehamilan dengan COVID-19 pada beberapa negara Asia. Jenis penelitian ialah suatu literature review dengan menggunakan tiga database yaitu Pubmed, Science Direct, dan Google Scholar. Kata kunci yang digunakan ialah “Maternal” OR “Pregnancy” OR “Pregnancies” AND “COVID-19” OR “Coronavirus Disease 2019” AND “Outcome” AND “Risk Factor” Secara keseleruhan faktor risiko yang terbanyak ialah hipertensi (10,6%), diikuti hipotiroid (8,1%), diabetes (7,7%), obesitas (3,8%), dan asma (1,3%). Mayoritas pasien berusia di atas 30 tahun dan usia kehamilan pada trimester 3. Sebanyak 70,5% pasien bermanifestasi asimtomatis dan bergejala ringan. Secara kualitatif angka mortalitias paling tinggi ditemukan di Iran (4%), diikuti Pakistan (2,1%), India (1,74%), Jepang (1,3%), dan Arab Saudi (0,5%). Cina, Kuwait, Singapura, dan Korea Selatan melaporkan tidak ada kasus kematian. Simpulan penelitian ini ialah faktor risiko yang paling umum ditemukan berupa hipertensi dan luaran klinis yang paling umum ditemukan berupa asimtomatis dan bergejala ringan. Kata kunci: COVID-19; wanita hamil; faktor risiko; luaran klinis
Tri M. Ibrahim, Harsali Lampus, Jeiny Thomas
Published: 23 January 2022
Medical Scope Journal, Volume 3, pp 165-168; https://doi.org/10.35790/msj.v3i2.39122

Abstract:
Gastroschisis is the most common congenital defect in the abdominal wall in the last 30 years. This may be related to increased incidence of prematurity and increased survival rate of premature babies. Defects in the abdominal wall usually occur less than 4 cm, located at the junction of umbilicus and normal skin.Relatively young maternal age (<21 years), as well as habits of consuming alcohol and drugs can increase the risk of gastroschisis.Diagnosis can be confirmed at prenatal stage by using USG, and at postnatal stage. Initial treatment consists of fluid resuscitation, oxygenation, decompressed nasograstic tube (NGT), and hypothermia prevention. In conclusion, gastroschisis needs immediate treatment by prevention of hypothermia in infants, administration of fluid and oxygen, and closure of defect. The overall survival rate is quite good and the prognosis depends on the condition of the gut at birth. Keywords: gastroschisis  Abstrak:Gastroschisis merupakan defek kongenital pada dinding abdomen yang paling umum ditemukan dalam 30 tahun terakhir. Hal ini mungkin terkait dengan peningkatan kejadian prema-turitas dan peningkatan kelangsungan hidup bayi prematur.Defek pada dinding abdomen terjadi biasanya kurang dari 4 cm dan terletak di antara sambungan umbilikus dan kulit normal.Usia ibu yang relatif muda (<21 tahun), kebiasaan mengonsumsi alkohol serta obat-obatan dapat mening-katkan risiko terjadinya gastroschisis. Diagnosis dapat ditegakkan saat prenatal dengan USG, dan postnatal. Penatalaksanaan awal meliputi resusitasi cairan, pemberian oksigenasi, pemasangan nasogastric tube (NGT) dekompresi, serta mencegah terjadinya hipotemia. Simpulan tulisan ini ialah gastroschisis memerlukan penanganan segera dengan melakukan pencegahan terjadinya hipotermia pada bayi, pemberian cairan, pemberian oksigenasi, dan penutupan defek. Tingkat kelangsungan hidup secara keseluruhan cukup baik dan prognosis tergantung pada kondisi usus saat lahir. Kata kunci: gastroschisis
Rudiyanto Mirino, Gustaaf A. E. Ratag, John J. Wantania
Published: 23 January 2022
Medical Scope Journal, Volume 3, pp 169-174; https://doi.org/10.35790/msj.v3i2.39393

Abstract:
Provision of health services is closely related to human resources in achievement of good implementation of services especially during the covid-19 pandemic. The need for health workers in accordance with this pandemic situation is very necessary to provide qualified health services. This study aimed to analyze the need for number of nurses in terms of workload on the inpatient installations of RSUD Dr. Jhon Piet Wanane, Sorong, due to the increasing need for health services during the Covid-19 pandemic. This was a quantitative and descriptive study. Informant selection was based on the knowledge and understanding of the nurses on duty in the inpatient rooms. Calculation of the number of health personnel needs was carried out using a calculation formula which was number of cases handled multiplied by the number of treatment times then divided by the effective working time of nurses in one year. The results showed that the highest workload was in the inpatient class I and II, which was 1,065 minutes (24%), however, it was still below standard level. In conclusion, there is no high workload in RSUD Kabupaten Sorong. Hospital management could use a real formula adapted to workload situation to calculate the need for nurses and review the application model of nursing care management. Keywords: needs of human resources; health services; workload  Abstrak: Pemberian pelayanan kesehatan berkaitan erat dengan penyediaan sumber daya manusia kesehatan (SDMK) agar penyelenggaraan pelayanan kesehatan dapat berjalan dengan baik terlebih pada masa pandemi Covid-19. Kebutuhan tenaga kesehatan yang memadai pada kondisi pandemi saat ini sangat diperlukan untuk memberikan pelayanan kesehatan yang berkualitas. Penelitian ini bertujuan untuk mengetahui kebutuhan jumlah tenaga perawat ditinjau dari beban kerja pada instalasi rawat inap RSUD Dr. Jhon Piet Wanane Kabupaten Sorong akibat meningkatnya kebutuhan akan pelayanan kesehatan pada masa pandemi Covid-19. Jenis penelitian ialah kuantitatif deskriptif. Informan pene-litian dipilih berdasarkan pengetahuan dan pemahaman perawat yang bertugas pada ruang rawat inap. Perhitungan jumlah kebutuhan tenaga kesehatan menggunakan rumus perhitungan banyaknya kasus yang ditangani dikalikan dengan jumlah waktu tindakan kemudian dibagi dengan waktu kerja efektif perawat dalam satu tahun. Hasil penelitian mendapatkan beban kerja tertinggi di ruang rawat inap kelas I, II yaitu 1.065 menit (24%) yang masih di bawah nilai standar. Simpulan penelitian ini ialah tidak ditemukan beban kerja yang tinggi di RSUD Kabupaten Sorong. Manajemen RSUD dapat menggunakan formula riil situasi di lapangan untuk menghitung kebutuhan tenaga perawatan di ruangan danmeninjau kembali model penerapan manajemen asuhan keperawatanKata kunci: kebutuhan sumber daya manusia kesehatan; pelayanan kesehatan; beban kerja
Axel P. Lumi, Harsali Lampus, Nathaniel Pali
Published: 23 January 2022
Medical Scope Journal, Volume 3, pp 194-202; https://doi.org/10.35790/msj.v3i2.41129

Abstract:
: Scrotal mass is one of the diseases in the urology field with a moderately high prevalence. Problems with the contents of scrotum vary, ranging from infections, tumors, to fluid. Diagnosis of scrotal mass is based on detail ananmnesis, systematic physical examination, and other supporting examinations. Scrotal ultrasound can confirm the exact location of a mass and rule out the presence of an inguinal hernia. Scrotal masses in adults require a formal examination with serum tumor markers, scrotal ultrasound as needed, and immediate consultation with a urologist for staging and further intervention. Scrotal masses in children are much less common than in adults and should be evaluated by a urologist. Keywords: scrotal mass; children  Abstrak: Massa skrotum merupakan salah satu penyakit di bidang urologi dengan prevalensi yang cukup tinggi. Masalah pada isi skrotum bervariasi, mulai dari infeksi, tumor, hingga cairan. Diagnosis massa skrotum ditegakkan melalui anamnesis yang cermat, pemeriksaan fisik terarah, dan pemeriksaan penunjang. Ultrasonografi (USG) skrotum dapat mengonfirmasi lokasi yang tepat dari suatu massa sekaligus menyingkirkan adanya hernia inguinalis. Massa testis pada dewasa memerlukan pemeriksaan formal, dengan penanda tumor serum, USG skrotum sesuai kebutuhan, dan konsultasi segera dengan ahli urologi untuk staging dan intervensi lebih lanjut. Massa skrotum pada anak jauh lebih jarang daripada dewasa dan harus dievaluasi oleh seorang ahli urologi. Kata kunci: massa skrotum; anak
Clara V. I. Ponto, Glady I. Rambert, Mayer F. Wowor
Published: 23 January 2022
Medical Scope Journal, Volume 3, pp 134-142; https://doi.org/10.35790/msj.v3i2.37836

Abstract:
: Physiological changes that occur during pregnancy cause pregnant women to become more susceptible to be infected with SARS-CoV-2 that could cause liver disorders. This study aimed to determine the overview of serum glutamic oxaloacetic transaminase (SGOT) and serum glutamic-pyruvic transaminase (SGPT) levels in pregnant women with COVID-19 This was a descriptive study with a retrospective approach using secondary data in the form of patient medical records at Prof. Dr. R. D. Kandou Hospital in the period of July-August 2021. The results showed that based on the SGOT level among the second trimester patients, 1 patient (50%) had an increased SGOT in the range of 27-54 U/L and 1 patient (50%) had normal SGOT levels (52 U/L, and 25 patients (51%) had normal SGOT. Based on SGPT levels among the second trimester patients, both patients (100%) had normal SGPT (58 U/L, and 41 patients (84%) had normal SGPT (<29 U/L). In conclusion, most of the patients had normal SGOT and SGPT levels. There were more patients with increased SGOT than those with increased SGPT. Keywords:COVID-19; pregnant women; SGOT; SGPT  Abstrak: Perubahan fisiologis yang terjadi selama kehamilan menyebabkan wanita hamil lebih mudah terinfeksi SARS-CoV-2 dan mengalami gangguan pada hati. Penelitian ini bertujuan untuk mengetahui gambaran serum glutamic oxaloacetic transaminase (SGOT) and serum glutamic-pyruvic transaminase (SGPT) pada wanita hamil terkonfirmasi COVID-19. Jenis penelitian ialah deskriptif dengan pendekatan retrospektif menggunakan data sekunder berupa rekam medik pasien di RSUP Prof. Dr. R. D. Kandou periode Juli-Agustus 2021. Hasil penelitian memperlihatkan distribusi nilai SGOT pada pasien trimester II, didapatkan 1 pasien (50%) mengalami peningkatan SGOT pada rentang 27-54 U/L dan 1 pasien (50%) memiliki nilai SGOT normal, yaitu 52 U/L, dan 25 pasien (51%) memiliki nilai SGOT normal, yaitu <26 U/L. Pada distribusi nilai SGPT pasien trimester II, kedua pasien (100%) memiliki nilai SGPT normal, yaitu 58 U/L, dan 41 pasien (84%) memiliki nilai SGPT normal, yaitu <29 U/L. Simpulan penelitian ini ialah sebagian besar pasien memiliki SGOT dan SGPT normal. Pasien yang mengalami peningkatan SGOT lebih banyak daripada pasien yang mengalami peningkatan SGPT. Kata kunci: COVID-19; wanita hamil; SGOT; SGPT
Christa J. Egeten, Jimmy Posangi, Joshua Runtuwene
Published: 23 January 2022
Medical Scope Journal, Volume 3, pp 175-184; https://doi.org/10.35790/msj.v3i2.40353

Abstract:
: Work motivation is a set of attitudes and values that influence an individual to achieve more detailed things according to his/her goal. This study aimed to obtain the determinants of work motivation of health workers at Manado Adventist Hospital during the Covid-19 pandemic. This was a quantitative study. Population consisted of all health workers totaling 238 meanwhile samples were 70 people. Data were analyzed using the chi square test and logistic regression test. The results showed that physical working condition was 64.3% good and 35.7% poor; interpersonal relationship was 44.3% good and 55.7% poor; company policy was 30% good and 70% poor; salary was 62.9% good and 37.1% poor; and work motivation was 44.3% good and 55.7% poor. The chi square test showed that there were significant relationships between physical working condition and work motivation (p=0.013); interpersonal relationship and work motivation (p=0.000); company policy and work motivation (p=0.019); salary and work motivation (p=0.028). The logistic regression test confirmed that interpersonal relationship had the closest relationship with work motivation. In conclusion, work motivation determinants in this study are physical working condition, interpersonal relationship, company policy, and salary. Interpersonal relationship has the closest relationship to work motivation. Keywords: physical working conditions; interpersonal relation; policies; salary; work motivation Abstrak: Motivasi kerja yaitu serangkaian sikap dan juga nilai yang memengaruhi individu untuk menggapai hal yang lebih detail sesuai dengan tujuannya. Penelitian ini bertujuan untuk mengetahui determinan motivasi kerja tenaga kesehatan Rumah Sakit Advent Manado di masa pandemi Covid-19. Jenis penelitian ialah kuantitatif. Populasi ialah seluruh tenaga kesehatan berjumlah 238 orang dengan sampel berjumlah 70 orang. Analisis statistik menggunakan uji chi square dan regresi logistik. Hasil penelitian mendapatkan variabel kondisi kerja fisik baik sebesar 64,3% dan kurang baik 35,7%. Hubungan interpersonal didapatkan kategori baik 44,3% dan kurang baik 55,7%. Kebijakan perusahaan didapatkan kategori baik 30% dan kurang baik 70%. Gaji didapatkan kategori baik 62,9% dan kurang baik 37,1%. Motivasi kerja didapatkan kategori baik 44,3% dan kurang baik 55,7%. Hasil uji chi square menegaskan adanya hubungan bermakna antara: kondisi kerja fisik dengan motivasi kerja (p=0,013); hubungan interpersonal dengan motivasi kerja (p=0,000; kebijakan perusahaan dengan motivasi kerja (p=0,019); dan gaji dengan motivasi kerja (p=0,028). Hasil uji regresi logisitik menunjukkan bahwa hubungan interpersonal yang paling berhubungan erat dengan motivasi kerja. Simpulan penelitian ini ialah determinan motivasi kerja yang didapatkan ialah kondisi kerja fisik, hubungan interpersonal, kebijakan perusahaan, dan gaji. Hubungan interpersonal yang paling berhubungan kuat dengan motivasi kerja. Kata kunci: kondisi kerja fisik; hubungan interpersonal; kebijakan; gaji; motivasi kerja
Reinhart E. Sunardibuana, Johannis F. Mallo, James F. Siwu
Published: 23 January 2022
Medical Scope Journal, Volume 3, pp 130-133; https://doi.org/10.35790/msj.v3i2.37340

Abstract:
: Coronavirus disease-19 (COVID-19) pandemic has spread to all countries, including Indonesia. This pandemic has caused a lot of losses in economic factors as well as losses of relatives including health care workers. This study aimed to determine the description of deaths among health care workers at Prof. Dr. R. D. Kandou Hospital, Manado, who were exposed to COVID-19. This was a retrospective and descriptive study using secondary data, namely all deaths of health care workers at Prof. Dr. R. D. Kandou Hospital exposed to COVID-19 in the period of 2020-2021. The results showed that there were four cases of deaths among health care workers at Prof. Dr. R. D. Kandou Hospital exposed to COVID-19 during the period 2020-2021. Three cases were over 55 years old and one case was between 25-55 years old. Three cases were male and one case was female. Four cases were medical personnel (general practitioners and specialists). Four cases had hypertension, three cases had diabetes, and one case had heart disease as comorbid. In conclusion, from the health workers at Prof. Dr. R. D. Kandou Hospital exposed to COVID-19, the majority of deaths occurred in males, aged over 55 years, medical personnel, and had hypertension as comorbid. Keywords: mortality; health care workers; coronavirus disease-19  Abstrak: Pandemi coronavirus disease-19 (COVID-19) melanda semua negara, termasuk Negara Indonesia. Pandemi ini menyebabkan banyak kerugian, dari faktor ekonomi hingga kehilangan kerabat termasuk tenaga kesehatan. Penelitian ini bertujuan untuk mendapatkan gambaran kematian tenaga kesehatan RSUP Prof. Dr. R. D. Kandou Manado yang terpapar COVID-19. Jenis penelitian ialah deskriptif retrospektif dengan menggunakan data sekunder, yaitu seluruh data kematian tenaga kesehatan RSUP Prof. Dr. R. D. Kandou Manado yang terpapar COVID-19 periode 2020-2021. Hasil penelitian mendapatkan empat kasus kematian pada tenaga kesehatan RSUP Prof. Dr. R. D. Kandou Manado yang terpapar COVID-19 selama periode 2020-2021 yaitu tiga kasus berusia di atas 55 tahun dan satu kasus berusia di antara 25-55 tahun. Terdapat tiga kasus berjenis kelamin laki-laki dan satu kasus berjenis kelamin perempuan; kesemuanya ialah tenaga medis (dokter umum dan dokter spesialis). Empat kasus dengan komorbid hipertensi, tiga kasus dengan komorbid diabetes, dan satu kasus dengan komorbid penyakit jantung. Simpulan penelitian ini ialah pada tenaga kesehatan RSUP Prof. Dr. R. D. Kandou Manado yang terpapar COVID-19, mayoritas kematian terjadi pada laki-laki, berusia di atas 55 tahun, tenaga medis, dengan komorbid hipertensi. Kata kunci: mortalitas; tenaga kesehatan; coronavirus disease-19
Lucky V. Waworuntu, Aaltje E. Manampiring, Gustaaf A. E. Ratag
Published: 23 January 2022
Medical Scope Journal, Volume 3, pp 185-193; https://doi.org/10.35790/msj.v3i2.40927

Abstract:
: Currently, a concept of health services by the hospital, Hospital without Walls, is intro-duced. This concept moves health services from the hospital to outside the hospital building. This study aimed to determine the application of the concept of a hospital without walls in Dermatovene-reology health services. This was a qualitative research design (grounded research) using informants through in-depth interviews, face-to-face and indirect. This study was carried out at Maria Walanda Maramis General Hospital, North Minahasa. Data were collected manually by making a transcript then were compiled in a matrix form and analyzed using the inductive analysis method. The results showed that the Hospital without Walls could be implemented, however, there were obstacles, internally and externally. The internal obstacles were that the hospital did not have a legal basis, SOP, and supporting facilities such as applications for this activity, payment for services of doctors and paramedics, professional human resources in the field of information technology to manage these activities. The external obstacles were the absence of regulation of BPJS for execution and payment of claims. In conclusion, the hospital without walls concept can be applied to the dermato-venereology health services at Maria Walanda Maramis General Hospital, North Minahasa, North Sulawesi Province. Keywords: Hospital without Walls; dermatovenereology services Abstrak: Saat ini berkembang suatu konsep pelayanan kesehatan oleh Rumah Sakit disebut Hospital without Walls yang memindahkan pelayanan dari Rumah Sakit ke luar bangunan Rumah Sakit. Penelitian ini bertujuan untuk mengetahui penerapan konsep Hospital without Wallspada pelayanan kesehatan kulit dan kelamin di Rumah Sakit Umum Maria Walanda Maramis Kabupaten Minahasa Utara. Desain penelitian ialah kualitatif (grounded research) dengan menggunakan informan (10 orang) melalui wawancara mendalam, secara langsung dengan tatap muka dan tidak langsung. Data yang terkumpul, diolah secara manual dengan membuat transkrip kemudian disusun dalam bentuk matriks dan selanjutnya dianalisis menggunakan metode analisis secara induktif. Hasil penelitian mendapatkan bahwa penerapan Hospital without Walls dapat dilaksanakan walaupun ditemukan hambatan secara internal dan eksternal. Hambatan internal ialah Rumah Sakit belum mempunyai dasar hukum, SOP, dan fasilitas penunjang seperti aplikasi untuk kegiatan ini, serta pembayaran jasa untuk dokter dan paramedis, SDM profesional di bidang informasi teknologi untuk mengelola kegiatan ini. Hambatan eksternal yaitu belum adanya regulasi BPJS untuk pelaksanaan dan pembayaran klaim. Simpulan penelitian ini ialah konsep Hospital without Walls dapat diterapkan pada pelayanan kesehatan kulit dan kelamin di Rumah Sakit Umum Maria Walanda Maramis, Kabupaten Minahasa Utara, Provinsi Sulawesi Utara. Kata kunci: Hospital without Walls; pelayanan kesehatan kulit dan kelamin
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