Arie Zainul Fatoni
Bagian/SMF Anestesi dan Terapi Intensif Fakultas Kedokteran Universitas Brawijaya / RSU dr Saiful Anwar Malang

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Comparison of Length of Stay of Severe and Critical COVID-19 Patients with Diabetes Mellitus, Hypertension, and Other Comorbidities Sugiri, Yani Jane; Fatoni, Arie Zainul; Rosita, Theresia Daniella
Jurnal Respirologi Indonesia Vol 45 No 1 (2025)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v45i1.591

Abstract

Background: Coronavirus Disease-19 (COVID-19) is caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS CoV-2). In 2020, a disease known as COVID-19 became a global pandemic. This disease can spread through the air or mucosal contact with the body. The impact of COVID-19 varies greatly from person to person and depends on various factors, including any pre-existing health conditions. This study aimed to determine the hospitalization period for severe and critical COVID-19 patients with comorbidities such as diabetes mellitus, hypertension, obesity, heart failure, stroke, pregnancy, coronary artery disease, and asthma in the Intensive Care Unit at RSUD Dr. Saiful Anwar in Malang. Methods: This study used an observational analysis method by taking secondary data from medical records and out-of-hospital data of patients admitted to the Intensive Care Unit. The data that has been collected is carried out by a normality test using the Saphiro-Wilk test then the Kruskal-Wallis test and the Dunn test as a follow-up test. Results: The study was dominated by subjects less than 60 years of age, male, and most had comorbidities.  It was found that only in death outcome group has a significance value of P<0.05, with the longest hospital stays in patients without comorbidities and patients with diabetes mellitus only (ICU Median=7.5 days), while the shortest length of stay was obtained in patients with comorbidities other than diabetes and hypertension (ICU Median=3.5 days). Conclusion:  The presence of multiple comorbidities in patients is associated with greater severity of illness, resulting in longer hospital stays among those who are discharged. Conversely, patients who experience death outcomes tend to have shorter lengths of stay in the hospital.
PENINGKATAN KONDISI SPIRITUALITAS DAPAT MENURUNKAN TINGKAT KECEMASAN PADA TENAGA KESEHATAN DI RUANG ICU Fatoni, Arie Zainul; Jihan, Farhanaz; Ulya, Zuhrotun
Majalah Kesehatan Vol. 13 No. 2 (2026): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/majalahkesehatan.2026.013.02.5

Abstract

World Health Organization (WHO) telah menetapkan COVID-19 sebagai pandemi global, yang berdampak signifikan pada kesehatan mental tenaga kesehatan, terutama dalam hal kecemasan. Spiritualitas secara umum dianggap sebagai salah satu elemen penting dalam kesehatan mental seseorang. Penelitian ini bertujuan untuk mengeksplorasi hubungan antara spiritualitas dan tingkat kecemasan pada tenaga kesehatan yang bekerja di ICU COVID-19 dan ICU reguler. Studi cross-sectional dilakukan pada tenaga kesehatan di RSUD Dr. Saiful Anwar (RSSA) Malang, dengan menggunakan Daily Spiritual Experience Scale (DSES) untuk mengukur tingkat spiritualitas dan Generalized Anxiety Disorder-7 (GAD-7) untuk mengukur kecemasan. Analisis komparatif dilakukan dengan uji alternatif 2x>2 menggunakan post hoc Mann Whitney. Korelasi Spearman digunakan untuk mengetahui kekuatan dan arah hubungan antara kedua variabel. Pada dua kelompok tercatat spiritualitas tenaga kesehatan dalam level “tinggi” (ICU COVID-19 vs ICU Reguler; 70,8% vs 80,8%). Hal serupa juga terdapat pada tingkat kecemasan, di mana kedua kelompok memiliki tingkat kecemasan “minimal” (ICU COVID-19 vs ICU Reguler; 68,8% vs 86,5%).  Hasil uji korelasi menunjukkan adanya hubungan signifikan dengan arah negatif antara spiritualitas dan kecemasan pada tenaga kesehatan di ICU COVID-19 dan ICU reguler RSSA dengan koefisien Korelasi = -0,279 (p = 0,005). Semakin tinggi spiritualitas tenaga kesehatan, semakin rendah tingkat kecemasannya. Dengan demikian, peningkatan spiritualitas dapat berkontribusi dalam mengurangi kecemasan pada tenaga kesehatan.