The Indonesian Journal of Health Science Volume 13.
No.
Desember 2021 The Relationship Between Care Environment Stressors with Oxygen Saturation and Quality of Life of Covid-19 Patients Suhariyati*1.
Abdul Rokhman2.
Dias Tiara Putri Utomo3.
Arifal Aris1.
Siti Sholikhah2 Departement of Community Health Nursing.
Health Science Faculty.
Universitas Muhammadiyah Lamongan.
Indonesia Departement of Mental Health Nursing.
Health Science Faculty.
Universitas Muhammadiyah Lamongan.
Indonesia Health Science Faculty.
Universitas Muhammadiyah Lamongan.
Indonesia *Corresponding author: Suhariyati.
Email: suhariyati.
psik@gmail.
Received: 22 November 2021 | Accepted: 11 December 2021 | Published: 30 December 2021 Abstract Background and Aim: Isolation in hospitals has a significant impact on COVID19 patients physically, psychologically, spiritually, and socially, so it needs special attention.
This research aimed to investigate the relationship between care environment stressors with oxygen saturation and quality of life of COVID-19 patients in isolation rooms of dr.
Soegiri hospital Lamongan.
Methods: The research applied a correlational design and conducted in isolation rooms of dr.
Soegiri hospital Lamongan.
The population in this study was 64 We used purposive sampling with inclusion and exclusion criteria, obtained 59 respondents.
The data were gathered from March to May 2021.
The research variables included care environment stressors, oxygen saturation, and quality of life.
The instrument was a questionnaire.
The data were analyzed by Gamma and Somers tests ( = 0.
Results: The research results showed that most of the respondents were female .
1%), aged between 30 and 60 years .
5%), were self-employment .
7%),
latest education was elementary school .
3%), source of transmission from other factors .
6%), and length of treatment was 4-7 days .
8%).
The care environment stressors significantly related to oxygen saturation .
=0.
and quality of life .
=0.
Conclusion: It is hoped that during treatment, nurse maintain a comfortable treatment environment so that they do not become stressors that aggravate the patient's condition.
Keywords: Care Environment.
Covid-19.
Isolation Rooms.
Oxygen Saturation.
Quality of Life How to cite this article: Suhariyati, et.
The relationship between care environment stressors with oxygen saturation and quality of life of covid-19 patients.
The Indonesian Journal of Health Science.
, 196-202.
DOI: 10.
32528/ijhs.
Copyright: A2021 Suhariyati, et.
This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.
0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Published by: Universitas Muhammadiyah Jember ISSN (Prin.
: 2087-5053 ISSN (Onlin.
: 2476-9614 DOI: 10.
32528/ijhs.
The Indonesian Journal of Health Science Volume 13.
No.
Desember 2021
INTRODUCTION
Coronavirus disease (COVID-.
is an infectious disease which causes respiratory problems, acute respiratory syndromes, kidney failure, and even death (Kemenkes RI.
In addition, previous studies have stated that COVID-19 has a negative impact on physical and mental health and quality of life of patients (Nguyen et al.
, 2020.
Ping et , 2020.
Rajkumar, 2.
Severe acute respiratory infections cause the hospitalization of millions of people worldwide each year (Alinia et al.
Patients with symptomatic infection are quarantined in the hospital separated from other patients (Nareza, 2.
Isolation in hospitals COVID-19 patients physically, psychologically, spiritually and socially (Hsiao et al.
So that COVID-19 patients who are treated in isolation rooms need special attention.
COVID-19 cases are increasing rapidly and spreading to other countries in a short time.
November 3rd, 2020.
WHO reported 47,392,484 confirmed cases with 1,212,524 deaths all over the world (Kemenkes RI, 2.
Indonesia reported its first case of COVID-19 on March 2nd, 2020.
Health Ministry reported 418,375 confirmed cases with 14,146 deaths (Kemenkes RI, 2.
Confirmed cases in East Java were 53,274 with 3,818 death, while in Lamongan, confirmed cases were 857 with 69 deaths.
Isolation seems to be the most effective way to cope with COVID-19.
Isolation room is a separate room which is used to isolate patients who are suffering from very infectious diseases (Panda et al.
, 2.
However, in reality many COVID-19 patients are experiencing psychological problems DOI: 10.
32528/ijhs.
during isolation at the hospital (Deng et al.
, 2021.
Hu et al.
, 2.
Therefore, care environment in isolation rooms becomes internal stressors for patients.
The results of the preliminary survey conducted in dr.
Soegiri hospital to 5 patients obtained 4 out of 5 patients .
%) were afraid of being isolated in isolation rooms.
Medical record data showed patientsAo saturation level average was > 90%.
Three patients had good quality of life.
The previous research showed that saturation level below 90% when entering hospitals was a strong predictor of death (Mejya et al.
, 2.
In addition.
COVID-19 deaths will depend on access to health services, and will likely also depend on the types of health services offered (Mansab et al.
, 2.
Based explanation, the researchers intended to conduct a study about the relationship between care environment stressors with oxygen saturation and quality of life of COVID-19 patients in Soegiri hospital Lamongan.
METHOD
The research applied a correlational design and conducted in isolation rooms of dr.
Soegiri hospital Lamongan.
The data were gathered from March to May 2021.
The population is 64 people and obtained a sample of 59 respondents by purposive The inclusion criteria for this study were: .
Inpatients in the COVID Isolation Room at RSUD dr.
Soegiri Lamongan.
Covid-19 patients who want to sign the informed While the exclusion criteria are: .
Patients who are treated with an unconscious condition.
Covid-19 patients who are not willing to be The independent variables The Indonesian Journal of Health Science Volume 13.
No.
Desember 2021 included environmental care stressors while the dependent variables included oxygen saturation, and quality of life.
The research environment stressor questionnaire was made by the researcher, while the quality of life used the WHOQOL questionnaire.
The questionnaire was filled out by the respondent through a google form.
Oxygen saturation data were obtained from nursesAo measurement.
Then, the data were analyzed by Gamma and Somers tests ( = 0.
This research was approved by the Health Research Ethics Commission of the University of Muhammadiyah Lamongan, with S2/03/2021.
No.
120/EC/KEPK-
RESULTS
Based on Table 1, most of the respondents were female .
1%),
aged between 30 and 60 years .
5%),
were self-employment .
7%), latest education was elementary school .
3%), source of transmission from other factors .
6%), and length of treatment was 4-7 days .
8%).
Table 2 showed that care environment stressors related significantly to oxygen saturation and patientsAo quality of life .
< 0.
Table 1.
Frequency and percentage distribution of respondentsAo characteristic Characteristic Data Male Gender Female Total 20-30 years 30-60 years Age > 60 years Total Self-employment Private employee Occupations Civil Servant Total Elementary School Junior High School Latest Senior High School Education Diploma 3/ Diploma 4 Bachelor Total Family Workplace Source of School Others Total 1-3 days Length of 4-7 days Treatment > 7 days Total Mild Moderate Anxiety Severe Total DOI: 10.
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The Indonesian Journal of Health Science Volume 13.
No.
Desember 2021 Table 2.
The relationship between care environment stressors with oxygen
saturation and quality of life
Variables Oxygen
Saturation Quality of Life
Good
Moderate Poor
Good
Sufficient Poor
Care Environment Stressors Severe Moderate Mild
DISCUSSION
Patients came from diverse indeed, yet according to some sources, patients who were isolated would experience anxiety (Alamri et al.
Deng et al.
, 2021.
Hu et al.
Purssell et al.
, 2.
Most of the patients who experienced anxiety were female because they tend to have higher anxiety level (Deng et al.
Besides, one of the leading factors of anxiety was quarantine in isolation rooms (Deng et al.
, 2021.
Xiang et al.
, 2.
During treatment in isolation rooms, respondents feel afraid and worried and suffer from insomnia.
Most of the respondents were in critical conditions so that they need to treat in isolation rooms.
Another research also revealed that as a new disease which threaten life.
COVID-19 can cause substantial anxiety and stress especially those who are treated in isolation rooms (Deng et al.
, 2021.
Xiang et al.
, 2.
The results showed that there environmental care stressors and oxygen saturation.
Generally.
COVID19 patients who are treated in isolation rooms will experience anxiety and fear, besides that hospital policies and isolation ward facilities can affect patients' daily life activities (Hsiao et , 2021.
Jannah et al.
, 2.
The presence of physical activity can DOI: 10.
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P-value reduce the severity of illness in COVID-19 patients (Tavakol et al.
Physical activity or training has an effect on increasing immune function, releasing muscle myokines that stimulate the production of IL-1ra and IL-10, decreasing dysfunctional oxygenation (Salgado-Aranda et al.
Uncontrolled anxiety and fear conditions as well as activity limitations cause physiological effects in patients, one of which can change oxygen saturation in the blood.
The results also revealed that there was a relationship between care environment stressors and quality of This is in line with the previous research which mentioned that environmental factors highly affected quality of life (Algahtani et al.
, 2.
The respondents had good quality of life although they are treated in isolation rooms.
This follows a research conducted by Yaar .
which showed that COVID-19 did not have a negative impact on quality of life in the short term.
In the isolation rooms, patients admitted that they could communicate with their families and loved ones through cellular Respondents revealed that healthcare workers, even though not all the time.
They were monitored through CCTV.
The Indonesian Journal of Health Science Volume 13.
No.
Desember 2021
CONCLUSION
Care environment stressors are related to oxygen saturation and patient quality of life.
Most of the respondents had good sleep quality and adequate oxygen saturation.
Some respondents in the experienced anxiety, worry, fear, difficulty sleeping, felt their condition was critical, limited activities, so that it indirectly affect It is hoped that during comfortable treatment environment so that they do not become stressors that aggravate the patient's condition.
REFERENCES