1.Association between COVID-19 post-infection and work capacity among healthcare workers in the National Referral Hospital in Indonesia
Dewi Sumaryani Soemarko ; Felicia Erika Jahja ; Nuri Purwito Adi ; Fitri Anestherita ; Dewi Yunia Fitriani
Acta Medica Philippina 2024;58(5):57-61
Background:
Patients who had severe COVID-19 infection were thought to be one of the factors affecting the
suitability of work capacity. Functional capacity can be measured by 6-minute walking test (6MWT). Some particular jobs have a minimum functional capacity to be met.
Objectives:
The aim of this research is to determine the relationship between severity of COVID-19 infection and
work capacity among post-infected healthcare workers in the National Referral Hospital.
Methods:
A cross-sectional study among healthcare workers who had COVID-19 infection from June to July 2021, and had undergone functional capacity examination from September to November 2021 was conducted. Data processing was carried out by collecting data from medical records of infected healthcare workers. Bivariate analysis statistic test was done to determine the association between degree of severity and work capacity. Determination of the suitability of work capacity was done by comparing the results of the functional capacity examination with the minimum estimated matabolic equivalents (METs) needs of workers.
Results
A total of 102 employees data from ages 25 to 58 years were collected. The result showed that 81 employees had unsuitable work capacity with most of them coming from the mild infected group (83.3%).
Conclusion. There is no significant relationship (p>0.05) between age, gender, BMI, sequelae, comorbidities, and
degree of severity of COVID-19 infection and work capacity among healthcare workers. Even though there is no
signficant relationship between severity of COVID-19 and work capacity, this research shows there are more than 50% post-infected healthcare workers who have unsuitable work capacity.
COVID-19
;
Health Personnel
2.BACKWARD LOGISTIC REGRESSION ANALYSIS OF THE DETERMINANTS OF THE HAND FUNCTION AMONG PATIENTS WITH LEPROSY: A CROSS-SECTIONAL STUDY
Rizky Kusuma Wardhani ; Melinda Harini ; Fitri Anestherita ; Febrina Nur&rsquo ; Alfiah Ramadhani
Malaysian Family Physician 2024;19(1):1-8
BACKWARD LOGISTIC REGRESSION ANALYSIS OF THE DETERMINANTS OF THE HAND FUNCTION AMONG PATIENTS WITH LEPROSY: A CROSS-SECTIONAL STUDY
Introduction: The hands are the most common site of disability in leprosy. Hand dysfunction could result in difficulty performing activities of daily living. Therefore, hand function should be regularly assessed to ensure that any decrease in hand function could be diagnosed earlier.
Methods: This study included 110 patients with leprosy from Likupang and Lembata, Indonesia. Hand function was assessed using the modified Jebsen test to measure hand function respective of the dominance. The grip and pinch strength were used as objective measures of clinical arm function. The World Health Organization (WHO) hand disability grade were used to determine the degree of impairment. Other factors such as age, sex and the type of leprosy were also considered. All factors were analysed using backward logistic regression.
Results: Among the 110 participants, a decrease in the dominant (48.2%) and non-dominant (50.9%) hand functions were found. Pinch strength (OR: 3.39; 95% CI: 1.13–10.19) and age (OR: 4.91; 95% CI: 1.72–14.03) were significantly associated with hand function irrespective of the dominance. Conversely, the WHO hand disability grade (OR: 2.97; 95% CI: 1.10–8.04) and type of leprosy (OR: 0.34; 95% CI: 0.12–0.97) were significantly associated with only function of the dominant hand.
Conclusion: There is a significant association of age and pinch strength with hand function regardless of the hand dominance. In contrast, the WHO hand disability grade and type of leprosy are significantly associated with the function of the dominant hand only.


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