Pelaksanaan Isoman Di Rumah Sebagai Upaya Penanggulangan Pandemi Covid-19 di Kota Pekanbaru

  • Afriyanni, Afriyanni Badan Penelitian dan Pengembangan Kota Pekanbaru
  • Viviyanti, Viviyanti Badan Penelitian dan Pengembangan Kota Pekanbaru
  • Silalahi, Roselly Evianty Dinas Kesehatan Kota Pekanbaru
  • Buana, Sinta Dinas Kesehatan Provinsi Riau
  • Deliana, Eva Yulieta Puskesmas Senapelan
Keywords: Home isolation, Covid-19, Transmission risk, Isolasi mandiri, Risiko penularan

Abstract

Home isolation is the last alternative to overcome the COVID-19 outbreak if the lack of capacity health service centers and isolation facilities are limited. However, in its implementation, home isolation is considered ineffective and even increases the transmission of the COVID-19 outbreak. This study aims to determine the implementation of home isolation of confirmed COVID-19 patients in Pekanbaru City. This study used a mixed-method with a sequential explanatory type, namely conducting quantitative research first, followed by qualitative research to explain the results obtained from quantitative research. The study found that home isolation was not optimal because it was a risk of family member transmission, limited monitoring, and weak financial support. This study recommends the need for financial and material support for self-isolated patients from the government, strengthening coordination between stakeholders related to COVID-19, improving data and information quality, and using monitoring based applications.

Abstrak

Isolasi mandiri (isoman) di rumah merupakan alternatif terakhir upaya penanggulangan wabah COVID-19 jika kapasitas pusat layanan kesehatan dan fasilitas isoman yang tersedia terbatas. Namun, dalam pelaksanaannya isoman dinilai tidak efektif bahkan meningkatkan penularan wabah COVID-19. Penelitian ini bertujuan untuk mengetahui pelaksanaan isoman di rumah pasien terkonfirmasi COVID-19 di Kota Pekanbaru. Penelitian ini menggunakan metode campuran dengan jenis eksplanatoris sekuensial. Metode kuantitatif survey online yang didukung oleh data kualitatif menggunakan studi dokumentasi, wawancara mendalam, dan observasi. Hasil analisis data kuantitatif dalam bentuk tabel atau grafik didukung dengan analisis kualitatif dalam bentuk narasi dan dokumentasi. Hasil penelitian menemukan bahwa pelaksanaan isoman di rumah masih belum optimal dilakukan karena rentan dengan risiko penularan anggota keluarga, terbatasnya pemantauan petugas baik terhadap kondisi kesehatan pasien maupun kepatuhan pasien isoman serta lemahnya dukungan finansial bagi pasien isoman. Penelitian ini merekomendasikan perlunya dukungan finansial dan material dari pemerintah terhadap pasien isoman, penguatan koordinasi antar stakeholders terkait COVID-19, peningkatan kualitas data dan informasi serta penggunaan sistem pemantauan yang berbasis aplikasi.

Downloads

Download data is not yet available.

References

-. 2020. “The Impact of Financial and Other Targeted Support on Rates of Self-Isolation or Quarantine.”
Al-Tawfiq, Jaffar A., Hatim Kheir, Talal Al-Dakheel, Saeed Al-Qahtani, Hussain AlKhadra, Ahlam Sarhan, Maryam Bu Halaiga, and Rana Ibrahim. 2021. “COVID-19 Home Monitoring Program: Healthcare Innovation in Developing, Maintaining, and Impacting the Outcome of SARS-CoV-2 Infected Patients.” Travel Medicine and Infectious Disease 43: 5–6. https://doi.org/10.1016/j.tmaid.2021.102089.
Arden, M A, L Lewis C.J. Armitage E. Whittaker, J. Hart, D.B. O’Connor, P. Chadwick, J. Drury, V. Swanson, L. Byrne-Davis, E. McBride, S. Perriard-Abdoh, G W Shorter, T Epton, A Kamal, and & A Chater. 2020. “Encouraging Self-Isolation to Prevent the Spread of Covid-19.” http://www.nidirect.gov.uk/articles/coronavirus-covid-19-staying-home-and-self-isolation.
Bhardwaj, Pankaj, Nitin Kumar Joshi, Manoj Kumar Gupta, Akhil Dhanesh Goel, Suman Saurabh, Jaykaran Charan, Prakash Rajpurohit, et al. 2021. “Analysis of Facility and Home Isolation Strategies in Covid 19 Pandemic: Evidences from Jodhpur, India.” Infection and Drug Resistance 14 (May): 2233–39. https://doi.org/10.2147/IDR.S309909.
Cava, Maureen A., Krissa E. Fay, Heather J. Beanlands, Elizabeth A. McCay, and Rouleen Wignall. 2005. “The Experience of Quarantine for Individuals Affected by SARS in Toronto.” Public Health Nursing 22 (5): 398–406. https://doi.org/10.1111/j.0737-1209.2005.220504.x.
Culp, W C. 2020. “Coronavirus Disease 2019: In-Home Isolation Room Construction.” A&A Practice. https://doi.org/10.1213/XAA.0000000000001218.
Farooq, Ali, Samuli Laato, A. K.M.Najmul Islam, and Jouni Isoaho. 2021. “Understanding the Impact of Information Sources on COVID-19 Related Preventive Measures in Finland.” Technology in Society 65 (October 2020): 101573. https://doi.org/10.1016/j.techsoc.2021.101573.
Feng, Z H. 2020. “Is Home Isolation Appropriate for Preventing the Spread of COVID-19.” Public Health. https://doi.org/10.1016/j.puhe.2020.03.008.
Gill, M. 2021. “Covid-19: Self-Isolation Is the Weakest Link in Stopping Transmission.” The BMJ. https://doi.org/10.1136/bmj.n455.
Herlambang, Herlambang, Nofrans Eka Saputra, Supian Supian, Agung Iranda, and Marlita Andhika Rahman. 2021. “Studi Deskriptif Tentang Dampak Covid-19 Terhadap Psikologis Pada Masyarakat Jambi.” Psikodimensia 20 (1): 10. https://doi.org/10.24167/psidim.v20i1.2813.
Ju, Yumeng, Wentao Chen, Jin Jiyang Liu, Aiping Yang, Kongliang Shu, Yun Zhou, Mi Wang, et al. 2021. “Effects of Centralized Isolation vs. Home Isolation on Psychological Distress in Patients with COVID-19.” Journal of Psychosomatic Research 143 (April): 110365. https://doi.org/10.1016/j.jpsychores.2021.110365.
Kemenkes RI. 2020. Buku Pedoman RT RW Pencegahan COVID. Kementerian Kesehatan RI. https://infeksiemerging.kemkes.go.id/download/BUKU_PEDOMAN__RT_RW_Pencegahan_COVID.pdf.
Mariani, Rachele, Alessia Renzi, Michela Di Trani, Guido Trabucchi, Kerri Danskin, and Renata Tambelli. 2020. “The Impact of Coping Strategies and Perceived Family Support on Depressive and Anxious Symptomatology During the Coronavirus Pandemic (COVID-19) Lockdown.” Frontiers in Psychiatry 11. https://doi.org/10.3389/fpsyt.2020.587724.
Muhammad, Ilham Abu, and Andi Nikhlani. 2021. “Interaksi Sosial Masyarakat Di Lingkungan Tempat Tinggal Penderita COVID-19.” Jurnal Kebijakan Pembangunan 16 (1): 93–103. https://doi.org/10.47441/jkp.v16i1.178.
Reagu, Shuja, Ovais Wadoo, Javed Latoo, Deborah Nelson, Sami Ouanes, Naseer Masoodi, Mustafa Abdul Karim, et al. 2021. “Psychological Impact of the COVID-19 Pandemic within Institutional Quarantine and Isolation Centres and Its Sociodemographic Correlates in Qatar: A Cross-Sectional Study.” BMJ Open 11 (1): 52–53. https://doi.org/10.1136/bmjopen-2020-045794.
RI, Kementerian Kesehatan. 2020. Pedoman Pencegahan Dan Pengendalian Coronavirus Disease (Covid-19). Kementerian Kesehatan RI. https://doi.org/10.29239/j.agrikan.9.2.i-iii.
Sifunda, Sibusiso, Tholang Mokhele, Thabang Manyaapelo, Natisha Dukhi, Ronel Sewpaul, Whadi Ah Parker, Saahier Parker, et al. 2021. “Preparedness for Self-Isolation or Quarantine and Lockdown in South Africa: Results from a Rapid Online Survey.” BMC Public Health 21 (1): 1–14. https://doi.org/10.1186/s12889-021-10628-9.
Singh, J. A. 2020. “COVID-19: Mandatory Institutional Isolation v. Voluntary Home Self-Isolation.” South African Medical Journal 110 (6): 453–55. https://doi.org/10.7196/SAMJ.2020V110I6.14840.
Singh, V B, and Vipin Bahadur Singh. 2021. “The Human Costs of COVID-19 Policy Failures in India.” Nature Human Behaviour 5 (7): 810–11. https://doi.org/10.1038/s41562-021-01140-6.
Suppawittaya, Piwat, Pakara Yiemphat, and Pratchayapong Yasri. 2020. “Effects of Social Distancing , Self-Quarantine and Self-Isolation during the COVID-19 Pandemic on People ’ s Well -Being , and How to Cope with It.” International Journal of Science and Healthcare Research 5 (June): 12–20.
Treadway, Darren C, Andrew Molodynski, Jacob W Breland, Vincent I O Agyapong, Nnamdi Nkire, Kelly Mrklas, Marianne Hrabok, et al. 2021. “COVID-19 Pandemic: Demographic Predictors of Self-Isolation or Self-Quarantine and Impact of Isolation and Quarantine on Perceived Stress, Anxiety, and Depression.” Frontiers in Psychiatry 12: 553468. https://doi.org/10.3389/fpsyt.2021.553468.
WHO. 2020. “Home Care for Patients with Suspected or Confirmed COVID-19 and Management of Their Contacts.” World Health Organization, no. August: 1–9. https://www.who.int/publications-detail/home-care-for-patients-with-suspected-novel-coronavirus-(ncov)-infection-presenting-with-mild-symptoms-and-management-of-contacts.
Yang, M. C., P. P. Hung, Y. K. Wu, M. Y. Peng, Y. C. Chao, and W. L. Su. 2020. “A Three-Generation Family Cluster with COVID-19 Infection: Should Quarantine Be Prolonged?” Public Health 185: 31–33. https://doi.org/10.1016/j.puhe.2020.05.043.
Yun, Ki Wook, Kyung Min Kim, Ye Kyung Kim, Min Sun Kim, Hyuktae Kwon, Mi Seon Han, Hyunju Lee, and Eun Hwa Choi. 2021. “Limited Benefit of Facility Isolation and the Rationale for Home Care in Children with Mild COVID-19.” Journal of Korean Medical Science 36 (5): 1–6. https://doi.org/10.3346/jkms.2021.36.e45.
Zhang, Qingxia, and Dingcheng Wang. 2015. “Assessing the Role of Voluntary Self-Isolation in the Control of Pandemic Influenza Using a Household Epidemic Model.” International Journal of Environmental Research and Public Health 12: 9750–67.
Published
2022-06-30
How to Cite
Afriyanni, Afriyanni, Viviyanti, Roselly Evianty Silalahi, Sinta Buana, and Eva Yulieta Deliana. 2022. “Pelaksanaan Isoman Di Rumah Sebagai Upaya Penanggulangan Pandemi Covid-19 Di Kota Pekanbaru”. Jurnal Kebijakan Pembangunan 17 (1), 1-16. https://doi.org/10.47441/jkp.v17i1.245.