Skor Kelelahan pada Peserta Didik Anestesiologi dan Terapi Intensif dan Faktor-Faktor yang Mempengaruhi

Abstract

Latar Belakang: Prevalensi kelelahan secara global bervariasi antara 2,36-75,7%. Kelelahan merupakan konsekuensi yang dapat dialami oleh peserta Program Pendidikan Dokter Spesialis (PPDS) Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitasi Indonesia (FKUI) selama menjalami proses pendidikan. Penelitian ini dilakukan untuk mengetahui tingkat kelelahan pada PPDS Anestesiologi dan Terapi Intensif FKUI/RSCM setelah bertugas selama 24 jam di RSCM dengan menggunakan penilaian FAS, serta faktor-faktor yang memengaruhinya.
 Metode: Metode penelitian adalah studi potong lintang dan acak. Analisis dilakukan terhadap 36 subjek peserta PPDS Anestesiologi dan Terapi Intensif FKUI tahap paripurna, mandiri dan magang selama periode penelitian. Subjek diberikan kuesioner berisi pertanyaan mengenai faktor yang dapat memengaruhi tingkat kelelahan. Kelelahan secara subjektif diukur dengan Fatigue Assessment Scale (FAS) setelah peserta PPDS bekerja di Rumah Sakit dr.Cipto Mangunkussumo (RSCM) selama ≥ 24 jam.
 Hasil: Sebanyak 55,6% peserta PPDS Anestesiologi dan Terapi Intensif mengalami kelelahan seetelah bekerja di RSCM selama > 24 jam, dengan rerata skor kelelahan berdasarkan FAS adalah 23,6±4,2 yang berada diatas titik potong skor kelelahan dari FAS yaitu > 22. Kelelahan fisik memiliki rerata nilai yang lebih besar (15,19±2,7) dibandingkan dengan kelelahan mental (10,61±2,2) dengan perbedaaan yang bermakna (p<0.01). Kelelahan pada peserta PPDS Anestesiologi dan Terapi Intensif FKUI tidak dipengaruhi oleh karakteristik, gaya hidup dan karakteristik pekerjaan.
 Kesimpulan: PPDS Anestesiologi dan Terapi Intensif mengalami kelelahan fisik pasca bekerja selama >24 jam di RSCM. Kelelahan tersebut tidak dipengaruhi oleh faktor gaya hidup dan pola kerja.

Assessment of Sleep Quality among Anesthesia Nurses in the Central Surgical Installation Room at Banyumas Region Hospital

“…This score exceeds the specified fatigue limit, namely a score of more than 22 on the FAS. The average value of physical fatigue (15.19 ± 2.7) is higher than the average value of mental fatigue (10.61 ± 2.2) (Heriwardito et al, 2022).…”

Relationship Between Fatigue and Burnout Syndrome Among Residents in Anesthesiology and Intensive Therapy Department

“…Various stressors experienced by doctors working in the anesthetic field, such as heavy workload, often faced with unexpected and stressful situations, as well as personal factors such as not having free time for yourself and your family, can cause physical and mental fatigue, lack of sleep, decreased psychomotor and/or cognitive function, slowed responses, reduced motivation, and disturbed emotions, and affect decision making. 1 This condition is related to the occurrence of burnout syndrome which is characterized by three domains namely emotional exhaustion, depersonalization, and decreased personal achievement. [17][18][19][20] The limitations of our study include the absence of an objective gold standard for assessing fatigue and burnout levels.…”

“…HAM Hospital has a large number of patients with a large variety of cases and a high level of difficulty which can lead to consequences such as fatigue for the health workers working in it, including Anesthesiology and Intensive Therapy resident participants. 1,2 The prevalence of fatigue varies globally around 2.36-75.7%. Fatigue can be caused by personal factors and work factors.…”

“…Personal factors consist of family or marital status and lifestyle while work factors include physical factors (heavy work, long working hours, poor sleep quality, night watch, standby working hours, work position, and a sedentary workload), mental factors (job stress, high concentration, sustained alertness, anxiety, relationships with coworkers and consultants), and environmental factors (noise, light intensity, temperature, vibration, and humidity). 1,2 The workload faced by residents is also quite heavy with quite high pressure from various aspects such as shift hours, assignments, educational processes, relationships with seniors and consultants, and critical patients, until recently the case of Corona Virus Disease 2019 (COVID- 19) which quite a lot of casualties including the anesthesiologist .1 These stressors can cause the resident anesthetic participants to be prone to experiencing a syndrome called burnout syndrome. 3 The incidence of burnout syndrome among residents ranges from 28% to 45%.…”