2020年印度尼西亚巴布亚省COVID-19大流行前和期间10种主要疾病的死亡分析

Hasmi, D. Bouway, Yacob Ruru
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摘要

可能导致COVID-19患者死亡的一些合并症包括:高血压、糖尿病、肺病、心脏病和疟疾。患有这种疾病的人在感染COVID-19后死亡率很高。本研究的目的是分析在COVID-19大流行之前和期间巴布亚省十大疾病的死亡人数。本研究采用的研究方法是混合方法。该研究于2020年9月至11月在巴布亚省和查亚普拉县的约瓦里地区医院进行。举报人为省卫生厅厅长和省卫生厅新冠肺炎疫情中心3名负责人。从2020年1月至2020年6月死亡的患者中采集定量样本,即87例死亡病例。使用全抽样技术获得了87人的样本。数据收集技术是二次数据和深度访谈。结果显示,在COVID-19之前和期间,前十大疾病的死亡人数增加了71%。在2019冠状病毒病大流行之前和期间,死亡率上升的原因是对健康和疾病的误解,以及人们去卫生服务迟到的行为。心力衰竭是死亡的主要原因。在查亚普拉县的约瓦里地区医院,在新冠肺炎之前死于前10种疾病的人是26-45岁,即11人(34.4%)。相反,在新冠肺炎大流行时期,46 ~ 65岁的人最多,有18人(32.7%)。宣传和预防工作是当地政府(卫生部)在2019冠状病毒病大流行期间减少十大疾病死亡人数的战略。
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Death Analysis of 10 Major Diseases Before and During COVID-19 Pandemic in Papua Province, Indonesia, 2020
Some of the co-morbidities that may cause death in COVID-19 patients include: hypertension, diabetes, lung disease, heart disease and malaria. People with the disease have a high death rate when they become infected with COVID-19. The aim of this study is to analyze the deaths of the top 10 diseases in the Papua Province prior to and during the COVID-19 pandemic. The research method used in this study is a mix method. The research was conducted in Papua Province and Yowari Regional Hospital, Jayapura Regency, from September to November 2020. The informants were the Head of the Provincial Health Office and three heads of the COVID-19 epicenter of the Health Office. Quantitative samples were taken from patients who died between January 2020 and June 2020, namely 87 cases of death. A sample of 87 people was obtained using a total sampling technique. Data gathering techniques are secondary data and in-depth interviews. The results showed an increase in the number of deaths in the top 10 diseases before and during COVID-19, with an increase of 71 percent. The cause of the increase in death rates before and during the COVID-19 pandemic was due to a misconception of health and illness, as well as to the behavior of people who were late to go to health services. Death from heart failure was the main cause of death. At Yowari Regional Hospital, Jayapura Regency, people who died from the top 10 diseases before COVID-19 were aged 26-45 years, i.e. 11 people (34.4 percent). Meanwhile, the majority were 46-65 years old during the COVID-19 pandemic, i.e. 18 people (32.7 percent). Promotional and preventive efforts are the strategy of the local government (Health Department) to reduce deaths from the top 10 diseases during the COVID-19 pandemic.
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