Analysis of Risk Factors Affecting the Incidence of Covid-19 in Nurses at Dr. Rsup. RSMH

of Hospitals must pay more attention to nurses who are at risk of being exposed to COVID-19, namely nurses who are male and work in red zone areas. Guaranteeing the availability of PPE and monitoring and evaluation of PPE compliance must be routinely carried out by hospital management.


Introduction
Corona virus disease first appeared and becoming endemic in Wuhan, China in December 2019 .1 After that, Corona virus was declared as global pandemic by the World Health Organization (WHO) in March 2020. 2 The Indonesian government declared covid-19 as national disaster in April 2020. 3 The prevalence of Covid-19 cases in the world in mid-September 2020 reached 29,155,581 and 926,544 deaths were recorded. It was spread to 216 countries with Case Fatality Rate until 3.17%. 4 The accumulation of confirmed cases of Covid-19 in Indonesia as of March 5, 2021, at 12.00 p.m., there were 1,368,069 cases, with 1,182,687 recovered and 37,026 died. 3 The incidence of covid-19 both in nurses and the public is influenced by many factors, including the increasing coverage of PCR tests for the community and socio-economic activities that have begun to gradually occur 5 . the weakening of the application of health protocols in the community is also a contributing factor increase in the spread of COVID-19. Hidayani

Discussion
The results of the statistical test showed that there was no effect of age on the incidence of COVID-19 among nurses at RSMH Palembang. shows that men are at risk of getting COVID-19 as much as 1.31 times greater than women. 14 According to Ran L, men are more at risk of COVID 19 due to chromosomal factors and hormonal factors, and women are more protected from COVID-19 than men because they have an X chromosome and sex hormones such as progesterone, which play an important role in innate and adaptive immunity. 9 Men usually leave the house because of the demands of work more often than women, so they are more susceptible to this disease. 6 The results of the statistical test showed that there was an effect of the work area on the incidence of COVID-  10 Ran L research on health workers in China stated that there is a relationship between work areas that perform aerosol action (operating room, infection room, ICU room) with the incidence of covid-19. 9 Zhang also mentioned that nurses who work in isolation rooms carry out direct patient care to meet the daily needs of patients and intervention in treatment programs. 13 Many aerosol treatments, such as suction, oral hygiene, swab sampling and of course intubation are very risky.
Hospitals must pay more attention to the safety of nurses who work in this red zone so that occupational diseases do not occur.
The results of the statistical test showed that there was no effect of less than 5 years of work experience on the incidence of COVID-19 among nurses at RSMH Palembang. This is different from the research of Zhang et al which said that <5 years of work experience had an effect on the risk of COVID-19 in nurses 13 . Experienced nurses are considered more confident in taking action so that the risk of exposure is lower. Bani Issa's research also states that nurses who are inexperienced are at risk of being exposed to covid 19 because they do not have work experience in a covid isolation room. In the pandemic era, many ordinary ward nurses were forced to work or transferred to critical area rooms due to the increasing demand for ICU beds, these new nurses do not have critical nursing experience, so they are more at risk of contracting. 10  Even though there were many confirmed patients in the regular ward. Therefore, as the most influential factor in the occurrence of COVID-19 incidents in hospital nurses, they must ensure the availability of PPE for nurses, such as the ICN recommendation. 8

Conclusion
The risk factors that influence the incidence of