Factors Associated with Anxiety among Nurses and Midwives during the Covid-19 Pandemic in the Emergency Unit and Polyclinic of the Mangusada Regional Hospital, Badung Regency

Abstract

ABSTRACT Introduction: The Covid-19 pandemic has had a wide impact on society, including healthcare workers on the frontline dealing with Covid-19. The large number of healthcare workers who have been exposed to and died due to Covid-19 causes anxiety for both nurses and midwives who work in hospitals. Objective: This study aimed to assess the factors associated with anxiety among nurses and midwives in the emergency unit and outpatient department of Mangusada Regional Hospital. Methods: This study used a cross-sectional design involving 95 samples consisting of nurses and midwives working in the emergency unit and the outpatient department of Mangusada Regional Hospital which was selected using a total sampling technique. Data were collected using a questionnaire developed by the researchers. Furthermore, data collection was done online using a Google form that has been shared with respondents. Furthermore, the data were analyzed using univariate, bivariate, and multivariate analysis. Results:  Of the total 95 respondents, 21 (22.1%) respondents experienced anxiety. Furthermore, multivariate analysis found that family history of exposure to Covid-19 (AOR: 19.39), history of comorbidities (AOR: 10.73), and support from family, colleagues, and superiors (AOR: 7.87) were significantly associated with anxiety among nurses and midwives during the Covid-19 pandemic. Conclusion: Hospital management needs to pay special attention to minimizing the anxiety experienced by nurses and midwives during the Covid-19 pandemic through the provision of social support from family, colleagues, and superiors.  ABSTRAK Latar Belakang: Pandemi Covid-19 berdampak luas bagi masyarakat termasuk bagi tenaga kesehatan yang menjadi garda terdepan dalam penanggulangan Covid-19. Banyaknya tenaga kesehatan yang terpapar dan meninggal akibat Covid-19 menimbulkan kecemasan baik bagi perawat maupun bidan yang bekerja di rumah sakit. Tujuan: Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan kecemasan perawat Instalasi Gawat Darurat (IGD) dan Poliklinik di Rumah Sakit Daerah (RSD) Mangusada. Metode: Penelitian ini menggunakan desain cross-sectional yang melibatkan 95 sampel yang terdiri dari perawat dan bidan yang bekerja di IGD dan Poliklinik RSD Mangusada yang dipilih menggunakan tehnik total sampling. Data dikumpulkan menggunakan kuisioner yang dikembangkan oleh peneliti. Selanjutnya pengumpulan data dilakukan secara online menggunakan Google form yang disebarkan ke responden. Lebih lanjut, data dianalisis menggunakan analisis univariate, bivariate dan multivariate. Hasil: Dari total 95 responden, 21 (22,1%) responden mengalami kecemasan. Selanjutnya, analisis multivariate menemukan bahwa riwayat keluarga terpapar Covid-19 (AOR: 19,39), riwayat komorbid (AOR: 10,73) dan dukungan keluarga, teman sejawat serta atasan (AOR: 7,87) secara signifikan berhubungan dengan kecemasan perawat dan bidan selama pandemi Covid-19. Kesimpulan: Manajemen rumah sakit perlu memberikan perhatian untuk meminimalisir kecemasan yang dialami oleh perawat dan bidan selama masa pandemic Covid-19 melalui pemberian dukungan sosial yang dapat berasal dari keluarga, teman sejawat dan atasan.   Kata Kunci: Covid-19, kecemasan, perawat dan bidan, Rumah Sakit Daerah Mangusada