JRSSEM 2022, Vol. 02, No. 5, 831 – 843

E-ISSN: 2807 - 6311, P-ISSN: 2807 - 6494

DOI : 10.36418/jrssem.v2i05.338 https://jrssem.publikasiindonesia.id/index.php/jrssem/index

ANALYSIS OF FACTORS AFFECTING ANXIETY ON

MIDWIFE OFFICERS AT BUNGAH COMMUNITY HEALTH

CENTER DURING COVID-19 PANDEMIC

Achmad Sakhowi Al Awwarij

Abstract: Introduction. Midwives must continue to carry out their duties in checking health of

mothers and children and childbirth during COVID-19 pandemic, This condition makes them feel

anxious. prevalence of anxiety for health workers during a pandemic is 44.7%. This study aims to

analyze influence of factors that influence anxiety in midwives at Bungah Health Center during a

covid-19 pandemic. Method. type of research is an analytic study with a cross-sectional approach.

sample in this study were all midwives at Bungah Health Center as much as 32 respondents.

variables in this study were age, education, knowledge, availability of PPE, and anxiety which were

measured using Hamilton Anxiety Range Scale (HARS) questionnaire, and data were analyzed using

binary logistic regression statistical tests. Result. results showed that 50% of midwives experienced

anxiety. 68.75% of midwives are >35 years old. 84.37% of midwives have 3-years diploma, 59.37%

risk of experiencing anxiety by 0.3 times greater than with poor knowledge.

Keywords: Anxiety, Midwife, Covid 19 Pandemic.

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INTRODUCTION

Covid-19 was first reported at the end of

Health Organization (WHO) estimates that

global deaths from Covid-19 are around

3.4% (Jemes, 2020). Despite the higher

mortality rate among the elderly and

having other illnesses, a cohort study

revealed that 36 COVID-19 survivors in

China identified the most common

symptom as fever (94%), shortness of

breath (58%), fatigue (47%), and cough

(39%) (Haung. 2020).

the Covid-19 virus is increasing day by day.

Various psychological disorders have been

reported and publicized during the Covid-

19 outbreak in China, at individual,

community, national and international

levels. At the individual level, people are

more likely to experience fear of

contracting and experiencing severe or

dying symptoms, feel helpless, and

stereotype others. The pandemic even

causes a psychological crisis (Xiang, 2020).

there were 222 countries infected with

cases of death with a CFR of 2.7%, while

in medical personnel was 647 medical

personnel consisting of 289 doctors, 27

dentists, 211 nurses, 84 midwives, 11

personnel. (IDI. 2021). Meanwhile, data

obtained from the Central Board of the

Indonesian Midwifery Association, there

were around 2,291 midwives who were

confirmed positive for Covid-19 and 22

people died (Supriyatin. 2020)

midwives, work on the front lines to treat

precautions, you can still be at risk of being

exposed to COVID-19 (Aksoy. 2020). Facing

this critical situation, health workers who

are directly involved in the diagnosis,

treatment, and care of patients with COVID-

19 are also at risk of experiencing

psychological distress and other mental

health symptoms. The number of

confirmed and suspected cases is

increasing day by day, increasing

833 | Analysis of Factors Affecting Anxiety on Midwife Officers At Bungah Community Health

health care workers. (Lai. 2020).

The important role of health workers

during a pandemic makes them more

vulnerable to anxiety and stress (Temsah.

2020). Uncertainty about when the

outbreak will end creates negative

emotions. Increased levels of anxiety and

intolerance of uncertainty during the

pandemic are expected to cause many

development of the individual concerned.

Anxiety is related to stress. Therefore,

anxiety arises as a response to stressors,

both physiological and psychological

stress. This means that anxiety occurs when

a person feels threatened both physically

and psychologically (Asmadi. 2008).

Research conducted by Leodoro in the

Philippines stated that out of 325 health

workers, 123 (37.8%) respondents had a

normal limits (Lei. 2020).

Another study found that during the

COVID-19 pandemic the prevalence of

depression, anxiety, and stress-related

symptoms among health workers in China

was found to be 50.7%, 44.7%, and 73.4%,

respectively (Elbay. 2020). But in a study

conducted by Fitria showed that more than

half of respondents (55.2%) did not

experience anxiety, less than half (36.2%) of

respondents experienced mild anxiety and

a small portion (8.6%) of respondents

experienced moderate anxiety. (Fitria.

2020).

Based on the background described

above, the researchers are interested in

examining the analysis of factors that

influence anxiety in midwives at Bungah

Gresik Health Center.

sampling. This research was conducted at

the Bungah Health Center, Gresik Regency

which was carried out during September-

November 2021, the population in this

study were all midwives who served at the

Bungah Gresik Health Center as many as 32

respondents, all of which were taken as

samples. The variables in this study were

age, level of education, level of knowledge,

availability of PPE, and anxiety.

anxiety, tension, fear, sleep disorders,

intelligence disorders, depressive feelings,

somatic symptoms, sensory symptoms,

cardiovascular symptoms, respiratory

symptoms, gastrointestinal symptoms,

urogenital symptoms, autonomic

symptoms and behavior of respondents

during the interview. After the data is

collected, it will be analyzed using binary

logistic regression statistical tests.

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RESULTS AND DISCUSSION

services, MCH, family planning, and

respondents at the Bungah Gresik

Public Health Center, including

obstetric and neonatal services. The

health center during the covid-19

pandemic.

Based on Table 1. it is informed that most of the respondents (68.75%) are >35 years

old.

Education

The following table shows the

distribution of respondents' education

frequency at the Bungah Gresik health

center

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Based on Table 5. it was informed

that half of the respondents (50.00%)

respondents (50.00%) stated that they

were not anxious.

regression test the influence of age,

Center.

knowledge, and availability of PPE for midwives' anxiety at the Bungah Gresik Public

Health Center.

837 | Analysis of Factors Affecting Anxiety on Midwife Officers At Bungah Community Health

of the Republic of Indonesia (2009),

age is categorized into several groups,

namely 1) toddlerhood (0-5 years), 2)

childhood (5-11 years), 3) early

adolescence (12-16 years), 4) late

adolescence (17-25 years), 5) early

adulthood (26-35 years), 6) late

adulthood (36-45 years), 7) old age

early (46-55 years), 8) late old age (56-

of midwives at the Bungah Health

Center during the COVID-19 pandemic

were in the early adult category.

Age status influences the level of

anxiety. As you get older, your

reasoning and knowledge increase. A

person's maturity level is one of the

factors that can affect the level of

anxiety where mature individuals have

great adaptability to emerging

age is more likely to experience anxiety

disorders than someone who is older.

Education

Table 2 explains that almost all of

the midwives as much as 84.37% have

a Diploma 3 education, and midwives

who have a Bachelor/Diploma 4

education level are 15.62%.

Education is the influence of the

environment on individuals to produce

permanent changes in behavior habits,

thoughts, and traits. According to

Stuart (2007). The level of individual

education affects the ability to think,

the higher the level of education, the

easier it is for individuals to think

rationally and capture new information

so that low levels of education are easy

to experience anxiety because higher

level are 40.62%.

Knowledge is the result of human

sensing or the result of someone

knowing about an object through the

five senses possessed. According to

Stuart (2007). The level of knowledge

that a person has will be able to reduce

feelings of anxiety experienced in

perceiving something. With one's

knowledge, an individual can help

medical officers who are on the front

lines of patient care. Personal

protective equipment is a tool that is

able to provide protection against

danger, personal protective equipment

must be able to protect the wearer

from possible dangers.

Table 4 explains that the availability

of PPE at the Bungah Public Health

Center was 68.75%, while 31.25% of

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PPE at the Bungah Health Center was

Covid-19 virus because they are at the

maternal and child health services and

carry out direct neonatal services

which make midwives have direct

contact with patients. . Therefore, the

availability of PPE must be complete

and in accordance with the

predetermined protocol so that the

anxiety experienced is reduced.

2. Anxiety Analysis

threatening situation, usually arising

experiences. Anxiety disorders are the

most common mental disorders,

anxiety can be understood as a

pathological part of normal fear

(Adwas. 2019).

The COVID-19 pandemic has

become a health problem that has a

major impact on individuals and

community groups. Health workers are

a group that is vulnerable to being

pregnant women, this allows midwives

to be directly exposed.

experienced anxiety while the other

demands of their work which have to

deal directly with patients when

providing primary care, and there is an

incomplete PPE available at health

services in the village. Symptoms of

anxiety experienced by midwives are

feeling tense, having trouble sleeping,

feeling excessive fear,

Edni's research. 2020. Those using

the GAD 7 (Generalized Anxiety

most respondents do not experience

mild anxiety with the number of

respondents being 65.2% (Fadli. 2020).

Another study conducted by Askoy

on the Psychological Effects of Nurses

and Midwives due to the Covid-19

outbreak in Turkey in 2020, stated that

midwives had a fairly high level of

anxiety with a percentage of 36.3%

while anxiety and fear each had a

percentage of 31.3% and 19.4%. The

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measures taken to Covid-19 patients

(Tosun. 2021).

3. Analysis of the influence of age,

education, knowledge and availability

of PPE on Anxiety

Of the four factors that have a

significant influence on the anxiety of

midwives at the Bungah Gresik Public

The results of this study indicate

that there is a significant influence

between age on the anxiety of

midwives at the Bungah Health Center,

with a p-value (0.000) and an OR value

of 1.877, which means that midwives

with age <35 years have more

influence on anxiety by 187.7%. This is

because someone who has an easier

age is more likely to experience anxiety

(39.1%) and >30 years (26.1%)

experience anxiety. Another study

revealed that there was an effect of late

adulthood on coping mechanisms with

anxiety with a p-value (0.005)

(Puspanegara. 2019). In a study

conducted by Cai (2020). Stating that

anxiety in medical personnel aged 31-

40 years is relatively high, this is

because medical personnel is worried

that they will transmit the disease to

their families at home.

The results of this study indicate

that there is a significant influence

between knowledge on the anxiety of

midwives at the Bungah Health Center,

with a p-value (0.042) and an OR value

of 0.306, which means that midwives

who have good knowledge affect

the possibility of anxiety occurring.

Research conducted by Sögüt

(2020). The level of knowledge does

not have a significant effect on the

anxiety of the midwife. With a p-value

(0.48). Meanwhile, research was

conducted by Fadli (2020). Stating that

there is a significant effect between

knowledge on the anxiety of health

workers with a p-value (0.030) with a

were obtained in a study conducted by

Lei (2020). There is a significant effect

between the level of knowledge on the

anxiety of radiology officers during the

covid-19 pandemic with the p-value

(0.049).

The level of knowledge that a

person has will be able to reduce

feelings of anxiety experienced in

perceiving something. With one's