Psychological distress analysis among nurses during Covid-19 pandemic

Rahmaniyah Dwi Astuti(1*), Ferina Ayu Kusuma Dewi(2), Irwan Iftadi(3),

(1) Sebelas Maret University
(2) Sebelas Maret University
(3) Sebelas Maret University
(*) Corresponding Author
DOI: https://doi.org/10.23917/indigenous.v7i1.16179

Abstract

Abstract. During Covid-19 pandemic, the workload of nurses has become much higher. The condition of Covid-19 cases rate that continues to increase, adaptation to HSE measures and strict procedures to prevent transmission put great pressure on the health workers who are on duty. This study aims to measure the level of psychological distress in the form of stress, depression, and anxiety experienced by nurses at XYZ Hospital in Pemalang, Central Java using DASS 42 measuring instrument. The data analysis was processed using IBM SPSS Statistics 24 application with multiple linear regression method. The population is all nursing staff at XYZ Hospital, totaling 198 people. By using the stratified random sampling technique, a sample of 133 people was obtained consisting of 84 people from non-Covid-19 work units and 49 people from Covid-19 work units. Psychological distress factors are associated with internal factors (gender, age, years of service, education level, level of use of personal protective equipment) and external factors (level of PPE use, limited PPE, no PPE changing room facilities, lack of training, no zoning area, minimal formal psychological support, low social support, inadequate facilities and infrastructure, minimal information on the development of Covid-19, high working hours, fear of infection, chronic illness, trauma because the family has been exposed). The results showed that 75.2% of nurses experienced stress, 51.9% of nurses experienced depression, and 78.2% of nurses experienced anxiety disorders. The foremost vital factor influencing depression is age, anxiety is level of PPE use, and stress is length of time worked.


Keywords: Covid-19 pandemic; DASS-42; nurses; psychological distress; SPSS

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References

Chen, H., Sun, L., Du, Z., Zhao, L., & Wang, L. (2020). A cross-sectional study of mental health status and self-psychological adjustment in nurses who supported Wuhan for fighting against the COVID-19. 11. DOI : https://doi.org/10.1111/jocn.15444

Han, L., Wong, F. K. Y., She, D. L. M., Li, S. Y., Yang, Y. F., dkk. (2020). Anxiety and Depression of Nurses in a North West Province in China During the Period of Novel Coronavirus Pneumonia Outbreak. Journal of Nursing Scholarship : An Official Publication of Sigma Theta Tau International Honor Society of Nursing. https://doi.org/10.1111/jnu.12590

Ikatan Dokter Indonesia (IDI). (2020). Pedoman Standar Perlindungan Dokter di Era COVID-19. Diakses dari http://covid19.go.id/

Kang, L., Ma, S., Chen, M., Yang, J., Wang, Y., dkk. (2020). Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study. Brain, Behavior, and Immunity, March, 1–7. https://doi.org/10.1016/j.bbi.2020.03.028

Keller, R., Riqardetto, R., Vaccarino, P., Maqqioni, M., Iannoccari, G., & Teriaca, M. (2008). Screening Anxious Depressive Symptoms and Pain in Medi-cal Inpatients. Panminevra Medica, 217-220.

Kementerian Kesehatan Republik Indonesia (Kemenkes RI). (2020). Buku Saku Protokol Tatalaksana COVID-19 di Indonesia. Diakses dari http://www.kemkes.go.id/ pada 31 Maret 2021Lancet, The. (2020). COVID-19: protecting health-care workers. Lancet, 395 (10228), 922. DOI: 10.1016/s0140-6736(20)30644-9

Lovibond, S., & Lovibond, P. (1995). Manual for the Depression Anxiety Stress Scale. The Psychology Foundation of Australia Inc.

Mahmood, K., & Ghaffar, A. (2014). The relationship between resilience, psychological distress and subjective well-being among dengue fever survivors. Global Journals Inc. 14(10),13-24.

Maunder, R. G., Lancee, W. J., Rourke, S., Hunter, J. J., Goldbloom, D., dkk. (2004). Factors associated with the psychological impact of severe acute respiratory syndrome on nurses and other hospital workers in Toronto. Psychosomatic Medicine, 66(6), 938–942. https://doi.org/10.1097/01.psy.0000145673.84698.18

Mirowsky, J., & Ross, C. E. (2003). Social causes of psychological distress. New York: Transaction Publishers.

Notoatmodjo, S. (2015). Metodologi Penelitian Kesehatan. Jakarta: Rineka Cipta.

Park, J. S., Lee, E. H., Park, N. R., & Choi, Y. H. (2018). Mental Health of Nurses Working at a Government-designated Hospital During a MERS-CoV Outbreak: A Crosssectional Study. Archives of Psychiatric Nursing, 32(1), 2–6. https://doi.org/10.1016/j.apnu.2017.09.006

Pouralizadeh, M., Bostani, Z., Maroufizadeh, S., Ghanbari, A., Khoshbakht, M., dkk. (2020). Anxiety and Depression and the Related Factors in Nurses of Guilan Univer‐ sity of Medical Sciences Hospitals During COVID-19: A Web-based Cross- Sectional Study. International Journal of Africa Nursing Sciences. https://doi.org/10.1016/j.ijans.2020.100233

Stuart, G. (2013). Buku Saku Keperawatan Jiwa Edisi 5. Jakarta: EGC.

Sugiyono. (2015). Statistika untuk Penelitian. Bandung: Alfabeta.

Utama, T. A., Sukmawati, & Dianty, F. E. (2020). Pengalaman Perawat Dalam Memberikan Asuhan Keperawatan Pada Pasien Terinfeksi Covid-19. Jurnal Ilmu Keperawatan Indonesia (JIKPI),Vol. 1 No.2, pp: 13-19.

World Health Organization (WHO). (2020). Novel Coronavirus QA for Public. World Health Organization, March, 1–6.

Zhan, Y., Zhao, S., Yuan, J., Liu, H., Liu, Y., dkk. (2020). Prevalence and Influencing Factors on Fatigue of First-line Nurses Combating with COVID-19 in China: A Descriptive Cross-Sectional Study. Current Medical Science, 40(4), 625-635. doi: 10.1007/s11596-020-2226-9.

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