Tesis

PENGARUH PANDEMI COVID-19 TERHADAP GANGGUAN CEMAS PADA PEKERJA RUMAH SAKIT DI RUMAH SAKIT X BALIKPAPAN = The Effect of COVID-19 Pandemic on Anxiety Disorders Among Workers in a Hospital in Balikpapan, East Kalimantan.

Pendahuluan : Saat pandemi COVID-19 berlangsung secara global, petugas kesehatan menunjukkan tingkat prevalensi gangguan cemas yang lebih tinggi dibandingkan petugas non-kesehatan. Gangguan cemas yang menetap dapat menjadi gangguan cemas menyeluruh, dan yang mengalami gangguan cemas menyeluruh memiliki potensi sebesar 25% untuk menjadi gangguan depresi berat. Tujuan : Penelitian ini dilakukan untuk mengetahui kondisi gangguan cemas serta faktor risiko yang berhubungan pada pekerja di Rumah Sakit X Balikpapan selama pandemi COVID-19 berlangsung. Metode : Desain penelitian merupakan studi analisis deskriptif analitik dengan menggunakan desain potong lintang yang melibatkan 279 responden pekerja Rumah Sakit X di Indonesia. Penelitian menggunakan SPSS versi 20.0, dengan uji tes chi 2 dan Fisher’s Exect test, untuk uji bivariat, dan uji regresi logistik dengan metode enter untuk analisis multivariat. Hasil : Didapatkan hasil skoring dari GAD-7 bahwa 87.5% tidak memiliki gangguan cemas, 10.8% gangguna cemas ringan, 1.4% gangguan cemas sedang dan 0.4% gangguan cemas berat pada pekerja di RSX. Ditemukan pengaruh yang signifikan terhadap prevalensi gangguan cemas pada pekerja kesehatan p=0.001 dan aOR 4.8 (1.912.3), yang berada di area risiko tinggi transmisi COVID-19 p=0.04 dan aOR 5.1 (1.0-24.2), dan pekerja yang dikarantina p=0.001 dan aOR 10.5 (2.6-42.3) setelah memperhitungkan variabel usia dan jenis kelamin. Kesimpulan: Terdapat hubungan yang bermakna terhadap risiko terjadinya gangguan cemas pada pekerja Rumah Sakit X Balikpapan dengan faktor risiko jenis pekerjaan merupakan tenaga kesehatan, berada di area kerja dengan risiko transmisi COVID-19 tinggi, dan pekerja yang dikarantina karena merawat pasien COVID-19.
Kata kunci : Gangguan cemas; pekerja Rumah Sakit; COVID-19, GAD-7


Introduction: During the global COVID-19 pandemic, health workers were found to have a higher prevalence of anxiety disorder compared to non-health worker. Anxiety disorder that occur chronically have a 25% chance to become a major depression disorder. Objective: The aim of this study is to understand the anxiety condition and risk factors that are related, among Balikpapan Hospital X workers during the COVID-19 pandemic. Method: The design of this research used a cross sectional method that involved 279 respondents who are Balikpapan Hospital X workers. The study used SPSS version 20.0, using the chi square and Fisher’s Exact test for the bivariat analysis, and the logistic regression with enter method for the multivariate analysis. Result: The study shows that, using the GAD-7 (General Anxiety Disorder) questionnaire from 279 hospital workers, there were 10.8% with mild-, 1.45% with moderate-, and 0.4% with severe anxiety disorder. A significant relation was found between anxiety disorder and risk factors such as: being a health worker with p=0.001 and a 4.8 ORadj (95% C.I: 1.9-12.3), working in high risk of transmitting COVID-19 area with p=0.04 and a 5.1 ORadj (95% C.I.: 1.0-24.2), and workers who are being quarantined with p=0.001 a 10.5 ORadj (2.6-42.3) after being adjusted by age and gender variables. Conclusion: Significant relations were found between anxiety disorder among Hospital X workers with risk factors such as: health workers, working in high risk of transmitting COVID-19 area, and workers that are being quarantined. Researcher strongly advice health providers to do regular monitoring and seek moral support especially for workers who have higher risk of anxiety disorder
Key words: Anxiety disorder, Hospital Workers, COVID-19, GAD-7