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HEALTH PERSONNEL'S ANXIETY LEVEL DURING THE COVID 19








                                                                                                                                                                                                                                                          PANDEMIC: LITERATURE REVIEW






                                                                                                                                                                                                                                   Indra Maulana*1, Iceu Amira DA , Hendrawati , Sukma Senjaya , Hesti Platini                                                                                                                                                                                          5
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                                                                                                                                                                                                                                                                                            Fakultas Keperawatan Universitas Padjadjaran



                                                                                                                                                                                                                                                                                                                          indra.maulana@unpad.ac.id








                                                                                                                                                                                                                                                             No                                 Title (year)                                                                                      Result
             INTRODUCTION                                                                                                                                                                                                                                                                                                                                                                                                                                                              DISCUSSION






                                                                                                                                                                                                                                                               1       Psychological stress among                                                  24.5% suffered from mild anxiety which resulted in

              Health workers as the front line to deal with COVID-19                                                                                                                                                                                                   health care professionals during                                            GAD-7 more than equal to 5, this was higher in the                                                                                    Based on the results of a literature review regarding




              will definitely experience various impacts, especially                                                                                                                                                                                                   the 2019 novel coronavirus                                                  ICU and RM conditions than in other departments.                                                                                      the level of anxiety in health workers, especially

                                                                                                                                                                                                                                                                                                                                                   Scores obtained <5: no anxiety, 5: mild, 10:
                                                                                                                                                                                                                                                                       disease Outbreak: Cases from
              nurses and doctors who interact more often with                                                                                                                                                                                                          online consulting customers                                                 moderate and 15: severe. 23.4% or the mild                                                                                            nurses and doctors from various countries, there are




              COVID-19 patients. Another impact received by health                                                                                                                                                                                                     (2020)                                                                      category, this occurred in community workers who                                                                                      several instruments used including General Anxiety


                                                                                                                                                                                                                                                                                                                                                   experienced the highest anxiety scores from other
              workers apart from exposure to COVID-19 is the                                                                                                                                                                                                                                                                                       groups. With the criteria of no anxiety (score 0-49),                                                                                 Disorder-7 (GAD-7), Zung Self-rating Anxiety Scale




              psychological impact felt by medical personnel who                                                                                                                                                                                                                                                                                   mild anxiety (50-59),                                                                                                                 (ZAS), Self-Rating Anxiety Scale ( SAS), Hospital




              treat COVID-19 patients intensively. This literature                                                                                                                                                                                                                                                                                 moderate anxiety (60-69), and severe anxiety (≥                                                                                       Anxiety and Depression Scale (HADS), Beck Anxiety
                                                                                                                                                                                                                                                                                                                                                   70).


              review was conducted to see the level of health anxiety                                                                                                                                                                                          2       Anxiety and depression and the                                              It was found that 171 nurses did not experience                                                                                       Inventory (BAI), and Adaptation of the Dispositional




              during                           the                  covid-19                                 pandemic.                                      Anxiety                             is              a                                                      related factors in nurses of Guilan anxiety, 153 mild anxiety, 87 moderate anxiety, and                                                                                                                           Cancer Worry Scale (DCWS). Of the several


                                                                                                                                                                                                                                                                       University of Medical Sciences
                                                                                                                                                                                                                                                                                                                                                   84 severe anxiety. The results showed that most of
              psychological disorder that arises because of a form of                                                                                                                                                                                                  hospitals during COVID-19: A                                                them experienced mild anxiety and above because                                                                                       instruments used to measure anxiety levels, the most




              threat from oneself due to feeling uncomfortable,                                                                                                                                                                                                        web-based cross-sectional study                                             they were someone who treated Covid-19 patients                                                                                       widely used is General Anxiety Disorder-7 (GAD-7).




              worried or not realizing it directly. The purpose of this                                                                                                                                                                                                (2020)                                                                      with anxiety about transmission to themselves and                                                                                     Anxiety is a condition that can be experienced by
                                                                                                                                                                                                                                                                                                                                                   their families.


              literature review is to determine the level of anxiety in                                                                                                                                                                                        3       Psychological status of healthcare  Normal (HADS <7) 160 nurses and doctors                                                                                                                                       anyone, namely a psychological disorder that causes




              health workers during covid 19.                                                                                                                                                                                                                          workers during the civil war and                                            (21.5%),                                                                                                                              feelings of discomfort/worry or anxiety whose causes

                                                                                                                                                                                                                                                                       COVID-                                                                      Abnormal borderline (HADS 8–10) 237 nurses and



                                                                                                                                                                                                                                                                       19 pandemic: A cross-sectional                                              doctors (31.8%),                                                                                                                      are not clear or not specific so that it is felt as a form

              METHODS                                                                                                                                                                                                                                                  study                                                                       Abnormal (HADS 11–21) 348 nurses and doctors                                                                                          of threat in itself. In measuring the level of anxiety,



                                                                                                                                                                                                                                                                                                                                                   (46.7%)



                                                                                                                                                                                                                                                               4       Survey of prevalence of anxiety                                             264 doctors (63.2) experienced anxiety                                                                                                the results of this level of anxiety are divided into 3



             The articles used in the preparation of this literature                                                                                                                                                                                                   and depressive                                                              103 nurses (26.4) experienced anxiety                                                                                                 general categories, namely mild anxiety, moderate

                                                                                                                                                                                                                                                                       symptoms among 1124

             review are the results of searches from the Pubmed                                                                                                                                                                                                        healthcare workers during                                                                                                                                                                                         anxiety and severe anxiety..




             and Sciencedirect databases. The keywords used in                                                                                                                                                                                                         the coronavirus disease 2019


                                                                                                                                                                                                                                                                       pandemic across
             the article include the population in the study, nurses,                                                                                                                                                                                                  India                                                                                                                                                                                                                CONCLUTION




             doctors, health workers. Anxiety research interests.                                                                                                                                                                                              5       Anxiety, Depression and                                                     15 (18.3%) people had low anxiety, 8 (9.8%)




             Without doing comparisons and research results                                                                                                                                                                                                            Behavioural Changes in Junior                                               people had moderate to severe anxiety, the rest did                                                                                      Health workers are at high risk for mental illness.

                                                                                                                                                                                                                                                                                                                                                   not experience anxiety
                                                                                                                                                                                                                                                                       Doctors and Medical Students
             anxiety levels. The maximum research year is the last                                                                                                                                                                                                     Associated with the Coronavirus                                                                                                                                                                                      Periodic                              supervision                                        of              health                          workers                              is




             10 years.                                                                                                                                                                                                                                                 Pandemic: A Cross-Sectional                                                                                                                                                                                          necessary. Increased work responsibilities during


                                                                                                                                                                                                                                                                       Survey (2020)


                                                                                                                                                                                                                                                               6       Anxiety and depression in frontline  Of the total doctors, 28 (12.7%) were in the normal                                                                                                                             the                 COVID-19                                      pandemic                                    are                 part                   of              the


              RESULT                                                                                                                                                                                                                                                   health care workers during the                                              category, 6 doctors (9.7%) had mild anxiety and 1                                                                                        preparedness of the health care system.



                                                                                                                                                                                                                                                                                                                                                   doctor (14.3%) had severe anxiety.
                                                                                                                                                                                                                                                                       outbreak of Covid-19.

                                                                                                                                                                                                                                                                       (2020)                                                                                                                                                                                                               Reference


                                                                                                                                                                                                                                                                                                                                                   Meanwhile, of the total nurses, 193 nurses (78.1%)

                  From the results of a literature review, it was found                                                                                                                                                                                                                                                                            were in the normal category, 56 nurses (22.6%)                                                                                           Alenazi, T. H., BinDhim, N. F., Alenazi, M. H., Tamim, H., Almagrabi, R. S., Aljohani, S. M., … Alqahtani, S. A. (2020).




                  that the level of health anxiety, especially doctors and                                                                                                                                                                                                                                                                         experienced mild anxiety, 19 (7.6%) experienced                                                                                          Prevalence and predictors of anxiety among healthcare workers in Saudi Arabia during the COVID-19 pandemic. Journal of
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Infection and Public Health. https://doi.org/10.1016/j.jiph.2020.09.001
                                                                                                                                                                                                                                                                                                                                                   moderate anxiety and 6 nurses (2.1%) experienced
                  was in a mild level of anxiety. This percentage of                                                                                                                                                                                                                                                                               moderate anxiety. severe anxiety.                                                                                                        Antonijevic, J., Binic, I., Zikic, O., Manojlovic, S., Tosic-Golubovic, S., & Popovic, N. (2020). Mental health of medical
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            personnel during the COVID-19 pandemic. Brain and Behavior, (September), 1–9. https://doi.org/10.1002/brb3.1881
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Cascella, M., Rajnik, M., Cuomo, A., Dulebohn, S. C., & Napoli, R. Di. (2020). Features, Evaluation, and Treatment of
                  healthcare professionals scored the highest in any                                                                                                                                                                                           7       Anxiety among doctors during                                                 From 151 doctors, 69 (45.7%) had mild anxiety                                                                                           Coronavirus. StatPearls.


                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Diinah, D., & Rahman, S. (2020). Gambaran Tingkat Kecemasan Perawat Saat Pandemi Covid 19 Di Negara Berkembang
                  professional who experienced a mild second degree                                                                                                                                                                                                    COVID-19 pandemic in secondary  symptoms, 22 (14.6%) had moderate anxiety                                                                                                                                            Dan Negara Maju: a Literatur Review. Dinamika Kesehatan: Jurnal Kebidanan Dan Keperawatan, 11(1), 37–48.

                                                                                                                                                                                                                                                                       and tertiary care hospitals.                                                symptoms and 5 (3.3%) had severe anxiety                                                                                                 https://doi.org/10.33859/dksm.v11i1.555

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Elhadi, M., Msherghi, A., Elgzairi, M., Alhashimi, A., Bouhuwaish, A., Biala, M., … Albakoush, A. (2020). Psychological
                                                                                                                                                                                                                                                                       (2020)                                                                      symptoms, while the remaining 55 (36.4%) have no                                                                                         status of healthcare workers during the civil war and COVID-19 pandemic: A cross-sectional study. Journal of


                                                                                                                                                                                                                                                                                                                                                   anxiety.                                                                                                                                 Psychosomatic Research, 137(August). https://doi.org/10.1016/j.jpsychores.2020.110221

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Elkholy, H., Tawfik, F., Ibrahim, I., Salah El-din, W., Sabry, M., Mohammed, S., … Omar, A. N. (2020). Mental health of

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            frontline healthcare workers exposed to COVID-19 in Egypt: A call for action. International Journal of Social Psychiatry.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            https://doi.org/10.1177/0020764020960192
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Greenberg, N., Docherty, M., Gnanapragasam, S., & Wessely, S. (2020). Managing mental health challenges faced by

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            healthcare workers during covid-19 pandemic Early support. BMJ, 1211(March), 1–4. https://doi.org/10.1136/bmj.m1211

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Gupta, S., Prasad, A. S., Dixit, P. K., Padmakumari, P., Gupta, S., & Abhisheka, K. (2020). Survey of prevalence of anxiety
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            and depressive symptoms among 1124 healthcare workers during the coronavirus disease 2019 pandemic across India.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Medical Journal Armed Forces India, (xxxx). https://doi.org/10.1016/j.mjafi.2020.07.006







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