Social Support and Anxiety Levels of Pregnant Women During The COVID-19 Pandemic

  • Mina Santi Poltekkes Kemenkes Yogyakarta
  • Cici Nur Treviana Dewi Poltekkes Kemenkes Yogyakarta
  • Yuliasti Eka Purnamaningrum
Keywords: Anxiety; Coronavirus anxiety scale; COVID-19; Pregnant woman; Scial support

Abstract

The COVID-19 pandemic was a global health emergency that caused anxiety, including for pregnant women. In Ireland, clinical anxiety for pregnant women during the Covid-19 pandemic reached 63.4-66.7%. Anxiety in pregnant women increases the hormone cortisol, which suppresses the immune system and increases blood sugar levels, resulting in low birth weight (LBW) babies and delayed fetal growth. Social support influences anxiety in pregnant women. The research aims to determine the relationship between social support and anxiety among pregnant women during the COVID-19 pandemic. The research method is a quantitative survey with a cross-sectional approach. Using a purposive sampling technique, the sample was 397 pregnant women in the Special Region of Yogyakarta Province. Data were collected using the Corona Anxiety Scale questionnaire and social support questionnaire. Data analysis used the Somer's d Gamma test. The results show that the majority of respondents live in Kulonprogo Regency (35.5%), graduated from high school/vocational school (53.7%), do not work (51.9%), family income is the Provincial Minimum Wage and above (70 .3%) and primigravida (63%). Mothers with low social support experienced more anxiety (66.7%). Variables related to anxiety in pregnant women are employment (p-value= 0.024), family income (p-value= 0.023), parity (p-value= 0.024), and social support (p-value= 0.023). The unrelated variable is education (p-value= 0.693). There is a relationship between social support and anxiety among pregnant women during the COVID-19 pandemic. Anxiety is more experienced in pregnant women with low social support. Community health centers as primary healthcare facilities should facilitate access to mental health services by developing clinical teleconsultation and increasing public knowledge about the importance of social support to prevent anxiety.

References

1. World Health Organization (WHO), UNICEF, UNFPA, World Bank Group. Trends in Maternal Mortality: 2000 to 2017. 2019. Available from: https://www.who.int/reproductivehealth/publications/maternal-mortality-2000-2017/en/.
2. Kementerian Kesehatan Republik Indonesia. Profil Kesehatan Indonesia Tahun 2019. Jakarta; 2020. Retrieve from: https://pusdatin.kemkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-indonesia-2019.pdf.
3. Dinas Kesehatan Provinsi Daerah Istimewa Yogyakarta. Profil Kesehatan Daerah Istimewa Yogyakarta Tahun 2018. Yogyakarta; 2019. Retrieve from: https://www.dinkes.jogjaprov.go.id/download/download/27.
4. Wawo BAM. Perawatan Ansietas pada Pasien Gangguan Fisik Menggunakan Pendekatan Model Adaptasi Stress Stuart di RW 11 dan 13 Kelurahan Ciparigi Bogor Utara. Tugas Akhir. 2017. Available from: http://lib.ui.ac.id/abstrakpdf?id=20460608&lokasi=lokal.
5. Mardjan. Pengaruh Kecemasan pada Kehamilan Primipara Remaja. Abrori Institute. 2016.
6. Perhimpunan Dokter Paru Indonesia. Diagnosis dan Penatalaksanaan Pneumonia COVID-19 di Indonesia. 2020.
7. Yue C, Liu C, Wang J, Zhang M, Wu H, Li C, Yang X. Association between social support and anxiety among pregnant women in the third trimester during the coronavirus disease 2019 (COVID-19) epidemic in Qingdao, China: The mediating effect of risk perception. International Journal of Social Psychiatry. 2020:1-8. https://doi.org/10.1177/0020764020941567.
8. Latifah L. (2017). Hubungan Dukungan Keluarga terhadap Kecemasan Ibu Hamil Prigmigravida Trimester III di Wilayah Kerja Puskesmas Pandian, Sumenep. Jurnal Ilmiah Kebidanan (Scientific Journal of Midwifery). 2017; 3(1):1-10. https://journal.stikespemkabjombang.ac.id/index.php/jikeb/article/view/42.
9. Moulina V, Hermaleni T. Hubungan Dukungan Sosial dengan Kecemasan pada Ibu yang Menghadapi Kelahiran Anak Pertama. Jurnal Riset Psikologi, 2018; (4). http://dx.doi.org/10.24036/jrp.v2018i4.4214.
10. Kementerian Kesehatan Republik Indonesia. Pedoman bagi Ibu Hamil, Ibu Nifas dan Bayi Baru Lahir selama COVID-19 selama Social Distancing. Jakarta; 2020.
11. Prawirohardjo S. Buku Ilmu Kebidanan. Depok: PT Bina Pustaka. 2014.
12. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment. 1988; 52(1):30-41 https://doi.org/10.1207/s15327752jpa5201_2.
13. Lee SA. Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety. Death Studies. 2020;44(7):393-401. https://doi.org/10.1080/07481187.2020.1748481.
14. Sulistyawati A. Asuhan Kebidanan pada Masa Kehamilan. Jakarta: Salemba Medika. 2011.
15. Heriani. Kecemasan dalam Menjelang Persalinan Ditinjau dari Paritas, Usia, dan Tingkat Pendidikan. Jurnal Aisyah: Jurnal Ilmu Kesehatan. 2016;1(2):1-7. https://doi.org/10.30604/jika.v1i2.14.
16. Setyaningrum RF, Maryanto S, Sukarno. Hubungan Usia Ibu Primigravida dengan Tingkat Kecemasan Ibu Hamil dalam Menghadapi Persalinan di Wilayah Kerja Puskesmas Pembantu Kandangan Bawen. Stikes Ngudi Waluyo. 2013:1-10.
17. Yasin Z, Sumarni S, Mardiana ND. Hubungan Usia Ibu dan Usia Kehamilan dengan Kecemasan Ibu Hamil dalam Menghadapi Persalinan di Polindes Masaran Kecamatan Bluto. 1st Prosiding Seminar Nasional Fakultas Ilmu Kesehatan Universitas Muhammadiyah Ponorogo. 2019. http://seminar.umpo.ac.id/index.php/SNFIK2019/article/view/375.
18. Rinata E, Andayani GA. Karakteristik Ibu Usia, Paritas, Pendidikan dan Dukungan Keluarga dengan Kecemasan Ibu Hamil Trimester III. Medisains: Jurnal Ilmiah Ilmu-Ilmu Kesehatan. 2018;16(1):14-20. http://dx.doi.org/10.30595/medisains.v16i1.2063.
19. Hawari D. Manajemen Stress Cemas dan Depresi. Jakarta: Balai Penerbit FKUI. 2016.
20. Yainanik. Usia, Tingkat Pendidikan dan Pengetahuan Antenatal Care Ibu Primigravida dalam Kecemasan Menghadapi Persalinan. Thesis. Fakultas Psikologi Universitas Muhammadiyah Surakarta. 2017.
21. Sukaedah E, Fadilah L. Hubungan Tingkat Pendidikan dan Dukungan Suami dengan Tingkat Kecemasan Ibu Primigravida Trimester III. Jurnal Medikes: Media Informasi Kesehatan. 2016;3(1):56-62. https://doi.org/10.36743/medikes.v3i1.152.
22. Zamriati WO, Hutagaol E, Wowiling F. Faktor-Faktor yang Berhubungan dengan Kecemasan Ibu Hamil Menjelang Persalinan di Poli KIA PKM Tuminting. ejournal Keperawatan (e-kp). 2013;1(1):1-7. https://ejournal.unsrat.ac.id/index.php/jkp/article/view/2249.
23. Iswari I. Faktor-faktor yang Berhubungan dengan Tingkat Kecemasan Ibu Hamil Trimester III dalam Menghadapi Persalinan di Puskesmas Gamping II Sleman Yogyakarta. 2018.
24. Said N, Kanine E, Bidjuni H. Hubungan Faktor Sosial Ekonomi dengan Kecemasan Ibu Primigravida di Puskesmas Tuminting. ejournal Keperawatan (e-kp). 2015;3(2):1-8. https://ejournal.unsrat.ac.id/index.php/jkp/article/download/8143/7703.
25. Lexshimi R, Hassan H, Rohadi M, Zulkifli S. A Study on Anxiety and Depression Level among High Risk Inpatient Pregnant Women in an Obstetric Ward. Medicine & Health. 2007;2(1):34-41.
26. Sagestrano LM, Feldman P, Rini CK, Woo G, Dunkel-Schetter C. Ethnicity and Social Support during Pregnancy. American Journal of Community Psychology. 1999;27(6):869-898. doi:10.1023/a:1022266726892.
27. Ibrahim AS. Panik Neurosis dan Gangguan Cemas. 1st Edition. Jelajah Nusa. 2012.
28. Dewi R, Prima. Rahasia Kehamilan. Yogyakarta: Shira Medika. 2008.
29. Agung IM. (2020). Memahami Pandemi COVID-19 dalam Perspektif Psikologi Sosial. Psiko Buletin. 2020;1(2):68-84. http://dx.doi.org/10.24014/pib.v1i2.9616.
30. Septianingrum Y, Hatmanti NM, Fitriasari A. Correlation between Anxiety and Breast Milk Production among Breastfeeding Mothers in Public Health Center of Jagir, Surabaya. Nurse and Health: Jurnal Keperawatan. 2020;9(1):50-56. https://doi.org/10.36720/nhjk.v9i1.151.
31. Santi MY. Implementasi Kebijakan Pemberian Air Susu Ibu Eksklusif melalui Konseling oleh Bidan Konselor. Kesmas Jurnal Kesehatan Masyarakat Nasional. 2014;8(8):346-352. http://dx.doi.org/10.21109/kesmas.v8i8.403.
32. Santi MY. Upaya Peningkatan Cakupan ASI Eksklusif dan Inisiasi Menyusu Dini (IMD). Jurnal Kesmas Indonesia. 2017;9(1): 78-90. http://jos.unsoed.ac.id/index.php/kesmasindo/article/download/230/199/.
33. Lebel C, Mackinnon A, Bagshawe M, Tomfohr-Madsen L, Giesbrecht G. Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic. Journal of Affective Disorders. 2020;277:5-13. https://doi.org/10.1016/j.jad.2020.07.126.
34. Taylor S. The Psychology of Pandemics: Preparing for the Next Global Outbreak of Infectious Disease. Newcatle: Cambridge Scholar Publishing. 2019.
35. Hessami K, Romanelli C, Chiurazzi M, Cozzolino M. COVID-19 pandemic and maternal mental health: a systematic review and meta-analysis. Journal of Maternal-fetal and Neonatal Medicine. 2020;1(1):1-8. https://doi.org/10.1080/14767058.2020.1843155.
36. Zhang H, Ye Z, Tang L, Zou P, Du C, Shao J, Wang X, Chen D, Qiao G, Mu SY. (2020). Anxiety symptoms and burnout among Chinese medical staff of intensive care unit: the moderating effect of social support. BMC Psychiatry. 2020;20(197):1-7. https://doi.org/10.1186/s12888-020-02603-2.
Published
2023-10-31
How to Cite
1.
Santi M, Dewi CNT, Purnamaningrum YE. Social Support and Anxiety Levels of Pregnant Women During The COVID-19 Pandemic. woh [Internet]. 2023Oct.31 [cited 2024Nov.14];:365-77. Available from: http://103.133.36.92/index.php/woh/article/view/228
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