Gambaran Faktor yang Mempengaruhi Kesehatan Mental Perawat pada Masa Pandemi Covid-19: Literatur Review

  • Nurfadillah Sabir Universitas Hasanuddin
  • Rosyidah Arafat Rosyidah Arafat
  • Saldy Yusuf Universitas Hasanuddin
Keywords: covid-19, mental health, mers, nursing, sars

Abstract

Seiring dengan bertambahnya kasus terkonfirmasi COVID-19 menjadi tantangan besar bagi staf medis terkhusus perawat sebagai garda terdepan dalam penanganan pasien COVID-19, hal ini menjadikan perawat cenderung lebih berisiko menimbulkan masalah kesehatan mental. Sehingga penelitian ini bertujuan untuk mengetahui gambaran faktor-faktor yang mempengaruhi masalah kesehatan mental yang dialami perawat pada masa pandemi COVID-19. Studi ini merupakan literatur review yang dianalisa dengan menggunakan PI(E)O dengan mengidentifikasi artikel-artikel ilmiah cross-sectional study yang diterbitkan dari tahun 2002-2020, berbahasa inggris dan full text. Database yang digunakan yaitu PubMed, Wiley, Science Direct dan Google Scholar dengan total artikel 2805 teridentifikasi dengan menggunakan kata kunci Nursing OR Nurses AND COVID-19 OR Coronavirus AND MERS OR Middle East Respiratory Syndrome AND SARS OR Severe Acute Respiratory Syndrome AND mental health OR Anxiety OR Depresi OR stress AND Factor OR Influencing. Hasil studi didapatkan 7 artikel yang membahas faktor-faktor yang mempengaruhi masalah kesehatan mental perawat di masa pandemic COVID-19, diantaranya faktor personal meliputi usia, jenis kelamin seorang wanita, sudah menikah, memiliki anak, memiliki orang tua yang berumur lansia, berprofesi sebagai seorang perawat dan bekerja di tempat yang berisiko tinggi. Sedangkan, faktor situasional yang mempengrauhi kesehatan mental, diantaranya risiko paparan, dukungan social, APD, stigma dan beban kerja. Kesehatan mental perawat sebagai frontline dimasa pandemic menjadi sangat penting untuk diperhatikan, oleh sebab itu meminimalkan faktor-faktor situasional dapat menurunkan tingkat atau gejala kesehatan mental perawat.

References

Bai, Y. M., Lin, C. C., Lin, C. Y., Chen, J. Y., Chue, C. M., & Chou, P. (2004). Survey of stress reactions among health care workers involved with the SARS outbreak. Psychiatric Services, 55(9), 1055–1057. https://doi.org/10.1176/appi.ps.55.9.1055
Bao, Y., Sun, Y., Meng, S., Shi, J., & Lu, L. (2020). 2019-nCoV epidemic: address mental health care to empower society. The Lancet, 6736(20), 2019–2020. https://doi.org/10.1016/S0140-6736(20)30309-3
Cai, H., Tu, B., Ma, J., Chen, L., Fu, L., Jiang, Y., & Zhuang, Q. (2020). Psychological Impact and Coping Strategies of Frontline Medical Staff in Hunan Between January and March 2020 During the Outbreak of Coronavirus Disease 2019 (COVID‑19) in Hubei, China. Medical Science Monitor : International Medical Journal of Experimental and Clinical Research, 26, e924171. https://doi.org/10.12659/MSM.924171
Chekole, Y. A., Yimer, S., Mekuriaw, B., & Mekonnen, S. (2020). Prevalence and risk factors of perceived stress on COVID-19 among health care providers in Dilla Town Health institutions , Southern Ethiopia : A cross- sectional study. Research Square, 1–15.
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. https://doi.org/10.1111/jocn.15444
Chew, N. W. S., Lee, G. K. H., Tan, B. Y. Q., Jing, M., Goh, Y., Ngiam, N. J. H., Yeo, L. L. L., Ahmad, A., Ahmed Khan, F., Napolean Shanmugam, G., Sharma, A. K., Komalkumar, R. N., Meenakshi, P. V., Shah, K., Patel, B., Chan, B. P. L., Sunny, S., Chandra, B., Ong, J. J. Y., … Sharma, V. K. (2020). A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain, Behavior, and Immunity, April, 0–1. https://doi.org/10.1016/j.bbi.2020.04.049
Dai, Y., Hu, G., Xiong, H., Qiu, H., Yuan, X., Yuan, X., Hospital, T., Avenue, J. F., Qiu, H., & Hospital, T. (2020). Psychological impact of the coronavirus disease 2019 (COVID-19) outbreak on healthcare workers in China. 2019(1095).
Eriksen, M. B., & Frandsen, T. F. (2018). The impact of patient , intervention , comparison , outcome (PICO) as a search strategy tool on literature search quality : a systematic review. Journal of the Medical Library Association, 106(October), 420–431.
Han, L., Wong, F. K. Y., She, D. L. M., Li, S. Y., Yang, Y. F., Jiang, M. Y., Ruan, Y., Su, Q., Ma, Y., & Chung, L. Y. F. (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
Kang, L., Li, Y., Hu, S., Chen, M., Yang, C., Yang, B. X., Wang, Y., Hu, J., Lai, J., Ma, X., Chen, J., Guan, L., Wang, G., Ma, H., & Liu, Z. (2020). The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. The Lancet Psychiatry, 7(3), e14. https://doi.org/10.1016/S2215-0366(20)30047-X
Kang, L., Ma, S., Chen, M., Yang, J., Wang, Y., Li, R., Yao, L., Bai, H., Cai, Z., Xiang Yang, B., Hu, S., Zhang, K., Wang, G., Ma, C., & Liu, Z. (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
Kementrian Kesehatan Republik Indonesia (Kemenkes RI). (2020). Situasi Terkini Perkembangan Novel Coronavirus (COVID-19).
Khanal, P., Devkota, N., Dahal, M., Paudel, K., & Joshi, D. (2020). Mental health impacts among health workers during COVID-19 in a low resource setting : a cross- sectional survey from Nepal. Research Square, 1–27. https://doi.org/10.21203/rs.3.rs-40089/v1
Kim, J. S., & Choi, J. S. (2016). Factors Influencing Emergency Nurses’ Burnout During an Outbreak of Middle East Respiratory Syndrome Coronavirus in Korea. Asian Nursing Research, 10(4), 295–299. https://doi.org/10.1016/j.anr.2016.10.002
Koksal, E., Dost, B., Terzi, Ö., Ustun, Y. B., Özdin, S., & Bilgin, S. (2020). Evaluation of depression and anxiety levels and related factors among operating theatre workers during the novel Coronavirus (COVID-19) pandemic. Journal of PeriAnesthesia Nursing. https://doi.org/10.1016/j.jopan.2020.06.017
Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., Wu, J., Du, H., Chen, T., Li, R., Tan, H., Kang, L., Yao, L., Huang, M., Wang, H., Wang, G., Liu, Z., & Hu, S. (2020). Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Network Open, 3(3), 1–12. https://doi.org/10.1001/jamanetworkopen.2020.3976
Lazarus, R. S., & Folkman, S. (1984). Stress, Appraisal, and Coping. Springer Publishing Company.
Lee, N., Hui, D., Wu, A., Chan, P., Cameron, P., Joynt, G. M., Ahuja, A., Yung, M. Y., Leung, To, K. F., Lui, S. F., Szeto, C. C., Chung, S., & Sung, J. J. Y. (2003). A Major Outbreak of Severe Acute Respiratory Syndrome in Hong Kong. The New England Journal of Medicine Original, 348(20), 1986–1984. https://doi.org/10.2214/ajr.181.1.1810011
Lee, S. M., Kang, W. S., Cho, A. R., Kim, T., & Park, J. K. (2018). Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Comprehensive Psychiatry, 87, 123–127. https://doi.org/10.1016/j.comppsych.2018.10.003
Li, Q., Guan, X., Wu, P., Wang, X., Zhou, L., Tong, Y., Ren, R., Leung, K. S. M., Lau, E. H. Y., Wong, J. Y., Xing, X., Xiang, N., Wu, Y., Li, C., Chen, Q., Li, D., Liu, T., Zhao, J., Liu, M., … Feng, Z. (2020). Early Transmission Dynamics in Wuhan, China, of Novel Coronavirus-Infected Pneumonia. The New England Journal of Medicine, 382(13), 1199–1207. https://doi.org/10.1056/NEJMoa2001316
Liu, C.-Y., Yang, Y., Zhang, X.-M., Xu, X., Dou, Q.-L., Zhang, W.-W., & Cheng, A. S. (2020). The prevalence and influencing factors in anxiety in medical workers fighting COVID-19 in China: A cross-sectional survey. Epidemiology & Infection, May 2020. https://doi.org/10.1017/S0950268820001107.Epidemiology
Liu, Y., Liu, X., Gao, B., Li, C., & Liang, X. (2019). Mental distress among frontline healthcare workers outside the central epidemic area during the novel coronavirus disease ( COVID-19 ) outbreak in China : A cross-sectional study. Research Square, 1–15.
Lu, W., Wang, H., Lin, Y., & Li, L. (2020). Psychological status of medical workforce during the COVID-19 pandemic : A cross-sectional study. Psychiatry Research Journal, 288(April), 1–5. https://doi.org/10.1016/j.psychres.2020.112936
Maunder, R. G., Lancee, W. J., Rourke, S., Hunter, J. J., Goldbloom, D., Balderson, K., Petryshen, P., Steinberg, R., Wasylenki, D., Koh, D., & Fones, C. S. L. (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
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 Cross-sectional 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., Alavi, S. A., & Ashrafi, S. (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
Qiu, J., Shen, B., Zhao, M., Wang, Z., Xie, B., & Xu, Y. (2020). A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: Implications and policy recommendations. General Psychiatry, 33(2), 1–4. https://doi.org/10.1136/gpsych-2020-100213
Shanafelt, T., Ripp, J., & Trockel, M. (2020). Understanding and Addressing Sources of Anxiety among Health Care Professionals during the COVID-19 Pandemic. JAMA - Journal of the American Medical Association, 323(21), 2133–2134. https://doi.org/10.1001/jama.2020.5893
Song, X., Fu, W., Liu, X., Luo, Z., Wang, R., Zhou, N., Yan, S., & Lv, C. (2020). Mental health status of medical staff in emergency departments during the Coronavirus disease 2019 epidemic in China. Brain, Behavior, and Immunity, June, 0–1. https://doi.org/10.1016/j.bbi.2020.06.002
Sun, H., Lu, M., Chen, S., Cheng, Z., Xiong, Y., & Wang, X. (2020). Nosocomial SARS-CoV-2 infection among nurses in Wuhan from a single center. The Journal of Infection, xxxx, 13–14. https://doi.org/10.1016/j.jinf.2020.03.036
Tam, C. W. C., Pang, E. P. F., Lam, L. C. W., & Chiu, H. F. K. (2004). Severe acute respiratory syndrome (SARS) in Hongkong in 2003: Stress and psychological impact among frontline healthcare workers. Psychological Medicine, 34(7), 1197–1204. https://doi.org/10.1017/S0033291704002247
Varia, M., Wilson, S., Sarwal, S., Mcgeer, A., Gournis, E., & Galanis, E. (2003). Investigation of a Nosocomial Outbreak of SARS in Toronto Canada. Canadian Medical Association Journal, 169(4), 285–292.
Wang, Y.-X., Guo, H.-T., Du, X.-W., Song, W., Lu, C., & Hao, W.-N. (2020). Factors associated with post-traumatic stress disorder of nurses exposed to corona virus disease 2019 in China. Medicine, 99(26), e20965. https://doi.org/10.1097/md.0000000000020965
World Health Organization (WHO). (2019). Fact sheet - Mental Health. RC63 Fact Sheet on Mental Health. Geneva, World Health Organization, 1–5. http://www.who.int/healthinfo/global_burden_disease/2004_report_update/en,%5Cnhttp://www.who.int/mental_health/publications/mental_health_atlas_2011/en,
World Health Organization (WHO). (2020). Mental Health and Psychosocial Considerations During COVID-19 Outbreak. World Health Organization, January, 1–6.
Wu, K., & Wei, X. (2020). Analysis of Psychological and Sleep Status and Exercise Rehabilitation of Front-Line Clinical Staff in the Fight Against COVID-19 in China. Medical Science Monitor Basic Research, 26, e924085-7. https://doi.org/10.12659/MSMBR.924085
Wu, P., Fang, Y., Guan, Z., Fan, B., Kong, J., Yao, Z., Liu, X., Fuller, C. J., Susser, E., Lu, J., & Hoven, C. W. (2009). The psychological impact of the SARS epidemic on hospital employees in China: Exposure, risk perception, and altruistic acceptance of risk. Canadian Journal of Psychiatry, 54(5), 302–311. https://doi.org/10.1177/070674370905400504
Wu, W., Zhang, Y., Wang, P., Zhang, L., Wang, G., Lei, G., Xiao, Q., Cao, X., Bian, Y., Xie, S., Huang, F., Luo, N., Zhang, J., & Luo, M. (2020). Psychological stress of medical staffs during outbreak of COVID-19 and adjustment strategy. Journal of Medical Virology, April, 1–9. https://doi.org/10.1002/jmv.25914
Wu, Y., Wang, J., Luo, C., Hu, S., Lin, X., Anderson, A. E., Bruera, E., Yang, X., Wei, S., & Qian, Y. (2020). A comparison of burnout frequency among oncology physicians and nurses working on the front lines and usual wards during the COVID-19 epidemic in Wuhan, China. Journal of Pain and Symptom Management. https://doi.org/10.1016/j.jpainsymman.2020.04.008
Xiang, Y., Yang, Y., Li, W., Zhang, L., Zhang, Q., Cheung, T., & Ng, C. H. (2020). Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. The Lancet Psychiatry, 0366(20), 1–2. https://doi.org/10.1016/S2215-0366(20)30046-8
Xiao, X., Zhu, X., Fu, S., Hu, Y., Li, X., & Xiao, J. (2020). Psychological impact of healthcare workers in China during COVID-19 pneumonia epidemic: A multi-center cross-sectional survey investigation. Journal of Affective Disorders, 274(March), 405–410. https://doi.org/10.1016/j.jad.2020.05.081
Zhang, W., Wang, K., Zhao, W., & Xue, Q. (2020). Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China. Psychother Psychosom, 100053(45), 1–9. https://doi.org/10.1159/000507639
Zhu, Z., Xu, S., Wang, H., Liu, Z., Wu, J., Li, G., Miao, J., Zhang, C., Yang, Y., Sun, W., Zhu, S., Fan, Y., Chen, Y., Hu, J., Liu, J., & Wang, W. (2020). COVID-19 in Wuhan: Sociodemographic characteristics and hospital support measures associated with the immediate psychological impact on healthcare workers. EClinicalMedicine, 000, 100443.https://doi.org/10.1016/j.eclinm.2020.100443
Zhu, Z., Xu, S., Wang, H., Liu, Z., Wu, J., Li, G., Miao, J., Zhang, C., Yang, Y., Sun, W., Zhu, S., Fan, Y., Hu, J., Liu, J., & Wang, W. (2020). COVID-19 in Wuhan : Immediate Psychological Impact on 5062 Health Workers. 1095, 1–24. https://doi.org/https://doi.org/10.1101/2020.02.20.20025338 .
Published
2021-01-09
How to Cite
Sabir, N., Arafat, R., & Yusuf, S. (2021). Gambaran Faktor yang Mempengaruhi Kesehatan Mental Perawat pada Masa Pandemi Covid-19: Literatur Review. Jurnal Keperawatan, 13(1), 125-138. https://doi.org/https://doi.org/10.32583/keperawatan.v13i1.953
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