TINGKAT KECEMASAN IBU HAMIL SEBELUM BEDAH SESAR DI RS PENDIDIKAN DAN RS NON PENDIDIKAN

Abstract

Background: Fear of complications in cesarean section is one of stressor that can cause anxiety. Anxiety is a response that indicated by individual when facing some certain situations as a normal consequence of the changes and new experiences. The differences characteristics of patients who underwent cesarean section at a teaching hospital and non teaching hospital will have a different level of anxiety. Objective: To determine the anxiety level of pregnant women before cesarean section at a teaching hospital and non teaching hospital. Methods: A descriptive observational study with cross sectional design carried out from April to June 2015. The subjects were selected based on inclusion criteria with 58 respondents consisting of 31 respondents in teaching hospitals and 27 respondents in non teaching hospitals where the taking sample was done by consecutive sampling. The instrument used was the Zung Self-Rating Anxiety Scale (ZSAS). Descriptive analysis was shown in tabular form, while analytical analysis using Mann Whitney test and ordinal logistic regression. Results: A total of 24 (77.4%) of respondents in a teaching hospital experienced mild anxiety, while 16 respondents (59.3%) in the non teaching hospitals did not experience anxiety. There were a significant difference between maternal anxiety level before cesarean section at a teaching hospital and in non teaching hospital (p = 0.000). The education level of respondents was significantly associated with maternal anxiety levels before caesarean section in teaching hospital (p = 0.000) Conclusions: There were differences in anxiety levels of pregnant women before cesarean section at a teaching hospital and non teaching hospital. Anxiety levels in teaching hospital were higher than non teaching hospital. The education level was associated with maternal anxiety levels in teaching hospital. Otherwise, age, parity, history of caesarean section, and working factor were not associated with maternal anxiety levels before caesarean section in teaching hospital and non teaching hospital. Keywords: Levels of anxiety, caesarean section