Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 218-230 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 Level of Anxiety with COVID-19 Vaccine Screening Results in Jember Regency Alfid Tri Afandi1 . Prestasianita Putri2* . Rosita Oktavia Djuanda3. Ahmad Rifai1 1 Faculty of Nursing. Universitas Jember. Indonesia 2 Faculty of Health Science. University of Dr. Soebandi. Indonesia 3 Staff at Karsa Husada Batu Hospital. Indonesia Article History Submitted: 27-06-2024 Revised: 28-07-2024 Accepted: 16-08-2024 org/10. 58545/jkki. Copyright . 2024 Authors This is an open-access article under the CC-BY-SA License. Abstract Anxiety can decrease concentration, so it can be dangerous if it happens to someone who is going to do work that could pose a risk of injury. This research aims to identify anxiety levels, identify vaccine screening results COVID-19, and analyze the relationship between anxiety levels and vaccine screening results COVID-19. The independent variable in this study was the level of anxiety, while the dependent variable was the results of vaccine screening for COVID-19. This research had 115 respondents using a sampling technique, namely consecutive sampling. This research design uses a cross-sectional correlation type approach. Use bivariate statistical tests. The results of this study were that most of the vaccine participants' anxiety levels were high. COVID-19 was mild anxiety 54. 8%, most respondents had vaccine screening results for COVID-19, namely passing the screening at 92. 2%, and there is a relationship between the level of anxiety and the results of the vaccine screening COVID-19 with a value of p=0. <0. It is hoped that this research can provide input and additional information for nursing education regarding people's anxiety levels. Keywords: Anxiety. COVID-19. Vaccine Screening Correspondence Prestasianita Putri Faculty of Health Science. University of Dr. Soebandi. Jl. DR. Soebandi No. Cangkring. Kec. Patrang. Jember. East Java 68111 Indonesia Email: prestasi. nursing@uds. How to cite: Afandi. Putri. Djuanda. & Rifai. Level of Anxiety with COVID-19 Vaccine Screening Results in Jember Regency. Jurnal Kesehatan Komunitas Indonesia, 4. , 218-230. https://doi. org/10. 58545/jkki. Coronavirus (SARS-CoV), and Middle BACKGROUND Coronavirus is an RNA virus with a East Respiratory Syndrome Coronavirus particle size of 120-160 nm. This virus (MERS-CoV) (Susilo et al. , 2. So, the mainly infects animals, including bats and side effects of this virus can cause a Before the outbreak COVID-19, decrease in immunity. Other impacts can there are 6 types of corona virus that can cause excessive anxiety due to fear of infect humans, namely alpha coronavirus contracting the COVID-19 virus (Afandi et , 2. To reduce the number of cases. OC43. NL63. HKU1. Severe Acute Respiratory Illness Providing vaccines is one of Level of Anxiety with COVID-19 Vaccine Screening Results Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 218-230 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 the efforts considered to be the most effective in overcoming the pandemic COVID-19. Vaccination or immunization is waking up feeling dizzy in the morning, a procedure of administering a disease nausea, and decreased appetite. The antigen, usually in the form of a weakened patient appeared to be pacing back and or dead virus or bacteria. The goal is to forth in front of the registration area. Of the make the body's immune system recognize 4 patients who experienced anxiety and be able to fight when exposed to the disorders, 1 patient experienced an increase disease (Nareza. , 2. in blood pressure, so the vaccine had to be Vaccinations have been given in all countries, a total of 595,923,114 vaccine Anxiety is an emotional disorder doses . 6%). In Indonesia, the target . characterized by feelings of deep number of vaccinations is 181,554,465, with the number of vaccine targets for health experiencing disturbances in assessing workers, public officials, and the elderly reaching 40,349,051. The number of those personality still remains intact . oes not receiving the 1st vaccination is 6,389,837, suffer from personality cracks/splitting of and as many as 2,941,016 have received the personalit. , behavior may be disturbed 2nd vaccination (WHO. , 2. During the but still within normal limits. Everyone's vaccination process, screening is carried views on vaccination are different, so out to confirm the vaccine COVID-19 given responses are different. Every time facing to the appropriate group, eliminates surgery it causes fear and anxiety in contraindications to vaccination, and Anxiety often appears before the minimizes the risk of post-immunization age of 30 years (Afandi et al. , 2. adverse events (AEFI). After passing the Someone who is so anxious that they screening, potential recipients will receive cannot speak and tries to adjust to anxiety a vaccination injection. Each hospital can often becomes an obstacle, the patient be a health facility providing vaccination becomes irritable, confused, and more services for COVID-19 (Putri et al. , 2. irritable due to psychological reactions. Based on interviews with the vaccine plan compared to mildly anxious people (Afandi community in March 2021, it was found et al. , 2. eality that 4 out of 5 vaccine plan patients Afandi . Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 218-230 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 COVID-19 causes emotional stress, such as anxiety, in everyone. All individuals screening results COVID-19 did not pass, and in the end, vaccination was postponed. hopelessness, excessive sadness, and loss of Several things that need to be done to purpose in life due to anxiety during the reduce anxiety before taking the vaccine pandemic (Yuliyanti et al. , 2. Some are using breathing strategies, shifting groups are more vulnerable to experiencing attention, and visualization exercises to emotional stress due to the pandemic, such imagine yourself feeling good (Afandi & as the elderly, people with impaired Putri, 2023. Voss et al. , 2. immune function, and those who live, give Based on the description above, the or receive care in hospitals, such as health author is interested in researching the This is because health workers relationship between anxiety levels and have a high risk of exposure to the virus due vaccine screening results COVID-19 at the to close contact with patient COVID-19. Hospital in Jember Regency feelings of worry about transmitting the disease to the family, lack of personal METHODS working hours (Nur et al. , 2. The design of this research uses a quantitative design with a cross-sectional There are many people who may The population of this study was experience panic when they are about to nurses who were active in treating COVID- receive a vaccine injection COVID-19. 19 patients at one of the hospitals in Moreover, there is a lot of news about the Jember. The selected sample was 115 using side effects of vaccines, which can cause a consecutive sampling technique with the dangerous things, including death. The criteria being that the respondent was aged pandemic is a time of great uncertainty and . -60 year. , could communicate well, had unanswered questions, so, naturally, some had their first vaccination, and was willing of us are more prone to anxiety. Anxiety to be a respondent. Data collection was when getting a vaccine injection and carried out using a questionnaire sheet. The afterward takes various forms. You can assessment of community anxiety levels have cold sweats, body tremors, dizziness, was carried out when respondents visited and even nausea. Excessive anxiety will the hospital and screened the results of the have an impact on increasing blood COVID-19 vaccination. Data interpretation Level of Anxiety with COVID-19 Vaccine Screening Results Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 218-230 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 is carried out after the results of the education, occupation, and history of questionnaire review have been obtained. Apart from that, the results of The hospital team carried out the ethical identifying the level of anxiety and the suitability test where the data was taken. results of the COVID-19 vaccine screening are also presented, as well as the results of the cross-tabulation between the level of RESULTS The results of this research are presented through data on respondent Characteristics Gender Age Education Work Disease history anxiety and the results of the COVID-19 vaccine screening. Table 1. Characteristics of Respondents . Parameter Frequency Man Woman 17 Ae 25 years 26 Ae 45 years >45 years Junior High School Senior High School College Student Private Self-employed State Civil Apparatus Hypertension Diabetes mellitus Nothing Percentage 47,8% 52,2% 27,8% 54,8% 17,4% 60,8 % 12,2% 52,2 % 30,4 % 10,4 % 4,3% 95,7% Respondent characteristics data based respondents . 8%), have a high school on gender, the majority of respondents Data on the characteristics of were female, namely 60 respondents respondents based on work shows that the . 2%). Data on the characteristics of majority of respondents have private jobs, respondents based on age shows that the namely 60 respondents . 2%). Data on majority of respondents were aged 26-45 the characteristics of respondents based on years, namely 63 respondents . 8%). disease history shows that the majority of Data on the characteristics of respondents based on education shows that the . 7%), had no previous history of disease. Table 2. Anxiety Level of COVID-19 Vaccine Participants No. Emergency level Amount Percentage Afandi . Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 218-230 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 Normal/not anxious Mild anxiety Moderately anxious Total 32,2% 54,8% From Table 2, it can be seen that most of respondents . 8%) were mildly anxious. the respondents' levels of anxiety were Table 3. COVID-19 Vaccine screening COVID-19 Table 3. COVID-19 vaccine screening results No. Screening results Passed screening Did not pass screening Total Amount Percentage 92,2% 7,8% From Table 3 it is explained that the mean of 1. This can be interpreted as the majority of respondents had passed the average vaccine screening results COVID- vaccine screening results COVID-19 as 19 Respondents are asking for vaccine many as 106 respondents . 2%), with a screening COVID-19. Table 4. Cross tabulation of anxiety and COVID-19 vaccine screening results Emergency level Normal/not anxious Mild anxiety Moderately anxious Total Screening results Passed screening Did not pass screening In table 4, all respondents who were not worried about their screening results Meanwhile, p-value 0,000 screening results COVID-19. respondents with mild anxiety passed the Total DISCUSSION Based on data on the characteristics And of respondents with of respondents based on gender, most moderate anxiety, 9 respondents were respondents are female. In line with declared to have passed the screening. Tasnim's research . , the gender of the Significance value Kendalls Tau 0. community regarding the perception of the (= 0. , then there is a relationship COVID-19 vaccine is 146 respondents . 5%) women (Tasnim, 2. In another Level of Anxiety with COVID-19 Vaccine Screening Results Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 218-230 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 study, 143 respondents . %) showed that Because the body has previously women were willing to get the COVID-19 formed antibodies against a disease. Women have a more careful Based on data on the educational attitude and can receive information well. characteristics of respondents, it was The COVID-19 vaccine, which is given free found that most respondents had a high of charge, makes people move quickly to school education. Vaccine participants had get it (Widayanti & Kusumawati, 2. higher education, namely upper secondary Women are needed more when caring for and tertiary education, at 93. Education their families, so they must get vaccines to is an effort for someone to develop look after family members. something or information to make it better. Based on data on the characteristics The of respondents based on age, most background, the more knowledge they respondents were aged 26-45 years. In line However, this does not mean that low with the results of other research, education will decrease knowledge, all of respondents aged 20-40 years were 90 which depends on each individual's respondents . 7%). This is because this cognitive personality. A person's education age is most exposed to COVID-19 certainly influences the perception of (Khairunnisa Ghinanda. Vaccination is carried out at an early stage educated people tend to have a positive for health workers and continues with perception of the COVID-19 vaccine. This people aged 18-59 years. Vaccines at this may be related to the experience factors age will produce a strong immune response possessed by the individual himself, thus (Safira et al. , 2. Neutralizing antibody titers decrease in proportion to increasing influencing a person's level of acceptance of Young respondents in the 18-39 years carrying out the COVID-19 vaccination age group had higher titer neutralizing (Martoredjo, 2020. Putri et al. , 2. antibodies (Safira et al. , 2. One of the Based on data on job characteristics requirements for getting the vaccine is of respondents, the majority of respondents being over 12 years of age. At the age of 18- have private jobs. Another study found that 59 years, antibody immunity will be 9% of the recipients of the COVID-19 Vaccines will protect the body vaccine were respondents who had jobs. from viruses or bacteria that infect the Work is one of the factors that influences a Afandi . Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 218-230 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 person's level of perception. In other who have congenital diseases are more research, it was found that there is a unwilling to vaccinate because they are relationship between work and a person's worried about the side effects they will health status. People carry out vaccines for This is because their bodies As more and more people receive cannot withstand the pain of the side vaccines, private companies also require effects of the COVID-19 vaccine, and this their employees to receive at least the first will then cause complications between dose of the vaccine. The vaccine will congenital diseases. or comorbid with the increase the body's immunity and reduce COVID-19 vaccine. Therefore, people with the risk of worsening when infected with a history of non-communicable diseases are COVID-19 (Djamaludin et al. , 2022. Solon advised to maintain their health by et al. , 2021. Masitha et al. , 2. Based on data on the characteristics of respondents with disease history, most consuming nutritious food (Ardiansyah & Lestari, 2. respondents had no previous history of Based on the data, it can be seen the In line with other research, it was average level of anxiety among vaccine found that the frequency of respondents participant respondents COVID-19 is 46. with a history of disease that did not have with a minimum value of 25 and a Non- maximum value of 72. It can be interpreted communicable diseases are diseases that as the average level of anxiety of cannot be transmitted from one person to respondents, namely the level of mild another through any form of contact In line with research conducted by (Masitha et al. , 2. A person who has a Kholidiyah, the public's anxiety when history of non-communicable diseases is undergoing a vaccine in Bangkok Village, suffering from heart disease, hypertension. Lamongan Regency, most respondents had diabetes, rheumatism, cancer or tumors, moderate anxiety, 80. 3% (Kholidiyah et al, stroke, traffic accidents, and osteoporosis Anxiety is a feeling of fear that or bone fractures. Someone with a history of non-communicable diseases tends to anticipation of danger and is a signal that have a positive perception as do people helps individuals to prepare to take action who do not have a history of non- to face the threat. The influence of communicable diseases. Where people demands, competition, and disasters that Level of Anxiety with COVID-19 Vaccine Screening Results Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 218-230 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 occur in life can impact physical and vaccine screening results COVID-19 as psychological health (Lidiana et al. , 2. many as 106 respondents . 2%), with a Anxiety is a natural thing that every human mean of 1. This can be interpreted as the being experiences. Anxiety is considered a average of vaccine screening results part of everyday life. Anxiety is a general COVID-19 Respondents are asking for feeling where a person feels afraid or loses vaccine screening COVID-19. Screening is a self-confidence whose origin or form is health examination to determine whether unclear (Putri & Afandi, 2. Anxiety is someone is at higher risk of experiencing a something that affects almost everyone at health problem (Khoirunisa, 2. The some time in their lives. Anxiety is a normal goal is to ensure the COVID-19 vaccine is reaction to situations that are very stressful given to the appropriate group. Eliminate in a person's life. Anxiety can appear alone or combined with other symptoms of Minimizing the risk of adverse events after various emotional disorders. The anxiety experienced by respondents is a natural effectiveness or benefits of vaccines. Screening must be carried out for the that society has never experienced before injection COVID-19. Because people who (Putri et al. , 2. Anxious responses will receive the vaccine must ensure that emerged as a result of the vaccine program their bodies are in good health. A healthy body condition and no complaints will increased as time approached. Anxiety cause these people to pass the vaccine occurs because people have received information from the media that provides COVID-19 pandemic is a type of disease COVID-19(Gunawan, vaccination information daily. Anxiety Based on the data, it can be seen that increases when people receive information the correlation coefficient value is 0. meaning the level of anxiety with the immunizatio. COVID-19 regarding pain vaccine screening results. COVID-19 has a at the injection site, muscle pain, and Significance value Kendall,s Tau 0. AEFI dverse Based on the data, it can be seen that the majority of respondents passed the (= 0. , then there is a relationship Afandi . Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 218-230 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 screening results COVID-19 at Bina Sehat People willing to be vaccinated Jember Hospital. The . value express that they believe vaccination can indicates that the anxiety level data protect themselves, their families, and corresponds to the vaccine screening Meanwhile, people who refuse vaccines have doubts about vaccines. Vaccination turns out to cause anxiety in Doubts can be caused by the accuracy of the community. Anxiety occurs during a the source of the information received. pandemic COVID-19, and it is also felt Group of students accessing information when there is a vaccination program in the sources about Vaccination COVID-19 from community (Putri et al. , 2. Source of public concern regarding vaccines COVID- programs, news, health workers, scientific 19 is about the safety and efficacy of COVID-19 Health, information from social media platforms vaccination, lack of trust in the health care like Facebook. Instagram. WhatsApp, and system, and also the public's lack of Twitter. Accurate and reliable information knowledge of the disease COVID-19 can be can help individuals plan appropriate prevented with vaccines. The feelings of actions even if the situation seems anxiety experienced by people can make people hesitate or not be willing to get inaccurate information. On the other hand. Public anxiety occurred during wrong information will create an anxiety the early days of the pandemic COVID-19 and panic response, which can hinder the and continues when there is a vaccination individual's response in taking appropriate program for the community. The study action (Asmaningrum & Afandi, 2022. results show that there is a relationship Rifai et al. , 2. People experience between willingness to vaccinate and anxiety before taking the vaccine because anxiety (P-value: 0. In accordance people can easily get information about with the results of other studies which vaccines from the media. When people get state that there is a correlation between information from the right sources, they are vaccine acceptance and COVID-19 with better prepared to carry out vaccines. This anxiety (Nurtanti & Husna, 2023. Afandi results in lower levels of anxiety so that it & Ardiana, 2. does not affect their health and has the Ministry Level of Anxiety with COVID-19 Vaccine Screening Results Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 218-230 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 The data that support the findings of effect of passing the vaccine acceptance screening COVID-19. corresponding author upon reasonable CONCLUSION The results of this research showed that significant relationship REFERENCES between anxiety and COVID-19 screening Afandi. Ardiana. Putri. So, the mechanism for screening . Relationship of Anxiety and and educating patients needs to be Post-Vaccination It is hoped that the anxiety of During The COVID P-19 Pandemic in patients who will undergo screening can be Indonesia Hospital. Age. :144. https://pjmhsonline. com/2021/octob Nurse Caring er/3189. AUTHOR CONTRIBUTIONS The author contribute all research activity such as conceptualization, data curation, analysis, writing & editing, manuscript revisions. Adolescents Stress Management in Dealing with the of Community Empowerment for We would like to thank you for the . Health Education in COVID-19 Vaccine Program. Journal ACKNOWLEDGMENT