Kecemasan, Depresi, dan Kualitas Tidur Mahasiswa Praktek Klinik Keperawatan Saat Pandemi COVID-19

  • Esti Widiani Politeknik Kesehatan Kementerian Kesehatan Malang
  • Ira Rahmawati 3Jurusan Keperawatan, Politenik Kesehatan Kementerian Kesehatan Malang
  • Nurul Hidayah Jurusan Keperawatan, Politenik Kesehatan Kementerian Kesehatan Malang
Keywords: Anxiety; Depression; Sleep Quality; Nursing Student.


The clinical nursing practice program is an orientation for students to apply theory to practice and gain competence in nursing skills before graduation. The COVID-19 pandemic brings a new reality to nursing students who carry out clinical practice to be more professional, which can lead to psychological problems. This study aims to determine the anxiety, depression, and sleep quality of nursing students undergoing clinical practice during the COVID-19 pandemic. This study used a cross-sectional approach to 373 nursing students. Research respondents were taken by purposive sampling technique. A generalized Anxiety Disorder 7‐item scale (GAD-7) was used to collect anxiety data. Depression was measured using the Patient Health Questionnaire (PHQ-9). Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Based on the results of the Spearman rank correlation test, there is a correlation between sleep quality scores and depression scores with p = 0.000 (p < 0.01) and r = 0.523. There is a correlation between anxiety scores and sleep quality scores with p = 0.000 (p < 0.01) and r = 0.444. There is a correlation between anxiety scores and depression scores with p = 0.000 (p < 0.01) and r = 0.827. The quality of student sleep needs to be maintained to help reduce anxiety and depression in students practicing clinically. The role of professional clinical instructors in assisting students is needed to assist students in the process of carrying out clinical practice well.


1. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020;3(3):e203976.
2. WHO. WHO Coronavirus (COVID-19) Dashboard [Internet]. 2022 [cited 2022 Jun 16]. Available from:
3. Salari N, Khazaie H, Hosseinian-Far A, Khaledi-Paveh B, Kazeminia M, Mohammadi M, et al. The prevalence of stress, anxiety and depression within front-line healthcare workers caring for COVID-19 patients: a systematic review and meta-regression. Human Resources for Health. 2020;18:1–14.
4. Hassannia L, Taghizadeh F, Moosazadeh M, Zarghami M, Taghizadeh H, Dooki AF, et al. Anxiety and Depression in Health Workers and General Population During COVID‐19 in IRAN: A Cross‐Sectional Study. Neuropsychopharmacology Reports. 2021;1(41):40–9.
5. Milgrom Y, Tal Y, Finestone AS. Comparison of hospital worker anxiety in COVID-19 treating and non-treating hospitals in the same city during the COVID-19 pandemic. Israel Journal of Health Policy Research. 2020;9(1):1–8.
6. Zhou Y, Wang W, Sun Y, Qian W, Liu Z, Wang R, et al. The prevalence and risk factors of psychological disturbances of frontline medical staff in china under the COVID-19 epidemic: Workload should be concerned. J Affect Disord. 2020;277:510–4.
7. Kim SC, Quiban C, Sloan C, Montejano A. Predictors of poor mental health among nurses during COVID‐19 pandemic. Nursing Open. 2021;8(2):900–7.
8. Lautan LM, Savitri EW. Tingkat Kecemasan Perawat di Masa Adaptasi Kebiasaan Baru. Penerbit NEM; 2021. 45 p.
9. Haig M. Alasan untuk Tetap Hidup: Melawan Depresi dan Berdamai dengan Diri Sendiri. Gramedia Pustaka Utama; 2020. 278 p.
10. Chen J, Liu X, Wang D, Jin Y, He M, Ma Y, et al. Risk factors for depression and anxiety in healthcare workers deployed during the COVID-19 outbreak in China. Soc Psychiatry Psychiatr Epidemiol. 2020;56(1):47–55.
11. Pan X, Xiao Y, Ren D, Xu ZM, Zhang Q, Yang LY, et al. Prevalence of mental health problems and associated risk factors among military healthcare workers in specialized COVID-19 hospitals in Wuhan, China: A cross-sectional survey. Asia Pac Psychiatry. 2022;14(1):e12427.
12. Azoulay E, Cariou A, Bruneel F, Demoule A, Kouatchet A, Reuter D, et al. Symptoms of Anxiety, Depression, and Peritraumatic Dissociation in Critical Care Clinicians Managing Patients with COVID-19. A Cross-Sectional Study. Am J Respir Crit Care Med. 2020;202(10):1388–98.
13. Wang AH, Lee CT, Espin S. Undergraduate nursing students’ experiences of anxiety-producing situations in clinical practicums: A descriptive survey study. Nurse education today. 2019;76:103–8.
14. Swift A, Banks L, Baleswaran A, Cooke N, Little C, McGrath L, et al. COVID-19 and student nurses: A view from England. Journal of clinical nursing. 2020;
15. Luthfiyana NU, Putri SI, Halu SAN. Perilaku Mahasiswa Kesehatan dalam Memberikan Edukasi Pencegahan COVID-19 kepada Masyarakat. Window of Health: Jurnal Kesehatan. 2022;5(2):501–10.
16. Özen G. The effect of recreational activities on trait and state anxiety levels. Int J Res GRANTHAALAYAH. 2018;18:60–5.
17. Duan H, Gong M, Zhang Q, Huang X, Wan B. Research on sleep status, body mass index, anxiety and depression of college students during the post-pandemic era in Wuhan, China. Journal of Affective Disorders. 2022;301:189–92.
18. Mishra J, Panigrahi A, Samanta P, Dash K, Mahapatra P, Behera MR. Sleep quality and associated factors among undergraduate medical students during Covid-19 confinement. Clinical Epidemiology and Global Health. 2022;15:101004.
19. Song Y, Sznajder K, Cui C, Yang Y, Li Y, Yang X. Anxiety and its relationship with sleep disturbance and problematic smartphone use among Chinese medical students during COVID-19 home confinement — A structural equation model analysis. Journal of Affective Disorders. 2022;296:315–21.
20. Wolniewicz CA, Rozgonjuk D, Elhai JD. Boredom proneness and fear of missing out mediate relations between depression and anxiety with problematic smartphone use. Human Behavior and Emerging Technologies. 2020;2(1):61–70.
21. Ye B, Zhou X, Im H, Liu M, Wang XQ, Yang Q. Epidemic Rumination and Resilience on College Students’ Depressive Symptoms During the COVID-19 Pandemic: The Mediating Role of Fatigue. Frontiers in Public Health. 2020;8:560983.
22. Ma L, Hagquist C, Kleppang AL. Leisure time physical activity and depressive symptoms among adolescents in Sweden. BMC Public Health. 2020;20(1):997.
23. Mohsen AH, Malihe Y. Effects Of Osce On Learning, Satisfaction And Test Anxiety Of Nursing Students: A Review Study. 2018;18(81):70–83.
24. Niksefat M, Adineh M, Saberipour B, Alasvand M, Rokhafroz D. Investigating the Effect of an Experienced Clinical Instructor’s Presence on Nursing Interns’ Anxiety in the Clinical Environment of Ahvaz School of Nursing in 2018. Educational Development of Judishapur. 2021;12(1):11–20.
25. Reta Y, Ayalew M, Yeneabat T, Bedaso A. Social Anxiety Disorder Among Undergraduate Students of Hawassa University, College of Medicine and Health Sciences, Ethiopia. Neuropsychiatr Dis Treat. 2020;16:571–7.
26. Natalia MPK, Puspaningrum MS, Momuat M, Ingrit BL, Situmorang K. Description of Nursing Students’ Anxiety Levels When Entering Clinical Practices in the Private University in Tangerang. STRADA Jurnal Ilmiah Kesehatan. 2021;10(1):1396–402.