Background: Pregnancy anxiety occurs due to the transition period of a woman's life due to the physical and emotional changes of pregnancy. About 20% of all pregnancies have a risk of pregnancy that causes a source of stress and anxiety for pregnant women at high risk. Spiritual well-being is a factor that contributes to the quality of life in mothers with high-risk pregnancies.The aims: This study aims to determine the association between spiritual well-being and anxiety among high-risk pregnant women.Methods: The type of this research is quantitative non-experimental with a cross-sectional approach involving 96 pregnant women was selected using a purposive sampling technique. The instrument used was a spiritual well-being questionnaire in the form of a modified Spiritual Well-Being Scale (SWBS) and a modified Hamilton Anxiety Rating Scale (HARS) questionnaire for high-risk pregnant women.Results: The results showed that spiritual well-being in the high category was 73 people (76 %), mild 22 people (22,9), and low 1 people (1%). The anxiety in the category of severe anxiety was 8 people (8,3%), moderate anxiety was 24 people (25%), mild anxiety was 31 people (32%), and no anxiety was 33 people (34,4%). The Spearman's rho analysis results obtained a p-value of 0,000 (p <0, 05) with a correlation coefficient of r of -0.448.Conclusion: There was a significant association between spiritual well-being and anxiety among high-risk pregnant women. The higher the spiritual well-being, the lower the anxiety of high-risk pregnant women.
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