Korelasi antara stres pada akhir fase luteal siklus menstruasi dengan skala nyeri pada dismenore = Correlation between stress in the late luteal phase of menstrual cycle and scale of dysmenorrhea.

Makeri, Jessica (2018) Korelasi antara stres pada akhir fase luteal siklus menstruasi dengan skala nyeri pada dismenore = Correlation between stress in the late luteal phase of menstrual cycle and scale of dysmenorrhea. Bachelor thesis, Universitas Pelita Harapan.

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Abstract

Background Stress is defined as a trigger factor for either complains or disease. Excessive activities can cause stress for example Faculty of Medicine students with their school work. It is explained that stress cause a decline in progesterone in the late luteal phase of menstrual cycle. The reduced hormone will increase the secretion of prostaglandin which cause dysmenorrhea, pain that is felt on menstruation. Even though it is reported a relationship between stress and dysmenorrhea, however there is still a need to observe the correlation between stress in the late luteal phase and scale of dysmenorrhea. Aim To find the correlation between stress in the late luteal phase of menstrual cycle which is evaluated by the Depression, Anxiety, Stress Scale (DASS) and dysmenorrhea which is measured by Numeric Rating Scale (NRS) on female students of Faculty of Medicine in Universitas Pelita Harapan. Material and Methods The sample of the study are sixtyeight female students of Faculty of Medicine in Universitas Pelita Harapan that were chosen with consecutive sampling method. They were asked to fill DASS questionnaire for stress in the late luteal phase and NRS to measure their dysmenorrhea. Spearman analytic correlative study is used find the correlation between the two variables. Result From sixtyeight samples, results from DASS questionnaire shows 50% of samples have stress points calculated 15-18, 29,4% scored 26-33 and the rest 20,6% experienced 26-33 stress points. Meanwhile for the scale of dysmenorrhea (NRS), there are 29,4% scaled 1-3, 44,1% with 4-6 and 26,5% felt 7-10. The correlation of the two variables resulted in coefficient correlation r=0,616 and p value<0,05. Scale of dysmenorrhea (y) were estimated with regression equation y=0,4+0,22x and stress in the late luteal phase (x). Conclusion To conclude, stress in the late luteal phase of menstrual cycle significantly correlates with scale of dysmenorrhea / Latar Belakang Stres merupakan faktor pencetus berbagai macam keluhan maupun penyakit dan disebabkan oleh banyak faktor antara lain aktivitas yang berlebih misalnya pada mahasiswa Fakultas Kedokteran dengan beban belajar yang tinggi. Secara patofisiologi dapat dijelaskan bahwa stres akan menyebabkan penurunan hormon progesteron pada akhir fase luteal siklus menstruasi. Penurunan hormon progesteron tersebut akan meningkatkan sekresi prostaglandin yang menyebabkan dismenore atau nyeri pada saat menstruasi. Walaupun telah dilaporkan adanya hubungan stres dengan dismenore, namun masih perlu diamati keeratan korelasi antara stres pada akhir fase luteal dengan skala nyeri pada dismenore. Tujuan Tujuan dari penelitian ini adalah untuk mengetahui korelasi antara stres pada akhir fase luteal yang dievaluasi dengan kuisioner Depression, Anxiety, Stress Scale (DASS) dengan skala nyeri pada dismenore yang diukur dengan Numeric Rating Scale (NRS) pada mahasiswi Fakultas Kedokteran Universitas Pelita Harapan. Metode Penelitian Sampel penelitian adalah mahasiswi Fakultas Kedokteran UPH sejumlah enam puluh delapan orang yang dipilih dengan cara consecutive sampling. Mereka diminta mengisi kuisioner DASS untuk menilai skor stres pada akhir fase luteal dan kuisioner NRS untuk menilai nyeri pada dismenore. Studi analitik korelatif Spearman digunakan untuk mencari adanya keeratan korelasi diantara kedua variabel tersebut. Hasil Penelitian Dari enam puluh delapan sampel yang diukur dengan kuisioner DASS didapatkan skor stres 15-18 adalah 50%, skor stres 19-25 29,4% dan nilai skor 26- 33 adalah 20,6%. Sementara dengan kuisioner NRS didapatkan skala nyeri dismenore 1-3 sebanyak 29.4%, skala nyeri 4-6 sebesar 44,1% dan skala 7-10 sebesar 26,5%. Keeratan korelasi dari skor stres dan skala nyeri menunjukkan r=0,616 dan p<0,05. Prediksi skala nyeri dismenore (y) dikorelasikan dengan skor stres (x) dengan persamaan regresi sebagai berikut, y=0,4+0,22(x). Kesimpulan Disimpulkan bahwa terdapat korelasi yang bermakna (p<0,05) antara stres akhir fase luteal dengan skala nyeri pada dismenore.

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