Stres dan gejala dispepsia fungsional pada remaja

Intan Sari Putri, Widyatuti Widyatuti

Abstract


Remaja merupakan populasi yang berisiko mengalami berbagai permasalahan kesehatan, salah satunya gejala dispepsia fungsional. Stres menjadi salah satu penyebab munculnya permasalahan kesehatan pada remaja seiring perubahan dalam perkembangannya. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara stres dan gejala dispepsia fungsional pada remaja SMA. Desain penelitian ini yaitu cross-sectional dengan 360 responden dipilih melalui metode purposive sampling dan stratified-cluster sampling dari SMA di kota Bekasi. Instrumen penelitian ini yaitu the shortened version of the adolescent stress questionnaire (ASQ-S) dan dyspepsia symptom severity index (DSSI). Hasil penelitian menunjukkan mayoritas remaja SMA lebih adaptif terhadap stres dan tidak merasakan gejala dispepsia. Hasil penelitian menggunakan uji Chi-square didapatkan hubungan yang signifikan antara stres dan gejala dispepsia fungsional pada remaja dengan nilai p sebesar 0.001. Hasil uji Odd Ratio (OR) didapatkan pada remaja yang merasakan stres berpeluang merasakan gejala dispepsia sebanyak 5,43 kali dibandingkan yang adaptif terhadap stres. Pelaksanaan pendidikan keterampilan hidup sehat dan pelayanan kesehatan mental berbasis sekolah diperlukan sebagai upaya untuk mengurangi stres pada remaja. Selain itu, diperlukan upaya kesehatan sekolah terkait nutrisi pada remaja melalui konseling nutrisi dan pendidikan kesehatan tentang pola makan yang teratur untuk meminimalisasi gejala dispepsia fungsional.

 

Kata kunci: gejala dispepsia fungsional,  pelayanan kesehatan mental berbasis sekolah, pendidikan keterampilan hidup sehat, remaja, stres

 

 

STRESS AND FUNCTIONAL DYSPEPSIA SYMPTOMS IN ADOLESCENTS

 

ABSTRACT

The population of adolescents is at risk of experiencing various health problems, one of the problems is the functional dyspepsia symptom. One of the causes of this health problem is stress, which changes in their development. The research aims to identify the relationship between stress and functional dyspepsia symptoms in high school adolescents. The research design used is cross-sectional with 360 respondents selected through purposive sampling method and stratified-cluster sampling taken from A High School in Bekasi City. The research instruments used were the shortened version of the adolescent stress questionnaire (ASQ-S) and dyspepsia severity index symptoms (DSSI). The results showed the majority of high school adolescents were more adaptive to stress and didn't feel dyspepsia symptoms. The results of the study were analyzed using the Chi-square test showed that there was a significant relationship between stress and functional dyspepsia symptoms in adolescents with a p-value = 0.001.  The result of the Odd Ratio test (OR) that is adolescents who feel stress has a chance of 55.72 times feeling dyspeptic symptoms compared to adolescents who are more adaptive to stress. The implementation of healthy life skills education and school-based mental health services are needed as an effort to reduce stress in adolescents. Moreover, a school health program related to nutrition is needed in adolescents through nutrition counseling and health education about regular eating patterns to minimize symptoms of functional dyspepsia.

 

Keywords: the functional dyspepsia symptom, school-based mental health services, healthy life skills education, adolescent; stress


Keywords


Gejala dispepsia fungsional; pelayanan kesehatan mental berbasis sekolah; pendidikan keterampilan hidup sehat; remaja; stres

Full Text:

PDF

References


Anniko, M. K., Boersma, K., & Tillfors, M. (2019). Sources of stress and worry in the development of stress-related mental health problems : A longitudinal investigation from early- to mid- adolescence. Anxiety, Stress, & Coping, 32 (2)(2), 155–167. https://doi.org/10.1080/10615806.2018.1549657

Anniko, M. K., Boersma, K., Wijk, N. P. L. Van, Byrne, D., & Tillfors, M. (2018). Development of a Shortened Version of the Adolescent Stress Questionnaire (ASQ-S): construct validity and sex invariance in a large sample of Swedish adolescents. Scandinavian Journal of Child and Adolescent Psychiatry and Psychology, 6(1 (July 2018)), 1–12. https://doi.org/10.21307/sjcapp-2018-001

Badan Litbangkes Kementerian Kesehatan Republik Indonesia. (2015). Perilaku Berisiko Kesehatan Pada Pelajar SMP dan SMA di Indonesia: Hasil Survei Nasional Kesehatan Berbasis Sekolah di Indonesia. Jakarta: Pusat Teknologi Intervensi Kesehatan Masyarakat.

Badan Pusat Statistik Indonesia [BPS-Statistics Indonesia]. (2018). Statistik Indonesia 2018 [Statistical Yearbook of Indonesia 2018]. Jakarta: Badan Pusat Statistik Indonesia [BPS-Statistics Indonesia]. https://doi.org/03220.1811

Berman, A., Snyder, S. J., & Frandsen, G. (2016). KOZIER & ERB’S FUNDAMENTALS OF NURSING: Concepts, Process, and Practice (10th ed). United States of America: Pearson Education, Inc.

Branca, F., Piwoz, E., Schultink, W., & Sullivan, L. M. (2015). Nutrition and health in women, children, and adolescent girls. British Medical Journal, 351(September), 4173. https://doi.org/http://dx.doi.org/10.1136/bmj.h4173

Chaidir, R., & Maulina, H. (2015). HUBUNGAN TINGKAT STRES DENGAN KEJADIAN SINDROM DISPEPSIA FUNGSIONAL PADA MAHASISWA SEMESTER AKHIR PRODI S1 KEPERAWATAN DI STIKES YARSI SUMBAR BUKITTINGGI. Jurnal Ilmu Kesehatan ’Afiyah, 2 (2), 1–6. Retrieved from http://ejournal.stikesyarsi.ac.id/index.php/JAV1N1/article/view/49

Dinas Kesehatan Kota Bekasi. (2014). Profil Kesehatan Kota Bekasi Tahun 2014. Bekasi: Dinas Kesehatan Kota Bekasi. Retrieved from http://www.depkes.go.id/resources/download/profil/PROFIL_KAB_KOTA_2014/3275_Jabar_Kota_Bekasi_2014.pdf

Dinas Kesehatan Provinsi Jawa Barat. (2017). Profil Kesehatan Provinsi Jawa Barat tahun 2016. Bandung: Dinas Kesehatan Provinsi Jawa Barat. Retrieved from http://diskes.jabarprov.go.id

Healthy People 2020. (2019). Office of Disease Prevention and Health Promotion: Adolescent health. Retrieved April 10, 2019, from https://www.healthypeople.gov/2020/topics-objectives/topic/Adolescent-Health

Keliat, B. A., Handayani, H., Permatasari, H., Helena, N., Wanda, D., & Tololiu, T. A. (2014). Panduan Keselamatan Komunitas pada Anak & Remaja. Jakarta: Buku Kedokteran EGC.

Kementerian Kesehatan Republik Indonesia. (2011). Profil Kesehatan Indonesia 2010. Jakarta: Katalog Dalam Terbitan Kementerian Kesehatan RI. Retrieved from http://www.depkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/profil-kesehatan-indonesia-2010.pdf

Kementerian Kesehatan Republik Indonesia. (2016). PERAN KELUARGA DUKUNG KESEHATAN JIWA MASYARAKAT. Kementerian Kesehatan Republik Indonesia 2016, p. 1. Retrieved from http://www.depkes.go.id/article/print/16100700005/peran-keluarga-dukung-kesehatan-jiwa-masyarakat.html

Kementerian Kesehatan Republik Indonesia. (2018). KENALI MASALAH GIZI YANG ANCAM REMAJA INDONESIA. Kementerian Kesehatan Republik Indonesia 2018, p. 1. Retrieved from http://www.depkes.go.id/article/print/18051600005/kenali-masalah-gizi-yang-ancam-remaja-indonesia.html

Kementerian Kesehatan Republik Indonesia. (2019). Capai Bonus Demografi, Jangan Abaikan Kesehatan Mental Remaja. Kementerian Kesehatan Republik Indonesia 2019, p. 1. Retrieved from http://www.depkes.go.id/article/view/19031900001/achieve-demographic-bonuses-don-t-ignore-adolescent-mental-health.html

Kumar, A., Patel, J., & Sawant, P. (2012). Epidemiology of Functional Dyspepsia. Journal of Association of Physicians of India, 60(March), 9–12. Retrieved from Kumar, A., Patel, J., & Sawant, P. (2012). Epidemiology of Functional Dyspepsia. Journal of Association of Physicians of India, (March 2012); Vol. 60; 9-11.

Lee, S. Y., Lee, K. J., Kim, S. J., & Cho, S. W. (2009). Prevalence and Risk Factors for Overlaps between Gastroesophageal Reflux Disease , Dyspepsia , and Irritable Bowel Syndrome : A Population-Based Study. S. Karger AG, Basel : Digestion, 79(April), 196–201. https://doi.org/10.1159/000211715

Leidy, N. K., Farup, C., Rentz, A. M., Ganoczy, D., & Koch, K. L. (2000). Patient-Based Assessment in Dyspepsia : Development and Validation of Dyspepsia Symptom Severity Index (DSSI). Digestive Disease and Sciences, 45 (6)(June), 1172–1173.

Li, S. H., & Graham, B. M. (2017). Why are women so vulnerable to anxiety, trauma-related and stress-related disorders? The potential role of sex hormones. The Lancet Psychiatry, 4(1), 73–82. https://doi.org/10.1016/S2215-0366(16)30358-3

Nabavizadeh, F., Adeli, S., Sahraei, H., & Salimi, E. (2011). Physical and psychological stress have similar effects on gastric acid and pepsin secretions in rat. Journal of Stress Physiology and Biochemistry, 7 (2)(October 2014), 164–174. Retrieved from https://www.researchgate.net/publication/228901098_Physical_and_psychological_stress_have_similar_effects_on_gastric_acid_and_pepsin_secretions_in_rat/link/542be6fe0cf277d58e8a5147/download

National Institute of Diabetes and Digestive and Kidney Disease [NIDDK]. (2016). Health Information: Indigestion (Dyspepsia). Retrieved February 17, 2019, from https://www.niddk.nih.gov/health-information/digestive-diseases/indigestion-dyspepsia/all-content

Omega, A. (2013). Prevalensi dispepsia fungsional pada pasien dewasa di Rumah Sakit Cipto Mangunkusumo Jakarta pada tahun 2010 dan faktor faktor yang berhubungan. Universitas Indonesia.

Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. M. (2013). FUNDAMENTALS OF NURSING (8th ed). St. Louis, Missouri: Elsevier Mosby.

Rachmaputri, J., & Kusumawati, N. R. D. (2015). Hubungan antara Dispepsia Fungsional dengan Ansietas dan Depresi pada Remaja di Semarang. Media Medika Muda - Jurnal Kedokteran Diponegoro, 4 (4)(Oktober), 1049–1061.

Rahmaika, B. D. (2014). Hubungan Antara Stres Dengan Kejadian Dispepsia Di Puskesmas Purwodiningratan Jebres Surakarta. Universitas Muhammadiyah Surakarta. Retrieved from http://eprints.ums.ac.id/28100/

Ratnadewi, N. K., & Lesmana, C. B. J. (2018). Hubungan strategi coping dengan dispepsia fungsional pada pasien di poliklinik penyakit dalam rumah sakit umum daerah wangaya denpasar. MEDICINA, 49 (2)(August), 257–262. https://doi.org/10.15562medicina.v49i2.52

Romeo, R. D. (2013). The Teenage Brain: The Stress Response and the Adolescent Brain. Current Directions in Psychological Science, 22(2), 140–145. https://doi.org/10.1177/0963721413475445

Saroinsong, M., Palandeng, H., & Bidjuni, H. (2014). HUBUNGAN STRES DENGAN KEJADIAN GASTRITIS PADA REMAJA KELAS XI IPA DI SMA NEGERI 9 MANADO. Jurnal Keperawatan, 2 (2), 1–6. Retrieved from https://ejournal.unsrat.ac.id/index.php/jkp/article/view/5253/4766

Shapero, B. G. (2015). STRESS REACTIVITY AND COGNITIVE VULNERABILITY FOR DEPRESSION IN ADOLESCENCE. Temple University.

Simadibrata, M., & Adiwinata, R. (2017). Current Issues of Gastroenterology in Indonesia. Acta Medica Indonesiana:The Indonesia Journal of Internal Medicine, 49 (3)(July), 270–278.

Siregar, G. A., Halim, S., & Sitepu, R. R. (2016). Dyspepsia and Depression , Anxiety , Stress Scales (DASS) Score. The Indonesian Journal of Gastroenterology, Hepatology and Digiestive Endoscopy, 17 (1)(April), 28–31. https://doi.org/10.24871/171201628-31

Smeltzer, S. C., Bare, B. G., Hinkle, J. L., & Cheever, K. H. (2010). BRUNNER & SUDDARTH’S Textbook of Medical Surgical Nursing (12th ed). Philadelphia, PA: Wolters Kluwer Health/ Lippincott Williams & Wilkins.

Stanghellini, V. (2017). Functional Dyspepsia and Irritable Bowel Syndrome : Beyond Rome IV. Digestive Diseases 2017-S. Karger AG, Basel, 35(February 2018), 14–17. https://doi.org/10.1159/000485408

Talley, N. J., Goodsall, T., & Potter, M. (2017). Functional dyspepsia. Australian Prescriber, 40 (6)(Desember 2017), 209–213. https://doi.org/10.18773/austprescr.2017.066

Tytgat, G. N. J., & Tytgat, S. H. A. J. (2008). Grading and Staging in Gastroenterology. Georg Thieme Verlag KG.

Wirawan, D. A. (2015). PERBANDINGAN KUALITAS HIDUP PENDERITA DISPEPSIA DENGAN NON-DISPEPSIA PADA MAHASISWA FK USU. Universitas Sumatera Utara.

World Health Organization. (2014). 10 FACTS ON MENTAL HEALTH. World Health Organization 2014, p. 1. Retrieved from https://www.who.int/features/factfiles/mental_health/mental_health_facts/en/

World Health Organization, UNICEF, & World Food Programme. (2014). WHA Global Nutrition Targets 2025 : Wasting Policy Brief. World Health Organization 2014, p. 8. Retrieved from https://www.who.int/nutrition/topics/globaltargets_wasting_policybrief.pdf




DOI: https://doi.org/10.26714/jkj.7.2.2019.205-216

Refbacks

  • There are currently no refbacks.