HUBUNGAN STRES PSIKOLOGIS DENGAN GEJALA GASTRITIS PADA MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS TARUMANAGARA ANGKATAN 2020

Authors

  • Angela Meisya Song Program Studi Kedokteran, Fakultas Kedokteran, Universitas Tarumanagara
  • Alya Dwiana Program Studi Kedokteran, Fakultas Kedokteran, Universitas Tarumanagara

DOI:

https://doi.org/10.31004/prepotif.v8i3.37090

Keywords:

gastritis, gejala gastritis, stres psikologis

Abstract

Gastritis merupakan salah satu penyakit sistem pencernaan yang disebabkan adanya peradangan pada mukosa lambung yang dapat menimbulkan gejala gangguan sistem gastrointestinal seperti sensasi nyeri pada epigastrium, mual dan muntah. Timbulnya gejala gastritis dapat disebabkan oleh berbagai faktor, salah satunya adalah stres psikis. Tujuan penelitian ini adalah untuk mengetahui hubungan stres psikis dengan terjadinya gejala gastritis pada mahasiswa Fakultas Kedokteran Universitas Tarumanagara angkatan 2020. Penelitian ini menggunakan desain penelitian observasional analitik dengan studi cross-sectional. Sampel dalam penelitian ini adalah seluruh mahasiswa Fakultas Kedokteran Universitas Tarumanagara angkatan 2020 yang memenuhi kriteria inklusi dan tidak termasuk kedalam kriteria eksklusi maupun dropout. Total sampel yang digunakan pada penelitian ini sebesar 143 responden. Penelitian dilakukan secara daring dengan memberikan kuesioner melalui media Google Form, dan teknik analisis menggunakan Spearman Rank. Hasil penelitian menunjukkan bahwa responden yang mengalami stres psikis ringan sebanyak 30 (21%) mahasiswa, sedang 99 (69,2%) mahasiswa dan berat 14 (9,8%) mahasiswa. Responden yang menderita gejala gastritis adalah sebanyak 133 (93,0%) mahasiswa. Secara statistik didapatkan adanya hubungan yang bermakna antara stres psikis dengan timbulnya gejala gastritis (p = 0,017, p<0.05) dan tingkat kekuatan hubungan antara stres psikis dengan timbulnya gejala gastritis berkorelasi sangat lemah (0,199). Nilai positif koefisien korelasi diartikan bahwa semakin tinggi tingkat stres responden semakin tinggi pula risiko timbulnya gejala gastritis

References

Abebe AM, Kebede YG, Mengistu F. Prevalence of stress and associated factors among regular students at debre birhan governmental and nongovernmental health science colleges north showa zone, amahara region, Ethiopia 2016. Amhara Region, Ethiopia. Psychiatry J. 2018 (cited 2021 Jul 6);2018:1-7. Available from: https://pubmed.ncbi.nlm.nih.gov/30246015/

Anshari SN, Suprayitno. Hubungan stres dengan kejadian gastritis pada kelompok usia 20-45 tahun di wilayah kerja puskesmas bengkuring kota samarinda. Borneo Student Res [Internet]. 2019 (cited 2021 Sep 11);140-5. Available from: journals.umkt.ac.id

Azer SA, Akhondi H. Gastritis. StatPearls Publishing [Internet], Treasure Island (FL). 2020 (cited 2021 Jul 6). Available from: https://www.ncbi.nlm.nih.gov/books/NBK544250/

Bjarnason I. Gastrointestinal safety of nsaids and over the counter analgesics. Int J Clin Pract Suppl. 2013 (cited 2021 Sep 19);(178):37-42. Avalable from: https://pubmed.ncbi.nlm.nih.gov/23163547/

Bovenschen HJ, Janssen MJR, Van Oijen MGH, Laheij RJF, Van Rossum LGM, Jansen JBMJ. Evaluation of a gastrointestinal symptoms questionnaire. Dig Dis Sci. 2006 (cites 2021 Sep 11);51(9):1509-15. Available from: https://pubmed.ncbi.nlm.nih.gov/16927133/

Chan SF, La GAM. Perceived Stress Scale (PSS). In: Encyclopedia of Behavioral Medicine. 2020.

Chu B, Marwaha K, Sanvictores T, Ayers D. Physiology, stress reaction. Statpearls Publishing [Internet], Treasure Island (FL). 2021 (cited 2021 Sep 10) Available from: https://www.ncbi.nlm.nih.gov/books/NBK541120/

Dahlan MS. Besar sampel dan cara pengambilan sampel dalam penelitian kedokteran dan kesehatan. 4 th ed. Epidemiologi Indonesia;2016.

Dai YC, Tang ZP, Zhang YL. How to assess the severity of atrophic gastritis. World J Gastroenterol. 2011 (cited 2021 Sep 11);17(13):1690-1693. Available from: https://pubmed.ncbi.nlm.nih.gov/21483628/

Elseweidy MM. Brief review on the causes, diagnosis and therapeutic treatment of gastritis disease. Altern Integr Med. 2017 (cited 2021 Aug 2);06(01): Available from: https://www.hilarispublisher.com/open-access/brief-review-on-the-causes-diagnosis-and-therapeutic-treatment-of-gastritisdisease-2327-5162-1000231.pdf

Grad S. The effect of alcohol on gastrointestinal motility. Rev Recent clin Trials. 2016 (cited 2021 Sep 10). Available from: https://pubmed.ncbi.nlm.nih.gov/27527893/

Huang RJ, Choi AY, Truong CD, Yeh MM, Hwang JH. Diagnosis and management of gastric intestinal metaplasia: current status and future directions. Gut Liver. 2019 (cited 2021 Sep 11);13(6):596-603. Available from: https://europepmc.org/article/MED/31394893

Institute for Quality and Efficiency in Health Care (IQWiG). Gastritis. Cologne, Germany: InformedHealth.org[Internet];2015.

Isnayanti D, Harahap N. Stress levels and stressors of first year students in faculty of medicine, university of muhammmadiyah sumatera utara. Proceedings International Conference BKSPTIS 2018. 2018 (cited 2021 Jul 6) Available from: http://jurnal.unissula.ac.id/index.php/bksptis/article/view/3567

Jahan F, Siddiqui M, Aguiar MR. Correlation of perceived stress and GI symptoms in medical students in oman. Am J Multidiscip Res Dev [Internet]. 2020 (cited 2021 Sep 10);2(6):15–20. Available from: https://www.ajmrd.com/wp-content/uploads/2020/06/B261520.pdf

JourneyWell. Balancing stress for healthy living: understanding stress. 2011.

Karyotaki E, Cuijpers P, Albor Y, Alonso J, Auerbach RP, Bantjes J, et al. Sources of stress and their associations with mental disorders among college students: results of the world health organization world mental health surveys international college student initiative. Frontiers in Psychology. 2020 (cited 2021 Jul 6);11:1-11. Available from: http://public-files.prbb.org/publicacions/6b1b54f0-cff5-0138-72aa-00155df14f0e.pdf

Konarska M. The physiology of stress. In: Physiology of Stress-Jones & Bartlett Learning; 2011.

Li LF, Chan RLY, Lu L, Shen J, Zhang L, Wu WKK, et al. Cigarette smoking and gastrointestinal diseases: the causal relationship and underlying molecular mechanisms (review). International Journal of Molecular Medicine. 2014 (cited 2021 Sep 10);372-380. Available from: https://pubmed.ncbi.nlm.nih.gov/24859303/

Li Y, Su Z, Li P, Li Y, Johnson N, zhang Q, et al. Association of symptoms with eating habits and food preferences in chronic gastritis patients: a cross-sectional study. Evid Based Complement Alternat Med. 2020 (cited 2021 Sep 10);2020:5197201. Available from: https://pubmed.ncbi.nlm.nih.gov/32695209/

Longo DL, Fauci AS. Harrison’s gastroenterology and hepatology. Fauci AS, editors. New York: McGraw-Hill Education; 2013.

Lu X, Juon HE, HE X, Dallal CM, Wang MQ, Lee S. The association between perceived stress and hypertension among asian americans: does social support and social network make a difference?. J Community Helath. 2019 (cited 2021 Sep 10); 44(3): 451-462. Available from: https://pubmed.ncbi.nlm.nih.gov/30604222/

McEwen BS. Neurobiological and systemic effects of chronic stress. Chronic Stress. 2017 (cited 2021 Sep 10);1. Available from: https://pubmed.ncbi.nlm.nih.gov/28856337

Megha R, Farooq U, Lopez PP. Stress-induced gastritis. StatPearls Publishing [Internet]. 2018 (cited 2021 Jul 6). Available from: https://pubmed.ncbi.nlm.nih.gov/29763101/

Musradinur. Stres dan cara mengatasinya dalam perspektif psikologi. Jurnal Edukasi. 2016 (cited 2021 Sep 10);2(2):183. Available from: https://www.arcjournals.org/pdfs/ajnh/v5-i2/2.pdf

Namiot A, Kemona A, Namiot Z. Smoking habit and gastritis histology. Adv Med Sci. 2007 (cited 2021 Sep 19);52:191-5. Available from: https://pubmed.ncbi.nlm.nih.gov/18217417/

O EC, O EO. Overview of stress and stress management. ARC J Nurs Healthc. 2019 (cited 2021 Sep 10);5(2):12-8. Available from: https://www.arcjournals.org/pdfs/ajnh/v5-i2/2.pdf

Pandey GC. Association of gastritis and peptic ulcers with helicobacter pylori and their symptoms and cure. Journal of Pahrmacognosy and Phytochemistry. 2020 (cited 2021 Sep 11);9(3):517-25. Available from: https://www.phytojournal.com/archives/2020/vol9issue3/PartH/9-2-149-754.pdf

Park YH, Kim N. Review of atrophic gastritis and intestinal metaplasia as a premalignant lesion of gastric cancer. J Cancer Prev. 2015 (cited 2021 Sep 11);20(1):25-40. Available from: https://pubmed.ncbi.nlm.nih.gov/25853101/

Phillips JA. Dietary guidelines for americans, 2020–2025. Workplace Health and Safety. 2021 (cited 2021 Aug 2);69:395. Available from: https://journals.sagepub.com/doi/abs/10.1177/21650799211026980?journalCode=whsd

Pilotto A, Maggi S, Noale M, Franceschi M, Parisi G, Crepaldi G. Association of upper gastrointestinal symptoms with functional and clinical charateristics in elderly. World J Gastroenterol. 2011 (cited 2021 Sep 19);17(25):3020-6. Available from: https://pubmed.ncbi.nlm.nih.gov/21799648/

Rustiana ER, Cahyati WH. Stress kerja dengan pemilihan strategi coping. KESMAS - J Kesehat Masy. 2012;7(2):149–55.

Setiabudy, Rianto, Nafriadi, Instiaty. Farmakologi dan terapi. 6th ed. Jakarta: Departemen Farmakologi dan Terapeutik Fakultas Kedokteran Universitas Indonesia 2016; 2016.

Setiati S, Alwi I, Sudoyo AW, K MS, Setiyohadi B, Syam AF. Ilmu penyakit dalam. 5th ed. Jakarta Pusat: InternaPublishing;2014.

Sharon-David H, Tenenbaum G. The effectiveness of exercise interventions on coping with stress: Research Synthesis. Stud Sport Humanit. 2017 (cited 2021 Sep 10);22:19-29. Available from: https://www.researchgate.net/publication/328286842_The_Effectiveness_of_Exercise_Interventions_on_Coping_with_Stress_Research_Synthesis

Sigmon DF, Tuma F, Kamel BG, et al. Gastric perforation. Statpearls Publishing [Internet]. Treasure Island (FL). 2020 (cites 2021 Sep 11). Available from: https://www.ncbi.nlm.nih.gov/books/NBK519554/

Singh K. Nutrient and stress management. J Nutr Food Sci. 2016 (cited 2021 Sep 10);6(4): Available from: https://www.researchgate.net/publication/306007566

Singh S, Sangam S, Joginapally V, Rajagopal S. Alcohol, glycine, and gastritis. 2015 (cited 2021 Aug 2);5(1):1-5. Available from: https://www.ijnpnd.com/citation.asp?issn=2231-0738;year=2015;volume=5;issue=1;spage=1;epage=5;aulast=Singh;aid=IntJNutrPharmacolNeurolDis_2015_5_1_1_150065

Sinha M, Gautam L, Shukla PK, Kaur P, Sharma S, Singh TP. Current perspectives in nsaid-induced gastropathy. Mediators Inflamm. 2013 (cited 2021 Sep 11);2013. Available from: https://www.hindawi.com/journals/mi/2013/258209/

Takeuchi K. Pathogenesis of nsaid-induced gastric damage: importance of cycloocygenase inhibition and gastric hypermotility. World J Gastroenterol. 2012 (cited 2021 Sep 10);18(18):2147-2160. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3351764/

Tsabedze N, Kinsey JLH, Mpanya D, Mogashoa V, Klug E, Manga P. The prevalence of depression, stress and anxiety symptoms in patients with chronic heart failure. Int J Ment Health Syst [Internet]. 2021 (cited 2021 Sep 10);15:44. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8114712/

Wau ET, Pardede JA, Simamora M. Levels of stress related to incidence of gastritis in adolescent. Ment Health (Lond). 2018 (cited 2022 March 23);4(2). Available from: https://www.researchgate.net/profile/Jek-Amidos/publication/348705644_Levels_of_Stress_Related_to_Incidence_of_Gastritis_in_Adolescents/links/600bfdd292851c13fe2e0668/Levels-of-Stress-Related-to-Incidence-of-Gastritis-in Adolescents.pdf?origin=publication_detail

Widiyanto J, Khaironi M. Hubungan antara tingkat stres dengan kejadian gastritis. Photon. 2014 (cited 2021 Jul 6);5(1):1. Available from: https://core.ac.uk/download/pdf/327216923.pdf

Wirth HP, Yang M. Different pathophysiology of gastritis in east and west? a western perspective. Inflamm Intest Dis. 2016 (cited 2021 Aug 2);1(3): Available from: https://www.karger.com/article/fulltext/446300

World Health Organization (WHO). World health statistics 2012. Geneva, Switzerland: World Health Organization; 2012.

Yaribeygo H, Panahi Y, Sahraei H, Johnston TP, Sahebkar A. The impact of stress on body function: a review. EXCLI J. 2017 (cited 2021 Sep 10);16:1057-1072. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5579396/

Yenni M, Sugiarto S, Rumiati R. Factors related to the event of gastritis disease in kelurahan tanjung pinang jambi city in 2018. J Formil (Forum Ilmiah) Kesmas Respati. 2019 (cited 2022 March 23);4(1):99. Available from: https://www.researchgate.net/publication/337083508_factors_related_to_the_event_of_gastritis_disease_in_kelurahan_tanjung_pinang_jambi_city_in_2018/fulltext/5dc41d2992851c818033be67/factors-related-to-the-event-of-gastritis-disease-in-kelurahan-tanjung-pinang-jambi-city-in-2018.pdf?origin=publication_detail

Downloads

Published

2024-12-08

How to Cite

Song, A. M., & Dwiana, A. . (2024). HUBUNGAN STRES PSIKOLOGIS DENGAN GEJALA GASTRITIS PADA MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS TARUMANAGARA ANGKATAN 2020. PREPOTIF : JURNAL KESEHATAN MASYARAKAT, 8(3), 6257–6265. https://doi.org/10.31004/prepotif.v8i3.37090