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Hubungan dan Prevalensi Tingkat Depresi, Tingkat Kecemasan, dan Tingkat Stres dengan Irritable Bowel Syndrome Pada Siswa/I SMAN 1 Lenek Kabupaten Lombok Timur Hamdi, Zainul; Prajitno, Sugianto; Azmi, Fahriana; Suanjaya, Made Agus
MAHESA : Malahayati Health Student Journal Vol 4, No 5 (2024): Volume 4 Nomor 5 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i5.14301

Abstract

ABSTRACT Irritable bowel syndrome (IBS) is a chronic and recurrent functional intestinal disorder, in the form of abdominal pain or discomfort and defecation pattern disorders that occur 1 time per week for at least 3 months, without any underlying structural abnormalities. Irritable bowel syndrome is a multifactoral disease that has several pathogenesis. Psychological factors such as stress, anxiety and depression can strongly affect the work of the colon. The colon has many neurons associated with the cerebrum. Part of the colon is controlled by the CNS, which responds to stress. This study aims to determine the prevalence of stress, anxiety, depression and the incidence of irritable bowel syndrome, as well as determine the relationship between stress, anxiety, depression and the incidence of irritable bowel syndrome in students of SMA N 1 Lenek East Lombok Regency. Analytical quantitative research with cross sectional research design. The sampling technique uses stratified random sampling. The research was conducted at SMA N 1 Lenek, East Lombok Regency. The study sample was 96 people. The data obtained were analyzed by the Chi-Square correlation test. The prevalence of irritable bowel syndrome in respondents was 40 people (41.7%), the prevalence of normal stress levels in respondents amounted to 36 people (37.5%), the prevalence of normal anxiety levels in respondents amounted to 17 people (17.7%), the prevalence of normal depression levels in respondents amounted to 45 people (46.9%). There is a significant relationship between stress and the incidence of irritable bowel syndrome. The p-value is 0.005 (p-value < 0.05). There was no significant association between anxiety and the incidence of irritable bowel syndrome. The p-value is 0.153 (p-value > 0.05). There is a significant relationship between depression and the incidence of irritable bowel syndrome. The p-value is 0.014 (p-value < 0.05). Conclusion: There is a relationship between stress and depression with the incidence of irritable bowel syndrome, but there is no relationship between anxiety and the incidence of irritable bowel syndrome in students of SMA N 1 Lenek East Lombok Regency. Keywords: Irritable Bowel Syndrome, Stress, Anxiety, DepressionABSTRAK Irritable bowel syndrome (IBS) adalah gangguan intestinal fungsional kronis dan berulang, berupa nyeri atau rasa tidak nyaman pada abdomen serta gangguan pola defekasi yang terjadi 1 kali per minggu setidaknya 3 bulan, tanpa adanya kelainan struktural yang mendasarinya. Irritable bowel syndrome merupakan penyakit multifaktoral yang memiliki beberapa patogenesis. Faktor psikologis seperti stres, kecemasan dan depresi dapat secara kuat memengaruhi kerja kolon. Kolon memiliki banyak neuron yang berhubungan dengan cerebrum. Sebagian kolon dikontrol oleh SSP, yang berespon terhadap stres. Penelitian ini bertujuan untuk mengetahui prevalensi stres, kecemasan, depresi dan kejadian irritable bowel syndrome, serta mengetahui hubungan stres, kecemasan, depresi dan kejadian irritable bowel syndrome pada siswa/i SMA N 1 Lenek Kabupaten Lombok Timur. Penelitian kuantitatif analitik dengan desain penelitian cross sectional. Teknik pengambilan sampel menggunakan stratified random sampling. Penelitian dilakukan di SMA N 1 Lenek Kabupaten Lombok Timur. Sampel penelitian sebanyak 96 orang. Data yang diperoleh dianalisis dengan uji korelasi Chi-Square. Prevalensi irritable bowel syndrome pada responden 40 orang (41,7%), prevalensi tingkat stres normal pada responden berjumlah 36 orang (37,5%), prevalensi tingkat kecemasan normal pada responden berjumlah 17 orang (17,7%), prevalensi tingkat depresi normal pada responden berjumlah 45 orang (46,9%). Terdapat hubungan yang signifikan antara stres dengan kejadian irritable bowel syndrome. Nilai p-value 0,005 (p-value < 0,05). Tidak terdapat hubungan yang signifikan antara kecemasan dengan kejadian irritable bowel syndrome. Nilai p-value 0,153 (p-value > 0,05). Terdapat hubungan yang signifikan antara depresi dengan kejadian irritable bowel syndrome. Nilai p-value 0,014 (p-value < 0,05). Terdapat hubungan antara stres dan depresi dengan kejadian irritable bowel syndrome, Namun tidak terdapat hubungan kecemasan dengan kejadian irritable bowel syndrome pada siswa/i SMA N 1 Lenek Kabupaten Lombok Timur. Kata Kunci: Irritable Bowel Syndrome, Stres, Kecemasan, Depresi
Determinan Kualitas Hidup Pasien Pasca Operasi Kanker Payudara di Indonesia: A Systematic review Made Agus Suanjaya; Anulus, Ayu; Husodo, Besar Tirto
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 4 No. 3 (2025): Agustus 2025
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v4i3.5476

Abstract

The quality of life of breast cancer patients post-surgery is an important indicator in assessing the success of long-term management, particularly in Indonesia, which has a high prevalence of breast cancer. This systematic review aims to identify the determinant factors affecting the quality of life of post-surgery breast cancer patients in Indonesia. Literature searches were conducted through PubMed, Google Scholar, and grey literature databases using Boolean operator keywords. The search was conducted without publication year restrictions, but only articles up to July 2025 were included. Of the 1,258 articles identified, 8 studies met the inclusion criteria and were analyzed narratively. Articles were also critically assessed for quality using JBI based on their study design. All articles had an average quality of moderate-high in reporting their research. The findings of the studies indicate that the quality of life of post-surgery breast cancer patients is influenced by physical, psychological, social, and medical factors. Low physical activity, anxiety, depression, and poor body image can reduce the quality of life. Social support from family and community helps improve the patient's well-being. Additionally, breast reconstruction can enhance the quality of life, though not all patients choose to undergo this procedure. In conclusion, interventions that consider physical, psychological, social, and medical factors should be integrated into post-surgery breast cancer care in Indonesia to improve the patient's quality of life holistically.
HUBUNGAN USIA, PENGGUNAAN KONTRASEPSI HORMONAL, DAN RIWAYAT MENYUSUI DENGAN KEJADIAN KANKER PAYUDARA DI RSUD PROVINSI NTB Inka Satya Wandari; Made Agus Suanjaya; Dian Rahardianti; Suci Nirmala
Indonesian Journal of Health Research Innovation Vol. 2 No. 2 (2025): Indonesian Journal of Health Research Innovation
Publisher : Yayasan Menawan Cerdas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64094/m414g247

Abstract

Kanker payudara merupakan neoplasma yang ditandai oleh pertumbuhan sel yang tidak terkontrol pada jaringan payudara. Di Provinsi Nusa Tenggara Barat (NTB), prevalensi penyakit ini mencapai 0,85 %, menempatkannya sebagai salah satu masalah kesehatan masyarakat utama. Penelitian ini bertujuan menganalisis keterkaitan antara usia, penggunaan kontrasepsi hormonal, dan riwayat menyusui dengan kejadian kanker payudara di RSUD Provinsi NTB. Desain studi case control melibatkan 100 wanita pasien yang dipilih melalui simple random sampling. Informasi mengenai usia, lamanya penggunaan kontrasepsi hormonal, serta durasi menyusui dikumpulkan dengan kuesioner terstruktur. Data kemudian dianalisis menggunakan uji chi-square untuk menguji signifikansi hubungan antara masing-masing variabel risiko dan insidensi kanker payudara. Hasil analisis menunjukkan bahwa usia ≥ 50 tahun memiliki asosiasi signifikan dengan kanker payudara (p = 0,000). Selain itu, penggunaan kontrasepsi hormonal lebih dari lima tahun juga berkorelasi signifikan (p = 0,004), sementara riwayat menyusui yang singkat atau tidak pernah menyusui meningkatkan risiko (p = 0,0002). Kesimpulannya, ketiga faktor tersebut merupakan determinan penting risiko kanker payudara di wilayah NTB. Rekomendasi meliputi peningkatan edukasi pencegahan untuk kelompok usia rentan, pemantauan lebih ketat bagi pengguna kontrasepsi hormonal, serta promosi menyusui eksklusif.