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Abstrak :
Kesehatan dan keselamatan kerja merupakan masalah utama di bidang manufaktur. Dari tahun 2019 hingga 2021 masih terdapat kasus kecelakaan dimana terjadi peningkatan kejadian kecelakaan kerja dari tahun 2019 hingga saat ini, sehingga perlu dilakukan investigasi faktor-faktor yang mempengaruhi kecelakaan untuk dapat melindungi pekerja. Penelitian ini bertujuan untuk menyelidiki banyaknya stressor yang mempengaruhi dua bentuk stres yang dialami oleh pekerja, stres fisik dan stres psikologis, untuk meningkatkan kinerja mereka dalam hal keselamatan di lingkungan kerja yang berbahaya. Dengan menggunakan model peralatan struktural, penelitian ini mengidentifikasi tuntutan pekerjaan, stres organisasi, stres lingkungan, perilaku keselamatan, stres fisik, stres psikologis, dan hasil keselamatan. Sampel penelitian sebanyak 153 pekerja yang mengisi kuesioner dikembangkan sesuai dengan hubungan stressor. Berdasarkan hasil penelitian, rekomendasi dibuat untuk pekerja tentang cara mengurangi risiko cedera atau kecelakaan. ......ccupational health and safety are a major problem in manufacturing. From 2019 to 2021, there are still accident cases where there is an increase in the incidence of work accidents from 2019 until now, making it necessary to investigate factors that influence accidents to be able to protect workers. This research aims to investigate the many stressors affecting two forms of stress experienced by workers, physical stress and psychological stress, in order to enhance their performance in terms of safety in a hazardous working environment. Using a structural equipment model, this study identified job demand, organizational stress, environmental stress, safety behaviour, physical stress, psychological stress, and safety outcome. The study sample of 153 workers who completed questionnaires was developed according to the stressor relationship. Based on the result, recommendations are made to workers on how to reduce the risk of injury or accident.

Abstrak :
Latar Belakang: Peningkatan insiden tukak peptikum perforasi (TPP) Divisi Bedah digestif RSUPN Dr. Cipto Mangunkusumo Jakarta. Selama enam bulan awal pandemi Covid-19, naik empat kali lipat, dibandingkan enam bulan sebelum pandemi Covid-19. Penelitian ini bertujuan untuk menilai peran stres psikologis sebagai faktor risiko tukak peptikum perforasi. Metodologi: Merupakan studi retrospektif potong lintang, membandingkan 2 kelompok subjek penelitian, TPP pandemi Covid-19 Maret 2020 hingga Maret 2021 dan non-pandemi Covid-19 Juli 2017 hingga Februari 2020. Data demografi, klinis, dan tingkat stres psikologis yang diukur dengan Perceived Stress Scale (PSS-10) merupakan variabel yang diperiksa. Hasil: Tercatat 53 TPP, 28 subjek pada pandemi, pria 11, wanita 17, rerata usia 63 tahun, pemakaian obat antiinflamasi nonsteroid atau jamu 80%, komorbid 92,8%, lama rawat 23,6 hari, morbiditas 78,5%, infeksi daerah operasi 17%, pneumonia 38,9%, dan mortalitas 46,4%. 25 subjek pada non-pandemi, pria 21, wanita 4, rerata usia 53 tahun, penggunaan obat antiinflamasi nonsteroid atau jamu 85%, komorbid 48%, rerata skor boey 1,3, PULP 6,8, ASA 3, lama rawat 16,2 hari, morbiditas 52%, infeksi daerah operasi 12%, pneumonia 36%, dan mortalitas 28%. Penilaian PSS-10 pada 37 subjek, pada pandemi, stres berat delapan, stres sedang tujuh, stres ringan empat. Pada non-pandemi stres berat satu, stres sedang delapan, stres ringan sembilan. Uji Fischer exact didapatkan perbedaan antara stres ringan-sedang dengan stres berat pada kedua kelompok, p = 0,019. Uji Spearman didapatkan korelasi moderat (rs = 0,422) antara stres psikologis dengan pandemi, p = 0,009. Simpulan: Pandemi Covid-19 memperberat stres psikologis, meningkatkan morbiditas dan mortalitas tukak peptikum perforasi. ......Background: Increased incidence of perforated peptic ulcer (PPU) Digestive Surgery Division, Dr. Cipto Mangunkusumo Hospital, Jakarta. During early of six months Covid-19 pandemic, increased four times, compared to six months before Covid-19 pandemic. This study aims to evaluate the role of psychological stress as a risk factor for perforated peptic ulcer. Methodology: a cross-sectional retrospective study, compare 2 groups on the PPU subjects of COVID-19 pandemic March 2020 to March 2021 and non-pandemic Covid-19 July 2017 to February 2020. Demographic, clinical, and psychological stress data as measured by Perceived Stress Scale (PSS-10) were variables to be evaluated. Results: Registered 53 PPU, 28 subjects in Covid-19 pandemic, 11 males, 17 females, 63 years mean age, 80% used of nonsteroidal anti-inflammatory drugs or Indonesian herbs, 92.8% comorbidities, 23.6 days length of stay, 78,5% morbidity, 17% surgical site infection, 38.9% pneumonia, and 46,4% mortality. 25 subjects in non-pandemic, 21 males, 4 females, 53 years mean age, 85% non-steroidal anti-inflammatory drugs or Indonesian herbs, 48% comorbidity, 1.3 mean boey score, 6.8 PULP, 3 ASA, 16.2 days length of stay, 52% morbidity, 12% surgical site infection, 36% pneumonia, and 28% mortality. PSS-10 evaluated on 37 subjects, in pandemic, eight severe stress, seven moderate stress, four mild stress. In non-pandemic, one severe stress, eight moderate stress, and nine mild stress. Fischer's exact test found a difference between mild-moderate stress and severe stress in both groups, p = 0.019. Spearman's test found a moderate correlation (rs=0.422) between psychological stress and the pandemic, p = 0.009. Conclusion: Covid-19 pandemic exacerbates psychological stress, increasing morbidity and mortality of perforated peptic ulcer.

Abstrak :
Background: pathophysiology of functional dyspepsia remains poorly understood. Many factors such as gastric motility disorder, visceral hypersensitivity, Helicobacter pylori (Hp) infection, psychological stress and excessive gastric acid secretion play roles in this symptom. Psychological stress may promote peptic ulcer and has an effect on ulcers-associated Hp. This study aimed to determine Helicobacter pylori activity and expression of mucosal IL 6 and their association with psychological stress. Methods: a cross-sectional study was done among 40 outpatients with dyspeptic syndromes in M. Djamil General Hospital and two community health centers in Padang. The subjects were divided into two groups, with and without psychological stress, which were identified using DASS 42. Gastric biopsy specimens and peripheral blood samples were taken while performing esophagogastroduodenoscopy. Immunohistochemistry methods was used to determine the expression of IL 6 and Hp in gastric mucosa. The correlation of each variable in the group experiencing psychological stress and non stress was analyzed using Chi square test. Results: there were 40 patients with functional dyspepsia with average age of 37.58(SD 11.82) years old. The cortisol levels were significantly different between both groups (non stress vs. stress groups); moreover, morning cortisol level in psychological stress group was higher beyond normal limit. Interleukin 6 expression, as the evidence of inflammatory activity, seemed higher in non stress group than the group with psychological stress (8.25% vs. 7.25%). Helicobacter pylori activity was seemed to be increased in the stress group as characterized by higher numbers of invasion to the sub mucosa epithelium compared to the non stress group (11 vs. 7 subjects). Conclusion: psychological stress seems to have no correlation with IL-6 in gastric mucous of patients with functional dyspepsia; however, there is an evidence of increasing activity of Helicobacter pylori.

Abstrak :
Dysmenorrhea primer merupakan suatu masalah yang berdampak pada kualitas hidup seseorang. Penelitian ini bertujuan untuk mengetahui hubungan antara status gizi (IMT), kebiasaan olahraga, asupan gizi (serat, omega-3, dan kalsium), konsumsi kopi, usia menarche, laju menstruasi, lama menstruasi,, siklus menstruasi, riwayat keluarga, dan stress psikologis dengan dysmenorrhea primer serta faktor yang dominan pada mahasiswi S1 Reguler FF, FIK, dan FKM UI tahun 2015. Penelitian ini menggunakan desain studi cross sectional dengan metode systematic random sampling. Sampel yang diteliti adalah mahasiswi FF, FIK, dan FKM UI angkatan 2011-2014 dengan total 170 sampel. Data dikumpulkan dengan cara pengisian kuesioner mandiri, wawancara FFQ semikuantitatif, dan pengukuran antropometri. Hasil uji chi square menunjukkan terdapat hubungan yang bermakna antara riwayat keluarga dan stress psikologis dengan dysmenorrhea primer (p-value< 0,05). Dari analisis regresi logistik didapatkan stress psikologis sebagai faktor dominan (OR 3,912).

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Primary dysmenorrhea is a problem which impact quality of life. This study aimed to identify the association between nutritional status (BMI), exercise, nutrient intake (dietary fiber, omega-3, and calcium), coffee consumption, menarche age, menstrual flow, menstrual duration, menstrual cycle, family history, and psychological stress with primary dysmenorrhea and the dominant factor on female student in Female Student at Faculty of Pharmacy, Faculty of Nursing, and Faculty of Public Health Universitas Indonesiain 2015. This study used cross sectional design with systematic random sampling. The observed sample in this study was female student of the Faculty of Pharmacy, Faculty of Nursing, and Faculty of Public Health Universitas Indonesia batch 2011-2014 envolving 170 students. Data were collected by using a self administered questionnaire, semiquantitative FFQ, and anthropometric measurements. The result of this study showed that there was a significant association between family history and psychological stress with primary dysmenorrhea (p-value < 0,05). Logistic regression analysis showed that psychological stress as the dominant factor (OR 3,912).

Abstrak :
Kontrol gula darah dipengaruhi oleh banyak hal, salah satunya adalah tingkat stres. Dalam penatalaksanaan diabetes melitus komponen intervensi untuk menurunkan stres terabaikan. Terapi progressive muscle relaxation (PMR) diketahui mampu mengontrol kadar gula darah yang merupakan salah satu bagian dari intervensi keperawatan. Tujuan penelitian adalah untuk mengetahui pengaruh latihan PMR terhadap tingkat stres dan kadar gula darah sewaktu pada pasien diabetes melitus tipe 2. Metode penelitian ini adalah kuasi eksperimen dengan desain pre and post test with control group. Masing-masing kelompok terdiri dari 18 responden. Pengambilan sampel dilakukan dengan consecutive sampling. Kelompok intervensi diberikan latihan PMR 2 kali sehari selama 3 hari. Kadar gula darah sewaktu diambil melalui pembuluh darah kapiler. Tingkat stres diukur menggunakan kuesioner depression anxiety stress scale (DASS) yang telah dimodifikasi menjadi 7 item. Hasil penelitian menunjukan bahwa terdapat pengaruh latihan PMR terhadap tingkat stres pada kelompok intervensi dengan nilai p didapat 0,0001. Pada penelitian ini pula didapatkan adanya perubahan yang bermakna kadar gula darah sewaktu pada kelompok intervensi dan kelompok kontrol. Namun pada kedua kelompok tidak berbeda bermakna dengan pvalue 0,448 (p>0,05). Kesimpulan dari peneliian ini adalah latihan PMR berpengaruh secara signifikan terhadap tingkat stres pada pasien diabetes melitus tipe 2 pada kelompok intervensi akan tetapi tidak terdapat perbedaan yang bermakna pada kadar gula darah sewaktu antar kedua kelompok. ......Blood glucose control is influenced by many factors, one of which is the level of stress. In the management of diabetes mellitus component interventions to reduce stress neglected. Treatment of progressive muscle relaxation (PMR) is known to control blood sugar levels which is one part of nursing interventions. The research objective was to determine the effect of PMR on the level of stress and blood glucose levels in patients with type 2 diabetes mellitus. Methods This study applied a quasi experimental design with a pre and post test control group. Each group consisted of 18 respondents. Purposive sampling technique was used in this study. PMR exercise intervention group was given twice a day for 3 days. Blood sugar levels when taken through the capillaries. Stress levels were measured using a questionnaire depression anxiety stress scales (DASS) which has been modified to 7 items, to measure stress levels. The results shows that there is a significant effect of PMR exercise on the level of stress in the intervention group with a p value of 0.0001, found also the presence of significant changes in blood glucose levels in the intervention group and the control group. But, the two groups did not differ significantly with p value 0.448 (p> 0.05). This study concludes that PMR exercises significant has a significant effect on stress levels in patients with type 2 diabetes mellitus intervention group and there is no significant difference on blood glucose levels between the two groups.