ABSTRAK
Nama : Rachmawati Ayu Azhariya
Program Studi : Magister Kedokteran Kerja, FKUI
Judul: Pengaruh Stres Kerja Berat Terhadap Kecenderungan Gangguan
Mental Emosional Pada Staf Manajerial Perusahaan Penanaman
Modal Asing
Latar belakang
Staf manajerial merupakan aset krusial sebuah Perusahaan karena peranannya dalam memimpin, mengatur, merencanakan dan mengelola sumber daya guna mencapai tujuan Perusahaan. Oleh karena itu, staf manajerial diharapkan sehat baik secara fisik, mental dan sosial.
Tujuan
Penelitian ini bertujuan untuk mengetahui hubungan stres kerja berat dengan kecenderungan gangguan mental emosional pada staf manajerial.
Metode
Penelitian dilakukan pada bulan Maret hingga Mei 2016 di Perusahaan Penanaman Modal Asing di Jawa Barat menggunakan metode comparative cross sectional. Stres kerja diukur dengan kuesioner Suvei Diagnosis Stres (SDS) sedangkan kecenderungan gangguan mental emosional dinilai dengan kuesioner Symptom Check List 90 (SCL 90). Jumlah responden pada penelitian ini adalah 105 orang yang terlebih dahulu diminta mengisi kuesioner stres kerja. Kemudian untuk menilai kecenderungan gangguan mental emosional, sebanyak 30 responden dipilih secara acak dari masing-masing kelompok stres kerja ringan-sedang dan stres kerja berat dan diminta mengisi kuesioner SCL-90.
Hasil
Prevalensi stres kerja berat pada karyawan manajerial adalah sebesar 35,2%. Terdapat hubungan yang bermakna secara statistik antara stres kerja berat dengan kecenderungan gangguan mental emosional (OR 47; 95% CI 7,37-300,17; p<0,001). Komponen stresor kerja yang memiliki hubungan bermakna dengan gangguan mental emosional adalah beban kerja kualitatif (OR 10,67; 95%CI 1,03–109,94; p 0,047) dan perkembangan karir (OR 10,83; 95%CI 1,03–114,15; p 0,047). Pendidikan merupakan faktor individu yang memiliki hubungan yang bermakna secara statistik terhadap kecenderungan gangguan mental emosional (OR 0,17; 95% CI 0,03-0,83; p 0,029). Tidak terdapat hubungan yang bermakna antara faktor pekerjaan terhadap terjadinya kecenderungan gangguan mental emosional.
Kata kunci: stres kerja, gangguan mental emosional, manajer
ABSTRACT
Name : Rachmawati Ayu Azhariya
Study Program: Postgraduate program on Occupational Medicine,
Universitas Indonesia
Title : Association of Severe Occupational Stress with Mental Emotional
Disorder Tendency among Managerial Staff at a Foreign Cooperation
Background
Managerial staff are a crucial asset for their role in lead, organize, plan and manage resources to achieve the Company's objectives. Therefore, managerial staff are expected to be healthy physically, mentally and socially.
Objective
This study aims to determine the relationship of severe occupational stress with mental emotional disorder tendency among managerial staff.
Method
This study used a comparative cross-sectional design. The aim of this study is to assess the risk of mental emotional disorder tendency in both group with mild-moderate and severe occupational stress. Based on the sample calculation, required respondents from each group are 30 people. Previously, a descriptive study was conducted to sort the respondents into mild-moderate and severe occupational stress. A total of 105 respondents were randomly selected from the total population of 220 people. Respondents were asked to do self-rating survey with SDS (Stress Diagnostic Survey) questionnaire which assess the occupational stress. Furthermore, 30 respondents were randomly selected from each group of mild-moderate and severe occupational stress to assess the tendency of mental emotional disorder. Symptoms Check List 90 (SCL-90) questionnaire was used to measure the tendency of mental emotional disorders.
Result
The prevalence of severe occupational stress on managerial staff is 35.2%. There was a significant association between severe occupational stress with the tendency of mental emotional disorder (OR 47; 95% CI 7.37-300.17; p <0.001). Components of occupational stressors which statistically significant with mental emotional disorder is the qualitative workload (OR 10.67; 95% CI 1.03-109.94; p 0.047) and career development (OR 10.83; 95% CI 1.03 -114.15; p 0.047). Education is the individual factor statistically significant against the tendency of mental emotional disorder (OR 0.17; 95% CI 0.03 to 0.83; p 0.029). There was no significant relationship between work factors with the tendency of mental emotional disorder.
Keyword: occupational stress, mental emotional disorder, manager.
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ABSTRAK
Latar belakang: Penilaian kualitas hidup pasien multipel sclerosis (MS) belum rutin digunakan di Indonesia karena belum terdapatnya kuesioner spesifik berbahasa indonesia yang valid. Tujuan dari penelitian ini adalah untuk adaptasi lintas budaya dan validasi kuesioner kuesioner MSQOL-54 versi Indonesia (MSQOL-54 INA).
Metode: Adaptasi lintas budaya dilakukan sesuai dengan metode forward-backward terstandar. Uji psikometri dilakukan dengan menilai reliabilitas (α Cronbach), validitas interna (item internal consistency, item discriminant validity dan analisis fakorial) dan validitas eksterna dengan menilai korelasi dengan faktor klinis EDSS dan faktor demografis lainnya.
Hasil: Uji reliabilitas α Cronbach menunjukkan konsistensi internal yang baik (>0,7) di setiap domain kecuali domain persepsi kesehatan (0,665) dan fungsi sosial (0,433). Validitas bentuk dengan komputasi koefisien korelasi menunjukkan konsistensi konsistensi internal yang sesuai dengan dimensi MSQOL-54 asli. Berdasarkan analisis faktorial domain energi, keterbatasan peran akibat masalah emosional, fungsi sosial dan persepsi kesehatan tidak sesuai dengan dimensi asli. Validitas eksternal dengan EDSS menunjukkan korelasi negatif pada semua domain kecuali fungsi seksual, kemaknaan yang signifikan secara statistik ditemukan pada kedua skor komposit.
Kesimpulan: Kuesioner MSQOL-54 INA memilki reliabilitas yang baik dan terbukti valid serta dapat diterima dengan baik oleh pasien MS di Indonesia. Selanjutnya kuesioner ini dapat digunakan oleh klinisi indonesia untuk tata laksana MS yang lebih komprehensif.
ABSTRACT
Background: Quality of life assessment of patients with multiple sclerosis (MS) is not routinely performed in Indonesia due to the unavailability of the validated Indonesian version of a specific instrument. The objective of this study was to transculturally adapt and validate the Indonesian version of the MSQOL-54 (MSQOL-54 INA) questionnaire.
Methods: The transcultural adaptation was conducted by performing a standardized forward-backward method. Psychometric analysis was performed by assessing the reliability (Cronbach α), internal validation (item internal consistency, item discriminant validity and factorial analysis) and external validation by measuring the correlation with a clinical factor such as EDSS and other demographic factors.
Results: Reliability test with Cronbach α showed good internal consistency (>0.7) at each domain, except for health perception (0.665) and social function (0.433). Construct validity using computation of correlation coefficient showed internal consistency in accordance with the original MSQOL-54 standard dimension. Factorial analysis showed that energy, role limitation due to emotional problems, social function and health perception is not in accordance with the original version. External validation with EDSS showed negative correlation on almost all components, except for sexual function, but both composite scores were statistically significant.
Conclusion: MSQOL-54 INA questionnaire has good internal reliability and is proven to be valid and well-accepted by Indonesian MS patients. Therefore, it can be used by Indonesian clinicians for more comprehensive MS management.
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