Introduction:Many researchers have emphasized the importance of teaching stress management and self-care skills to medical students as they are vulnerable to develop psychological health problems.Aims:To explore potential effects of a 4-hour stress management intervention on medical students’ psychological health.Objective:To determine changes of psychological distress symptoms between the intervention and control groups.Method:A randomized controlled trial study was conducted in a medical school. Out of 500 medical students who were randomly invited to participate in this study, 171 medical students consented. They were randomly assigned into the study groups. Their psychological distress symptoms were measured by the DASS-21 at five different intervals. The Repeated Measure ANCOVA was performed to determine the effects of intervention.Results:A total of 153 medical students (intervention = 73 and control = 80) completed this study. There was a significant reduction of the symptoms among the intervention group at different intervals (p = 0.007). The intervention group experienced significantly lower psychological distress symptoms than the control group (p = 0.011). The effect size was -0.43, indicating the symptoms were significantly improved by 43% of a standard deviation as a result of the intervention. The effects were sustained for duration of 32 weeks post intervention.Conclusion:The results support the effectiveness of the brief intervention to improve psychological health of medical students. It is a promising intervention to be adopted by medical schools as it consumes minimal amount of time, money and man power as well as simple to be implemented.
ABSTRAKPendahuluan: Gejala prahaid merupakan kumpulan gejala fi sik, emosi dan tingkah laku yang terjadi menjelang menstruasi yang dapat mengganggu aktivitas seorang wanita. Aktivitas fi sik aerobik dapat meningkatkan tingkat endorfi n, menurunkan estrogen, meningkatkan transportasi oksigen dalam otot dan meningkatkan kesejahteraan psikologis. Tujuan penelitian ini adalah mengidentifi kasi perbedaan pengaruh senam aerobik dan pendidikan kesehatan terhadap keluhan gejala prahaid. Metode: Rancangan penelitian ini menggunakan metode quasy experiment control group design. Penelitian dilakukan di Akademi Keperawatan Intan Martapura dan Akademi Kebidanan Banjarbaru dengan subjek penelitian adalah seluruh mahasiswa yang tercatat sebagai mahasiswi Akademi Keperawatan Intan Martapura dan Akademi Kebidanan Banjarbaru. Dengan teknik purposive sampling, didapatkan sebanyak 40 responden. Hasil: Berdasarkan uji korelasi pearson pada kelompok perlakuan dan kontrol sebelum dilakukan perlakuan didapatkan hasil 0,862 (α > 0,05, berarti tidak ada hubungan keluhan gejala prahaid antara kelompok perlakuan dan kontrol. Setelah intervensi didapatkan hasil 0,018 (α < 0,05), berarti ada hubungan senam aerobik dengan keluhan gejala prahaid dengan tingkat kekuatan hubungan lemah yaitu 0,373. Dari uji komparatif T Test pada kasus dan kontrol sebelum dilakukan perlakuan didapatkan hasil sign 0,862 (α ≥ 0,05), berarti tidak ada perbedaan keluhan gejala prahaid pada kelompok perlakuan dan kontrol. Setelah dilakukan intervensi didapatkan hasil sign 0,018 (α < 0,05), berarti ada perbedaan keluhan gejala prahaid pada kelompok perlakuan yang melakukan senam aerobik dengan kontrol yang mendapatkan pendidikan kesehatan. Uji paired test pada kasus sebelum dan sesudah dilakukan perlakuan berupa senam aerobik didapatkan hasil sign 0,000 (α < 0,05), berarti ada perbedaan keluhan gejala prahaid sebelum dan sesudah dilakukan senam aerobik. Pada kelompok kontrol sebelum dan sesudah dilakukan perlakuan berupa pendidikan kesehatan didapatkan hasil sign 0,056 (α ≥ 0,05), berarti tidak ada perbedaan keluhan prahaid keluhan gejala prahaid sebelum dan sesudah dilakukan pendidikan kesehatan. Analisis dan Diskusi: Bagi mahasiswa yang mengalami keluhan gejala prahaid, sebaiknya melakukan senam aerobik secara teratur sebagai salah satu cara untuk mengurangi keluhan gejala prahaid.Kata kunci: keluhan gejala prahaid, senam aerobik, pendidikan kesehatan ABSTRACT Background: Premenstrual syndrome (PMS) is a group of physical symptoms, emotions and behaviors that occur cyclically during the luteal phase of the menstrual cycle and disappear after menstruation happened. Those symptoms might cause suffering for women and thus require treatment. Aerobic physical activity can raise the level of endorphins, decrease estrogen, increase oxygen transport in muscle and improve psychological well-being. The purpose of this study is to identify the differences in the effect of aerobic exercise and health education on the symptoms of premenstrual syndrome. Method: This study used q...
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