Gambaran Tingkat Kecemasan Mahasiswa Fakultas Kedokteran Universitas Mulawarman Sebelum Menghadapi OSCE

Abstract

Anxiety is a very familiar term that describes a state of worry, anxiety, fear, and in peace with various physical grievances. Medical students experience a level of mental exhaustion that includes anxiety. Medical faculty students have a hectic schedule of lectures, tutorial activities, practicum, lab skills and the demands to study independently outside those hours so that the pressure on physical and mental conditions is relatively more severe than other education. In addition to learning activities, medical students also conduct Objective Structural Clinical Examination (OSCE) exams as an instrument testing clinical skill of medical students. The many thoughts about the material to be learned between theory, clinical skills in the OSCE exam, osce atmosphere, OSCE testers observing participants directly, unpreparedness following the OSCE, OSCE mechanism and the same time interval of each stase make osce known as a test that causes quite high anxiety. This research aims to find out the picture of anxiety levels of students of The Faculty of Medicine Universitas Mulawarman before facing the OSCE. This research is a descriptive observational study with cross-sectional design. Sampling using stratified random sampling techniques. This level of anxiety was measured using the English version of the Hamilton Anxiety Rating Scale (HARS) questionnaire which was translated into Indonesian with 14 items. The sample was obtained by 96 students. In this study, 27 students (28.12%) with mild anxiety levels, 29 students (30.21%) with mild to moderate anxiety levels, 40 students (41.67%) with moderate to severe anxiety levels.

The Relationship Between Anxiety Level and Functional Dyspepsia Incidence in Medical Students at State University of Gorontalo

“…Meanwhile, the category of severe anxiety level in this study was experienced more by respondents entering 2019 and 2020 than respondents entering 2021. This is in line with research by Sari et al [28], who found that the anxiety level of students in the 2016 and 2017 batches was higher than the level of anxiety among students in the class of 2018. Sari et al [28], in their research, stated that upper-level medical students have to study a lot of lecture material and assignments compared to lower-level students.…”

“…This is in line with research by Sari et al [28], who found that the anxiety level of students in the 2016 and 2017 batches was higher than the level of anxiety among students in the class of 2018. Sari et al [28], in their research, stated that upper-level medical students have to study a lot of lecture material and assignments compared to lower-level students. According to the previous researcher's statement, the researcher assumes that many Gorontalo State University medical students in the class of 2019 experience severe levels of anxiety because there is also more lecture material and assignments that must be carried out than students entering 2020 and 2021.…”

“…Based on the characteristics of the respondents and the results of the research that has been done, it was found that the age range of the respondents in this study was 18-22 years. The results of this study are in line with research conducted by Sari et al [28], whose respondents were also medical students in the 18-22 year age group [28]. According to Sari [2], symptoms of anxiety can arise in various age groups, depending on the triggering factors of the symptoms of anxiety in an individual.…”

The Effect of Anxiety to Epigastric Pain Syndrome and Postprandial Distress Syndrome into Medical Students of Universitas Pelita Harapan

“…4 Dilaporkan juga bahwa 82% dari 2246 mahasiswa kedokteran memiliki setidaknya satu masalah psikologis. 5 Pada mahasiswa kedokteran sebanyak 41,67% mengalami kecemasan sedang sampai berat dari seluruh responden penelitian yang dilakukan di salah satu fakultas kedokteran di Indonesia, 6 disebabkan lingkungan yang menimbulkan efek stress sehingga mempengaruhi kinerja akademik, kesehatan fisik dan mental. 7 Kecemasan dapat dipahami sebagai perasaan takut yang terjadi ketika menghadapi situasi yang mengancam atau penuh tekanan.…”

“…Berdasarkan kuesioner HARS kecemasan dapat dikategorikan menjadi normal atau tanpa kecemasan, kecemasan ringan, kecemasan sedang, kecemasan berat, dan kecemasan sangat berat. 6 Kecemasan merupakan salah satu faktor penyebab gangguan pencernaan karena adanya interaksi faktor psikologis dengan gangguan saluran pencernaan yang diyakini melalui mekanisme brain-gut-axis. Axis tersebut berkomunikasi secara dua arah yaitu melalui sistem saraf otonom dan hypothalamic-pituitary-adrenal (HPA) axis yang menggabungkan berbagai pengaruh faktor psikologis, persepsi viseral, dan abnormalitas motorik sehingga menyebabkan timbulnya dispepsia fungsional.…”