Electronic Theses and Dissertation

ABSTRAK
Kualitas hidup masih menjadi dampak utama pada irritable bowel syndrome termasuk pada remaja. Beberapa faktor yang dialami remaja dapat mempengaruhi kualitas hidupnya. Penelitian ini bertujuan untuk mengetahui determinan kualitas hidup remaja dengan gejala irritable bowel syndrome di Sekolah Menengah Atas kecamatan Kuta Alam kota Banda Aceh. Desain penelitian ini adalah cross-sectional study. Sampel penelitian ini adalah 344 remaja yang dipilih dengan teknik consecutive sampling. Alat pengumpulan data berupa kuesioner self report yang terdiri dari data demografi, Big Five Inventory (BFI-10), Irritable Bowel Syndrome Symptom Severity Score (IBS-SSS), Hopkins Symptom Checklist (HSCL-25), Patient Health Questionnaire (PHQ-15), dan IBS Quality of Life (IBS-QOL). Data dianalisis menggunakan uji Chi-square dan regresi logistik berganda. Hasil penelitian menunjukkan terdapat hubungan keparahan gejala IBS (p < 0,001), psychological distress (p < 0,001) dan gejala somatik (p < 0,001) terhadap kualitas hidup remaja dengan gejala IBS. Gejala somatik merupakan determinan yang paling berhubungan terhadap kualitas hidup remaja dengan gejala IBS dengan nilai Odds Ratio (OR) 0,620 (95% CI: 0,470-0,818). Dapat disimpulkan bahwa remaja dengan gejala IBS yang mengalami gejala somatik sedang dan berat berpeluang 0,6 kali lebih besar mengalami penurunan kualitas hidup dibandingkan dengan remaja yang mengalami gejala somatik minimal dan ringan. Dinas Kesehatan, tenaga kesehatan, sekolah dan orangtua direkomendasikan untuk berkolaborasi merancang program konsultasi, edukasi, intervensi dan evaluasi dalam menangani IBS. Screening rutin untuk mendeteksi dini gejala IBS, psychological distress dan gejala somatik pada remaja perlu dilakukan untuk mengatasi gejala somatik yang mereka alami.

Kata kunci : Irritable Bowel Syndrome, Kualitas Hidup, Kesehatan Remaja
Daftar Pustaka : 7 Buku, 137 artikel, 5 sumber online (2000-2024)

ABSTRACT Quality of life remains a major impact on irritable bowel syndrome, including in adolescents. Several factors experienced by adolescents can affect their quality of life. This study aims to identify the determinants quality of life in adolescents with irritable bowel syndrome symptoms in Senior High Schools in Kuta Alam Subdistrict, Banda Aceh City. This study used a cross-sectional design. The sample consisted of 344 adolescents selected using consecutive sampling. Data collection tools consisted of a self-report questionnaire comprising demographic data, the Big Five Inventory (BFI-10), Irritable Bowel Syndrome Symptom Severity Score (IBS-SSS), Hopkins Symptom Checklist (HSCL-25), Patient Health Questionnaire (PHQ-15), and IBS Quality of Life (IBS-QOL). Data were analyzed using the Chi-square test and multiple logistic regression. The results of the study indicate a significant association between the severity of IBS symptoms (p < 0.001), psychological distress (p < 0.001), and somatic symptoms (p < 0.001) and the quality of life in adolescents with IBS symptoms. Somatic symptoms are the most strongly associated determinant of quality of life in adolescents with IBS symptoms, with an Odds Ratio (OR) 0.620 (95% CI: 0.470–0.818). It can be concluded that adolescents with IBS symptoms who experience moderate and severe somatic symptoms are 0.6 times more likely to experience a decrease in quality of life compared to adolescents who experience minimal and mild somatic symptoms. Health Departments, health professionals, schools, and parents are recommended to collaborate in designing consultation, education, intervention, and evaluation programs to manage IBS. Routine screening to detect early symptoms of IBS, psychological distress, and somatic symptoms in adolescents needs to be implemented to overcome the somatic symptoms they experience. Keywords: Irritable Bowel Syndrome, Quality of Life, Adolescent Health References: 7 books, 137 articles, 5 online sources (2000-2024)