Kesehatan Mental Mahasiswa Diploma Keperawatan dan Perlunya Upaya Promosi Kesehatan Komprehensif: Studi pada Situasi Pandemi

Yosi Marin Marpaung

doi:10.36452/jkdoktmeditek.v28i2.2380

Authors

Yosi Marin Marpaung Program Studi Keperawatan, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Kristen Krida Wacana, Jakarta, Indonesia

DOI:

https://doi.org/10.36452/jkdoktmeditek.v28i2.2380

Keywords:

kesehatan mental, mahasiswa keperawatan, pandemi COVID-19

Abstract

Masalah kesehatan mental meningkat dengan sangat serius di era pandemi COVID-19. Pandemi juga berdampak pada peningkatan gangguan kesehatan mental secara signifikan pada mahasiswa keperawatan di berbagai negara dibandingkan masa sebelumnya. Penelitian ini bertujuan untuk memberikan gambaran masalah kesehatan mental dan faktor-faktor yang menjelaskan masalah ini pada mahasiswa diploma keperawatan. Desain cross-sectional digunakan dalam penelitian ini. Selain data kuantitatif, data kualitatif juga dikumpulkan secara bersamaan. Analisis statistik dan analisis konten dilakukan untuk menjawab tujuan penelitian. Lebih dari 80% mahasiswa diploma keperawatan Universitas X berpartisipasi. Gejala gangguan kesehatan mental dirasakan oleh sebagian besar responden. Tahun tempuh pendidikan, kondisi kesehatan sosial, fisik, dan spiritual yang dirasakan berhubungan dengan masalah kesehatan mental mahasiswa keperawatan. Analisis multivariat menunjukkan tahun tempuh pendidikan dan kesehatan sosial perlu mendapatkan perhatian khusus. Lebih jauh, hasil analisis konten mengungkap 14 stresor, di mana isu-isu sosial dan beban akademik menjadi yang paling sering muncul, di samping isu kesehatan fisik dan keterampilan halus mahasiswa. Diperlukan upaya promosi kesehatan mental yang memerhatikan seluruh dimensi kesehatan baik sosial, fisik, dan spiritual, dari awal masa pendidikan keperawatan, khususnya mengingat akibat yang ditimbulkan pandemi COVID-19.

References

Santomauro DF, Mantilla-Herrera AM, Shadid J, Zheng P, Ashbaugh C, Pigott DM, et al. Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. Lancet. 2021;398(10312):1700–12.

Kim SC, Sloan C, Montejano A, Quiban C. Impacts of coping mechanisms on mursing students’ mental health during COVID-19 lockdown: a cross-sectional survey. Nurs Reports. 2021;11(1):36–44.

Tanji F, Kodama Y. Prevalence of psychological distress and associated factors in nursing students during the COVID-19 pandemic: a cross-sectional study. Int J Environ Res Public Health. 2021;18(19).

Black TLM. Stress and depression in undergraduate students during the COVID-19 pandemic: nursing students compared to undergraduate students in non-nursing majors. J Prof Nurs [Internet]. 2021;38(June 2021):89–96. Available from: https://doi.org/10.1016/j.profnurs.2021.11.013

Reverté-Villarroya S, Ortega L, Lavedán A, Masot O, Burjalés-Martí MD, Ballester-Ferrando D, et al. The influence of COVID-19 on the mental health of final-year nursing students: comparing the situation before and during the pandemic. Int J Ment Health Nurs. 2021;30(3):694–702.

Husky MM, Kovess-Masfety V, Swendsen JD. Stress and anxiety among university students in France during COVID-19 mandatory confinement. Compr Psychiatry [Internet]. 2020;102:152191. Available from: https://doi.org/10.1016/j.comppsych.2020.152191

Sveinsdóttir H, Flygenring BG, Svavarsdóttir MH, Thorsteinsson HS, Kristófersson GK, Bernharðsdóttir J, et al. Predictors of university nursing students burnout at the time of the COVID-19 pandemic: a cross-sectional study. Nurse Educ Today. 2021;106.

Vitale E, Moretti B, Notarnicola A, Covelli I. How the Italian nursing student deal the pandemic COVID-19 condition. Acta Biomed. 2020;91(12-S):1–10.

Patelarou A, Mechili EA, Galanis P, Zografakis-Sfakianakis M, Konstantinidis T, Saliaj A, et al. Nursing students, mental health status during COVID-19 quarantine: evidence from three European countries. J Ment Heal [Internet]. 2021;30(2):164–9. Available from: https://doi.org/10.1080/09638237.2021.1875420

Lameky V, Pugesehan DJ. Gambaran tingkat depresi, kecemasan dan stres pada mahasiswa keperawatan Universitas Kristen Indonesia Maluku di masa pandemi COVID-19. J Penelit Kesehat Suara Forikes. 2021;12:76–80.

Ariviana IS, Wuryaningsih EW, Kurniyawan EH. Tingkat stres, ansietas, dan depresi mahasiswa profesi ners di masa pandemi COVID-19. J Ilmu Keperawatan Jiwa. 2021;4(4):741–52.

Angelica H, Tambunan EH. Stres dan koping mahasiswa keperawatan selama pembelajaran daring di masa Pandemi COVID-19. J Ilm Keperawatan Imelda. 2021;7(1):28–34.

Hasanah U, Fitri NL, Supardi S, PH L. Depression among college students due to the COVID-19 pandemic. J Keperawatan Jiwa. 2020;8(4):421.

Hasanah U, Ludiana, Immawati, PH L. Gambaran psikologis mahasiswa dalam proses pembelajaran selama pandemi COVID-19. J Keperawatan Jiwa. 2020;8(3):299–306.

Galanza MAM, Aruta JJBR, Mateo NJ, Resureccion RR, Bernardo ABI. Mental health of Filipino university students during the COVID-19 pandemic the distinct associations of fear of COVID-19 and financial difficulties. Educ Dev Psychol. 2021;1–6.

Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesia. Laporan nasional riset kesehatan dasar 2018 [Internet]. Kementerian Kesehatan Republik Indonesia. 2019. [cited 2021 Oct 23]. Available from: https://www.litbang.kemkes.go.id/laporan-riset-kesehatan-dasar-riskesdas/

Ginting H, Näring G, Van Der Veld WM, Srisayekti W, Becker ES. Validating the Beck Depression Inventory-II in Indonesia’s general population and coronary heart disease patients. Int J Clin Heal Psychol [Internet]. 2013;13(3):235–42.

Beck AT, Steer RA, Brown GK. Beck Depression Inventory – Second Edition. Manual. San Antonio (TX): The Psychological Corporation; 1996.

Mashaal D, Rababa M, Shahrour G. Distance learning-related stress among undergraduate nursing students during the COVID-19 pandemic. J Nurs Educ. 2020;59(12):666–74.

Aslan H, Pekince H. Nursing students’ views on the COVID-19 pandemic and their percieved stress levels. Perspect Psychiatr Care. 2021;57(2):695–701.

Mcdermott RC, Fruh SM, Williams S, Hauff C, Sittig S, Wright T, et al. Characteristics of negative and positive mental health among nursing students in the United States. J Am Psychiatr Nurses Assoc. 2021;27(1):44–53.

Khawar MB, Abbasi MH, Hussain S, Riaz M, Rafiq M, Mehmood R, et al. Psychological impacts of COVID-19 and satisfaction from online classes: disturbance in daily routine and prevalence of depression, stress, and anxiety among students of Pakistan. Heliyon. 2021;7(5).

Latif RA, Nor MZM. Stressors and coping strategies during clinical practice among diploma nursing students. Malaysian J Med Sci. 2019;26(2):88–98.

Knight AW. How clinical instructor behavior affects student clinical engagement from a motivational perspective. J Nucl Med Technol. 2018;46(2):99–106.

Sun F, Xu C, Xue J, Su J, Lu Q, Wang B. Perceived stress, psychological capital, and psychological distress among chinese nursing students: a cross-sectional study. Res Sq. 2021;1–14.

Devi HM, Purborini N, Chang HJ. Mediating effect of resilience on association among stress, depression, and anxiety in Indonesian nursing students. J Prof Nurs [Internet]. 2021;37(4):706–13.

Ngadi N, Meliana R, Purba YA. Dampak pandemi COVID-19 terhadap PHK dan pendapatan pekerja di Indonesia. J Kependud Indones. 2020;43–8.

Spurr S, Walker K, Squires V, Redl N. Examining nursing students’ wellness and resilience: an exploratory study. Nurse Educ Pract [Internet]. 2021;51(May 2020):102978.

Rogowska AM, Pavlova I, Kuśnierz C, Ochnik D, Bodnar I, Petrytsa P. Does physical activity matter for the mental health of university students during the COVID‐19 pandemic? J Clin Med. 2020;9(11):1–19.

Du C, Zan MCH, Cho MJ, Fenton JI, Hsiao PY, Hsiao R, et al. The effects of sleep quality and resilience on perceived stress, dietary behaviors and alcohol misuse: a mediation-moderation analysis of higher education students from Asia, Europe and North America during the COVID-19 pandemic. Nutrients. 2021;13(2):1–22.

Martínez-de-Quel O, Suarez-Iglesias D, Lopez-Flores M, Ayan Perez C. Physical activity, dietary habits and sleep quality before and during COVID-19 lockdown: a longitudinal study. Appetite. 2021;158:105019.

Romero-Blanco C, Rodríguez-Almagro J, Onieva-Zafra MD, Parra-Fernández ML, Prado-Laguna MDC, Hernández-Martínez A. Sleep pattern changes in nursing students during the COVID-19 lockdown. Int J Environ Res Public Health. 2020;17(14):1–11.

Özden G, Parlar Kiliç S. The effect of social isolation during COVID-19 pandemic on nutrition and exercise behaviors of nursing students. Ecol Food Nutr [Internet]. 2021;60(6):663–81. Available from: https://doi.org/10.1080/03670244.2021.1875456

Imaz-Aramburu I, Fraile-Bermúdez AB, Martín-Gamboa BS, Cepeda-Miguel S, Doncel-García B, Fernandez-Atutxa A, et al. Influence of the COVID-19 pandemic on the lifestyles of health sciences university students in spain: a longitudinal study. Nutrients. 2021;13(6):1–9.

Duong T Van, Pham KM, Do BN, Kim GB, Dam HTB, Le VTT, et al. Digital healthy diet literacy and self-perceived eating behavior change during COVID-19 pandemic among undergraduate nursing and medical students: a rapid online survey. Int J Environ Res Public Health. 2020;17(19):1–13.

Hür SD, Andsoy II, Şahin AO, Kayhan M, Eren S, Zünbül N, et al. Depressive symptoms in Karabuk University Health School students. J Psychiatr Nurs. 2014;5(2):72–6.

Sun KI, Hyunju J, Soyun H, Eunyoung J. Concept analysis of illness acceptance in chronic disease application of hybrid model method. J Korean Acad Fundam Nurs. 2021;28(1).

Alderfer MA, Fiese BH, Gold JI, Cutuli JJ, Holmbeck GN, Goldbeck L, et al. Evidence-based assessment in pediatric psychology: family measures. J Pediatr Psychol. 2008;33(9):1046–61.

Ni C, Liu X, Hua Q, Lv A, Wang B, Yan Y. Relationship between coping, self-esteem, individual factors and mental health among Chinese nursing students: a matched case-control study. Nurse Educ Today [Internet]. 2010;30(4):338–43.

Braithwaite SR, Delevi R, Fincham FD. Romantic relationships and the physical and mental health of college students. Pers Relatsh. 2010;17(1):1–12.

Whitton SW, Weitbrecht EM, Kuryluk AD, Bruner MR. Committed dating relationships and mental health among college students. J Am Coll Heal. 2013;61(3):176–83.

Kaygusuz C. Irrational beliefs and abuse in university student’s romantic relations. Eurasian J Educ Res. 2013;51:141–56.

Lo SM, Wong HC, Lam CY, Shek DTL. Common mental health challenges in a university context in Hong Kong: a study based on a review of medical records. Appl Res Qual Life. 2020;15(1):207–18.

Andika R. Hubungan tingkat religiusitas dengan tingkat kecemasan mahasiswa di masa pandemi COVID-19. J Kesehat Al-Irsyad [Internet]. 2020;13(2):131–44. Available from: http://e-jurnal.stikesalirsyadclp.ac.id/index.php/jka/article/view/114

Ghaderi A, Tabatabaei SM, Nedjat S, Javadi M, Larijani B. Explanatory definition of the concept of spiritual health: a qualitative study in Iran. J Med Ethics Hist Med. 2018;11(3):1–7.

Pouso S, Borja Á, Fleming LE, Gómez-baggethun E, White MP, Uyarra MC. Contact with blue-green spaces during the COVID-19 pandemic lockdown beneficial for mental health. Sci Total Environ. 2020;756.:143984.

Soga M, Evans MJ, Tsuchiya K, Fukano Y. A room with a green view: the importance of nearby nature for mental health during the COVID-19 pandemic. Ecol Appl. 2021;31(2):1–10.

Dzhambov AM, Lercher P, Browning MHEM, Stoyanov D, Petrova N, Novakov S, et al. Does greenery experienced indoors and outdoors provide an escape and support mental health during the COVID-19 quarantine? Environ Res. 2021;196:110420.