CORRELATION BETWEEN MENSTRUAL PAIN AND LEVEL OF CORTISOL AMONG NURSING STUDENT OF NAHDLATUL ULAMA UNIVERSITY, SURABAYA

  • Yurike Septianingrum Lecturer of Undergraduate Nursing Study Program, Faculty of Nursing and Midwifery, Nahdlatul Ulama University, Surabaya, East Java Province, Indonesia
  • Nety Mawarda Hatmanti Lecturer of Undergraduate Nursing Study Program, Faculty of Nursing and Midwifery, Nahdlatul Ulama University, Surabaya, East Java Province, Indonesia

Abstract

Background: The stress faced by the final student due to the demands of completing a thesis on time triggers the activation of the HPA axis so that it can increase the secretion of the cortisol produced by the adrenal cortex. Increased cortisol secretion increases uterine muscle contraction thereby aggravating menstrual pain.Objective: The purpose of this study was to analyze the correlation between cortisol levels and menstrual pain in nursing students of Nahdlatul Ulama University, Surabaya (UNUSA).Methods: This study is an analytic observational with cross sectional approach. Population of this study were all nursing students who met the inclusion and exclusion criteria. The subjects of this study were 46 people selected through purposive sampling. Data was collected through observations with VAS and cortisol laboratory results. Data were analyzed by using Spearman rank test.Results: The results showed that: 1) All students experience menstrual pain 2) Cortisol levels in all students are still in the normal range 3) There is a correlation between cortisol levels with menstrual pain (p = 0.009).Conclusion: Increasing cortisol levels are followed by aggravating menstrual pain. Future research is expected to examine other factors that cause menstrual pain in final semester students. Key words: Endorphin massage, menstrual pain, primary dysmenorrhea.

References

Armour, M., Smith, C. A., Steel, K. A., & Macmillan, F. (2019). The effectiveness of self-care and lifestyle interventions in primary dysmenorrhea: a systematic review and meta-analysis. BMC Complementary and Alternative Medicine, 19(1), 1–16. https://doi.org/10.1186/s12906-019-2433-8

Bakhtshirin, F., Abedi, S., YusefiZoj, P., & Razmjooee, D. (n.d.). The effect of aromatherapy massage with lavender oil on severity of primary dysmenorrhea in Arsanjan students. Iranian Journal of Nursing and Midwifery Research, 20(1), 156–160. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/25709705

Hannibal, K. E., & Bishop, M. D. (2014). Chronic stress, cortisol dysfunction, and pain: a psychoneuroendocrine rationale for stress management in pain rehabilitation. Physical Therapy, 94(12), 1816–1825. https://doi.org/10.2522/ptj.20130597

Hatmanti, N. M. (2018). Tingkat Stres dengan Siklus Menstruasi pada Mahasiswa. Journal of Health Sciences, 7(1). https://doi.org/10.33086/jhs.v7i1.449

Isnaeni, D. N. (2010). Hubungan antara Stres dengan Pola Menstruasi pada Mahasiswa D IV Kebidanan Jalur Reguler Universitas Sebelas Maret Surakarta. Universitas Sebelas Maret Surakarta.

Katwal, P. C., Karki, N. R., Sharma, P., & Tamrakar, S. R. (2016). Dysmenorrhea and stress among the nepalese medical students. Kathmandu University Medical Journal, 14(56), 318–321.

Rafique, N., & Al-Sheikh, M. H. (2018). Prevalence of menstrual problems and their association with psychological stress in young female students studying health sciences. Saudi Medical Journal, 39(1), 67–73. https://doi.org/10.15537/smj.2018.1.21438

Rahayu, A., Pertiwi, S., Patimah, S., & Kunci, K. (2017). Pengaruh Endorphine Massage Terhadap Rasa Sakit Dismenore Pada Mahasiswi Jurusan Kebidanan Poltekkes Kemenkes Tasikmalaya Tahun 2017. Pengaruh Endorphine Massage Terhadap Rasa Sakit Dismenore Pada Mahasiswi Jurusan Kebidanan Poltekkes Kemenkes Tasikmalaya Tahun 2017, 3(02), 22–30.

Sari, P. I. P. (2015). Perbedaan Tingkat Nyeri Dismenorea dengan Senam Dismenorea, Murottal Al-Qur’an, dan Senam Dismenorea Kombinasi Murottal Al-Qur’an. Universitas Muhammadiyah Yogyakarta.

Septianingrum, Y., Hatmanti, N. M., & Fitriasari, A. (2019). The Effect of Murottal Qur’an on Menstrual Pain in Nursing Student of Universitas Nahdlatul Ulama Surabaya. 8(1), 8–15.

Singh, R., Goyal, M., Tiwari, S., Ghildiyal, A., Nattu, S. M., & Das, S. (2012). Effect of examination stress on mood, performance and cortisol levels in medical students. Indian Journal of Physiology and Pharmacology, 56(1), 48–55.

Ulya, F. H., Suwandono, A., Ariyanti, I., Suwondo, A., Kumorowulan, S., & Pujiastuti, S. E. (2017). Comparison of Effects of Massage Therapy Alone and in Combination With Green Coconut Water Therapy on Β-Endorphin Level in Teenage Girls With Dysmenorrhea. Belitung Nursing Journal, 3(4), 412–419. https://doi.org/10.33546/bnj.158

Wang, L., Wang, X., Wang, W., Chen, C., Ronnennberg, A. G., Guang, W., … Xu, X. (2004). Stress and dysmenorrhoea: a population based prospective study. Occupational and Environmental Medicine, 61(12), 1021–1026. https://doi.org/10.1136/oem.2003.012302

Yanti, I., & Marlina, R. (2018). Pengaruh Stres, Status Gizi, dan Aktivitas Fisik terhadap Kejadian Disminore Primer pada Remaja Puteri. 3(2), 72–80. Retrieved from https://journal.unsika.ac.id/index.php/HSG/article/view/1563

Published
2019-09-07
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Articles
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