Hubungan Mekanisme Koping Dengan Skor Kecemasan Dalam Menghadapi Ujian Keterampilan Medik Pada Mahasiswa Prodi Pendidikan Dokter Universitas Mataram

Nurrahmasia Nurrahmasia, Emmy Amalia, Dian Puspita Sari

Abstract

Latar Belakang: Kecemasan merupakan suatu gejala yang timbul dari konflik bawah sadar yang tidak terselesaikan. Kecemasan ujian merupakan kecemasan antisipatif yang timbul ketika menghadapi situasi ujian.Setiap individu memiliki cara ataupun mekanisme koping yang berbeda dalam menghadapi masalahnya. Penggunaan mekanisme koping yang sesuai membantu seseorang beradaptasi terhadap perubahan atau beban yang dihadapi, termasuk beban belajar menghadapi ujian.Penelitian ini meneliti hubungan antara mekanisme koping dengan skor kecemasan mahasiswa program studi pendidikan dokter dalam menghadapi ujian keterampilan medik, serta korelasi antara skor kecemasan dengan nilai ujian.

Metode: Penelitian ini menggunakan desain cross-sectional. Responden penelitian ini adalah mahasiswa program studi pendidikan dokter Fakultas Kedokteran Universitas Mataram tahun pertama dan kedua. Datamekanisme koping diambil dengan menggunakan instrumen Brief COPE, sementara data kecemasan diambil menggunakan instrumen PTA (Performance Test Anxiety). Keduanya telah diterjemahkan ke Bahasa Indonesia dan diuji validitas dan reliabilitasnya.Uji statistik yang digunakan adalah uji Mann-Whitney dan uji Spearman.

Hasil: Sebanyak 207 mahasiswa berpartisipasi dalam penelitian ini. Skorkecemasan mahasiswadidapatkan70.00 (31-94)dan 83.1% menggunakanProblem Focused Coping. Penggunaan Problem focused coping berhubungan signifikan dengan skor kecemasan yang lebih rendah(p=0,032). Tidak terdapat hubungan antara skor kecemasan dengan hasil ujian keterampilan medik pada mahasiswa tahun pertama maupun kedua (p > 0.05)

Simpulan: Jenis mekanisme koping yang paling banyak digunakan oleh mahasiswa fakultas kedokteran universitas mataram adalah problem focused coping dan jenis mekanisme koping ini berhubungan dengan skor kecemasan ujian yang lebih rendah.

Kata Kunci: Kecemasan Ujian, Mekanisme Koping, Keterampilan Medik

Background: Anxiety is a symptom that arises from unfinished subconscious conflicts. Exam anxiety is anticipatory anxiety experienced when student in an examination situation.  Each individual has a different coping mechanism in dealing with the problem.The use of appropriate coping mechanism helps individuals adapt to the changes or burden they face, including studying for exams. This study examined the relationship between coping mechanisms and anxiety score of medical students in facing clinical skills exam, as well as the correlation between anxiety score and clinical skills exam score.

Methods:This study used a cross-sectional design. The study subjects were first and second year medical students at the Faculty of Medicine, Universitas Mataram. Coping mechanism data were obtained using the Brief COPE Inventory, while anxiety data were obtained using the Performance Test Anxiety (PTA). Both questionnaires have been translated into Bahasa Indonesia andtested for validity and reliability. The statistical test used in this study were the Mann-Whitney test and the Spearman test.

Results: A total of 207 students participated in this study. The participants’ anxiety score was 70.00 (31-94)and 83.1% using Problem Focused Coping. The use of Problem Focused Copingwas significantly associated with lower anxiety score (p=0.032). There was no relationship between anxiety score and clinical skills examination results for the first and second year student (p > 0.05).

Conclusion: The use of Problem Focused Coping was prevalent among the first and second year students participated in this study and this coping mechanism was associated with lower exam anxiety score.

Keyword: Exam anxiety, coping mechanism, medical skill exam.

Keywords

Kecemasan Ujian; Mekanisme Koping; Keterampilan Medik

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References

Elvira, Sylvia D dan Gitayanti Hadisukanto. Buku Ajar Psikiatri. Badan Penerbit FK UI. Jakarta, 2013 pp. 173-198

Maramis, F.W. (2005). Catatan Ilmu Kedokteran Jiwa. Surabaya : Airlangga University Press

Rector NA, Bourdeau D, Kitchen K, Massiah LJ. Anxiety Disorders an Information Guide. 2011. 80 p.

Hamzah F, Mat KC, Bhagat V, Mahyiddin N. Test anxiety and its impact on first year university students and the over view of mind and body intervention to enhance coping skills in facing exams. Res J Pharm Technol. 2018;11(6):2220–8.

Birjandi P. The Impact of Test Anxiety on Test Performance among Iranian EFL Learners. 2010;1(4).

Quek TTC, Tam WWS, Tran BX, Zhang M, Zhang Z, Ho CSH, et al. The global prevalence of anxiety among medical students: A meta-analysis. Int J Environ Res Public Health. 2019;16(15).

Yasin AS, Dzulkifli MA. Differences in depression, anxiety and stress between low-and high-achieving students. J Sustain Sci Manag. 2011;6(1):169–78.

Bandranayke RC, Harden RM. A Practical Guide for Medical Education. 2013;176–81.

Gupta P, Dewan P, Singh T. Objective structured clinical examination (OSCE) revisited. Indian Pediatr. 2010;47(11):911–20.

Brand HS, Schoonheim-Klein M. Is the OSCE more stressful? Examination anxiety and its consequences in different assessment methods in dental education. Eur J Dent Educ. 2009;13(3):147–53.

Feletti G. ., Neame RLB. Curricular Strategies for Reducing Examination Anxiety Author ( s ): Grahame I . Feletti and Roderick L . B . Neame Published by : Springer Stable URL : http://www.jstor.org/stable/3446431 Accessed : 28-06-2016 16 : 45 UTC. 2016;10(6):675–86.

Fidment S. The Objective Structured Clinical Exam (OSCE): A Qualitative Study Exploring the Healthcare Student’s Experience. Student Engagem Exp J. 2012;1(1):1–11.

Sumoked A. Hubungan Mekanisme Koping Dengan Kecemasan Pada Mahasiswa Semester Iii Program Studi Ilmu Keperawatan Fakultas Kedokteran Yang Akan Mengikuti Praktek Klinik Keperawatan. J Keperawatan. 2019;7(1).

Kasi PM, Naqvi HA, Afghan AK, Khawar T, Khan FH, Khan UZ, et al. Coping Styles in Patients with Anxiety and Depression. ISRN Psychiatry. 2012;2012:1–7.

Yusuf, A.H F, ,R & Nihayati H. Buku Ajar Keperawatan Kesehatan Jiwa. Buku Ajar Keperawatan Kesehat Jiwa. 2015;1–366.

Ahyar (2010). Konsep Diri dan Mekanisme Koping. Yogyakarta: Pustaka Pelajar.

Lazarus RS, Folkman S. STRESS, APPRAISAL, AND COPING. New York: Springer Publishing Company, Inc. 11; 1984.

Fares J, Al Tabosh H, Saadeddin Z, El Mouhayyar C, Aridi H. Stress, burnout and coping strategies in preclinical medical students. N Am J Med Sci. 2016;8(2):75–81.

Carver CS. You want to measure coping but your protocol’s too long: Consider the brief COPE. Int J Behav Med. 1997;4(1):92–100.

Pratiwi I. Hubungan Coping Strategy dan Self-Efficacy Dengan Kecemasan Pada Karyawan Usia Produktif di Bandung Universitas Pendidikan Indonesia | perpustakaan.upi.edu. 2016.

Akasyah W. Determinan Ketahanan Psikologis Remaja Korban Bullying dengan Pendekatan Model Adaptasi Stres Stuart. 2018. 188 p.

Hojat M, Glaser K, Xu G, Veloski JJ, Christian EB. Gender comparisons of medical students’ psychosocial profiles. Med Educ. 1999;33(5):342–9.

O’Carroll PJ, Fisher P. Metacognitions, worry and attentional control in predicting OSCE performance test anxiety. Med Educ. 2013;47(6):562–8.

Blanch DC, Hall JA, Roter DL, Frankel RM. Medical student gender and issues of confidence. Patient Educ Couns. 2008;72(3):374–81.

Colbert-Getz JM, Fleishman C, Jung J, Shilkofski N. How do gender and anxiety affect students’ self-assessment and actual performance on a high-stakes clinical skills examination? Acad Med. 2013;88(1):44–8.

Chandavarkar U, Azzam A, Mathews CA. Anxiety symptoms and perceived performance in medical students Uma. Int J Curr Adv Res. 2015;4(11):485–7.

Simran G, Sangeeta N, Lily W. Evaluation of examination anxiety status and its associated factors among first professional medical (MBBS) students. J Interdiscip Multidiscip Res. 2015;2(8):1–11.

Núñez-Peña MI, Suárez-Pellicioni M, Bono R. Gender Differences in Test Anxiety and Their Impact on Higher Education Students’ Academic Achievement. Procedia - Soc Behav Sci [Internet]. 2016;228(July):154–60. Available from: http://dx.doi.org/10.1016/j.sbspro.2016.07.023

Mavis B. Self-Efficacy and OSCE Performance among Second Year Medical Students. Adv Heal Sci Educ. 2001;6(2):93–102.

Rafiki DM. Hubungan tingkat kecemasan dengan mekanisme koping menghadapi objective structured clinical examination (OSCE) mahasiswa semester II STIKES Jenderal Achmad Yani Yogyakarta. Available from: http://repository.unjaya.ac.id/2203/

Pradana IGNA, Susilawati LKPA. Peran Problem Focused Coping dan Dukungan Sosial Teman Sebaya terhadap Kecemasan Remaja SMA yang Akan Menempuh Ujian Nasional. Psikol Udayana. 2019;000(2010):1–11.

Lau DK, Agustina V, Setiawan H. Gambaran tingkat ansietas dan mekanisme koping pada mahasiswa keperawatan dalam menghadapi ujian praktek laboratorium. J Keperawatan Jiwa. 2019;7(2):215.

Anam C, Himawan AT. Peran Emotion-Focused Coping Terhadap Kecenderungan Post-Traumatic Stress Disorder Para Karyawan Yang Menyaksikan Peledakan Bom Di Depan Kedutaan Besar Australia Di Jakarta Tahun 2004. Humanit Indones Psychol J. 2004;2(2):112–8.

Septiyan A, Erwin, Sabrian F. Hubungan Mekanisme Koping Terhadap Kinerja Perawat Pelaksana Di ruang Rawat Inap. 2011;(2008):1–9.

Putri Amir D, Iryani D, Isrona L. Hubungan Tingkat Kecemasan dalam Menghadapi Objective Structured Clinical Examination (OSCE) dengan Kelulusan OSCE pada Mahasiswa Fakultas Kedokteran Universitas Andalas. J Kesehat Andalas. 2016;5(1):139–44.

Elindra MZR, Oktaria D, Aries R. Hubungan Tingkat Kecemasan terhadap Hasil Ujian OSCE pada Mahasiswa Tingkat Pertama di Fakultas Kedokteran Universitas Lampung Relationship between Anxiety Levels against OSCE Exam Results for First Year Students at the Faculty of Medicine , University of. Medula. 2019;9(1):123–8.

Zeidner M. Does Test Anxiety Bias Scholastic Aptitude Test Performance by Gender and Sociocultural Group? J Pers Assess. 1990;55(1–2):145–60.

Jembise TL, Rante I. Hubungan Kecemasan Dan Hasil Ujian OSCE ( Objective Structured Clinical Examination ) Mahasiswa Fakultas Kedokteran Periode Februari 2017 Universitas Cendrawasih. In: PROSIDING SEMINAR HASIL PENELITIAN EDISI IV 2018“ Merajut Pengabdian IPTEK Dan Seni Untuk Tanah Papua” [Internet]. LPPM Universitas Cenderawasih; 2018.

DOI: https://doi.org/10.13057/smj.v4i1.47695

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