Dina Isfentiani, - (2010) EFEK STRESSOR DIRUANG ICU TERHADAP KADAR KORTISOL PLASMA PADA PARAMEDIS RUANG ICU RSU HAJI SURABAYA. Thesis thesis, UNIVERSITAS AIRLANGGA.

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Abstract

"This observational analytic research using pre-post design purposed to study the effect of ICU Room stressor to plasma cortisol level of paramedic at ICU Room, conducted by measuring degree of stress before work and measuring level of plasma cortisol before and after work .. This research took two periods of observation. First, respondents were given questionnaires about stress using Holmes and Rache method to know the degree of stress. Second, it was conducted blood sampling from vein of respondent before work (day 2 off) and after work (day 3 after schedule) to know to plasma cortisol. The sample was then analyzed using VIOAS CORTISOL method, developed by BIOMERIEUX. Blood sampling on respondents was conducted on the same time, before after work, at 7.00 am. The result shows that degree of stress before work, from 20 respondents ollly one has low degree of stress, while the rest are normal. The level of plasma cortisol before work with mean 53.13 ng/dl and SO 32.17 ng/dl, means many respondent have level of plasma cortisol below normal cortisol, 14 respondens have level of level plasma cortisol below normal (normal level 50-170 ng/dl) and 6 respondent have normal level. The level of plasma cortisol after work with mean 108.39 ng/dl and SO 40.63 ng/dl, means many respondents have level of plasma normal cortisol , only one respondent has level above normal with highest level 226.35 ng/dl. Kolmogorov smirnov test result for cortisol level before and after work showed p value (Assymp. Sig) < 0,05, so accepted for Ho, it's mean data distribution is normal. Paired t test result is t = -55,29 p=O,OOO, so rejected for Ho. This value is significant, it means ther is difference between cortisol level before and after works. Most of level of plasma cortisol of respondents before work are below normal while after work almost all respondents have normal level. Most of levels of plasma cortisol of respondents before work are below normal while after work almost all respondents have normal level."

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