Skripsi
FAKTOR-FAKTOR YANG MEMPENGARUHI KEJADIAN DISMENORE PRIMER PADA PERAWAT DI RSUD SITI FATIMAH TAHUN 2025
EPIDEMIOLOGY FACULTY OF PUBLIC HEALTH, SRIWIJAYA UNIVERSITY Thesis, 11 September 2025 Ayu Setiyani: Supervised by Rini Anggraini, S.KM, M.PH Factors Influencing the Incidence of Primary Dysmenorrhea among Nurses at Siti Fatimah Regional Hospital in 2025 Xvii + 85 Pages, 35 Tables, 3 Figures, 9 Attachments ABSTRACT Nurses who are predominantly women and within the productive age range, are considered a vulnerable group to experience primary dysmenorrhea. High workloads, demands of professionalism, and psychological stress in daily tasks may act as contributing factors. Although non-fatal, dysmenorrhea can reduce work productivity, affect concentration, and even impact the quality of patient care. Therefore, this study aims to examine the factors associated with primary dysmenorrhea among nurses at Siti Fatimah Regional General Hospital. This research employed an analytical survey with a cross-sectional approach, using accidental sampling with a total of 112 nurse participants. The study was conducted at Siti Fatimah Regional General Hospital, South Sumatra Province. Data analysis included univariate, bivariate (chi-square test), and multivariate (multiple logistic regression prediction model). The results showed that 61.6% (69 nurses) experienced high-intensity dysmenorrhea, while 38.4% (43 nurses) experienced low-intensity pain. Variables significantly associated with primary dysmenorrhea included age at menarche (p = 0.001; PR 1.671; 95% CI 1.225–2.279), work stress (p < 0.001; PR 2.206; 95% CI 1.547–3.144), physical activity (p = 0.005; PR 1.557; 95% CI 1.185–2.045), nutritional status (BMI) (p = 0.001; PR 1.835; 95% CI 1.240–2.716), fast-food consumption (p = 0.001; PR 1.714; 95% CI 1.250–2.351), and workload (p = 0.014; PR 1.535; 95% CI 1.085–2.172). Menstrual duration was not significantly associated with dysmenorrhea. Multivariate analysis identified work stress as the most dominant factor influencing the occurrence of dysmenorrhea (p < 0.001; OR 19.499; 95% CI 5.092–74.674). This study suggests enhancing social support in the workplace and developing reproductive health policies in hospitals, with particular attention to managing emotional and behavioral problems triggered by work-related stress. Keywords: Primary Dysmenorrhea, Work Stress, Nurses, Menstruation References: 66 (2013–2023)