Hubungan Kadar Estradiol dengan Keluhan Menopause yang dinilai dengan Skala Klimakterik Greene dan Work Ability Index pada Paramedis Menopause

Abstract

Tujuan: Untuk mengetahui hubungan antara kadar estradiol, keluhan menopause yang dinilai dengan Skala Klimakterik Greene dan Work Ability Index pada Paramedis menopause Metode: Penelitian ini merupakan penelitian analitik dengan desain cross sectional dengan jumlah subjek penelitian sebanyak 52 wanita paramedis menopause yang bekerja di RSUP H. Adam Malik, RSU dr. Pirngadi Medan dan RS Jejaring pada Desember 2018. Sampel didapat dari kuesioner dan pengambilan serum darah. Data dianalisis menggunakan statistik deskriptif dan uji Spearman dan Pearson. Nilai p kurang dari 0,05 diterapkan pada setiap uji statistik sebagai signifikan. Hasil: Berdasarkan karakteristik usia didapatkan mayoritas subjek penelitian berasal dari kelompok usia >50-55 tahun (32 subjek, 61,5%), multipara (32 subjek, 61,5%), kelompok IMT overweight (30 subjek, 57,7%), skor Work Ability Index sedang (25 subjek, 48,1%) , lama menopause 1-2 tahun (29 subjek, 55,8%). Kadar estradiol (mean = 34,47 pg/ml) memiliki hubungan yang signifikan dengan skor Greene Climacteric Scale (p = 0,000) dan berkorelasi negatif sedang (r = - 0,586). Kadar estradiol menunjukkan hubungan yang signifikan (p = 0,000) dan berkorelasi positif sedang dengan skor Work Ability Index (r = 0,472). Kesimpulan: Terdapat adanya hubungan antara kadar estradiol, keluhan menopause yang dinilai dengan Greene Climacteric Scale dan kinerja paramedis menopause yang dinilai dengan Work Ability Index.

Objective: To find the association between estradiol level with menopause complaints assessed using Greene Climacteric Scale and Work Ability Index in menopause paramedics. Method: This is an analytic study with cross sectional design conducted at December 2018. 52 menopause paramedics who works at Adam Malik Central Hospital, Pirngadi General Hospital and satellite hospitals were obtained as study subject. Study samples were obtained using questionnaires and blood serum examination. Data was analyzed using descriptive statistics, correlation test using Spearman and Pearson method. P value of less than 0,05 was considered significant. Result: Based on characteristic, majority of study subjects were from age group of >50-55 years old (32 subjects, 61,5%), multiparous (32 subjects, 61,5%), overweight BMI (30 subjects, 57,7%), moderate Work Ability Index score (25 subjects, 48,1%) , length of menopause 1-2 years (29 subjects, 55,8%). Estradiol level (mean = 34,47 pg/ml) had a significant association (p = 0,000) and negative moderate correlation with Greene Climacteric Scale score (r = -0,586), Estradiol also showed significant association (p = 0,000) and had a moderate positive correlation with Work Ability Index (r = 0,472). Conclusion : There is a significant correlation between estradiol level, menopause complaints assessed using Greene Climacteric Scale and menopause paramedics work ability assessed using Work Ability Index.