Hubungan Tingkat Kecemasan dengan Kadar Kortisol dalam Saliva sebelum dan sesudah Perawatan Invasif pada Pasien Anak Usia 6-8 Tahun di RSGM USU Tahun 2023

Abstract

Dental anxiety is a state of worrying that something terrible will happen from dental treatment. Measurement of anxiety in dental treatment can be done in various ways, one of which is by measuring cortisol hormone levels. The more anxious the child is about dental care, the more cortisol the hormone will increase. This study aims to determine the level of anxiety of children against levels of the hormone cortisol. This type of research is a quasi-experimental design with pre and post test. Retrieval of data using interviews with questionnaires conducted on children aged 6 to 8 years. Paired T-test is used to analyze differences in cortisol levels before and after treatment. The One Way Anova test is used to determine the difference between anxiety levels and cortisol levels in invasive treatments. Pearson Correlation test to determine the relationship between anxiety levels and cortisol levels in saliva. Research on children's anxiety levels in general shows low anxiety (20%), moderate anxiety (60%) and high anxiety (20%). The results of this study found that there were differences in cortisol levels before and after the extraction treatment with a value of p=0.036. The difference in cortisol levels before and after pulpotomy treatment with a value of p = 0.011. The difference in cortisol levels before and after restoration treatment with a value of p = 0.037. Anxiety level on salivary cortisol levels before invasive treatment showed a significant relationship (p=0.032), and anxiety level on salivary cortisol levels after invasive treatment showed a significant relationship (p=0.002).