The Influence of Anxiety Levels Facing Medical Exams to Urinary Incontinence in YARSI University Medical Students Class of 2019 and 2020, and A Review Through Islamic Perspectives

Authors

  • Muhammad Achmad Yani
  • Nunung Ainur Rahmah
  • Citra Fitri Agustina
  • Firman Arifandi

https://doi.org/10.33476/jmj.v1i7.3206

Abstract

Background: Urinary incontinence is the involuntary excretion of urine at any given condition. Medical exams experienced by medical students could induce anxiety, which could lead to urinary incontinence. Through an Islamic viewpoint, individuals suffering from urinary incontinence are constantly unclean and require certain ways to practice worship. This study aims to determine the relationship between anxiety levels and age; anxiety levels and gender; the correlation between anxiety levels and urinary incontinence; identifying anxiety levels; and the severity of urinary incontinence symptoms within YARSI University Medical Students Class of 2019 and 2020, as well as how to pray and ablute for individuals with urinary incontinence.

Method: This study is qualitative research done as an analytical observational study with cross-sectional study design. The research instrument used the Urogenital Distress Inventory questionnaire (UDI-6) and the Hamilton Anxiety Rating Scale (HARS). The research was conducted on YARSI University Medical Students Class of 2019 and 2020 with a sample size of 209 participants. Data analysis utilized Kruskal Wallis, Kolmogorov-Smirnov, and Spearman Correlation statistical tests.

Results: The level of anxiety experienced by most students is a mild level of anxiety. The highest severity of urinary incontinence symptoms was experienced by students with moderate to severe anxiety levels. No significant relationship was found between age and gender with anxiety levels. There is a positive correlation with moderate strength between the level of anxiety and urinary incontinence.

Conclusion: No relationship was found between anxiety levels facing medical exams with age nor gender and a positive correlation with moderate strength was found between anxiety levels medical exams and urinary incontinence within YARSI University Medical Students Class of 2019 and 2020.

References

Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, Van Kerrebroeck P, Victor A, Wein A. (2003). The standardisation of terminology in lower urinary tract function: Report from the standardisation sub-committee of the International Continence Society. Urology, 61(1), 37-49. https://doi.org/10.1016/S0090-4295(02)02243-4.

Albert D, Block A, Bruce B, Haines D, McCloskey L, Mitchell R, Moore K, Petri W, Telser A. (2012). Dorland’s Illustrated Medical Dictionary. 32nd edn. Philadelphia: Elsevier.

Amiruddin, M. (2021). Ketentuan Wudhu Bagi Penderita Salisul Baul Studi Komparatif Antara Pendapat Mazhab Syafi’i Dan Mazhab Hanbali. Undergraduate Thesis. Universitas Islam Negeri Sultan Syarif Kasim.

Boland R, Verduin M, Ruiz P, Shah A, Pataki C, Sussman N. (2021). Kaplan & Sadock’s Synopsis of Psychiatry. 12th edn. Philadelphia: Wolters Kluwer.

Cheng S, Lin D, Hu T, Cao L, Liao H, Mou X, Zhang Q, Liu J, Wu T. (2020). Association of urinary incontinence and depression or anxiety: a meta-analysis. Journal of International Medical Research, 48(6). https://doi.org/10.1177/0300060520931348

Chun HY, Whiteley WN, Dennis MS, Mead GE, Carson AJ. (2018). Anxiety after stroke the importance of subtyping. Stroke, 49(3), 556-564. https://doi.org/10.1161/STROKEAHA.117.020078.

Demak, I.P.K., Muharam, D.N. and Salman, M. (2019). Hubungan Tingkat Kecemasan Dalam Menghadapi Ujian Blok Dengan Nilai Ujian Mahasiswa Kedokteran Tahun Kedua Universitas Tadulako. Molucca Medica, 12(1) . https://doi.org/10.30598/molmed.2019.v12.i1.11.

Felde, G., Ebbesen, M.H. and Hunskaar, S. (2017). Anxiety and depression associated with urinary incontinence. A 10-year follow-up study from the Norwegian HUNT study (EPINCONT). Neurourology and Urodynamics, 36(2), 322-328. https://doi.org/10.1002/nau.22921.

Felde, G., Engeland, A. and Hunskaar, S. (2020). Urinary incontinence associated with anxiety and depression: the impact of psychotropic drugs in a cross-sectional study from the Norwegian HUNT study, BMC Psychiatry, 20(1). https://doi.org/10.1186/s12888-020-02922-4.

Downloads

Published

18-07-2023

Issue

Section

Articles