Journal Indonesian Impression (JII)
Vol. 4, No. 1, January 2025
p-ISSN: 2828-1284 e-ISSN: 2810-062x
website: https: //rivierapublishing.id/JII/ index.php / jii /index
Doi: 10.58344/jii.v4i1.6271
1062
RELATIONSHIP BETWEEN STRESS AND EAR-NOSE-THROAT
DISORDER EXAM VALUES IN MEDICAL EDUCATION STUDENTS
OF THE FACULTY OF MEDICINE, SAM RATULANGI UNIVERSITY
Gebriela Naomi Waani1, Linda Maya Tompodung2, Heriyannis Homenta3
gebrielawaani011@student.unsrat.ac.id1, linda_tompodung@unsrat.ac.id2,
herihomenta@unsrat.ac.id
Samratulangi University, Indonesia
Keywords
Abstract
Stress level, ENT exam
score, perceived stress
scale
Stres academic is one of significant challenges for student medicine,
especially Because burden dense and demanding curriculum high
academic. Stress This can influence performance academic in a way
direct and also No directly. Research This focus on relationships
between level stress and results exam module Disturbance Ear Nose
Throat (ENT-KL) in students medical class of 2022 at Sam Ratulangi
University. Research This aiming For analyze connection between level
stress experienced students and results mark exam module ENT-KL
disorders, as well as give outlook related interventions that can done For
support welfare students. Research use design observational analytic
with cross-sectional approach. The sample consists of of the 204 students
who met the requirements criteria inclusion. Stress level measured use
Perceived Stress Scale (PSS-10) instrument, while mark exam module
obtained from notes academic official. Analysis done using the
Spearman-rho correlation test to determine connection between level
stress and results mark exam. Most of student be at the level stress
moderate (71.1%) and successful to obtain A grade (92.6%) on the exam
module. The Spearman-rho test shows No existence connection
significant between level stress and value test (p = 0.756; r = 0.022).
Findings This show that level stress No in a way direct influence
achievement academic student in module this. Research results This
indicates that although level stress currently often experienced by
students, this is the No always become barrier for achievement
academic. Support institutional, such as training management stress and
counseling, can help student with level stress tall for reach balance
between pressure academic and performance.
Corresponding Author : Gebriela Naomi Waani
E-mail: herihomenta@unsrat.ac.id
INTRODUCTION
Stres has be one of problem psychological the biggest one faced individuals worldwide.
The World Health Organization (WHO) states that stress is " an epidemic " health 21st
century," with more of the 350 million people worldwide experience it every year. In the
context of education high, stress academic has identified as reason main disturbance mental
health, such as anxiety and depression, which results in a decrease in quality life students.
According to the American Psychological Association (APA), stress is response emotional and
physical to pressure or perceived demands someone. Student medical in a way special face far
Gebriela Naomi Waani1, Linda Maya Tompodung2, Heriyannis Homenta3
RELATIONSHIP BETWEEN STRESS AND EAR-NOSE-THROAT DISORDER EXAM VALUES
IN MEDICAL EDUCATION STUDENTS OF THE FACULTY OF MEDICINE, SAM
RATULANGI UNIVERSITY
Journal Indonesian Impressions (JII) Vol. 4, No. 1, January 2025 1063
pressure more big compared to student from field studies other Because dense curriculum,
responsibility answer clinical, and expectations For reach performance high academic standing
(APA, 2024;Abdulghani et al., 2011)
Worldwide, The prevalence stress in students medical reported to be very high. A
research in Saudi Arabia shows that more from 70% of students medical experience level stress
currently until heavy consequence pressure academic (Abdulghani et al., 2011). Something
similar was also found in Indonesia, where research by Bakhtiar (2020) revealed that level
stress in students medical can influence quality life and results academic they . Stress This No
only influence mental health, but also has impact straight to ability student For understand
material learning and completing task academic with Good (Joseph et al., 2021).
In context local in Indonesia, students medical often face unique challenges, including
burden curriculum based on block, pressure exam clinical, and preparation For exam module
that has weight big in evaluation end. Disturbance Module Ear Nose Throat (ENT) is one of
the module important in education medical treatment that requires mastery material deep as
well as ability high analysis. Research byAkbar et al. (2024) show that high stress in students
medical can cause decline mark academic in a way significant. In addition, the factor culture
in Indonesia, such as expectation family to success academic, can also increase pressure
psychologically felt student (Alesha et al., 2024).
Stres academics who are not managed with Good can cause disturbance serious mental
health, including risk kill increased self (Alesha et al., 2024). In context student medicine,
impact stress This can influence the future professional they as doctor. Therefore that 's
important For understand to what extent stress influence results academic students, especially
in the module ENT Disorders. Research this also has relevance practical Because the result can
used For to design purposeful intervention increase welfare students and results academic they.
Study previously has show mixed results related connection between stress and
performance academic. For example, Abdulghani et al. (2011) found that level high stress in a
way significant influence ability student medical for finish exam with good. On the other hand,
research by (Harahap & Riza, 2024) show that stress at the level currently can functioning as a
motivator, helping student reach more results Good. The theory of eustress and distress
proposed by Bienertova‐Vasku et al. (2020)is also relevant in explain How stress can impact
positive or negative depends on the way individual manage it. Study byBaik et al. (2019)
emphasize importance tool measuring valid stress, such as the Perceived Stress Scale (PSS-
10), in understand perception stress student.
Study This offer Updates with focus on relationships between level stress and value exam
module ENT disorders, which have not been Lots under review in a way specifically in
Indonesia. In addition, research This use a comprehensive approach with merge tool measuring
valid stress and reliable academic data. The results of the study this expected can give
contribution new in field education medicine, in particular in context local.
Study This aiming For Analyze level stress experienced student Sam Ratulangi
University Medical School in preparation face exam ENT Disorders. Identifying connection
between level stress and results mark exam module ENT Disorders. Providing recommendation
Gebriela Naomi Waani1, Linda Maya Tompodung2, Heriyannis Homenta3
RELATIONSHIP BETWEEN STRESS AND EAR-NOSE-THROAT DISORDER EXAM VALUES
IN MEDICAL EDUCATION STUDENTS OF THE FACULTY OF MEDICINE, SAM
RATULANGI UNIVERSITY
Journal Indonesian Impressions (JII) Vol. 4, No. 1, January 2025 1064
strategic for reduce stress academic and improve welfare as well as performance academic
student.
RESEARCH METHODS
Types of research
Study This is study observational purposeful analytics For analyze connection between
level stress with mark exam module Disturbance Ear Nose Throat (ENT) in students medicine.
Approach Study
Study This use cross-sectional approach, where data is collected at one time time certain
For identify connection between variable level stress and value exam.
Population and Sample
Population : Students batch 2022 Medical Education Study Program Faculty Faculty of
Medicine, Sam Ratulangi University.
Sample: Research sample determined use total sampling technique, namely as many as 204
students who meet the requirements criteria inclusion.
Data collection technique
Primary Data:
o Stress levels measured use Perceived Stress Scale (PSS-10) questionnaire which has been
validated.
o Questionnaire shared online via Google Forms.
Secondary Data : Exam scores module Acquired ENT disorders from notes academic Faculty
Faculty of Medicine, Sam Ratulangi University.
Data Analysis Techniques
Analysis Univariate : Describes distribution frequency level stress and value exam module .
Analysis Bivariate :
o Connection between level stress and value exam tested using the Spearman-Rho test,
because the data is on an ordinal scale.
o Significance level set at p<0.05p < 0.05p<0.05.
Analysis Tools
Stress Level Instrument :
o Perceived Stress Scale (PSS-10) was used For measure perception stress .
o Stress score grouped become :
▪ Low : 0-13
▪ Medium: 14-26
▪ Height: 27-40
Criteria Validity and Reliability :
o PSS-10 instrument has Cronbach's Alpha reliability of α=0.78\alpha = 0.78α=0.78,
indicating level high internal consistency (Cohen et al., 1983).
o Validity tool measuring has tested on a population similar and shows adequate results.
Analysis Tool Criteria
Validity : Measuring instrument considered valid if show significant relationship between the
measured items with construction theoretically expected.
Gebriela Naomi Waani1, Linda Maya Tompodung2, Heriyannis Homenta3
RELATIONSHIP BETWEEN STRESS AND EAR-NOSE-THROAT DISORDER EXAM VALUES
IN MEDICAL EDUCATION STUDENTS OF THE FACULTY OF MEDICINE, SAM
RATULANGI UNIVERSITY
Journal Indonesian Impressions (JII) Vol. 4, No. 1, January 2025 1065
Reliability : Cronbach's Alpha is higher big from 0.70 is considered Enough For show
reliability internal consistency.
Interpretation Coefficient Correlation :
o 0.00−0.190.00-0.190.00−0.19: Very weak relationship
o 0.20−0.390.20-0.390.20−0.39: Relationship weak
o 0.40−0.590.40-0.590.40−0.59: Relationship currently
o 0.60−0.790.60-0.790.60−0.79: Relationship strong
o 0.80−1.000.80-1.000.80−1.00: Very strong relationship
RESULTS AND DISCUSSION
Research result obtained from subject data research consisting of 204 students batch 2022
Medical Education Study Program Faculty Sam Ratulangi University of Medicine which has
fulfil criteria inclusion and through total sampling technique of population affordable study.
Characteristics Subject
Table 1. Characteristics Subject
No
Characteristics
Category
n
%
1.
Age
18
1
0.5
19
52
25.5
20
110
53.9
21
37
18.1
22
3
1.5
23
1
0.5
2.
Gender
Woman
131
64.2
Man
73
35.8
Characteristics subject study consists of from age and type gender, which can give
description profile student medical class of 2022 who became respondents.
Age
• Majority student aged 20 years as many as 110 people ( 53.9% ).
• Age 19 years occupy position second with 52 people ( 25.5% ).
• Student with 21 years old is 37 people ( 18.1% ), while only 4 people aged over 21 years
( 22 and 23 years old respectively 1.5% and 0.5%).
• This data show majority student are at a normal age for level education this, indicates
relevant curriculum with range age they.
Gender
• As many as 131 students women ( 64.2% ) dominate amount participants compared to
with 73 students male ( 35.8% ).
• Composition This reflect trend common in education medicine, where participation
Woman often more tall.
Gebriela Naomi Waani1, Linda Maya Tompodung2, Heriyannis Homenta3
RELATIONSHIP BETWEEN STRESS AND EAR-NOSE-THROAT DISORDER EXAM VALUES
IN MEDICAL EDUCATION STUDENTS OF THE FACULTY OF MEDICINE, SAM
RATULANGI UNIVERSITY
Journal Indonesian Impressions (JII) Vol. 4, No. 1, January 2025 1066
Distribution Stress Level Frequency
Table 2. Distribution of Stress Levels by Category
Mark
n
%
0-13
40
19.6
14-26
145
71.1
27-40
19
9.3
204
100
Measurement results stress use instrument The PSS-10 (Perceived Stress Scale) provides
description level pressure academic experience student.
• Stres Mild : Experienced by 40 students (19.6%). Group This show level good adaptation
to pressure academic.
• Moderate Stress : Majority students (145 people, 71.1%) are in the category this.
Condition This show existence pressure sufficient academic significant but Not yet reach
dangerous level.
• High Stress : As many as 19 students ( 9.3% ) experienced stress high. Student in category
This at risk experience impact negative on health physical and mental if No get adequate
support.
Distribution of Module Exam Scores
Table 3. Distribution of Exam Scores by Category
Category
Mark
n
%
A
80.00-100
189
92.6
B+
76.00-79.99
15
7.4
B
70.00-75.99
0
0
C+
65.00-69.99
0
0
C
60.00-64.99
0
0
D
50.00-59.99
0
0
E
<50
0
0
Total
204
100
Disorders Module Exam Score -KL show very good result in a way Overall :
• As many as 189 students (92.6% ) succeeded to obtain A value (80.00–100). This result
show mastery very good material in parts big student.
• 15 students (7.4% ) received B+ grade (76.00–79.99). Although classified as good, group
This need evaluation For identify possible obstacles influence performance academic they.
• n't any students who get grades below B+ ( category B to lower).
Interpretation : This result show that curriculum and methods learning applied in study
programs this succeed support performance optimal academic.
Gebriela Naomi Waani1, Linda Maya Tompodung2, Heriyannis Homenta3
RELATIONSHIP BETWEEN STRESS AND EAR-NOSE-THROAT DISORDER EXAM VALUES
IN MEDICAL EDUCATION STUDENTS OF THE FACULTY OF MEDICINE, SAM
RATULANGI UNIVERSITY
Journal Indonesian Impressions (JII) Vol. 4, No. 1, January 2025 1067
Analysis Bivariate
Distribution Based on Category Stres
Table 4. Overview of Stress Levels with Exam Scores
PSS Category
Module Exam Score
Total
A
B+
B
C+
C
D
E
Light
n
38
2
0
0
0
0
0
40
%
18.6
1
0
0
0
0
0
19.6
Currently
n
133
12
0
0
0
0
0
145
%
65.2
5.9
0
0
0
0
0
71.1
Tall
n
18
1
0
0
0
0
0
19
%
8.8
0.5
0
0
0
0
0
9.3
Total
n
189
15
0
0
0
0
0
100
%
92.6
7.4
0
0
0
0
0
100
• Stres Light :
o 38 students (18.6%) received A grade.
o 2 students (1%) received B+ grade.
• Moderate Stress :
o 133 students (65.2%) received A grade.
o 12 students (5.9%) received B+ grade.
• High Stress :
o 18 students (8.8%) received A grade.
o 1 student (0.5%) received B+ grade.
Interpretation :
• Student with stress light until currently dominate acquisition value A, shows that stress at
the level certain No always detrimental, but can become booster motivation.
• Student with stress tall still capable to obtain mark good (category A and B+), which
indicates possibility existence factor Supporter such as effective coping strategies or
support social.
Statistical Test Results
Table 5. Spearman rho Correlation Test of Stress Level with Exam Scores
Analysis bivariate done for know connection between level stress and value exam module
using correlation test Spearman-rho.
Statistical Test Results
• P value : 0.756 ( p > 0.05 ), indicating No There is connection significant in a way
statistics between level stress and value exam module.
• Coefficient correlation (r) : 0.022, indicating very weak relationship with direction
positive. This means, the increase level stress No impact real on the increase or decline
mark exam.
Variables
n
r
p
Stress Level
204
0.022
0.756
Test scores
204
Gebriela Naomi Waani1, Linda Maya Tompodung2, Heriyannis Homenta3
RELATIONSHIP BETWEEN STRESS AND EAR-NOSE-THROAT DISORDER EXAM VALUES
IN MEDICAL EDUCATION STUDENTS OF THE FACULTY OF MEDICINE, SAM
RATULANGI UNIVERSITY
Journal Indonesian Impressions (JII) Vol. 4, No. 1, January 2025 1068
Discussion
Stres academic has become issue main in the world of education high, especially among
student medicine that faces curriculum solid, pressure competition, and expectations mark
high. Research This aiming For evaluate connection between level stress and results academic,
especially in module ENT-KL disorders. Although Lots study has identify existence
connection between stress and performance academic, inconsistent results bring up need For
explore more carry on in context local.
Research result show that majority students (71.1%) experienced level stress moderate,
and some large (92.6%) success to obtain value A. Spearman-rho correlation test shows No
existence connection significant between level stress and value exam module (p = 0.756; r =
0.022). Findings This support a number of studies previously which shows that stress No
always influence results academic in a way direct.
Analysis
Stress Level
o Student with level stress currently dominating, consistent with another study where
students medical often experience pressure academic currently consequence demands
learning. This is support theory Teaching and Learning Related Stressors (TLRS)
which states that pressure in education can become stress positive (eustress ) if balanced
with mechanism good coping.
o However, some small students (9.3%) with stress tall show the need attention special
Because prolonged stress can impact negative on mental and physical health they.
Connection Stress and Achievement
o Absence connection significant between level stress and value exam can explained by
the existence of factors mediation like support social, motivation intrinsic, and method
effective learning. This is consistent with studies previously by Annas B who also
showed results similar among student medicine.
o On the other hand, some study others, such as those conducted by Jessica T & Arlends
C, found connection significant between stress and performance academic. Differences
This can caused by variation tool measuring stress or condition different academics in
institutions other education.
Distribution of Values
Distribution high score (92.6% of students) to obtain value A) reflects success curriculum
implemented in the Faculty Sam Ratulangi University of Medicine. This can also be done show
that level stress in the majority student No hinder they For reach results optimal academic.
Discussion This highlight that level stress currently No always become inhibitor performance
academic. On the other hand, if balanced with mechanism good coping, stress can become
motivating factors. However, attention special need given to student with level stress tall For
ensure their mental health still awake, so that No impact negative on success academic they.
Gebriela Naomi Waani1, Linda Maya Tompodung2, Heriyannis Homenta3
RELATIONSHIP BETWEEN STRESS AND EAR-NOSE-THROAT DISORDER EXAM VALUES
IN MEDICAL EDUCATION STUDENTS OF THE FACULTY OF MEDICINE, SAM
RATULANGI UNIVERSITY
Journal Indonesian Impressions (JII) Vol. 4, No. 1, January 2025 1069
CONCLUSION
Study This show that although majority student be at the level stress while, they still
capable reach results good academics, as indicated by its height proportion A grade on the ENT
Disorders Module -KL exam. The absence of connection significant between level stress and
value exam indicates that factor others, such as learning strategies, support social, or ability
adaptation, maybe more play a role in achievement academic students. Findings This highlight
the need a more approach holistic in support welfare students, in particular in environment
education medical.
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RELATIONSHIP BETWEEN STRESS AND EAR-NOSE-THROAT DISORDER EXAM VALUES
IN MEDICAL EDUCATION STUDENTS OF THE FACULTY OF MEDICINE, SAM
RATULANGI UNIVERSITY
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