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Abstrak :
[ABSTRAK
Latar belakang: Kelelahan yang dialami oleh pramugari dapat mempengaruhi sebagian besar kemampuan dalam melaksanakan tugas. Tujuan penelitian ini untuk mengidentifikasi faktor-faktor yang mempengaruhi kelelahan pada pramugari sipil di Indonesia. Metode: Desain potong lintang dengan sampling purposif pada pramugari yang melaksanakan pengujian kesehatan di Balai Kesehatan Penerbangan dan Garuda Sentra Medika, tanggal 27 April?13 Mei 2015. Kelelahan diukur dengan Fatigue Severity Scale (FSS). Data dikumpulkan menggunakan kuesioner , meliputi demografi, pekerjaan, kehilangan waktu tidur , beban kerja mental dan kelelahan. Hasil: Di antara 512 pramugari yang melaksanakan pemeriksaan kesehatan, 373 subyek termasuk kriteria inklusi, dengan prevalensi kelelahan 36,2%. Jumlah sektor, kehilangan waktu tidur, perubahan jadwal terbang dan kadar hemoglobin merupakan faktor yang berhubungan dengan kelelahan. Jumlah sektor lebih dari enam memiliki risiko 37% menyebabkan kelelahan [risiko relatif suaian (RRa)=1,37;p=0,095]. Kehilangan waktu tidur berisiko dua kali lebih besar menyebabkan kelelahan (RRa=2,07;p= 0,000).Perubahan jadwal terbang dan kadar hemoglobin rendah memiliki risiko 44%(RRa=1,41;p=0,011) dan 33%(RRa=1,33;p=0,042) menyebabkan kelelahan. Simpulan: Jumlah sektor 7-9 dalam 24 jam terakhir, kehilangan waktu tidur, perubahan jadwal terbang dan kadar hemoglobin rendah meningkatkan risiko kelelahan pada pramugari sipil di Indonesia.

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ABSTRACT
Background: Fatigue among flight attendants could affect the capabilities in performing duties. The aim of this study were to investigate factors on fatigue among female flight attendant in Indonesia. Methods: Cross-sectional study with purposive sampling was directed to female flight attendant who were taking medical examination at Balai Kesehatan Penerbangan and Garuda Sentra Medika, from April 27th-May 13th 2015. Fatigue was measured with Fatigue Severity Scale (FSS). Data were collected by completing an questionnaire on demographics, workload, sleep restriction, mental workload and fatigue. Results: Among 521 flight attendant were taking medical examination, 373 were choosen as subject and the percentage of fatigue was 36.2%. Number of sector, sleep restriction, changed of duty schedule and hemoglobin level were the factors related to fatigue. Subject with number of sector more than six had 37% increase risk to have fatigue [adjusted relative risk(RRa)=1.37;p=0.095]. Subject with sleep restriction had 2-fold risk to have fatigue(RRa=2.07;p= 0.000). Subject with changed of duty schedule and low hemoglobin levels have 41%(RRa=1.41;p=0.011) and 33%(RRa=1.33;p=0.042) increase risk to have fatigue Conclusions: Number of 7-9 sectors in the last 24 hours, sleep restriction, changed of duty schedule and low hemoglobin level have increased risk of fatigue among flight attendant in Indonesia, Background: Fatigue among flight attendants could affect the capabilities in performing duties. The aim of this study were to investigate factors on fatigue among female flight attendant in Indonesia. Methods: Cross-sectional study with purposive sampling was directed to female flight attendant who were taking medical examination at Balai Kesehatan Penerbangan and Garuda Sentra Medika, from April 27th-May 13th 2015. Fatigue was measured with Fatigue Severity Scale (FSS). Data were collected by completing an questionnaire on demographics, workload, sleep restriction, mental workload and fatigue. Results: Among 521 flight attendant were taking medical examination, 373 were choosen as subject and the percentage of fatigue was 36.2%. Number of sector, sleep restriction, changed of duty schedule and hemoglobin level were the factors related to fatigue. Subject with number of sector more than six had 37% increase risk to have fatigue [adjusted relative risk(RRa)=1.37;p=0.095]. Subject with sleep restriction had 2-fold risk to have fatigue(RRa=2.07;p= 0.000). Subject with changed of duty schedule and low hemoglobin levels have 41%(RRa=1.41;p=0.011) and 33%(RRa=1.33;p=0.042) increase risk to have fatigue Conclusions: Number of 7-9 sectors in the last 24 hours, sleep restriction, changed of duty schedule and low hemoglobin level have increased risk of fatigue among flight attendant in Indonesia]

Abstrak :
Fatigue merupakan gejala paling sering dikeluhkan pasien kanker payudara. Relaksasi Benson merupakan relaksasi yang mempengaruhi mental dan status emosional. Kombinasi antara relaksasi benson dengan teknologi informasi merupakan inovasi dalam mengatasi fatigue. Penelitian ini bertujuan menganalisis pengaruh teknik relaksasi Benson berbasis aplikasi smartphone terhadap fatigue pasien kanker payudara. Desain penelitian menggunakan quasi-experiment dengan pretest-posttest with control group design. Teknik purposive sampling digunakan untuk mendapatkan 56 pasien kanker payudara yang menjalani kemoterapi. Instrumen yang digunakan ialah Brief fatigue inventory. Pemberian relaksasi Benson dengan menggunakan aplikasi smartphone pada kelompok intervensi, sedangkan kelompok kontrol menggunakan booklet. Relaksasi Benson dilakukan 2 kali sehari dengan durasi 15 menit selama 7 hari. Peneliti melakukan follow up dan pengukuran post-test hari ke-7. Analisis statistik menggunakan Paired t test dan Independent t test. Pada kedua kelompok menunjukkan penurunan fatigue yang signifikan (p<0,05) setelah diberikan relaksasi benson selama 7 hari. Terdapat perbedaan penurunan fatigue secara signifikan pada kelompok intervensi (10.23) dibandingkan dengan kelompok kontrol (5.34) setelah diberikan intervensi (p 0.016). Aplikasi smartphone dapat meningkatkan kualitas relaksasi benson yang dilakukan dan secara signifikan menurunkan fatigue pada pasien kanker payudara yang menjalani kemoterapi. Pada penelitian selanjutnya diharapkan dilakukan dengan jumlah sampel yang lebih besar dan penggunaan aplikasi smartphone yang lebih lama. ......Fatigue is the most common symptom of all breast cancer patients. Benson relaxation influence the mental and emotional status. The combination of Benson relaxation techniques with the use of information technology is alternative in overcoming fatigue. This study aims to analyze the effect Benson relaxation application on reducing fatigue in breast cancer patients. Method: The research design used a quasi-experiment with pretest posttest control group design. Purposive sampling was used to obtain as many as 56 breast cancer patients undergoing chemotherapy. The instrument used was the Brief fatigue inventory. The provision of Benson relaxation using smartphone application to intervention group, while in the control group it was done using a booklet. Benson relaxation is done 2 times a day with a duration of 15 minutes for 7 days. Researchers performed follow-up and post-test measurements on day 7. Statistical analysis used paired T test and Independent t test. Results: Both the intervention group and the control group showed a significant reduction in fatigue after being given Benson relaxation for 7 days (p <0.05). There was a significant difference in decreasing fatigue in the intervention group (10.23) compared to the control group (5.34) after being given the intervention for 7 days (p = 0.016). Conclusion: The use of smartphone application can improve the quality of performed Benson relaxation and can significantly reduce fatigue in breast cancer patients undergoing chemotherapy. In future studies, it is hoped that a larger number of samples will be carried out and a longer time to use smartphone application.