Penggunaan Kessler Psychological Distress Scale, Food Recall Dan Food Frequency Questionnaire Dalam Menentukan Faktor Predisposisi Recurrent Aphthous Stomatitis

Ayu Galih Permata Dewi, Erna Herawati, Indah Suasani Wahyuni

Abstract


Pendahuluan: Recurrent aphtous stomatitis (RAS) merupakan kelainan mukosa rongga mulut,dengan ulser berbatas regular secara berulang. Etiologi RAS belum diketahui , tetapi ada beberapa faktor predisposisi yang dapat menginisiasi terjadinya RAS, seperti defisiensi nutrisi dan stres. Tujuan artikel ini untuk membahas kasus RAS minor terkait defisiensi nutrisi dan stres emosional. Laporan Kasus: Wanita, 23 tahun mengeluhkan sariawan pada bibir, sakit saat makan dan berulang 2 bulan sekali. Pasien jarang makan sayur dan buah, serta banyak pekerjaan. Secara klinis ulser berdiameter 2 mm, ditutupi pseudomembran putih kekuningan, dengan margin regular pada mukosa labial kanan atas. Pasien didiagnosis RAS minor dan diterapi dengan Triamsinolone acetonide 0,1% gel. Faktor predisposisi yaitu stress s diukur dengan kuisioner Kessler Psychological Distress Scale, dan asupan nutrisi diukur dengan kuisioner food recall 24 jam dan food frequency questionnaire. Hasil: Tingkat stres skala 35 dikategorikan stres berat. Berdasarkan kuisioner kecukupan gizi pasien mengalami defisiensi nutrisi terutama asam folat dan zat besi. Penyembuhan terjadi lebih lama, sekitar 16 hari, dibandingkan RAS pada umumnya, namun frekuensi RAS selanjutnya berkurang. Simpulan: Penggunaan Kessler Psychological Distress Scale, Food Recall dan Food Frequency Questionnaire dapat Menentukan Faktor Etiologi dan membantu dalam tatalaksana RAS.

Introduction: Recurrent aphthous stomatitis (RAS) was a common disorder in oral mucosa, signed by recurrent ulcer with regular margin. The aetiology was unknown, but there were such predisposing factors initiated the disease, one of them were nutrient deficiency and stress. The purpose of this article was to reported the RAS minor case related to nutrient deficiency and stress emotional. Case Report: A young woman in the age of 23-years-old with chief complaints of mouth ulcers, chewing illness, and all recurrent symptoms every 2 months. Before, the woman had many school tasks, with seldom fruits and vegetable consumption. Clinically, the ulcers’ diameter was 2mm, with regular margin, and covered with white-yellowish pseudomembrane at the upper labial mucosa. The patient was diagnosed with the RAS minor and treated using 0.1% Triamcinolone acetonide gel. The expected predisposing factors were nutrient deficiency and stress, which were measured with the Kessler Psychological Distress Scale for the stress level, and the 24 hours food recall and food frequency questionnaire for the nutrient intake. Results: The stress level score was 35 and classified as severe categories. Based on the nutrition questionnaire, the patient had a nutrient deficiency, especially folic acid and iron. The healing process was quite long compared to the general healing time, approximately in 16 days. Conclusion: The use of Kessler Psychological Distress Scale, Food Recall, and Food Frequency Questionnaire could determine the aetiology factors and assisted the management of RAS.


Keywords


Recurrent Aphtous Stomatitis (RAS) minor, faktor predisposisi, Kessler Psychological Distress Scale, kuesioner Food Recall, kuesioner Food Frequency.



DOI: https://doi.org/10.24198/jkg.v29i3.15941

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Jurnal Kedokteran Gigi Universitas Padjadjaran is licensed under a Creative Commons Attribution 4.0 International License