The relationship between temporomandibular disorder and work stress in type C private hospital nurses

Introduction
Temporomandibular disorder (TMD) includes functional problems in the masticatory system affecting the temporomandibular joint, and anything related to orofacial structures, or masticatory muscles. The etiology of TMD is multifactorial and very complex, and many considerations must be made, such as parafunctional activities, occlusal condition, deep pain input, emotional stress, and trauma.

Objectives
Studies analyzing the relationship between TMD and work stress among nurses in type C private hospitals using the Index Diagnostic Temporomandibular Disorder (ID-TMD) and Expand­ed Nursing Stress Scale (ENSS). Indonesian version questionnaires have never been conducted in Indonesia.

Material and methods
This study analyzed the relationship of TMD with work stress and sociodemographic factors (sex and age) among nurses in a type C private hospital. This cross-sectional study assessed the data of 92 nurses in the Hasanah Graha Afiah Hospital; two questionnaires were given to each nurse. The ID-TMD was used to evaluate TMD and the ENSS Indonesian version questionnaire was used to evaluate work stress.

Results
The Mann-Whitney test and independent t-test revealed no significant differences (p > 0.05) between TMD and work stress among nurses in this type C private hospital. The χ2 test showed no significant differences (p > 0.05) between TMD and the aforementioned sociodemographic factors in these nurses.

Conclusions
TMD was not associated with work stress among nurses in a type C Indonesian private hospital.