ZULAIKA HARISSYA
Sekolah Tinggi Ilmu Kesehatan Mitra Keluarga

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PENGALAMAN PSIKOLOGIS PASIEN DIABETES MELITUS DENGAN DFU (DIABETIC FOOT ULCER) PASCA AMPUTASI ZULAIKA HARISSYA; HEMA MALINI; ELVI OKTARINA
Jurnal Ners Vol. 7 No. 1 (2023): APRIL 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v7i1.9223

Abstract

Pasien DFU sering menghadapi masalah psikologis akibat kehilangan anggota tubuh pasca menjalani amputasi, pasien melaporkan merasa depresi, frustrasi, dan merasa tidak berdaya saat mereka berusaha untuk sembuh pasca amputasi yang berdampak pada kesejahteraan hidup pasien. Penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologi. Partisipan dalam penelitian ini berjumlah tujuh orang yang merupakan pasien DFU yang telah menjalani amputasi di 3 rumah sakit di Kota Padang yaitu RSUP M. Djamil Padang, RSI Ibnu Sina, dan RST Reksodiwiryo, dan salah satu Pusat Perawatan Luka dan Stoma Padang. Hasil analisis data menghasilkan tiga tema, yaitu dampak emosional, gangguan citra tubuh dan harga diri rendah, dan adaptasi diri terhadap kehilangan. Penelitian ini menunjukkan bahwa amputasi ekstremitas bawah memberikan dampak  psikologis yang berkaitan dengan perubahan yang terjadi setelah amputasi. Partisipan menggambarkan hal tersebut dengan mengungkapkan kesedihan, perasaan cemas, takut, marah, penyesalan, harga diri rendah, gangguan citra tubuh dan kaget dengan kondisi mereka pasca amputasi, sehingga berdampak pada penurunan kesejahteraan hidup partisipan.
Studi Fenomenologi: Pengalaman Psikologis Pasien Diabetes Melitus dengan DFU (Diabetic Foot Ulcer) Pasca Amputasi Harissya, Zulaika; Malini, Hema; Oktarina, Elvi
Jurnal Kesehatan Metro Sai Wawai Vol. 15 No. 2 (2022): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsaw.v15i2.3565

Abstract

Latar Belakang: Pasien DFU sering menghadapi masalah psikologis akibat kehilangan anggota tubuh pasca menjalani amputasi, pasien melaporkan merasa depresi, frustrasi, dan merasa tidak berdaya saat mereka berusaha untuk sembuh pasca amputasi yang berdampak pada kesejahteraan hidup pasien. Metode: Penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologi. Partisipan dalam penelitian ini berjumlah tujuh orang yang merupakan pasien DFU yang telah menjalani amputasi di 3 rumah sakit di Kota Padang yaitu RSUP M. Djamil Padang, RSI Ibnu Sina, dan RST Reksodiwiryo, dan salah satu Pusat Perawatan Luka dan Stoma Padang. Hasil: Hasil analisis data menghasilkan tiga tema, yaitu dampak emosional, gangguan citra tubuh dan harga diri rendah, dan adaptasi diri terhadap kehilangan. Simpulan: Penelitian ini menunjukkan bahwa amputasi ekstremitas bawah memberikan dampak psikologis yang berkaitan dengan perubahan yang terjadi setelah amputasi. Partisipan menggambarkan hal tersebut dengan mengungkapkan kesedihan, perasaan cemas, takut, marah, penyesalan, harga diri rendah, gangguan citra tubuh dan kaget dengan kondisi mereka pasca amputasi, sehingga berdampak pada penurunan kesejahteraan hidup partisipan. Abstract: Phenomenology Study: Psychological Experiences of DFU (Diabetic Foot Ulcer) Patients Following Amputation Background: DFU patients often face problems due to the loss of limbs after treatment, patients report experiencing depression, and feeling helpless when they try to recover after amputation which has an impact on the patient's well-being. Methods: This study uses a qualitative method with a phenomenological approach. The participants in this study were seven people who were DFU patients who had undergone amputation at 3 hospitals in the city of Padang, namely M. Djamil Hospital Padang, Ibnu Sina Hospital, and Reksodiwiryo RST, and one of the Padang Wound and Stoma Treatment Centers. Results: The results of data analysis produced three themes, namely emotional impact, impaired body image, low self-esteem, and self-defeat to loss. Conclusion: This study shows that lower extremity amputation has a psychological impact related to changes that occur after amputation. Participants described this by expressing anxiety, fear, anger, regret, body image disturbance, and surprise with their condition after living well-being so that it impacted their welfare.
PENGARUH KOMPRES DINGIN ICE GEL PACK TERHADAP TINGKAT NYERI PASIEN POST KATETERISASI JANTUNG AKSES RADIAL DI RS SWASTA BEKASI TIMUR Sunaryo; Armi; Zulaika Harissya
Indonesian Journal of Health Research Innovation Vol. 3 No. 2 (2026): Indonesian Journal of Health Research Innovation
Publisher : Yayasan Menawan Cerdas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64094/w7ctjd47

Abstract

Kateterisasi jantung melalui akses radial merupakan prosedur diagnostik dan terapeutik yang sering dilakukan pada pasien penyakit jantung koroner. Meskipun akses radial dinilai lebih aman dibandingkan akses femoralis, pasien tetap dapat mengalami nyeri setelah tindakan akibat trauma pembuluh darah, penekanan hemostasis, dan respons inflamasi lokal pada area insersi. Salah satu intervensi keperawatan nonfarmakologis yang dapat digunakan untuk membantu mengurangi nyeri adalah kompres dingin menggunakan ice gel pack. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian kompres dingin ice gel pack terhadap tingkat nyeri pasien post kateterisasi jantung akses radial.Penelitian ini menggunakan desain quasi-eksperimen dengan pendekatan one-group pretest-posttest. Sampel penelitian berjumlah 37 responden yang dipilih menggunakan teknik purposive sampling sesuai kriteria inklusi dan eksklusi. Intervensi diberikan berupa kompres dingin ice gel pack dengan suhu 15°C selama 15 menit pada area insersi kateterisasi jantung akses radial. Tingkat nyeri diukur sebelum dan sesudah intervensi menggunakan Numeric Rating Scale (NRS). Data dianalisis menggunakan uji Wilcoxon Signed Rank Test. Sebelum intervensi, sebagian besar responden mengalami nyeri sedang. Setelah pemberian kompres dingin ice gel pack, jumlah responden dengan nyeri ringan meningkat, sedangkan jumlah responden dengan nyeri sedang menurun. Hasil uji Wilcoxon Signed Rank Test menunjukkan terdapat perbedaan tingkat nyeri yang signifikan sebelum dan sesudah intervensi dengan nilai p = 0,001. Kompres dingin menggunakan ice gel pack dapat membantu menurunkan nyeri dan meningkatkan kenyamanan pasien post kateterisasi jantung akses radial. Intervensi ini dapat dipertimbangkan sebagai tindakan keperawatan mandiri nonfarmakologis dalam manajemen nyeri pasien post kateterisasi jantung. Namun, penelitian lanjutan dengan kelompok kontrol diperlukan untuk memperkuat bukti efektivitas intervensi ini.
Effectiveness of modern dressing in wound care for breast cancer patients: A systematic review Joni Siahaan; Dessy Syahfitri Pohan; Zulaika Harissya; Armi Armi; Yana Setiawan; Kharina Nurshadrina; Primaloya Septiavy Estiadewi
Indonesian Journal of Health Services Vol. 3 No. 1 (2026): January - June
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v3i1.142

Abstract

Background: Breast cancer patients frequently experience wound complications following surgery, radiotherapy, or disease progression, which may negatively affect healing outcomes, comfort, and quality of life. Modern dressing technologies have been developed to improve wound management through antimicrobial, hemostatic, protective, and moisture-balancing properties. Objective: This systematic review aimed to evaluate the effectiveness of modern dressings in wound care for breast cancer patients by synthesizing current clinical evidence on infection prevention, radiation dermatitis control, bleeding management, symptom relief, and patient-centered outcomes. Methods: This study employed a systematic literature review design following the PRISMA 2020 guidelines. A comprehensive search was conducted in PubMed, Scopus, ScienceDirect, ProQuest, and Google Scholar for studies published between 2013 and 2023 in English and Indonesian. Eligible studies included randomized controlled trials, quasi-experimental, and prospective clinical studies examining modern dressing or topical interventions in breast cancer wound care. Data extraction and risk of bias assessment were performed independently by two reviewers, and findings were synthesized narratively due to methodological heterogeneity. Results: Eleven studies met the inclusion criteria. Modern dressings demonstrated effectiveness in reducing surgical site infections, minimizing radiation dermatitis severity, controlling bleeding and exudate, reducing bacterial colonization, and improving patient comfort. Several interventions also showed positive effects on wound malodor reduction and quality of life improvement. Overall findings suggest that modern dressings provide multidimensional benefits in clinical and psychosocial aspects of wound management in breast cancer patients. Conclusion: Modern dressing strategies represent effective interventions for improving wound healing outcomes and patient well-being in breast cancer care. Integration of evidence-based dressing technologies into clinical practice may enhance both physiological recovery and holistic patient comfort, although further high-quality research is recommended to strengthen clinical guidelines.
The effect of health education video on the prevention behaviour of sexually transmitted infections (STI’s) in adolescent Nada Sari; Elfrida Simamora; Zulaika Harissya
Holistik Jurnal Kesehatan Vol. 20 No. 5 (2026): Volume 20 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i5.1386

Abstract

Background: Most sexually transmitted infections (STIs) in adolescents are similar to those in young adults. Adolescence is a phase of life when adolescents reach sexual maturity and begin to make decisions and choices regarding reproductive health. Several factors contribute to adolescents' vulnerability to STIs, including having sexual intercourse, engaging in same-sex sexual relations, and having more than one sexual partner. Common STIs in adolescents include chlamydia, gonorrhea, syphilis, genital herpes, HIV/AIDS, genital warts, pubic lice, and trichomoniasis. Unprotected sexual intercourse among adolescents can have significant impacts. Therefore, it is crucial to provide education to adolescents using learning media through health education programs. Purpose: To identify the effect of health education videos on STI prevention behaviors in adolescents. Method: This study used a quasi-experimental design with a control group. The sample consisted of 169 participants selected using stratified random sampling. Data were collected through pre-tests and post-tests, while data processing was performed using SPSS software with the Wilcoxon test. This study was conducted in three private high schools in Bekasi City from June to July 2024. Results: This study obtained a p-value of 0.000 ≤ 0.005, indicating that health education videos influenced sexually transmitted infection (STI) prevention behavior in adolescents. Conclusion: Health education videos were found to influence sexually transmitted infection (STI) prevention behavior in adolescents. Suggestion: Adolescents should be more aware of the importance of independent STI prevention by seeking the latest information about STIs.   Keywords: Adolescents; Health Education; Preventive Behavior; Sexually Transmitted Infections.
The level of independence of children with intellectual disabilities in maintaining dental and oral hygiene at home: A literature review Joni Siahaan; Yana Setiawan; Zulaika Harissya; Dessy Syahfitri Pohan; Primalova Septiavy Estiadewi; Kharina Nurshadrina; Zahfia Nadzwa Clarisa Hernando
Journal of Community Nursing and Primary Care Vol. 2 No. 1 (2025): January - June
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/jcnpc.v2i1.99

Abstract

Background: Limitations in cognitive and motor skills make these children more dependent on external support, particularly from their families. Family involvement is therefore considered an important factor in promoting independence and improving oral hygiene behaviors among children with intellectual disabilities. Objective: This study aimed to analyze the relationship between family support and the level of independence of children with intellectual disabilities in maintaining dental and oral hygiene at home. Methods: This study employed a literature review design following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. A systematic search was conducted in several scientific databases, including Google Scholar, ScienceDirect, and PubMed, using combinations of keywords related to family support, oral hygiene, intellectual disability, and children with special needs. Articles published between 2020 and 2025 were screened based on predefined inclusion and exclusion criteria. The quality of the selected studies was evaluated using the Critical Appraisal Skills Programme (CASP) tool. Results: Ten studies met the inclusion criteria and were included in the analysis. The findings consistently indicated a strong positive relationship between family involvement and the oral hygiene status of children with intellectual disabilities. Parental education, supervision, and training programs were shown to significantly improve children’s tooth-brushing behavior, reduce plaque accumulation, and enhance oral hygiene practices at home. However, several barriers were identified, including limited parental knowledge, inadequate supervision, and the motor and behavioral limitations experienced by children with intellectual disabilities. Conclusion: Family support plays a crucial role in improving the independence of children with intellectual disabilities in maintaining dental and oral hygiene at home. Strengthening family-based education, parental training, and supportive home-care interventions may enhance oral health outcomes and improve the overall quality of life of children with intellectual disabilities.