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All Journal Jurnal Kesehatan Poltekkes Kemenkes RI Pangkalpinang Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Jurnal Pendidikan Kesehatan (e-Journal)
Sofian, Ridwan
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Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Nursing Public Health

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Masalah Psikologis Wanita Pascahisterektomi: Literatur Review Sofian, Ridwan; Nur, Mangsur M
JURNAL KESEHATAN POLTEKKES KEMENKES RI PANGKALPINANG Vol 12, No 1 (2024): JKP Juni 2024
Publisher : Poltekkes Kemenkes Pangkalpinang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32922/jkp.v12i1.912

Abstract

Latar Belakang: Histerektomi merupakan suatu tindakan pembedahan dengan melakukan pengangkatan rahim akibat suatu penyakit ginekologi. Wanita merasa bahwa histerektomi menyebabkan kehilangan kepercayaan dan menyebabkan kurangnya harga diri sebagai seorang wanita.Tujuan: penulisan literatur review ini adalah memahami masalah-masalah psikologis yang dapat terjadi dan dialami oleh wanita pasca histerektomi.Metode: Metode menggunakan pendekatan literatur review. Pencarian artikel melalui PubMed, Science Direct, EBSCO, dan ProQuest dengan kata kunci “psychological issues after hysterectomy”.  Kriteria artikel harus dari jurnal internasional dan full text serta terpublikasi 8 tahun terakhir. Sampel dalam penelitian ini sebanyak 16 artikel yang disesuaikan dengan kriteria.Hasil: Hasil yang telah didapatkan menunjukkan bahwa histerektomi dapat menyebabkan gejala depresi seperti keputusasaan, kecemasan, ketakutan, citra tubuh dan harga diri rendah, masalah PTSD akibat stressor berkelanjutan, hingga masalah psikoseksual yang dapat terjadi pada sebagian besar wanita karena penurunan hasrat seksual pascahisterektomi.Kesimpulan: Literatur review ini menggambarkan masalah psikologis pada wanita pascahisterektomi seperti kejadian depresi, PTSD, dan masalah psikoseksual. Masih minimnya penatalaksanaan pada masalah psikologis, mengharuskan penerapan terapi psikologis cognitive dan behavior pada pelayanan kesehatan untuk wanita pascahisterektomi.
STUDI FENOMENOLOGI: PENGALAMAN PSIKOLOGIS WANITA PASCAHISTEREKTOMI Sofian, Ridwan; M. Nur, Mangsur
Jurnal Pendidikan Kesehatan (e-Journal) Vol. 13 No. 2 (2024): Jurnal Pendidikan Kesehatan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jpk.v13i2.4522

Abstract

Post-hysterectomy women tend to experience psychological problems that impact their mental health. This study aims to explore the psychological experiences of post-hysterectomy women using a qualitative method with a phenomenological approach. Participants were selected through purposive sampling method with inclusion criteria: (1) Have undergone hysterectomy, (2) Women aged 15-64 years. The research was conducted for 22 days at Wava Husada Kepanjen Hospital with semi-structured interviews. Data were obtained through interviews with 6 post-hysterectomy participants. Analysis used the Interpretative Phenomenological Analysis technique. Eleven themes emerged: (1) Tumor growth as the cause of hysterectomy, (2) No longer having a uterus, (3) Unable to menstruate and conceive again, (4) Loss of femininity, (5) Fear of abandonment by spouse, (6) Feeling powerless in the situation, (7) Resigned acceptance of everything that happens, (8) Withdrawing from the outside environment at the onset of surgery, (9) Decreased sexual behavior, (10) Spouse as strength to forget problems, (11) Hope for always being healthy and happy. Participants understand that hysterectomy means no longer having a uterus, unable to menstruate and conceive again. This understanding leads to negative thoughts, perceiving themselves as lacking in femininity, and experiencing negative feelings of powerlessness and behaviors related to decreased sexual behavior.
PSYCHOSOCIAL EXPERIENCES AND MENTAL HEALTH CHALLENGES OF TRANSGENDER WOMEN LIVING WITH HIV/AIDS: A QUALITATIVE STUDY Kurnia Laksana; Sofian, Ridwan
Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Vol. 8 No. 1 (2026): March 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pnj.v8i1.78462

Abstract

Introduction: Transgender women (locally known as waria) represent a key population that is highly vulnerable to HIV/AIDS. Elevated rates of risky sexual behavior, limited access to healthcare services, and pervasive social stigma and discrimination intensify this vulnerability. Although intervention programs, such as Voluntary Counseling and Testing (VCT), are available, the awareness and personal experiences of transgender individuals concerning these services remain underexplored. This study aimed to delve into the lived experiences of transgender women in Malang, East Java. Method: This research employed a qualitative design informed by a phenomenological approach. Data were gathered through in-depth interviews with 12 purposively selected transgender participants, alongside field observations. The data were analyzed using thematic analysis to uncover patterns and meanings within the participants' subjective experiences. Results: The study revealed four key themes: a limited understanding of HIV and its associated risks, low engagement with HIV testing services, psychological distress following a positive diagnosis, and risky sexual behaviors driven by financial necessity. Participants expressed inadequate knowledge about HIV transmission, inconsistent condom usage, irregular testing habits, emotional distress, internalized stigma, and ongoing high-risk behaviors influenced by economic pressures. Conclusions: Transgender women face a range of intricate challenges. Despite possessing some awareness of HIV, factors such as limited testing participation, psychological distress, and economic vulnerability contribute to the persistence of risky sexual practices. It is crucial to implement integrated interventions that focus on health education, mental health support, improved access to services, and economic empowerment to reduce the ongoing risk of HIV transmission effectively.
Co-Authors Kurnia Laksana M. Nur, Mangsur Nur, Mangsur M