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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.
Effectiveness of modern dressing in wound care for breast cancer patients: A systematic review Siahaan, Joni; Pohan, Dessy Syahfitri; Harissya, Zulaika; Armi, Armi; Setiawan, Yana; Nurshadrina, Kharina; Estiadewi, Primaloya Septiavy
Indonesian Journal of Health Services Vol. 3 No. 1 (2026): January - March
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.