Studi Fenomenologi: Pengalaman Psikologis Pasien Diabetes Melitus dengan DFU (Diabetic Foot Ulcer) Pasca Amputasi

Authors

  • Zulaika Harissya Universitas Andalas, Indonesia
  • Hema Malini Universitas Andalas, Indonesia
  • Elvi Oktarina Universitas Andalas, Indonesia

DOI:

https://doi.org/10.26630/jkmsaw.v15i2.3565

Keywords:

DFU, pengalaman psikologis, amputasi.

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.

References

Afiyanti, Y. & Rachmawati, I. (2014). Metodologi Penelitian Kualitatif dalam Riset Keperawatan (1st Ed). Rajawali Pers.

Amin, N., & Doupis, J. (2016). Diabetic foot disease: From the evaluation of the “foot at risk†to the novel diabetic ulcer treatment modalities. World Journal of Diabetes, 7(7), 153. https://doi.org/10.4239/wjd.v7.i7.153

Armstrong, D. G., Boulton, A. J. M., & Bus, S. A. (2017). Diabetic Foot Ulcers and Their Recurrence. New England Journal of Medicine, 376(24), 2367–2375. https://doi.org/10.1056/nejmra1615439

Bennett, J. (2016). Limb loss: The unspoken psychological aspect. Journal of Vascular Nursing, 34(4), 128–130. https://doi.org/10.1016/j.jvn.2016.06.001

Cascini, S., Agabiti, N., Davoli, M., Uccioli, L., Meloni, M., Giurato, L., Marino, C., & Bargagli, A. M. (2020). Survival and factors predicting mortality after major and minor lower-extremity amputations among patients with diabetes: A population-based study using health information systems. BMJ Open Diabetes Research and Care, 8(1), 1–8. https://doi.org/10.1136/bmjdrc-2020-001355

Dane K. Wukich, Katherine M. Raspovic, N. C. S. (2017). Patients With Diabetic Foot Disease Fear Major Lower Extremity Amputation More Than Death. Foot Ankle Spec, 11(1), 17–21. https://doi.org/10.1177/1938640017694722

Hingorani, A., Lamuraglia, G. M., Henke, P., Meissner, M. H., Loretz, L., Zinszer, K. M., Driver, V. R., Frykberg, R., Carman, T. L., Marston, W., Mills, J. L., & Murad, M. H. (2016). The management of diabetic foot: A clinical practice guideline by the Society for Vascular Surgery in collaboration with the American Podiatric Medical Association and the Society for Vascular Medicine. Journal of Vascular Surgery, 63(2), 3S-21S. https://doi.org/10.1016/j.jvs.2015.10.003

Nelwati, Sabri, R., & Malini, H. (2021). Buku Ajar Riset Kualitatif (Edisi Revi). Rajawali Pers.

Oktalia, A. W., & Khotimah, Y. R. R. S. (2021). Hubungan antara Penyakit Arteri Perifer dan Kadar HbA1c dengan Tindakan Amputasi Ekstremitas pada Pasien Ulkus Kaki Diabetik di RSUD Abdul Wahab Sjahranie Samarinda. Jurnal Sains Dan Kesehatan, 3(5), 715–721. https://doi.org/10.25026/jsk.v3i5.641

Oktorina, R., Wahyunid, A., & Harahap, E. Y. (2019). Faktor Yang Berhubungan dengan Perilaku Pencegahan Ulkus Diabetikum Pada Penderita Diabetes Mellitus. REAL in Nursing Journal ( RNJ ), 2(3), 108–117.

Pedras, S., Carvalho, R., & Pereira, M. G. (2018). A predictive model of anxiety and depression symptoms after a lower limb amputation. Disability and Health Journal, 11(1), 79–85. https://doi.org/10.1016/j.dhjo.2017.03.013

Pedras, S., Vilhena, E., Carvalho, R., & Pereira, M. G. (2020). Quality of Life Following a Lower Limb Amputation in Diabetic Patients: A Longitudinal and Multicenter Study. Psychiatry (New York), 83(1), 47–57. https://doi.org/10.1080/00332747.2019.1672438

Spiess, K. E., McLemore, A., Zinyemba, P., Ortiz, N., & Meyr, A. J. (2014). Application of the five stages of grief to diabetic limb loss and amputation. Journal of Foot and Ankle Surgery, 53(6), 735–739. https://doi.org/10.1053/j.jfas.2014.06.016

Yusuf, S., Okuwa, M., Irwan, M., Rassa, S., Laitung, B., Thalib, A., Kasim, S., Sanada, H., Nakatani, T., & Sugama, J. (2016). Prevalence and Risk Factor of Diabetic Foot Ulcers in a Regional Hospital , Eastern Indonesia. January, 1–10.

Zhang, P., Lu, J., Jing, Y., Tang, S., Zhu, D., & Bi, Y. (2017). Global epidemiology of diabetic foot ulceration: a systematic review and meta-analysis. Annals of Medicine, 49(2), 106–116. https://doi.org/10.1080/07853890.2016.1231932

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Published

2022-12-30