Pendekatan Pelayanan Kesehatan Holistik-Komprehensif Pada Kasus Menopause

FEBRI ENDRA BUDI SETYAWAN, FENY TUNJUNGSARI, RETNO LESTARI

Abstract


Abstract

Menopause is a natural process that occurs in the reproductive cycle of women aged over 40 years. These changes will affect physical and psychological state of a woman, and they are not ready to deal with this condition. Family doctors should provide information about menopause and how to manage various changes during menopause. The results of previous studies were very limited in examining various menopausal management options which were safe, comfortable and have less negative impacts. This study aimed to examine a holistic-comprehensive approach in the case of menopause. Systematic review results were obtained from 55 reference sources through Science Direct, Google Scholar, Proquest Health and Medical Complete, Proquest Nursing and Allied Health Source from 2010 to 2019. The systematic review results explain that the management of menopause cases can be optimized through a holistic-comprehensive approach. Holistic aspect includes the components of biopsychosocial and comprehensive needs which are carried out through promotive, preventive, curative and rehabilitative efforts. Menopausal women often not only experience physical symptoms, but also psychological symptoms which will impact their quality of life. It can be concluded that a holistic-comprehensive approach can be carried out as an effort by family doctors to optimize the management of menopause.

 

Keywords:  Systematic Review, Holistic-Comprehensive, Menopause

 

 

Abstrak

Menopause merupakan proses perubahan yang alamiah terjadi pada siklus reproduksi wanita yang berusia di atas 40 tahun. Perubahan yang terjadi memengaruhi keadaan fisik maupun psikis seorang wanita dan seringkali wanita belum siap menghadapi kondisi ini. Dokter keluarga menjadi ujung tombak dalam memberikan informasi tentang menopause dan bagaimana menangani berbagai perubahan yang dirasakan saat wanita mengalami menopause. Hasil penelitian sebelumnya sangat terbatas mengkaji tentang berbagai pilihan tatalaksana menopause yang aman, nyaman dan dapat mengurangi dampak negatif lebih lanjut. Penulisan artikel ini bertujuan untuk mengkaji pendekatan pelayanan kesehatan holistik-komprehensif pada kasus menopause. Hasil review sistematik diperoleh dari 55 sumber referensi melalui Science Direct, Google Scholar, Proquest Health and Medical Complete, Proquest Nursing and Allied Health Source dari tahun 2010 sampai dengan tahun 2019. Hasil review sistematik menjelaskan bahwa tatalaksana kasus menopause dapat dioptimalkan melalui pendekatan holistik-komprehensif. Aspek holistik meliputi komponen kebutuhan biopsikososial dan komprehensif yang dilakukan melalui upaya promotif, preventif, kuratif dan rehabilitatif. Wanita menopause seringkali tidak hanya mengalami gejala fisik saja namun gejala psikologis yang dirasakan dapat memperparah kualitas hidupnya. Dapat disimpulkan bahwa pendekatan holistik-komprehensif dapat dilakukan sebagai salah satu upaya dokter keluarga untuk optimalisasi manajemen kasus menopause.

 

Kata Kunci: Review Sistematik, Holistik-Komprehensif, Menopause

 

 


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References


Alan S, Gozuyesil E, Gokyildiz S. Effects of Menopause on the Life of Women Who Experience Hot Flashes and their Health-Seeking Behaviours. International Journal of Caring Sciences. 2016; 9 (2): 542-550.

AlQuaiz AM, Tayel SA, Habib FA. Assessment of symptoms of menopause and their severity among Saudi women in Riyadh. Ann Saudi Med. 2013; 33 (1): 63-7.

Amanda SP, Rejeki S, Susilawati D. Pengaruh Relaksasi Otot Progresif Terhadap Kualitas Tidur Pada Perempuan Menopause. Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama. 2019; 8 (2): 133-141.

Araya AX, Urrutia MT, Dois A. Menopause, the beginning of aging for Chilean women: A qualitative study. Invest. Educ. Enferm. 2017; 34(1): 95-99.

Hill DA, Crider M, Hill SR. Hormone Therapy and Other Treatments for Symptoms of Menopause. Am Fam Physician. 2016; 94 (11): 884-889.

Jasemi M, Valizadeh L, Zamanzadeh V, Keogh B. A Concept Analysis of Holistic Care by Hybrid Model. Indian J Palliat Care. 2017; 23 (1): 71-80.

Jayabharathi B, Jayamohanraj. Yoga: An Approach to Holistic Health for Climacteric Symptoms - A Prospective Randomized Interventional Study. Indian Journal of Health and Wellbeing. 2013; 4 (1): 1-6.

Kaunitz AM. Extended Use of Systemic Menopausal Hormone Therapy. Clinical Obstetrics and Gynecology. 2018; 61 (3): 517–522.

Kling JM, MacLaughlin KL, Schnatz PF, Crandall CJ, Skinner LJ, Stuenkel CA, et al. Menopause Management Knowledge in Postgraduate Family Medicine, Internal Medicine, and Obstetrics and Gynecology Residents: A Cross-Sectional Survey. Mayo Clinic Proceedings. 2019; 94 (2): 242–253.

Koç Z, Saglam Z, Topatan S. Determination of the use of complementary and alternative medicine by women in the climacteric period in the Turkish city of Samsun. Contemporary Nurse. 2013: 45 (2): 197–209.

Koeryaman MT, Ermiati. Adaptasi Gejala Perimenopause dan Pemenuhan Kebutuhan Seksual Wanita Usia 50-60 Tahun. MEDISAINS: Jurnal Ilmiah Ilmu-ilmu Kesehatan. 2018; 16 (1): 21-30.

Magon S, Agarwal S, Kalra B. Holistic care of menopause: Understanding the framework. Journal of Mid-Life Health. 2012; 3 (2): 66.

Marnocha SK, Bergstrom M, Dempsey LF. The lived experience of perimenopause and menopause. Contemporary Nurse. 2011; 37 (2): 229–240.

Namazi M, Sadeghi R, Behboodi Moghadam Z. Social Determinants of Health in Menopause: An Integrative Review. International Journal of Women’s Health. 2019; 11: 637–647.

Noble N. Symptom management in women undergoing the menopause. Nursing Standard. 2018; 32 (22): 53-62.

Nurwahidah. Pengaruh Menopause Pada Wanita Umur 45-60 Terhadap Perubahan Body Image Di Dusun Kawae Desa Maria Utara Kecamatan Wawo Kabupaten Bima Tahun 2019. Bima Nursing Journal. 2019; 1 (1): 1-7.

Pinkerton JV, Conner EA, Kaunitz AM. Management of Menopause and the Role for Hormone Therapy. Clinical Obstetrics and Gynecology. 2019; 62 (4): 677–686.

Putra M, Fitria R, Putri R. Pengaruh High Intensity Interval Training (HIIT) terhadap Persentase Lemak Tubuh Wanita Menopause Penderita Obesitas. Gelanggang Olahraga: Jurnal Pendidikan Jasmani Dan Olahraga. 2018; 2 (1): 158-166.

Reddish S. Menopausal Transition: Assessment in General Practice. Australian Family Physician. 2011; 40 (5): 266-272.

Roshi, Tandon VR, Mahajan A, Sharma S. Pattern of menopausal symptoms in a tertiary care hospital of north india: An observational study. JK Science. 2017; 19 (3): 173-176.

Saputra DRB. Pengaruh Senam Yoga Terhadap Tingkat Kecemasan Wanita Pra Menopause (Studi Pada Lychel Gym Aerobik dan Yoga 35-45 tahun Surabaya). Jurnal Kesehatan Olahraga. 2016; 6 (2): 222-229.

Setyawan FEB. Pendekatan Pelayanan Kesehatan Dokter Keluarga: Pendekatan Holistik Komprehensif. Sidoarjo: Zifatama Jawara; 2019.

Sliwinski JR, Johnson AK, Elkins GR. Memory Decline in Peri- and Post-menopausal Women: The Potential of Mind–Body Medicine to Improve Cognitive Performance. Integrative Medicine Insights. 2014; 9: 17-23.

Villella S. The clinical management of menstrual migraine and headache by the herbal medicine practitioner. Australian Journal of Herbal Medicine. 2016; 28 (3): 75-79.

Zamanzadeh V, Jasemi M, Valizadeh L, Keogh B, Taleghani F. Effective factors in providing holistic care: a qualitative study. Indian J Palliat Care. 2015; 21 (2): 214-24.

Zhang A, Sun H, Wang P, Han Y, Wang X. Future perspectives of personalized medicine in traditional Chinese medicine: A systems biology approach. Complementary Therapies in Medicine. 2012; 20 (1-2): 93–99.




DOI: http://dx.doi.org/10.30649/htmj.v18i1.440

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