Peran afirmasi positif dalam menumbuhkan resiliensi dan penerimaan citra diri positif pada pasien pasca-amputasi
-
DOI: https://doi.org/10.56922/quilt.v6i5.3008
Afirmasi Positif Amputasi Berduka Citra Diri
Abstract
Background: Amputation is an event that triggers maladaptive grief responses and impaired self-image perception due to the permanent loss of a body part.
Purpose: To analyze the effect of a positive affirmation intervention on maladaptive grief responses and self-image perception in post-amputation patients.
Method: Quasi-experimental, one-group pretest-posttest. A sample of 30 post-amputation patients was selected using a purposive sampling technique. The positive affirmation intervention was administered over eight sessions. Data were analyzed for grief response variables (Wilcoxon test) and self-image variables (paired sample t-test). The instruments used were a grief response questionnaire and a self-image questionnaire.
Results: The majority of respondents, productive adults (20-44 years old), had a significantly decreased mean maladaptive grief score from 47.93 to 26.1 (p < 0.05); and negative self-image perception scores decreased significantly from 77.93 to 41.30 (p < 0.05). Changes in self-image were slower than the grief adaptation process. Comparison of Effect Size values indicates that the grief process (12.25) and self-image perception (5.49) both fall into the Very Large Effect category, and the positive affirmation intervention had the strongest influence on changes in grief responses.
Conclusion: The positive affirmation intervention was effective in eliciting and enhancing adaptive grief responses and positive self-image perceptions.
Keywords: Amputation; Body Image; Grieving; Positive Affirmation.
Pendahuluan: Amputasi merupakan peristiwa yang memicu respons berduka maladaptif dan gangguan persepsi citra diri akibat hilangnya bagian tubuh secara permanen.
Tujuan: Untuk menganalisis pengaruh intervensi afirmasi positif terhadap respons berduka maladaptif dan persepsi citra diri pada pasien pasca-amputasi.
Metode: Quasi-experiment, one-group pretest-posttest. Sampel sebanyak 30 pasien pasca-amputasi, dengan teknik purposive sampling. Intervensi afirmasi positif diberikan selama 8 sesi. Analisis data untuk variabel respons berduka (uji Wilcoxon) dan variabel citra diri (uji paired sample t-test). Instrumen adalah kuesioner respons berduka dan kuesioner citra diri.
Hasil: Mayoritas responden, usia dewasa produktif (20-44 tahun), rata-rata skor berduka maladaptif menurun secara signifikan dari 47.93 menjadi 26.1 (p < 0.05); skor persepsi citra diri negatif menurun secara signifikan dari 77.93 menjadi 41.30 (p < 0.05). Perubahan pada citra diri lebih lambat dibandingkan dengan proses adaptasi berduka. Perbandingan nilai Effect Size menunjukkan proses berduka (12.25), dan persepsi citra diri (5.49), keduanya termasuk kategori Very Large Effect, dan intervensi afirmasi positif paling kuat memengaruhi perubahan respons berduka.
Simpulan: Intervensi afirmasi positif efektif membangkitkan dan meningkatkan respons berduka yang adaptif serta persepsi citra diri yang positif.
Kata Kunci: Afirmasi Positif; Amputasi; Berduka; Citra Diri.
Downloads
References
Arsa, P. S. A., Fuadiati, L. L., & Rinawaty, D. (2025). The Effectiveness of ROMATIF Therapy (Mirror Therapy and Positive Affirmation) on Strength of Muscle and Self-acceptance in Post Stroke Patients. Babali Nursing Research, 6(1), 51–65.
Inas I. A., Khairani, W., Khairani, W., Ermawan, B., Ermawan, B., & Sutejo, N. (2023). Skripsi Inas Afanin P07120219015" Pengaruh Terapi Afirmasi Positif Terhadap Harga Diri Pada Lansia Di Upt Rpslt Budhi Dharma Yogyakarta. Poltekkes Kemenkes Yogyakarta.
Jo, S. H., Kang, S. H., Seo, W. S., Koo, B. H., Kim, H. G., & Yun, S. H. (2021). Psychiatric understanding and treatment of patients with amputations. Yeungnam University Journal of Medicine, 38(3), 194–201.
Kadian, A. (2023). The use of positive affirmations in increasing self-esteem. International Journal For Multidisciplinary Research, 5(4), 2254-2258.
Küçük Öztürk, G., Yüceler Kaçmaz, H., & Öztürk, R. İ. (2024). Narrative experiences of individuals with lower limb amputation: A qualitative study. The International Journal of Lower Extremity Wounds, 23(1), 92–98.
Mahmud, A. R., Firmawati, F., Biahimo, N. U. I., & Asnawati, R. (2024). Efektivitas Latihan Keterampilan Sosial pada Peningkatan Citra Diri Pasien dengan Gangguan Citra Tubuh (Post Amputasi) di RSUD Tani dan Nelayan Boalemo. Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran, 2(4), 56–74.
Mir, N., Maqbool, M., Sagar, R., & Sagar, S. (2023). Can Bed-Side Grief Counseling Sessions Enhance Recovery in a Patient With Posttrauma Amputation? A Case Report. Indian Journal of Psychological Medicine, 45(3), 307–309.
Ohenewa, E., Yendork, J. S., Amponsah, B., & Owusu‐Ansah, F. E. (2025). “After Cutting It, Things Have Never Remained the Same”: A Qualitative Study of the Perspectives of Amputees and Their Caregivers. Health Expectations, 28(1), e70148.
Suwito, E. D., Pamungkas, R. A., & Indrawati, R. (2022). Faktor-faktor yang mempengaruhi work life balance tenaga kesehatan di rumah sakit pada masa pandemi Covid-19. Jurnal Health Sains, 3(3), 377-393.
Roberts, K. (2019). The Role of Positivity: Physical and Mental Aspects of Lower Limb Amputation Due to Diabetes.
Sarwoto, S., Fitria, R., & Putri, D. E. (2025). Efektivitas Teknik Perawatan Luka Modern pada Pasien Ulkus Diabetikum. Jurnal Ilmu Kesehatan Dharmas Indonesia, 5(1), 19-24.
Shengmin, L., Xunkai, H., Chao, W., & Xiuhua, Z. (2023). Enhancing psychosocial well-being: The application of acceptance and commitment therapy in patients following amputation. Asian Journal of Orthopaedic Research, 6(2), 157–166.
Şimsek, N., Öztürk, G. K., & Nahya, Z. N. (2020). The mental health of individuals with post-traumatic lower limb amputation: a qualitative study. Journal of Patient Experience, 7(6), 1665–1670.
Tim Medis RS Siloam. (2025). Amputasi - Penyebab, Gejala, Komplikasi, dan Prosedurnya. RS Siloam. Diakses dari: https://www.siloamhospitals.com/informasi-siloam/artikel/apa-itu-amputasi
Widanarko, Y., Agustina, M., & Herliana, I. (2023). Pengaruh Afirmasi Positif Terhadap Harga Diri Pasien Dengan Harga Diri Rendah Di Ruang Stabilisasi Laki–Laki Pkjn Rsj Dr. H. Marzoeki Mahdi Bogor Tahun 2023. Journal Of Health Sciences, 1–9.
Wulandari, I. A. P., Mustikasari, M., & Daulima, N. H. C. (2022). The Effect of Cognitive Therapy and School-age Therapeutic Group Therapy on Children's Anxiety and Post-disaster Psychological Preparedness. International Journal of Health Sciences, 6(S4), 6280-6287.
Yudiatma, M. F., Pranata, A. D., & Handoyo, L. (2024). Kombinasi Latihan Dumbbell dan Terapi Afirmasi Diri Positif Terhadap Tekanan Darah dan Tingkat Stres Klien Dengan Hipertensi. Jurnal Adijaya Multidisplin, 1(06), 1369–1375.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Idawati Manurung, Oki Alfaro, Tori Rihiantoro, Yuliati Amperaningsih
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
