Pendekatan Pelayanan Kesehatan Holistik-Komprehensif Pada Kasus Menopause
Authors: SETYAWAN FEBRI ENDRA BUDI , TUNJUNGSARI FENY , LESTARI RETNO 
Published: December 2020

<h1>Abstract</h1><p class="Body"><em>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.</em><em></em></p><p class="Body"><em> </em></p><p class="Body"><strong><em>Keywords:  Systematic Review, Holistic-Comprehensive, Menopause</em></strong><em></em></p><p class="Addresses"> </p><p class="Addresses"> </p><h1>Abstrak</h1><p>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 <em>Science Direct, Google Scholar, Proquest Health and Medical Complete, Proquest Nursing and Allied Health Source</em> 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.</p><p><strong> </strong></p><p><strong>Kata Kunci: Review Sistematik, Holistik-Komprehensif, Menopause</strong></p><h1> </h1><p class="Body"> </p>