Electronic Theses and Dissertation

Parut hipertrofik merupakan hasil penyembuhan luka yang abnormal pada fase remodelling, ditandai dengan lesi eritematosa yang meninggi, tidak melebihi luas luka, serta sering disertai dengan rasa gatal dan nyeri. Penilaian kualitas parut dapat dilakukan menggunakan instrumen Patient and Observer Scar Assessment Scale (POSAS), yang menggabungkan penilaian subjektif pasien terhadap nyeri, gatal, warna, kelenturan, ketebalan, dan relif permukaan parut, serta penilaian objektif pengamat yang meliputi vaskularitas, pigmentasi, ketebalan, kelenturan, relif permukaan, dan luas permukaan parut. POSAS telah terbukti reliable dan valid untuk mengukur kualitas parut. Penelitian ini bertujuan untuk menilai kualitas parut hipertrofik menggunakan POSAS di RSUDZA Banda Aceh dengan metode observasional deskriptif dan pendekatan cross-sectional. Data dikumpulkan dari 21 pasien yang memenuhi kriteria inklusi di Poliklinik Bedah Plastik dan Poliklinik Kulit dan Kelamin. Hasil penelitian menunjukkan bahwa mayoritas pasien adalah perempuan (57,1%) dan berada dalam kelompok usia remaja (47,6%). Parut hipertrofik paling sering ditemukan pada ekstremitas superior (57,1%), dengan trauma kecelakaan sebagai penyebab utama (66,7%). Berdasarkan hasil kuesioner umum POSAS, sebagian besar pasien menilai bekas luka mereka sebagai "biasa saja" (57,1%), sementara pengamat menilai kualitas bekas luka sebagai "minimal" (57,1%). Berdasarkan pertanyaan spesifik POSAS, pasien merasakan perbedaan yang cukup nyata pada penampilan parut mereka, meskipun tidak ada gangguan signifikan pada sensasi parut. Sebaliknya, pengamat menilai parut pasien tidak jauh berbeda dari kulit normal di sekitarnya, yang menunjukkan bahwa pasien lebih dipengaruhi oleh aspek estetika parut. Temuan ini menunjukkan adanya perbedaan persepsi antara pasien dan pengamat, yang menekankan pentingnya pendekatan holistik dalam manajemen parut hipertrofik, dengan mempertimbangkan baik penilaian objektif maupun subjektif, terutama dalam aspek estetika.

Kata Kunci: Parut hipertrofik, POSAS

Hypertrophic scars are the result of abnormal wound healing during the remodelling phase, characterized by erythematous lesions that are raised but do not exceed the size of the wound, often accompanied by itching and pain. Scar quality assessment can be performed using the Patient and Observer Scar Assessment Scale (POSAS), which combines subjective patient assessments of pain, itching, color, pliability, thickness, and surface relief, as well as objective observer assessments including vascularity, pigmentation, thickness, pliability, surface relief, and surface area. POSAS has been proven reliable and valid for measuring scar quality. This study aims to assess the quality of hypertrophic scars using POSAS at RSUDZA Banda Aceh with a descriptive observational method and cross-sectional approach. Data were collected from 21 patients who met the inclusion criteria at the Plastic Surgery and Dermatology Clinics. The results show that the majority of patients were female (57.1%) and within the adolescent age group (47.6%). Hypertrophic scars were most commonly found on the upper extremities (57.1%), with trauma from accidents being the primary cause (66.7%). Based on general POSAS questionnaires, most patients rated their scars as "neutral" (57.1%), while observers rated the scar quality as "minimal" (57.1%). According to specific POSAS questions, patients perceived noticeable differences in the appearance of their scars, though there were no significant sensory disturbances. Conversely, observers assessed the scars as not significantly different from the surrounding normal skin, indicating that patients were more affected by the aesthetic aspect of the scar. These findings highlight the discrepancy in perceptions between patients and observers, underscoring the importance of a holistic approach in hypertrophic scar management, taking into account both objective assessments and subjective perceptions, especially in terms of aesthetics. Keywords: Hypertrophic scars, POSAS