Self-Concept of BPJS Ketenagakerjaan Participants in the Employmen Injury Security Return to Work Program for Amputees Due to Work Accidents in Pekanbaru

Amputation stands as one of the most devastating outcomes of workplace injuries, resulting not only in permanent physical disability but also profound psychological and social repercussions. These injuries drastically alter an individual's life, impacting their ability to work, engage in social activities, and maintain their daily routines. The ILO estimates that approximately 2.78 million workers die each year from occupational accidents and work-related diseases. A portion of these accidents result in amputations. In Indonesia, BPJS Ketenagakerjaan records a substantial number of occupational accidents annually. A percentage of these incidents lead to amputations. Beyond the physical and immediate psychological trauma, amputation significantly impacts an individual's self-concept, which is the perception and understanding they have of themselves. Self-concept plays a crucial role in how individuals confront challenges, especially when dealing with conditions that affect their identity and body function. This study aims to explore the self-concept of BPJS Ketenagakerjaan Participants in the Return to Work Employment Injury Security (JKK RTW) who have experienced amputations due to work accidents in Pekanbaru, Indonesia, from physical, psychological, and social perspectives, using George Herbert Mead's Symbolic Interaction Theory. This qualitative research employs a phenomenological approach. The subjects included six BPJS Ketenagakerjaan participants in Pekanbaru who had amputations due to work accidents, were within the workforce age range (18-55 years), and had returned to work after undergoing the JKK RTW program. Data was collected through in-depth interviews, observation, and documentation. Data analysis involved data reduction, structured presentation, and conclusion drawing, with source triangulation for validity. The findings revealed that the physical self-concept involved disability, abnormality, work adjustment, and phantom pain post-amputation. Psychologically, participants faced mental health issues, anticipatory anxiety, confidence in their abilities, and self-identity and acceptance. Socially, they experienced social discrimination but also received social support. These insights underline the importance of self-concept in navigating the challenges faced by individuals with disabilities in the workforce.