scholarly journals Acceptance and Commitment Therapy (ACT) for Improving the Quality of Life Patients Suffering Cancer

Jurnal NERS ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. 118
Author(s):  
Saverinus Suhardin ◽  
Kusnanto Kusnanto ◽  
Ilya Krisnana

Introduction: Cancer is a chronic disease that affects physical, psychological, social, and economic life of individual and then contributes to life quality. Psychotherapy is important in improving the life quality of cancer patients. One of psychotherapy that can be given is the implementation of ACT (Acceptance and Commitment Therapy). The aim of this study is to analyze the application of ACT in improving the life quality of cancer patients at the Puskesmas Pacarkeling Surabaya.        Method: This research method used pre-experimental with one group pre-post test design. The population of cancer patients enrolled in the Puskesmas Pacar Keling. Samples were 12 people whom are determined based on the inclusion criteria. The Independent variable is application of ACT and the dependent variable is life quality. Data collection and implementation of ACT were conducted in puskemas and home visits. The collected data was analyzed by Paired T test with significance level α=0.05. Result: Result showed that there was change in increasing life quality of cancer patients significantly after giving implementation of the ACT. The result of Paired t-test showed the life quality of patients had a significance level of p=0.000. These result demonstrate the value of p <0.05, so the research hypothesis is accepted. Discussion: It can be concluded that the application of ACT can improve the life quality of cancer patients. Health workers (nurses) need to master the implementation of the ACT as a therapeutic modality. 

Jurnal NERS ◽  
2016 ◽  
Vol 9 (2) ◽  
pp. 252
Author(s):  
Dhina Widayati ◽  
Ahmad Yusuf ◽  
Rizki Fitryasari P.K.

Introduction: Chronic joint pain is a problem for the majority of elderly. Psychosocial factors have a great impact on people with chronic pain. The acceptance of pain in people with chronic pain can increase their activity daily living, comfort, and quality of life. Acceptance And Commitment Therapy (ACT) is a form of psychotherapy which effective in the management of chronic pain. The objective of this study was to analyze the effect of ACT on improvement acceptance of chronic pain, comfort, and quality of life elderly with chronic joint pain. Method: This study was used a quasy experiment pre-post test control group design. Population were elderly who lived at UPT PSLU Jombang di Pare-Kediri. Sample were 32 respondents gotten by purposive sampling, divided into experiment and control group. Independent variable was ACT, and dependent variables were pain acceptance, comfort, and quality of life elderly with chronic joint pain. Data were collected by using questionnaire with CPAQ (pain acceptance), GCQ (comfort) and WHO-QOLBREF (Quality of Life). Data then analyzed by using Wilcoxon Signed Ranks Test, Mann Whitney U Test, Paired t test and Independent Samples t test with significance value of 0.05. Result: The results had showed that there was an influence ACT to improvement acceptance of chronic pain (p=0,003), comfort (p=0,008), and quality of life elderly with chronic joint pain (p=0,002). Discussion: ACT improved pain acceptance, comfort, and quality of life of elderly with joint chronic pain. Geriatric nurses should include psychosocial activities as a routine activities, as an effort to improve the quality of life. Beside that, the quality of nursing care for elderly can be improved.Keywords: ACT, pain acceptance, comfort, quality of life, elderly, chronic joint pain


2019 ◽  
Vol 5 (2) ◽  
pp. 143-151
Author(s):  
Difran Nobel Bistara ◽  
Rusdianingseh

Penderita diabetes mellitus tipe 2 mengalami perubahan fisik, psikologis, dan seksual. Perubahan ini dapat menyebabkan timbulnya masalah, ketidakstabilan kadar gula dalam darah. Tujuan dari penelitian ini adalah untuk membuktikan pengaruh Acceptance and Commitment Therapy (ACT) dalam pengendalian kadar gula darah pada penderita DM tipe 2. Penelitian ini adalah penelitian quasy eksperiment dengan menggunakan metode pretest posttest with control group design. Responden dalam penelitian ini adalah penderita DM tipe 2 sebanyak 50 orang dan diambil dengan teknik simple random sampling dan dibagi menjadi dua kelompok yaitu kelompok kontrol dan kelompok perlakuan. Data dikumpulkan dengan menggunakan lembar observasi hasil pengukuran BS stick. ACT diberikan pada kelompok perlakuan satu minggu sekali selama empat minggu. Data dianalisis menggunakan uji statistik yaitu Paired t-Test dan Independent t-Test, dan regresi linear berganda dengan signifikansi p<0,05. Hasil analisis menunjukkan bahwa terjadi perbedaan kadar gula darah yang signifikan antara kelompok kontrol dan kelompok perlakuan dengan p-value = 0,000. Intervensi ACT adalah variabel yang paling berpengaruh untuk kadar gula darah penderita DM tipe 2 dengan sig 0,000. Intervensi ACT efektif terhadap pengendalian kadar gula darah penderita DM tipe 2. ACT dapat dilakukan dengan baik karena responden dan terapis proaktif, dan akan lebih baik melibatkan peran dan dukungan keluarga untuk penelitian selanjutnya. Kata Kunci: Acceptance and Commitment Therapy (ACT), penderita DM tipe 2, kadar gula darah.


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