scholarly journals Peran Acceptance and Commitment Therapy (Act) untuk Menurunkan Stres pada Family Caregiver Pasien Kanker Payudara

2021 ◽  
Vol 14 (1) ◽  
pp. 27-39
Author(s):  
A. Nuraini ◽  
N. Hartini
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Perceived Stress ◽  
Effect Size ◽  
Family Caregiver ◽  
Rank Test ◽  
Single Subject ◽  
Commitment Therapy ◽  
Overlapping Data ◽  
Acceptance And Commitment ◽  
Signed Rank Test

Ketidaksiapan keluarga terhadap perubahan peran menjadi caregiver, kurangnya pengetahuan terhadap prosedur perawatan, serta beban dan tanggung jawab terhadap perawatan pasien kanker payudara menyebabkan stres pada keluarga. Tujuan dari penelitian ini adalah untuk menganalisis pengaruh Acceptance and Commitment Therapy (ACT) terhadap penurunan stres pada family caregiver pasien kanker payudara. Penelitian ini menggunakan pendekatan eksperimen dengan single-subject design pada dua orang subjek penelitian. Sebelum proses terapi, masing-masing subjek diberikan skala perceived stress (PSS-10) untuk mengukur tingkat stres sebelum proses terapi kemudian pada setiap sesi terapi masing-masing subjek diberi skala perceived stress kembali untuk mengukur perubahan tingkat stres pada setiap sesinya. Analisis data menggunakan visual analisis, analisis inferensia untuk uji perbedaan dengan wilcoxon signed rank test, dan Percentage of Non-overlapping Data (PND) untuk mengetahui effect size. Hasil analisis data menunjukkan nilai effect size sebesar 1 (>0,90) yang berarti ACT mampu menurunkan stres kedua subjek dengan kategori efektivitas sedang hingga sangat efektif. Melalui penerapan ACT, family caregiver mampu memaknai situasi stres dengan lebih positif sehingga muncul penerimaan dan komitmen yang baik dalam perannya sebagai caregiver pasien kanker payudara.

scholarly journals Efektifitas Pemberian Self Help Group dengan Acceptance and Commitment Therapy terhadap Interdialytic Weight Gain

2019 ◽  
Vol 8 (1) ◽  
pp. 1
Author(s):  
Heriberta Tuto Suban ◽  
Harmayetty Harmayetty ◽  
Lailatun Ni'mah
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Rank Test ◽  
Interdialytic Weight Gain ◽  
Self Help ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Signed Rank ◽  
Signed Rank Test ◽  
Self Help Group ◽  
Paired T Test

ABSTRAKPendahuluan: permasalahan yang sering terjadi pada klien yang menjalani hemodialisis (HD) adalah terjadinya  penambahan berat badan atau Interdialytic Weight Gain (IDWG) karena  ketidak patuhan klien dalam pembatasan cairan. Untuk itu diterapkan Self help Group (SHG) dan Acceptance and Commitment Therapy (ACT).Tujuan penelitian adalah mengetahui perbedaan efektifitas pemberian Self Help Group dengan Acceptance and Commitment Therapy terhadap penurunan IDWG klirn yang menjalani HD.Metode: desain penelitian quasy experimental the pretest-posttest one control group disgn. Jumlah responden 57 orang dengan menggunakan purposive sampling. Variabel independen adalah SHG dan ACT, sedangkan variabel dependen IDWG. Untuk variabel independen menggunakana instrumen Satuan Acara Kegiatan,  sedangkan untuk variabel dependen menggunakan instrumen timbangan BB dan lembar observasi IDGW. Uji statistik untuk SHG dan pembanding  menggunakan Wilcoxon Signed­_Rank Test dengan tingkat kemaknaan p≤0,005, untuk ACT menggunakan  Paired T Test dengan tingkat kemaknaan p≤0,005 dan untuk perbandingan antara  SHG, ACT dan Pembanding menggunakan Mann Withney dengan tingkat kemaknaan p ≤ 0,005.Hasil: Wilcoxon Signed Rank Test  kelompok SHG p=0,002, hasil Paired T Test kelompok ACT p= 0,000, hasil Wilcoxon Signed Rank Test   kelompok pembanding p= 0,224. Hasil statistik Mann Whithney antara SHG- ACT didapatkan nilai p= 0,838, uji Mann Whithney SHG-pembanding p= 0,044 uji Mann Whithney ACT-pembanding p=0,015. Hasil uji statistik ini menunjukan bahwa antara SHG dan ACT keduanya efektif terhadap penurunan IDWG namun pemberian ACT lebih efektif terhadap IDWG dengan p=0,015.Diskusi: Penerapan SHG dan ACT efektif terhadap penurunan IDWG pada klien yang menjalani HD, sehingga diharapkan SHG dan ACT dapat diterapkan untuk mengantisipasi IDWG yang berlebihan pada klien yang menjalani HD. Kata Kunci: Self Help Group, Acceptance and Commitment Therapy, Penyakit Ginjal Kronis, Interdialytic Weight Gain , Hemodialisis        ABSTRACTIntroduction: Problem  that often occurs in hemodialysis clients is the occurrence of Interdialytic Weight Gain (IDWG) due to client’s nonadherence in fluid restrictions. For this reason, Self Help Group (SHG) and Acceptance and Commitment Therapy (ACT) are applied. The purpose of the study is to determine the differences in the effectiveness of SHG with ACT towards the decrease of IDWGs in clients hemodialysis Method: the study used the quasi-experimental method with the pretest-posttest one control group design. The number of respondents is 57 people who were determined by using purposive sampling. The independent variables are SHG and ACT, while IDWG is the dependent variable. The instrument used for independent variables is activity event unit, while weight scale and IDGW observation sheets were used for the dependent variable. Statistical test using Wilcoxon Signed_Rank Test with significance level p≤ 0.005 to compare between SHG and the comparator, Paired T Test with significance level p≤ 0.005 for ACT, and Mann Withney with significance level p ≤ 0.005 to compare between SHG, ACT, and the comparator.Result: Wilcoxon Signed Rank Test of SHG’s group obtained p = 0.002, Paired T Test of ACT’s group obtained p = 0.000, Wilcoxon Signed Rank Test of comparator’s group obtained p = 0.224. Statistical test using Mann Whithney between SHG-ACT obtained p = 0.838, Mann Whithney test between SHG-comparator obtained p = 0.044, while Mann Whithney test between ACT-comparator obtained p = 0.015. The results of these statistical tests show that both SHG and ACT are effective against the decline of IDWG, but ACT is more effective than SHG with p= 0.015Discussion: the application of SHG and ACT is effective against the decrease of IDWG in clients Hemodialysis, therefore it is expected that both SHG dan ACT can be applied to anticipate excessive IDWG in clients who undergo HD.    

scholarly journals The Effectiveness of Acceptance and Commitment Therapy on Anxiety, Depression, and Stress in Patients with Spinal Cord Injuries

2019 ◽  
Vol 6 (2) ◽  
pp. 46-52 ◽  
Author(s):  
Saharalsadat Torabian ◽  
Vahid Hemmati Sabet ◽  
Farahnaz Meschi
Keyword(s):  
Spinal Cord ◽  
Acceptance And Commitment Therapy ◽  
Spinal Cord Injuries ◽  
Reliable Change Index ◽  
Single Subject ◽  
Statistical Population ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Number Of Patients ◽  
Anxiety Depression

Background: Since the number of patients with spinal cord injuries is increasing, paying attention to these patients’ psychological problems is a priority. This study aimed to evaluate the effect of acceptance and commitment therapy on anxiety, depression, and stress in patients with spinal cord injuries. Methods: The present study had utilized a single-subject approach in the form of multiple baseline design. The samples were selected using purposive sampling based on convenience sampling method. The statistical population included all patients in Hamadan city with spinal cord injuries who referred to the Shahid Beheshti hospital in this city. The total numbers of them were 181 people in 2016. The researchers informed the patients about the research and presented them with informed consent forms. Among 50 screened patients, five patients (4 males and one female) selected and entered the treatment process: anxiety, depression, and stress measured by Depression Anxiety Stress Scales (DASS-21). Acceptance and commitment therapy conducted in 8 treatment sessions on anxiety, depression, and stress in patients with spinal cord injuries. Results: The results of the graphic and chart analysis, reliable change index (RCI) and the percentage of recovery showed that acceptance and commitment therapy affected anxiety, depression, and stress in the patients with spinal cord injuries. Conclusion: Findings indicated that acceptance and commitment therapy improved people’s mental health by working on acceptance and mindfulness processes and behavior change processes. This therapy decreased anxiety, depression, and stress in patients with spinal cord lesion.

scholarly journals Acceptance and commitment therapy on perceived stress and psychological flexibility of psychiatric nurses: a randomized control trial

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Seyyed Arman Hosseini Zarvijani ◽  
Ladan Fattah moghaddam ◽  
Samaneh Parchebafieh
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Perceived Stress ◽  
Psychological Flexibility ◽  
Control Group ◽  
Link Type ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Significant Difference ◽  
The Impact ◽  
Experimental Group

Abstract Background Nursing in psychiatric wards is considered a highly stressful career due to the type of patients and the problem of communicating with them. Finding appropriate solutions to overcome this stress can improve the general health of nurses and improve their quality of work. The aim was to investigate the impact of Acceptance and Commitment Therapy (ACT) on the perceived stress (PS) and psychological flexibility (PF) of nurses in psychiatric wards. Methods A total of 70 nurses of Razi Psychiatric Center of Tehran were randomly selected and divided into two experimental and control groups of 35. In addition to routine interventions, the experimental group was provided with eight 2-h sessions of ACT training, whereas the control group only received routine interventions. Prior to the intervention sessions and a month after the last session, demographic information, PS scale, and Acceptance and Action Questionnaire (2nd Edition) were completed in both groups. Results There was a significant difference regarding the PS level (P = 0.002) and PF (P = 0.001) in the control and experimental groups; the experimental group showed lower PS and higher PF. Conclusions ACT can lead to reduced PS and improved PF, which can be considered as a solution to empower nurses working in psychiatric wards. Trial registration This was registered in Iranian Registry of Clinical Trials (IRCT) (clinical trial code: IRCT20180506039557N1. Registered 2018-10-31. Retrospectively registered, https://en.irct.ir/trial/31040

scholarly journals Terapi Brief Mindfulness-Based Body Scan untuk Menurunkan Stres Atlet Bola Basket Wanita Profesional

2018 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Dian Kartika Amelia Arbi ◽  
Tri Kurniati Ambarini
Keyword(s):  
Perceived Stress ◽  
Effect Size ◽  
Single Subject ◽  
Single Subject Design ◽  
Body Scan ◽  
Subject Design ◽  
Overlapping Data

Tujuan dari intervensi ini adalah untuk menguji efektivitas terapi mindfulness-based body scan untuk mengurangi stres pada atlet bola basket wanita profesional. Intervensi ini menggunakan desain single subject design. Setiap partisipan intervensi berlatih 5 menit mindfulness breathing, 15 menit body scan, dan STOP sebagai teknik untuk menghadapi situasi stres. Pada setiap sesi terapi, partisipan akan diberikan skala perceived stress (PSS-10) untuk mengukur perubahan tingkat stres pada setiap sesinya. Hasil dari analisis visual dalam intervensi ini menunjukkan bahwa terdapat penurunan stres pada partisipan setelah terapi mindfulness-based body scan. Penulis menganalisis data dengan teknik percentage of non-overlapping data (PND) untuk mengukur effect size dan hasil analisis menunjukkan efek terapi yang relatif besar untuk menurunkan stres partisipan.

scholarly journals Metaanalisis Efektivitas Acceptance and Commitment Therapy untuk Menangani Gangguan Kecemasan Umum

2021 ◽  
Vol 26 (1) ◽  
pp. 85-100
Author(s):  
Stefany Livia Prajogo ◽  
Ananta Yudiarso
Keyword(s):  
Anxiety Disorder ◽  
Acceptance And Commitment Therapy ◽  
Effect Size ◽  
Meta Analysis ◽  
Random Effect ◽  
Medium Effect ◽  
Control Group ◽  
General Anxiety Disorder ◽  
Commitment Therapy ◽  
Acceptance And Commitment

The prevalence of anxiety disorder in Indonesia increases significantly every year. It is worth special attention, especially in facing the uncertainty during pandemic. Acceptance and Commitment Therapy (ACT) is one of the third-wave cognitive behavior therapy (CBT), usually used for anxiety disorder treatment. In this research, I want to examine the effectiveness of Acceptance and Commitment Therapy (ACT) to decrease the level of Generalized Anxiety Disorder (GAD), taking General Anxiety Disorder-7 (GAD-7), Geriatic Anxiety Inventory (GAI), and Beck Anxiety Inventory (BAI), as the standard. It uses a meta-analysis techniques processed by statdirect trial version 2.0. It involves 17 experimental journals of ACT and GAD (n experiment group = 574; n control group = 513). The assessment of ACT and GAD bases itself on random effect size (I2 = 83.3%), without any publication bias (-3.88). The result shows that ACT is still effective to decrease the level of GAD (d= -.66; medium effect size). The result concludes that the ACT needs the assistance from other interventions. It also suggests research replication to multiply the references related to the effectiveness of ACT.

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