scholarly journals THE EFFECT OF ACCEPTANCE AND COMMITMENT THERAPY (ACT) ON ANXIETY LEVELS IN ELDERLY LIVING AT PANTI SOSIAL TRESNA WERDHA (PSTW) BALI

2018 ◽  
Vol 4 (2) ◽  
pp. 83-90
Author(s):  
I Gusti Agung Tresna Wicaksana ◽  
Teguh Wahju S ◽  
Rinik Eko K ◽  
Putu Yudara S

Background: Panti werdha in Indonesia is considered as a nursing home for elderly. However, there are still psychosocial problems occur such as loneliness, sadness, and anxiety disorders. Acceptance and Commitment Therapy (ACT) may be able to solve psychosocial problems especially for anxiety.Objective: To analyze the extent of ACT's influence on the level of anxiety of the elderly living in the PSTW Bali.Methods: This study was a quasi-experimental study with pretest posttest with control group. Sixty elderly were recruited and divided into control and treatment groups with 30 samples of each group. Paired and Independent T-test were used for data analysis.Results: The paired T-test results in the control group showed significant differences of anxiety score between pretest and posttest after given generalist therapy (p 0.05). The result of paired T-test in the treatment group showed that there was a significant difference of anxiety score between pretest and posttest after given general and ACT therapy (p 0.05). The independent T-test showed that there was a significant difference of anxiety score between control group and treatment group (p 0.05).Conclusion: ACT psychotherapy is effective in decreasing anxiety in elderly who are living in PSTW Bali. 

2021 ◽  
Vol 31 (3) ◽  
pp. 9-16
Author(s):  
Eneida Miranda ◽  
Jennifer Giza ◽  
Eleonora Feketeova ◽  
Cristian Castro-Nunez ◽  
Ulrick Vieux ◽  
...  

Abstract Background & Aims: The role of touch in managing psychiatric patients is controversial. The purpose of this pilot study was to determine the effectiveness of osteopathic manipulative treatment (OMT) in patients with anxiety and or depression. Methods: This was an 8-week pilot study comparing a treatment to a control group, each consisting of 10 randomly assigned adult participants with anxiety and or depression on psychotropics. No significant difference existed between groups for age or severity of disease. Participant responses for anxiety and depression were recorded weekly via a modified Generalized Anxiety Disorder 7 item (GAD-7) and Harvard National Depression Screening Day (HANDS) scales. From the initial cohort (n=20) a complete database was achieved for 16 of the patients. Statistical analysis was performed using RStudio. Results: Of the 16 patients who successfully participated in the study, 6 received OMT, and 10 were part of the control group. For statistical purposes, the data gathered from both groups were subdivided into two categories: depression and anxiety subgroups. The depression treatment group had a week 1 mean of 24.4 ± 11.2 (n=5) with a paired t-test showing significance at week 7 of 18.0 ± 10.9 (n=5), P = .00767 and week 8 of 15.2 ± 12.5 (n=5), P = .041.The anxiety treatment group had a week 1 mean of 26.0 ± 8.7 (n=5) with paired t-test significant at week 7 of 20.2 ± 10.7 (n=5), P = .019 and week 8 of 19.2 ± 11.1 (n=5), P = .00815.All patients in the treatment group showed significant improvements in their anxiety and depression levels compared to those in the control group, which worsened by week 8. Conclusions: Findings in this study indicate that OMT may be an effective adjunctive treatment modality for depression and anxiety.


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.


2016 ◽  
Vol 4 (1) ◽  
pp. 45-54
Author(s):  
Yossy Juliarni ◽  
Gunawan Gunawan2

Background: Salivary pH is one of factor which involved in caries development. Decreasing of salivary pH will cause enamel demineralization. Miswak (Salvadora persica) as a toothbrush because it has mechanical and chemical effects such as essential oil and bicarbonate which can stimulate salivary secretion. Thus, it will increase the buffer capacity and salivary pH lead to enamel remineralization. Objective: This study aimed to know the effect of toothbrushing with miswak (Salvadora persica) on salivary pH. Methods: The clinical experiment study with pre-test and post-test control group design. The sample of this study is the students of Faculty of Dentistry, Andalas University, Padang. There are 34 students that divided into two groups randomly that is case and control group. Case group used miswak while control group used conventional toothbrush, respectively brushing horizontally for 2 minutes. Salivary pH was measured using digital pH meter in scale of 0.0 to 14.0 with 0.1 sensitivity from pen type pH meter. The data analyzed by Shapiro-Wilk test continued by paired t-test and Mann-Whitney test. Results: paired t-test produced significant value p=0,001 in case group and p=0,000 in control group. Mann-Whitney test produced significant value p=0.317. There was no significant difference in statistic among these groups. Conclusion: Toothbrushing with miswak has effect on salivary pH. Miswak as effective as toothbrush on salivary pH Keywords:Toothbrushing, miswak (Salvadora persica), Salivar


2020 ◽  
Vol 11 ◽  
pp. 215013272097115
Author(s):  
Luis A. Murillo ◽  
Emily Follo ◽  
April Smith ◽  
Julienne Balestrier ◽  
Deborah L. Bevvino

Introduction Depression is a common health concern in primary care with barriers to treatment well documented in the literature. Innovative online psychoeducational approaches to address barriers to care have been well received and can be cost effective. This pilot trial evaluated the effectiveness of an online psychoeducation curriculum intended to alleviate symptoms of depression while utilizing minimal staff resources. Methods A small (n = 29) randomized control pilot study was conducted. Online psychoeducational content was delivered in 5 to 10-minute videos over 8 weeks. Participants engaged in moderated discussions on workshop topics. The Patient Health Care Questionnaire (PHQ-9) was used to measure pre/post scores. Two Likert scale questions were used to determine subjective changes in understanding of depression and coping skills. Results Paired T-test analysis showed an average PHQ-9 improvement of 4.37 ( P = .01) in the intervention arm and 1.81 ( P = .172) in the control group. No significant difference in delta PHQ-9 score was found between groups via difference in difference analysis ( P = .185). Effect size was 0.59. No improvement in Likert scores for question 1 or 2 were detected by paired T test in either group. Conclusion This pilot trial of interactive online psychoeducational content shows initial promise as there was a significant improvement in PHQ-9 scores within the intervention arm. The comparison of delta scores between intervention and control arms was not statistically significant although this is likely due to the underpowered nature of the pilot trial. This data trend justifies the need for a larger validation trial of this intervention.


2017 ◽  
Vol 2 (2) ◽  
pp. 126
Author(s):  
I Putu Gde Yudara Sandra Putra ◽  
Noor Hamdani ◽  
Lilik Supriati

Indonesia has more than one million people with mental disorders spread in each province. Treatment for people with schizophrenia is not only done in the hospital alone, but it will be continued after returning to the family. Families who are not able to adapt to the patient's care problem will consider the problem as a burden by the family. Acceptance and Commitment Therapy (ACT) is one of therapy that aims to teach the individual to be aware and use a new perspective in thinking to face a problem. This research aimed to know the effect of ACT on the burden felt by the family in caring for the patient mental disorders. The design used in this research was Quasi-Experiment Pre-Post Test With Control Group. The numbers of samples in this study were 24 people divided into two groups. The independent variable in this study was ACT therapy while the dependent variable was the burden felt by the family. Data analysis in this research use t-test and linear regression. The results showed no significant difference in the control group after getting health counseling (p = 1.000). In the treatment group showed significant difference after getting health education and ACT (p = 0.000). There was a significant difference between intervention and control group (p = 0.000). The result of linear regression test showed that age factor and ACT therapy had an effect of 57.1% to the family burden. Families are expected to be more flexible to face problems found when treating people with mental disorders at home.


2021 ◽  
Vol 44 (1) ◽  
pp. 87-96
Author(s):  
Iskari Ngadiarti ◽  
Moesijanti Yudiarti Endang Soekatri ◽  
Mia Srimiati ◽  
Adhila Fayasari ◽  
Lina Agestika

Providing counseling is one of the factors that increase the knowledge and actions of mothers in meeting adequate nutritional consumption. This study aimed to identify the lactation and nutrition counseling towards mother's knowledge and intake in Puskesmas Kebayoran Lama Jakarta. This research was a quasi-experimental study pre-post with a control group design. Sample collection technique used consecutive sampling with 30 respondents in each group (intervention group and control group). Counseling was given 3 times, after giving birth, a child at age 7-14 days and age 35 days. Knowledge and food intake were collected before and after the intervention. The bivariate analysis used an independent t-test and paired t-test with a significance level of p0.05. There was a significant difference in mother's knowledge about breastfeeding between the intervention group and control group after they were given lactation counseling (p0.05). However, there was no significant difference in the mother's nutrient intake between the intervention and control group after counseled (p0.05). Lactation counseling can positively affect the mother's knowledge about breastfeeding, but not for the mother's action in consuming enough nutrient intake. ABSTRAKPemberian konseling menjadi salah satu faktor yang meningkatkan pengetahuan dan tindakan ibu dalam memenuhi konsumsi gizi yang adekuat. Penelitian ini bertujuan untuk mengetahui pengaruh konseling menyusui dan konsumsi gizi terhadap pengetahuan dan asupan ibu di Puskesmas Kebayoran Lama, Jakarta. Penelitian ini merupakan penelitian eksperimental semu dengan desain pre-post dengan control group. Teknik pengambilan sampel menggunakan consecutive sampling dengan jumlah sampel 30 responden pada masing-masing kelompok (kelompok intervensi dan kelompok kontrol). Konseling diberikan sebanyak 3 kali, yaitu pada saat setelah melahirkan, bayi berusia 7-14 hari dan 35 hari. Data pengetahuan dan asupan diambil sebelum dan sesudah intervensi. Analisis bivariat menggunakan independent t-test dan paired t-test. Ada perbedaan yang bermakna pada pengetahuan ibu menyusui antara kelompok intervensi dan kelompok kontrol setelah diberikan penyuluhan laktasi (p 0,05). Tidak ada perbedaan bermakna pada asupan gizi ibu antara kelompok intervensi dan kontrol setelah konseling (p0,05). Konseling laktasi berpengaruh positif terhadap pengetahuan ibu tentang menyusui, tetapi tidak untuk perilaku ibu dalam asupan gizinya.Kata kunci: konseling, laktasi, menyusui


Author(s):  
Ning Setianti

The learning have been tended to put more emphasis on knowledge transfer. One of the efforts in improving students' knowledge about the concepts of ecosystem and relation to students’ environmental behavior is integrating Geography and environmental education developing instructional packages based on ecosystem for teachers of Geography. This study aims to develop an instructional packages geography based on ecosystem (PIGeoEk) in improving students' knowledge of the concepts of the ecosystem and related to students’ environmental behavior. A research and development (R & D) based on Borg and Gall (2007), refering to the Dick and Carey design (2009), steps has been applied by involving 80 students of grade XI majoring in social sciences of SMAN 5 Depok for treatment, and grade XI majoring in social sciences of SMAN 3 Depok as a control group. There are four instructional packages geography based on ecosystem (PIGeoEk) have been developed and instrument test used for measuring knowledge about the concepts of ecosystem and relation to students’ environmental behavior. The are four t-test have been applied to verify the effectiveness of Instructional Pakages. Research results indicate that there is a significant difference between mean of gain score obtained from post and pre test at treatment group compare to control group. Therefore, the instructional packages geography based on ecosystem (PIGeoEk) could be implemented in enhancing students' knowledge about the concepts of the ecosystem in relation to students’ environmental behavior effectively.


2020 ◽  
Vol 8 (1) ◽  
pp. 49-56
Author(s):  
Yossy Juliarni ◽  
Gunawan Gunawan

Background: Salivary pH is one of factor which involved in caries development. Decreasing of salivary pH will cause enamel demineralization. Miswak (Salvadora persica) as a toothbrush because it has mechanical and chemical effects such as essential oil and bicarbonate which can stimulate salivary secretion. Thus, it will increase the buffer capacity and salivary pH lead to enamel remineralization. Objective: This study aimed to know the effect of toothbrushing with miswak (Salvadora persica) on salivary pH. Methods: The clinical experiment study with pre-test and post-test control group design. The sample of this study is the students of Faculty of Dentistry, Andalas University, Padang. There are 34 students that divided into two groups randomly that is case and control group. Case group used miswak while control group used conventional toothbrush, respectively brushing horizontally for 2 minutes. Salivary pH was measured using digital pH meter in scale of 0.0 to 14.0 with 0.1 sensitivity from pen type pH meter. The data analyzed by Shapiro-Wilk test continued by paired t-test and Mann-Whitney test. Results: paired t-test produced significant value p=0,001 in case group and p=0,000 in control group. Mann-Whitney test produced significant value p=0.317. There was no significant difference in statistic among these groups. Conclusion: Toothbrushing with miswak has effect on salivary pH. Miswak as effective as toothbrush on salivary pH. Keywords:Toothbrushing, miswak (Salvadora persica), Salivar


2018 ◽  
Vol 6 (2) ◽  
pp. 319
Author(s):  
Rommiyatun Zainiyah ◽  
Erti Ikhtiarini Dewi ◽  
Wantiyah Wantiyah

One of stressor in college students is taking a final project as a graduation requirement. The body'sresponse toward stress includes a rise of heart rate, diarrhea and insomnia. One of stressmanagement is affirmation relaxation (AR) technique. This research aimed to analyze the influenceof AR technique towards stress on students who take a final project in Faculty of Nursing, UniversityOf Jember. This research used a quasi experiment with Pretest-Post test approach and controlgroup design. Sampling technique that used is purposive sampling with respondent divided into twogroups, the treatment group and control group with 15 respondents for each group. Data wasanalyzed by using Dependent t test and Independent t test with 95% CI. The result showed thatthere was a significant difference stress before and after given AR technique within average 19,2 to10,87 (p = 0,001). Mean while, there was no significant difference of stress between pretest and posttest in control group within average 18,73 to 18,4 (p = 0,841). Overall, there was a difference ofstress between treatment group and control group (p =0,02, α = 0,05). The AR techniques reducestress because it can influence the sympathetic and parasympathetic nerves to produce endorphinehormone. The conclusion of this research is there was an influence of AR technique towards stresson students who Taking a Final Project in Faculty of Nursing University of Jember.Keywords: affirmation relaxation technique, stress, final project.


2021 ◽  
Vol 9 (B) ◽  
pp. 492-496
Author(s):  
Noerma Shovie Rizqiea ◽  
Septy Nur Aini ◽  
Ratih Dwilestari Puji Utami ◽  
Ratnawati Ratnawati ◽  
Khairunisa Wardani

BACKGROUND: Asphyxia delivery results in hypoxic-ischemic encephalopathy and multiorgan failure. The organ most affected by hypoxia is the cardiovascular system. Newborns with asphyxia have a lack of oxygen (hypoxia) and have an increased heart rate (tachycardia). Giving baby positions, such as supination position, pronation, right lateral, left lateral, and head elevation, are expected to improve the hemodynamic of newborns with asphyxia. AIM: This study was to determine the difference in effect between left lateral position and the head elevation position on the heart rate of newborns with asphyxia in the perinatology room of RSUD Dr. Soediran Mangun Sumarso Wonogiri. METHODS: This research is a quasi-experimental quantitative study with a pre- and post-test non-equivalent control group design. Sampling using non-probability sampling technique with consecutive sampling. The sample was divided into two groups, namely, the intervention group with 30 respondents who got the left lateral position and the control group with 30 respondents who got the head elevation position. Data analysis was performed using the Statistical Package for the Social Sciences parametric test with paired t-test and independent t-test. RESULTS: The results of paired t-test analysis in the intervention group obtained p = 0.003 (p < 0.05) and in the control group obtained p < 0.001 (p < 0.05), which means that both have a significantly on changes in the heart rate of newborns with asphyxia. The results of the independent t-test analysis obtained p = 0.191 (p < 0.05), which means that there is no significant difference in the heart rate of newborns with asphyxia in the intervention and control groups. CONCLUSION: Both interventions, giving the left lateral position and the head elevation position, have a significantly effect on changes in the heart rate of newborns with asphyxia.


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