Abstract
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.
Highlights
Cancer is a chronic disease that affects physical, psychological, social, and economic life of individual and contributes to life quality
Psychotherapy is important in improving the life quality of cancer patients
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
Summary
Penelitian menggunakan metode praeksperimental dengan rancangan one group pre-post test design yang mengungkapkan hubungan sebab akibat dengan melibatkan satu kelompok subjek. Setelah penerapan ACT terjadi perubahan skor rata-rata dari 71,6 menjadi 75,5. Efek kedua inilah yang memberi manfaat positif bagi skala gejala kelelahan pada pasien kanker, sehingga mengalami penurunan setelah penerapan ACT. Penderita kanker pada umumnya bisa mengalami gejala mual dan muntah akibat efek samping penyakit atau pengobatan yang diberikan. Beberapa skala gejala yang dipengaruhi oleh penerapan ACT, secara umum, penjelasan proses kerjanya mengikuti hasil penelitian Jalil et al (2013) tentang efektivitas ACT dalam meningkat insight dan efikasi diri. Target dari ACT adalah membentuk fleksibilitas psikologis seseorang, yaitu kemampuan untuk melakukan kontak dengan masa kini secara totalitas dan sadar sebagai makhluk hidup dan mampu berperilaku sesuai dengan value yang dianut (Kusumawardhani 2012). Berbeda dengan dimensi kesehatan umum dan fungsional, pada dimensi/skala gejala, nilai atau skor tertinggi menunjukkan beratnya gejala yang dialami responden. Itulah beberapa hal yang mendukung status kualitas hidup responden pada skala gejala
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