Effect of acceptance and commitment therapy (ACT) and family psychoeducation on anxiety and body image of diabetic ulcer patients

Abstract

Background: Diabetic ulcers are complications of diabetes mellitus in the form of neuropathy and ischemia. Diabetic ulcer patients experience wounds on the legs, which take a long time to heal, so they are prone to experience anxiety and body image disturbance. Anxiety is an unclear fear accompanied by uncertainty and discomfort feelings, while body image disturbance is an unclear perception of the body's shape, structure, and function. The research objective was to determine the effect of nursing care, acceptance and commitment therapy (ACT), and family psychoeducation on anxiety and body image of diabetic ulcer patients. We used a quantitative design with a Quasy Experimental Pre-Post with Control Group approach. There were 42 respondents involved in this study. The sampling method used the total sampling technique with a random sampling approach. The results and conclusions are anxiety, body image, and diabetic ulcer conditions experianced a decrease. The ability to accept and commit and the family's ability to care for them were significantly improved. Nursing care, acceptance and commitment therapy (ACT), and family psychoeducation affected anxiety and body image of diabetic ulcer patients. It is expected that this research can be applied to overcome diseases with physical complications and psychosocial disorders.