Abstract
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
Highlights
Chronic joint pain is a problem for the majority of elderly
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
Population were elderly who lived at UPT Panti Sosial Lanjut Usia (PSLU) Jombang di Pare-Kediri
Summary
Desain penelitian yang digunakan adalah quasy experiment pre post test control group design. Sebagian besar responden kelompok perlakuan berumur 75–90 tahun, perempuan, riwayat pendidikan terakhir SD, beragama islam, riwayat pekerjaan sebagai petani, status ppheearnmngipkaianrhtaasrnelljuaanrnusdhiaa okdleaethapaknuatrmie)unmma penahsuoanmnjugokagnkeann, meninggal, telah menderita nyeri kronis persendian dalam kurun waktu 1–3 tahun, telah tinggal di UPT PSLU Jombang di PareKediri selama 1–3 tahun, lokasi nyeri di area ekstremitas bawah, mempunyai penyakit dasar Hipertensi dan Persendian (Arthritis/ Gout), dan datang ke Panti dengan diantar oleh keluarga. Data pada kelompok kontrol menunjukkan bahwa sebagian besar responden berumur 75–90 tahun, laki-laki, riwayat pendidikan terakhir tidak bersekolah, beragama islam, riwayat pekerjaan sebagai petani, status pernikahan duda karena pasangan meninggal, telah menderita nyeri dalam kurun waktu 1–3 tahun, lama tinggal di UPT PSLU Jombang di Pare-Kediri dalam kurun waktu 1–3 tahun, lokasi nyeri di area ekstremitas bawah, mempunyai penyakit dasar Hipertensi dan persendian (Arthritis/Gout), dan diantar ke panti oleh keluarga. TTaabbuullaassii ssiillaanngg pprereteteststddaannppoosstt tteesstt tti in ng g kk aa tt p e n e r i m a a n t e r h a d a p n n yy ee rr ii k kr ro o n n i is s rreessppoonnddeenn kk ee llo o mm p po o kk p p ee rrl la ak ku ua an n d da an n k ko on n ttr ro ol l
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