PENERAPAN COGNITIF BEHAVIOUR THERAPY DAN ACCEPTANCE COMMITMENT THERAPY PADA PASIEN DENGAN KETIDAKBERDAYAAN
(1) Universitas Widya Nusantara
(2) Universitas Muhammadiyah Semarang
(*) Corresponding Author
Abstract
Latar belakang: Ketidakberdayaan pada pasien lanjut usia dengan penyakit kronis seperti hipertensi dapat mengakibatkan distorsi kognitif, penurunan partisipasi dalam perawatan kesehatan, dan gangguan dalam aktivitas sehari-hari. Tujuan: Penelitian ini bertujuan untuk mengevaluasi penerapan kombinasi terapi Cognitive Behaviour Therapy (CBT) dan Acceptance and Commitment Therapy (ACT) sebagai intervensi keperawatan spesialistis pada pasien lansia dengan diagnosis ketidakberdayaan. Metode: Metode yang digunakan adalah studi kasus tunggal pada seorang pasien pria berusia 63 tahun dengan hipertensi tidak terkontrol. Intervensi dilaksanakan melalui 4 sesi CBT dan 8 sesi ACT. Hasil: Evaluasi pelaksanaan intervensi menunjukkan peningkatan kemandirian pasien, kesediaan untuk memanfaatkan fasilitas kesehatan, serta penurunan tekanan pikiran negatif otomatis. Kombinasi CBT dan ACT terbukti efektif dalam meningkatkan fleksibilitas psikologis, regulasi emosi, dan perilaku perawatan diri. Kesimpulan: studi ini mendukung penggunaan pendekatan terintegrasi CBT-ACT untuk menangani ketidakberdayaan pada pasien lansia dengan masalah kesehatan kronis.
Keywords
Full Text:
PDFReferences
Arch, J., Finkelstein, L., & Nealis, M. (2025). Acceptance and Commitment Therapy (ACT) for Anxiety Disorders. The Psychiatric Clinics of North America, 48 3, 443–456. https://doi.org/10.1016/j.psc.2025.02.003
Courtois, C. A., & Sonis, J. (2017). Guideline: What is Cognitive Behavioral Therapy ? American Psychological Association, 1–119.
Davazdahemami, M. H., Bayrami, A., Petersen, J. M., Twohig, M. P., Bakhtiyari, M., Noori, M., & Kheradmand, A. (2020). Preliminary evidence of the effectiveness of acceptance and commitment therapy for death anxiety in Iranian clients diagnosed with obsessive-compulsive disorder. Https://Doi.Org/10.1521/Bumc.2020.84.SuppA.1, 84, 1–11. https://doi.org/10.1521/BUMC.2020.84.SUPPA.1
Giordano, F., Guidotti, S., Gelo, O., Salerno, C., & Pruneti, C. (2023). A psychological intervention based on cognitive‐behavioural therapy reduces psychopathological symptoms that indirectly influence the heart rate via cortisol in hypertensive patients: Preliminary results of a pilot study. Counselling and Psychotherapy Research. https://doi.org/10.1002/capr.12691
Goldsmith, E. S., Koffel, E., Ackland, P. E., Hill, J., Landsteiner, A., Miller, W., Stroebel, B., Ullman, K., Wilt, T. J., & Duan-Porter, W. (Denise). (2023). Evaluation of Implementation Strategies for Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Mindfulness-Based Stress Reduction (MBSR): a Systematic Review. Journal of General Internal Medicine, 38(12), 2782–2791. https://doi.org/10.1007/s11606-023-08140-4
Hayes, S. (2016). Acceptance and Commitment Therapy, Relational Frame Theory, and the Third Wave of Behavioral and Cognitive Therapies - Republished Article. Behavior Therapy, 47 6, 869–885. https://doi.org/10.1016/j.beth.2016.11.006
Macri, J., & Rogge, R. (2024). Examining domains of psychological flexibility and inflexibility as treatment mechanisms in acceptance and commitment therapy: A comprehensive systematic and meta-analytic review. Clinical Psychology Review, 110, 102432. https://doi.org/10.1016/j.cpr.2024.102432
Mottram, S. (2021). Cognitive Behavioural Therapy. Child and Adolescent Mental Health. https://doi.org/10.4324/9781003083139-65
Muñoz-Navarro, R., Medrano, L., Limonero, J., González-Blanch, C., Moriana, J., Ruíz-Rodríguez, P., & Cano-Vindel, A. (2022). The mediating role of emotion regulation in transdiagnostic cognitive behavioural therapy for emotional disorders in primary care: secondary analyses of the PsicAP randomized controlled trial. Journal of Affective Disorders. https://doi.org/10.1016/j.jad.2022.01.029
Olla, M. B. (2017). Asuhan keperawatan Ketidakberdayaan dan keputusasaan pada lansia depresi dengan terapi kognitif, logoterapi dan psikoedukasi keluarga. KIAS, Ners Spesialis.
Pielech, M., Vowles, K., & Wicksell, R. (2017). Acceptance and Commitment Therapy for Pediatric Chronic Pain: Theory and Application. Children, 4. https://doi.org/10.3390/children4020010
Sabetfar, Meschi, & Taghvaei, H. (2022). The Effects of Acceptance and Commitment Group Therapy on Perceived Stress, Emotion Regulation, and Self-Care Behaviors in Patients with Hypertension. https://consensus.app/papers/the-effects-of-acceptance-and-commitment-group-therapy-on-sabetfar-meschi/92739b93f05b504a998e1b177fb814ac/
Spencer, S., & Levin, M. (2025). Introduction to Acceptance and Commitment Therapy: Theoretical, Practical, and Empirical Foundations. The Psychiatric Clinics of North America, 48 3, 429–441. https://doi.org/10.1016/j.psc.2025.02.002
Stuart, G. W. (2013). Principles and Practice of Psychiatric Nursing. In Elsevier Inc (Vol. 10). https://doi.org/10.1097/00000446-198112000-00038
Sukhawathanakul, P., Crizzle, A., Tuokko, H., Naglie, G., & Rapoport, M. J. (2021). Psychotherapeutic Interventions for Dementia: a Systematic Review. Canadian Geriatrics Journal, 24(3), 222–236. https://doi.org/10.5770/CGJ.24.447
Surmai, M., & Duff, E. (2022). Cognitive Behavioural Therapy: A Strategy to Address Pandemic-Induced Anxiety. Journal for Nurse Practitioners, 18(1), 36–39. https://doi.org/10.1016/j.nurpra.2021.10.013
Thigpen, M., Beauclair, T., & Milkman, H. (2021). Cognitive Behavioral Treatment. Encyclopedia of Gerontology and Population Aging. https://doi.org/10.1007/978-3-030-22009-9_300422
Videbeck, S. L. (2020). Psychiatric - Mental Health Nursing. In Nursing Clinics of North America (8th ed., Vol. 21, Issue 3). Wolters Kluwer. https://doi.org/10.3928/0279-3695-19870801-16
Widuri, E. (2012). Pengaruh Terapi Penerimaan dan Komitmen (Acceptance and Comitment Therapy/ACT) Terhadap Respon Ketidakberdayaan Klien Gagal Ginjal Kronik di RSUP Fatmawati. Tesis (Magister), 1–70.
Zhang, Y., Zhang, H., Zhang, Y., Yang, Z., Wang, L., Pan, W., Dai, R., Ju, Q., Ren, D., Bao, S., & Fan, J. (2023). Effect of MBSR, DBT and CBT on the hypertension patients with depression/anxiety: Protocol of a systematic review and Bayesian network meta-analysis. PLOS ONE, 18. https://doi.org/10.1371/journal.pone.0281469
Article Metrics
Abstract view : 216 timesPDF - 72 times
DOI: https://doi.org/10.26714/jkj.13.4.2025.728-735
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution 4.0 International License.
PPNI Univ. Muhammadiyah Semarang
Jl. Kedungmundu Raya No. 18 Semarang Gedung NRC University of Muhammadiyah Semarang
Phone: 02476740287
Fax: 02476740287
Email: [email protected]
This work is licensed under a Creative Commons Attribution 4.0 International License.