Pengaruh Acceptance and Commitment Therapy (ACT) terhadap Gangguan Depresi dan Ansietas Pasien Gagal Ginjal Kronik

Allowda Helena Roselyn Zebua, Ernita Simamora, Yasman Suasono Buulolo, Elis Anggeria

Abstract


Introduction: Patients often suffer from anxiety and depression. Acceptance and attachment therapy is effective in treating depression and anxiety. Chronic kidney failure patients on hemodialysis are more able to accept and advocate for feelings of depression and anxiety when they use this treatment.

Purpose: to examine the effect of Acceptance and Commitment Therapy (ACT) on depressive and anxiety disorders in patients with chronic kidney failure.

Method: This study used a one group pretest-posttest design. This research was conducted RSU Royal Prima Medan. The population taken was all patients with chronic kidney failure in the hemodialysis room as many as 50 people. The technique used in sampling is nonprobability sampling (purposive sampling), and the number of samples is 50 people. The research instrument for depression and anxiety levels used the Hospital Anxiety and Depression Scale (HADS). Univariate data analysis using frequency tables, and bivariate using the Wilcoxon test.

Results: The results of the study found that before the ACT Acceptance and Commitment Therapy (ACT) therapy was carried out, the majority of depressive and high anxiety disorders were 24 patients (48%), after treatment the majority of depression and low anxiety disorders were 28 people (56%). The effect of ACT on depressive and anxiety disorders in chronic kidney failure patients obtained a Z-score -2429 with a p-value of 0.015.

Conclusion: It can be concluded that there is an effect of ACT on depressive and anxiety disorders in patients with chronic kidney failure

Keywords


Acceptance and Commitment Therapy, Chronic Kidney Failure, Depression, Anxiety, Hemodialysis.

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References


Anees, M., Hameed, F., Mumtaz, A., Ibrahim, M., & Khan, M. N. S. (2011). Dialysis-related factors affecting quality of life in patients on hemodialysis. Iranian Journal of Kidney Diseases, 5(1).

Caninsti, R. (2020). Kecemasan dan depresi pada pasien gagal ginjal kronis yang menjalani terapi hemodialisis. Jurnal Psikologi Ulayat, 1(2). https://doi.org/10.24854/jpu13

Chan, K. M., Cheung, C. Y., Chan, Y. H., Chan, H. W., Chak, W. L., & Chau, K. F. (2018). Prevalence and impact of anxiety and depression in Chinese peritoneal dialysis patients: A single centre study. Nephrology, 23(2). https://doi.org/10.1111/nep.12970

Coto-Lesmes, R., Fernández-Rodríguez, C., & González-Fernández, S. (2020). Acceptance and commitment therapy in group format for anxiety and depression. A systematic review. Journal of Affective Disorders, 263. https://doi.org/10.1016/j.jad.2019.11.154

ESRD. (2012). ESRD QIP Payment Year 2012 Program Details. 1–4.

Feroze, U., Martin, D., Kalantar-Zadeh, K., Kim, J. C., Reina-Patton, A., & Kopple, J. D. (2012). Anxiety and depression in maintenance dialysis patients: Preliminary data of a cross-sectional study and brief literature review. Journal of Renal Nutrition, 22(1). https://doi.org/10.1053/j.jrn.2011.10.009

Hayes, S. C., Bond, F. W., Barnes-Holmes, D., & Austin, J. (2013). Acceptance and mindfulness at work: Applying acceptance and commitment therapy and relational frame theory to organizational behavior management. Routledge. https://doi.org/10.4324/9781315808383

Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2002). Review of “Acceptance and commitment therapy: An experimental approach to behavior change.” In Child Family Behavior Therapy (Vol. 24, Issue 4).

Jundiah, R. S., Dirgahayu, I., & Rahmadina, F. N. (2020). Hubungan Lamanya Menjalani Hemodialisis Dengan Depresi Pada Klien Gagal Ginjal Kronik. Jurnal Keperawatan ’Aisyiyah, 6(2), 17–24. https://doi.org/10.33867/jka.v6i2.132

Kementerian Kesehatan RI. (2021). Profil Kesehatan Indonesia Tahun 2021. In Badan Pusat Statistik.

Kementerian Kesehatan RI. (2018). Riset Kesehatan Dasar (RISKESDAS) 2018.

Khan, A., Amin, S., Ahmad, S., Khan, M. S. A., Ahmed, W., & Bano, R. (2022). Prevalence of depression and anxiety in chronic kidney disease patients on hemodialysis. Pakistan Journal of Medical and Health Sciences, 16(9). https://doi.org/10.53350/pjmhs22169403

Maulana, I., Shalahuddin, I., & Hernawaty, T. (2020). Faktor yang berhubungan dengan tingkat depresi pada pasien gagal ginjal kronis yang menjalani tindakan hemodialisa. Holistik Jurnal Kesehatan, 14(1), 101–109. https://doi.org/10.33024/hjk.v14i1.2359

Murtagh, F. E. M., Addington-Hall, J., & Higginson, I. J. (2007). The Prevalence of symptoms in end-stage renal disease: A systematic review. Advances in Chronic Kidney Disease, 14(1). https://doi.org/10.1053/j.ackd.2006.10.001

Muttaqin, A., & Sari, K. (2011). Asuhan keperawatan gangguan sistem perkemihan. Salemba Medika.

Polit, D. F., & Beck, C. T. (2018). Essentials of nursing research: Appraising evidence for nursing practice. In Wolters Kluwer.

Rosyanti, L., Devianti, R., Hadi, I., & Syahrianti, S. (2017). Kajian teoritis: hubungan antara depresi dengan sistem neuroimun (sitokin-HPA aksis) “psikoneuroimunologi.” Health Information: Jurnal Penelitian, 9(2). https://doi.org/10.36990/hijp.v9i2.104

Sulistiowati, N. M. D., Keliat, B. A., & Wardani, I. Y. (2014). Pengaruh acceptance and commitment therapy terhadap gejala dan kemampuan klien dengan resiko perilaku kekerasan. Jurnal Keperawatan Jiwa, 2(1), 51–57.

Twohig, M. P., & Hayes, S. C. (2008). ACT verbatim for depression and anxiety: Annotated transcripts for learning acceptance and commitment therapy.

Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6). https://doi.org/10.1111/j.1600-0447.1983.tb09716.x




DOI: http://dx.doi.org/10.30829/jumantik.v10i1.16571

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Copyright (c) 2025 Allowda Helena Roselyn Zebua, Allowda Helena Roselyn Zebua, Ernita Simamora, Allowda Helena Roselyn Zebua, Yasman Suasono Buulolo, Ernita Simamora, Ernita Simamora, Elis Anggeria, Yasman Suasono Buulolo, Yasman Suasono Buulolo

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