The effect of acceptance and commitment therapy (ACT) and family psychoeducation on anxiety and body image of diabetic ulcer patients
Keywords:
anxiety, body image, diabetic ulcers, acceptance and commitment therapy (ACT), family psychoeducationAbstract
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.
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References
American Diabetes Association. (2019). 2. Classification and diagnosis of diabetes: standards of medical care in diabetes—2019. Diabetes care, 42(Supplement 1), S13-S28.
Badan Litbangkes Kementerian Kesehatan RI. Hasil Utama Riskesdas 2018. Available at: https://drive.google.com/file/d/1MRXC4lMDera5949ezbbHj7UCUj5_EQmY/view [accessed 25.12.20]
Badan Litbangkes Kementerian Kesehatan RI. Hasil Utama Riskesdas 2017. Available at: https://drive.google.com/file/d/1MRXC4lMDera5949ezbbHj7UCUj5_EQmY/view [accessed 28.12.20]
Buanasari A, Keliat BA, Susanti H. The Application of Acceptance Commitment Therapy (ACT) and Family Psychoeducation (FPE) to Clients with Scizophrenia and Aggressive Behavior. Nurse Media Journal of Nursing 2020; 10(1), 11-21.
Dinas Kesehatan Provinsi Sulawesi Tenggara. Profil Kesehatan Sulawesi Tenggaraa Tahun 2017. Available at: https://www.kemkes.go.id/resources/download/profil/PROFIL_KES_PROVINSI_2017/28_Sultra_2017.pdf [accessed 23.12.20]
International Diabetes Federation. Prevalence Estimates of Diabetes Mellitus. Available at: http://www.diabetesatlas.org/content/wp-data [accessed 11.08.19]
Perkumpulan Endokrinologi Indonesia. Petunjuk Praktis: Terapi Insulin Pada Pasien Diabetes Melitus. Jakarta: PB. PERKENI; 2015.
Rahmadeni, A. S. ., Hayat, N. ., Alba, A. D. ., Badri, I. A. ., & Fadhila, F. . (2020). The relationship of family social support with depression levels of elderly in 2019 . International Journal of Health & Medical Sciences, 3(1), 111-116. https://doi.org/10.31295/ijhms.v3n1.188
Sianturi R., Keliat B, Susanti H. Pengaruh Terapi Penerimaaan Komitmen dan Psiko Edukasi Keluarga terhadap Penerimaan Diri dan Ansietas Klien Stroke di RSPON. Unpublished Thesis: Faculty of Nursing 2016, Universitas Indonesia.
Stuart GW. Prinsip Dan Praktik Keperawatan Kesehatan Jiwa Stuart. (B. A. Keliat, Ed.). Jakarta: Elsevier; 2016.
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). The COVID-19 pandemic. International Journal of Health Sciences, 5(2), vi-ix. https://doi.org/10.53730/ijhs.v5n2.2937
Twohig MP, Levin ME.. Acceptance and commitment therapy as a treatment for anxiety and depression: A review. Psychiatric Clinics 2017; 40(4), 751-770.
Velasquez, C. A. L., Perez, G. L. R., Landa, A. F. C., Velasquez, R. M. L., & Ortiz, D. J. Z. (2018). Occupational health and safety prevention plan in water treatment plant. International Journal of Life Sciences, 2(3), 1–12. https://doi.org/10.29332/ijls.v2n3.196
Zhang P, Lu J, Jing Y, Tang S, Zhu D, Bi Y. Global epidemiology of diabetic foot ulceration: a systematic review and meta-analysis. Annals of medicine 2017; 49(2), 106-116. https://www.tandfonline.com/doi/pdf/10.1080/07853890.2016.1231932. DOI: 10.1080/07853890.2016.1231932
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