Acceptance and Commitment Therapy Untuk Meningkatkan Acceptance of Illness Pasien Positif HIV

 Abstract The problem that arise in female patients who diagnosed with positive HIV is their adjustment in physical dan psychological health condition, also stigma from the environment. Acceptance of illness has a significant influence on change in the psychological condition of patient, including being used to the limitations and dependence on other people due to their illness. This study aims to see the effectiveness of Acceptance and Commitment Therapy (ACT) to increase acceptance of illness. This study used the one group pretest-posttest design involved three respondents who had signed an informed consent. Instrument of this study used Acceptance of Disease and Impairments Questionnaire (ADIQ) developed by Boer et al. (2014). Data obtained were analyzed using the non-parametric Wilcoxon statistical test. The results showed that the intervention using Acceptance and Commitment Therapy (ACT) therapy was not significant for increasing acceptance of illness in female patients diagnosed with HIV (p = 0.109). Even so there was an increase in acceptance of illness scores of female patients with Positive HIV. Keywords: Acceptance and Commitment Therapy (ACT), acceptance of illness, and female diagnosed with positive HIV Abstrak Permasalahan yang muncul pada pasien perempuan dengan diagnosis positif HIV adalah penyesuaian terhadap kondisi kesehatan fisik dan psikologis pribadi serta stigma dari lingkungan. Penerimaan terhadap penyakit (acceptance of illness) mempunyai pengaruh besar terhadap kondisi psikologis pasien, termasuk menjadi terbiasa dengan keterbatasan dan ketergantungan pada orang lain karena penyakit yang dimiliki. Penelitian ini bertujuan untuk melihat efektivitas Acceptance and Commitment Therapy (ACT) untuk meningkatkan acceptance of illness. Penelitian ini menggunakan desain the one group pretest-posttest design untuk tiga subjek yang telah menandatangani informed consent. Pengumpulan data penelitian menggunakan alat ukur Acceptance of Disease and Impairments Questionnaire (ADIQ) yang dikembangkan ADDIN CSL_CITATION { "citationItems" : [ { "id" : "ITEM-1", "itemData" : { "DOI" : "10.1007/s12529-013-9312-3", "ISBN" : "1070-5503", "ISSN" : "15327558", "PMID" : "23645551", "abstract" : "Background: Patients with chronic obstructive pulmonary disease (COPD) encounter many (gradual) losses due to their disease, which trigger a grieving process. This process is characterized by stages of denial, resistance, sorrow, and acceptance. Purpose: This study examined whether these stages are conceptually distinct and whether the Acceptance of Disease and Impairments Questionnaire (ADIQ) can validly and reliably measure these stages in three samples of patients with COPD in the Netherlands. Methods: Exploratory factor analysis (EFA) was performed on 145 outpatients with moderate to severe COPD. Confirmatory factor analyses were performed on 303 outpatients with mild to very severe COPD and 127 patients entering an inpatient pulmonary rehabilitation program. Furthermore, internal reliability, construct validity, sensitivity to change, and floor and ceiling effects were examined. Results: EFA yielded a four-factor solution that explained 73.2 % of variance. Confirmatory factor analyses showed a good fit of the four-factor structure in all study samples. Cronbach\u2019s alpha reliability coefficients were .79 or higher. Subscales showed to be sensitive to change. Conclusions: Four distinct stages of grief are recognized in COPD. The ADIQ is a valid and reliable instrument to measure these stages: denial, resistance, sorrow, and acceptance. Measuring the stages of grieving is important for disease management: addressing patients with a specific therapeutic approach for the stage they are in could help to motivate patients to engage in self-management and change their lifestyle. (PsycINFO Database Record (c) 2014 APA, all rights reserved). 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(2014) . Data penelitian dianalisis menggunakan uji statistik non-parametric Wilcoxon. Hasil analisis data statistik menunjukan bahwa intervensi menggunakan terapi Acceptance and Commitment Therapy (ACT) tidak signifikan untuk meningkatkan acceptance of illness pada pasien perempuan yang didiagnosis positif HIV (p=0.109). Meski demikian terjadi peningkatan skor acceptance of illness pasien perempuan dengan HIV Positif. Kata Kunci: Acceptance and Commitment Therapy (ACT), acceptance of illness dan Perempuan dengan diagnosis positif HIV