Acceptance and commitment therapy (ACT) for patients with chronic renal failure

Fourni Ardiansyah, Shinta Shinta, Dita Amita

Abstract


Background: Patients with chronic renal failure who undergo physiological haemodialysis will experience unstable blood pressure, nausea, low haemoglobin value, cramped legs, difficulty sleeping, and dizziness when waking up. The patient feels tired, anxious, and then discovered the symptoms of fatigue and depression lead to a feeling of powerlessness.

Purpose: To know of acceptance and commitment therapy (ACT) for patients with chronic renal failure and a response to perceived powerlessness.

Method: A quantitative study by a one-group pre-experimental design with a sample of 25 participants as patients with chronic renal failure under haemodialysis at Harapan dan Do'a Hospital. The sampling technique used was purposive sampling. The assessment of the response to powerlessness used a Likert scale questionnaire. The acceptance and commitment therapy (ACT) delivered for 4 sessions.

Results: The proof that there is a decrease in the score of powerlessness responses after acceptance and commitment therapy with a p-value of 0.00 and a different means after the intervention of 1.72

Conclusion: There is an influence of commitment therapy (ACT) for patients with chronic renal failure and a response to perceived powerlessness.Hospital management to consider applying an acceptance and commitment therapy, and nurses to have a course that therapy especially nurses who conducted with chronic patients.


Keywords


Acceptance and commitment therapy; Chronic renal failure; Perceived powerlessness.

References


Bunney, C. M., Zink, P. E., Holm, A. N., Billington, A. A., & Kotz, C. J. (2017). 乳鼠心肌提取 HHS Public Access. Physiol. Behav, 176, 139-148.

Busse, R., & Blümel, M. (2010). Tackling chronic disease in Europe: strategies, interventions and challenges (No. 20). WHO Regional Office Europe.

Cederberg, J. T., Cernvall, M., Dahl, J. A., von Essen, L., & Ljungman, G. (2016). Acceptance as a Mediator for Change in Acceptance and Commitment Therapy for Persons with Chronic Pain? International Journal of Behavioral Medicine, 23(1), 21–29. https://doi.org/10.1007/s12529-015-9494-y

Cleary, M. (2019). Hubungan Mekanisme Koping Dengan Tingkat Kecemasan Pada Pasien Hemodialisa. Journal of Chemical Information and Modeling, 53(9), 1689–1699.

Cukor, D., Peterson, R. A., Cohen, S. D., & Kimmel, P. L. (2006). Depression in end-stage renal disease hemodialysis patients. Nature clinical practice Nephrology, 2(12), 678-687.

Danquah, F. V. N. (2009). Frequency, severity and distress of dialysis-related symptoms reported by patients on hemodialysis. The University of Texas School of Nursing at Houston

De Ridder, D., Geenen, R., Kuijer, R., & van Middendorp, H. (2008). Psychological adjustment to chronic disease. The Lancet, 372(9634), 246-255.

Dzulhidayati, A. S. (2020). Hubungan kepatuhan pasien menjalani terapi hemodialisa dengan tingkat depresi pasien gagal ginjal kronik di RSUP. H. Adam Malik Medan Tahun 2019.

Ismoyowati, T. W. (2018). Pengaruh Acceptance and Commitment Therapy Terhadap Perubahan Kecemasan Dan Selfefficacy Pada Pasien Dengan Hemodialisa Di Rs Sint Carolus Jakarta. Jurnal Kesehatan, 5(2), 44–58. https://doi.org/10.35913/jk.v5i2.95

Khusniyati, N., Yona, S., & Kariasa, I. M. (2019). Fatigue, Depresi, Terhadap Kualitas Hidup Pada Pasien Hemodialisa. Jurnal Keperawatan Terpadu (Integrated Nursing Journal), 1(2), 1. https://doi.org/10.32807/jkt.v1i2.30

Lebov, J. F., Valladares, E., Peña, R., Peña, E. M., Sanoff, S. L., Cisneros, E. C., Hogan, S. L. (2015). A population-based study of prevalence and risk factors of chronic kidney disease in León, Nicaragua. Canadian Journal of Kidney Health and Disease, 2(1), 1–14. https://doi.org/10.1186/s40697-015-0041-1

Lepore, S. J., Ragan, J. D., & Jones, S. (2000). Talking facilitates cognitive–emotional processes of adaptation to an acute stressor. Journal of personality and social psychology, 78(3), 499.

Ministry of Health Republic of Indonesia. (2018). Hasil Utama Riset Kesehata Dasar (RISKESDAS). Riskesdas: angka kejadian 10 penyakit di indonesia. Retrieved from https://www.litbang.kemkes.go.id/laporan-riset-kesehatan-dasar-riskesdas

Muehrer, R. J., & Becker, B. N. (2005). Psychosocial factors in patients with chronic kidney disease: life after transplantation: new transitions in quality of life and psychological distress. In Seminars in Dialysis (Vol. 18, No. 2, pp. 124-131). Oxford, UK: Blackwell Science Inc

Parker, S. K., & Axtell, C. M. (2001). Seeing another viewpoint: Antecedents and outcomes of employee perspective taking. Academy of Management Journal, 44(6), 1085-1100.

Ramya, J. (2017). A Study to Assess the Effectiveness of Structured Teaching Programme on Knowledge Regarding Post Dialysis Home Care Among Caregivers of Chronic Renal Failure Patients Undergoing Hemodialysis at KG Hospital, Coimbatore (Doctoral dissertation, KG College of Nursing, Coimbatore).

Sheibani, H., Sheibani, K. A., Amreei, N. N., & Masrour, M. J. (2019). An Investigation of the Effects of the Acceptance and Commitment Therapy in Groups on the Cognitive Strategies of Emotion Regulation and Self-Control in Coronary Heart Disease Patients. Journal of Medicine and Life, 12(4), 361–367. https://doi.org/10.25122/jml-2019-0035

Shen, Q., Jin, W., Ji, S., Chen, X., Zhao, X., & Behera, T. R. (2019). The association between socioeconomic status and prevalence of chronic kidney disease: A cross-sectional study among rural residents in eastern China. Medicine, 98(11), e14822. https://doi.org/10.1097/MD.0000000000014822

Valsaraj, B. P., Bhat, S. M., & Latha, K. S. (2016). Cognitive behaviour therapy for anxiety and depression among people undergoing haemodialysis: a randomized control trial. Journal of clinical and diagnostic research: JCDR, 10(8), VC06.

Wang, L. J., & Chen, C. K. (2012). The psychological impact of hemodialysis on patients with chronic renal failure. Renal failure-the facts, 217-236.

Wicaksono, A., & Sajidin, M. (2017). Long Of Hemodialysis Therapy With Quality Life Patient Fails Of Kidney Chronic In RS Gatoel Mojokerto: Study Cross-sectional.




DOI: https://doi.org/10.33024/minh.v4i1.3462

Refbacks

  • There are currently no refbacks.


Copyright (c) 2021 Malahayati International Journal of Nursing and Health Science

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.