Pengaruh Acceptance and Commitment Therapy (ACT) Terhadap Tingkat Depresi pada Pasien Diabetes Melitus di Wilayah Kerja Puskesmas Karangasem I tahun 2019

Darmayani, Dewa Ayu Alit (2019) Pengaruh Acceptance and Commitment Therapy (ACT) Terhadap Tingkat Depresi pada Pasien Diabetes Melitus di Wilayah Kerja Puskesmas Karangasem I tahun 2019. Diploma thesis, Politeknik Kesehatan Kemenkes Denpasar Jurusan Keperawatan.

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Abstract

ABSTRAK Oleh Dewa Ayu Alit Darmayani Pasien diabetes mellitus selain terganggu secara fisiologis juga beresiko mengalami depresi karena terjadi berbagai perubahan dalam hidupnya, salah satu cara mengatasinya adalah dengan latihan ACT. Tujuan penelitian ini adalah menganalisis hubungan usia, tingkat pendidikan, dan rentang waktu menderita DM dengan tingkat depresi, mengukur tingkat depresi sebelum dan sesudah diberikan latihan ACT, serta membuktikan pengaruh Acceptance and Commitment Therapy (ACT) terhadap tingkat depresi pada pasien diabetes mellitus di wilayah kerja Puskesmas Karangasem 1 tahun 2019. Desain penelitian ini adalah pre experimental dengan rancangan one-group pre-post test design. Sampel diambil menggunakan metode purposive sampling sebanyak 17 orang. Instrumen penelitian menggunakan Beck Depression Inventory II (BDI-II). Hasil penelitian menunjukkan tingkat depresi sebelum diberikan perlakuan sebagian besar dalam kategori depresi ringan sebanyak 10 orang (58,8%) dan setelah diberikan perlakuan sebagian besar dalam kategori depresi ringan sebanyak 10 orang (58,8%). Uji Hipotesis dilakukan dengan menggunakan uji statistik wilcoxon signed range test dengan nilai p value 0,018 (p ≤ 0,05) dapat diartikan ada pengaruh yang signifikan latihan ACT terhadap tingkat depresi pada pasien diabetes mellitus di wilayah kerja Puskesmas Karangasem 1 tahun 2019. Rekomendasi bagi peneliti selanjutnya diharapkan dalam mengambil sampel serta melakukan penelitian menggunakan kelompok kontrol. Kata kunci : Latihan ACT, Depresi, Diabetes ABSTRACT By Dewa Ayu Alit Darmayani In addition to physiologically disturbed patients with diabetes mellitus, they are also at risk of experiencing depression because of various changes in their lives, one of the ways to overcome them is by practicing ACT. The purpose of this study was to analyze the relationship of age, education level, and time span of suffering from diabetes mellitus with depression levels, measuring depression levels before and after being given ACT training, and proving the effect of Acceptance and Commitment Therapy (ACT) on depression levels in patients with diabetes mellitus in the work area Karangasem 1 Health Center on 2019. The design of this study was pre-experimental with a one-group pre-post test design. Samples were taken using a purposive sampling method of 17 people. The research instrument used the Beck Depression Inventory II (BDI-II). The results showed that depression levels before being given treatment were mostly in the mild depression category of 10 people (58.8%) and after being given treatment most of them were in the mild depression category as many as 10 people (58.8%). Hypothesis testing was carried out using the Wilcoxon signed range test statistic test with a p value of 0.018 (p ≤ 0.05). It can be interpreted that there is a significant effect of ACT training on depression levels in patients with diabetes mellitus in the working area of Karangasem 1 Health Center on 2019. Recommendations for researchers then expected to take samples and conduct research using a control group. Keywords : Acceptance and Commitment Therapy (ACT), Depression, Diabetes mellitus

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