Efectivitas Cognitive Behavior Therapy (CBT) Terhadap Kepatuhan Diet dan Status Gizi pada pasien Sirosis Hepatis

Abstract

Malnutrition is a well-known complication in patients with cirrhosis of the liver. Besides being caused by the disease itself, the causative factor for the problem of nutritional disorders in patients with cirrhosis is the non-compliance of patients in the recommended diet. Patient compliance in fulfilling the right nutrition is needed to support healing, so that changes in behavior are needed. One type of therapy that uses a behavioral approach to overcome the problem of non-compliance is Cognitive Behavior Therapy (CBT). CBT is a form of psychotherapy that changes negative thoughts into positive thoughts. This therapy has never been done before to improve dietary compliance and nutritional status, especially in patients with liver cirrhosis. This study aimed to determine the effectiveness of CBT on diet compliance and nutritional status in patients with liver cirrhosis. The type of research used was quasi experimental research. The samples of this study were liver cirrhosis patients with child pugh A and B criteria taken by purposive sampling and divided into the intervention group (n = 32) and control group (n = 32). The data normality was tested using Shapiro Wilk, followed by a different test using paired t-test. The results showed pre-post values in the intervention group with p = 0.000. The effectiveness test results showed the value of Effect Size (ES) CBT on diet compliance was 1.70 (high effect) and CBT ES on nutritional status was 0.77 (moderate effect). CBT was effective in increasing diet compliance and nutritional status in patients with hepatic cirrhosis.