EFEK ACCEPTANCE AND COMMITMENT THERAPY (ACT) TERHADAP DEPRESI PADA PASIEN KOINFEKSI TB-HIV

Abstract

Patients with TB-HIV coinfection have many psychological problems. The most common psychological problem is depression. Acceptance and Commitment Therapy (ACT) is an intervention that uses the principle of self-acceptance and commitment in overcoming problem. Studies on the effect of ACT on depression in TB-HIV coinfection patient have never been done before. Therefore, researcher is interested on this study. The purpose of this study was to analyze the effect of ACT on depression in TB-HIV coinfection patients who were treated at RSUD Yogyakarta City and RSUD Sleman. The method used in this study was quasi-experimental with pre-test and post-test design with comparison group. The samples were 62 people consisting of 31 people in each group (intervention group and control group). Samples were taken consecutively. Measurement of depression was performed using the Beck Depression Inventory (BDI). Paired t-test was used to determine the differences value of depression on pre-test and post-test in each group. Independent t-test was used to determine the effect of ACT on depression. The results showed that the majority of respondents were male (66,1 %). Most of the early adult and older adult respondents had moderate depression, while middle-aged adult mostly had severe depression (50 %). The fully unemployed respondents had severe depression (100%). The analysis results showed that there was a more significant decrease in depression in the intervention group given ACT compared to the control group (p value =0,00). This means that ACT has an effect on the depresion of TB-HIV coinfection patients. ACT is recomended to be develop as a nursing intervention that can be given to patients who are depressed.