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Journal : Jurnal NERS

The Effects of Acceptance and Commitment Therapy (ACT) on Depression in TB-HIV Co-infection Patients Avin Maria; Untung Sujianto; Niken Safitri Dyan Kusumaningrum
Jurnal Ners Vol. 15 No. 1 (2020): APRIL 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i1.17793

Abstract

Introduction: The most common psychological problem in TB-HIV coinfection patients is depression. Acceptance and Commitment Therapy (ACT) is an intervention that encourages participants to change their relationships with their thoughts and physical sensations through mechanisms of acceptance and value-based action. This present study has been carried out to investigate the effectiveness of ACT in treating TB-HIV coinfection patients.Methods: This research was a quasi-experiment. This study involved 62 respondents diagnosed TB-HIV coinfection by doctor, experienced mild depression to severe depression, able to communicate well and have not hearing loss. ACT was given by a researcher with six sessions) one session per day) held in the intervention group. Data were collected using Beck Depression Inventory (BDI) questionnaires. Data analysis use paired t-test   to determine the differences in value of depression on pre-test and post-test in each group. Data were analyzed using the independent t-test to determine the effect of ACT on depression.Results: 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).Conclusion: ACT has an effect on reduce depression of TB-HIV coinfection patients. ACT is recommended to be developed as a nursing intervention that can be given to patients who are depressed.
A pilot translation and adaptation of the Diabetes Obstacle Questionnaire (DOQ) to measure obstacles and challenges in diabetes management for people with diabetes in Indonesia Kusumaningrum, Niken Safitri Dyan; Handayani, Fitria
Jurnal Ners Vol. 19 No. 4 (2024): NOVEMBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i4.57107

Abstract

Introduction: Identifying the issues faced by Indonesians living with diabetes is crucial to address them appropriately. However, a standardized tool cannot measure the obstacles encountered in managing illness. Therefore, there is a need for widely accepted assessment tools to investigate these problems. This article explains the findings of the pilot translation and adaptation of the Diabetes Obstacle Questionnaire (DOQ) for people with diabetes in Indonesia. Methods: The English version of the DOQ was cross-culturally adapted and translated into Bahasa, Indonesia. The completion of the questionnaire required approximately 30 min for each of the 61 respondents, all of whom were Indonesians diagnosed with diabetes. Factor analysis, product moment, and Cronbach’s alpha were used in STATA SE 13.1 for data analysis. Results: The original 78 items underwent a systematic process of translation and adaptation to align with the Indonesian context. Twenty-one items were eliminated, leaving 57 valid question items following a judgement of expert and statistical analysis. The reliability coefficient of the Indonesian version of the DOQ was acceptable, with a value of 0.96 for all items. The coefficient varied between 0.82 and 0.99 for different scales, indicating high internal consistency reliability. Conclusions: The Indonesian version of the 57-item DOQ is an acceptable instrument that can be used to identify obstacles faced by people with diabetes in Indonesia. This can facilitate researchers in investigating the problems faced by those living with diabetes in managing their condition.