PERAN ACCEPTANCE AND COMMITMENT THERAPY (ACT) UNTUK MENURUNKAN STRES PADA FAMILY CAREGIVER PASIEN KANKER PAYUDARA
Abstract
Ketidaksiapan keluarga terhadap perubahan peran menjadi caregiver, kurangnya pengetahuan terhadap prosedur perawatan, serta beban dan tanggung jawab terhadap perawatan pasien kanker payudara menyebabkan stres pada keluarga. Tujuan dari penelitian ini adalah untuk menganalisis pengaruh Acceptance and Commitment Therapy (ACT) terhadap penurunan stres pada family caregiver pasien kanker payudara. Penelitian ini menggunakan pendekatan eksperimen dengan single-subject design pada dua orang subjek penelitian. Sebelum proses terapi, masing-masing subjek diberikan skala perceived stress (PSS-10) untuk mengukur tingkat stres sebelum proses terapi kemudian pada setiap sesi terapi masing-masing subjek diberi skala perceived stress kembali untuk mengukur perubahan tingkat stres pada setiap sesinya. Analisis data menggunakan visual analisis, analisis inferensia untuk uji perbedaan dengan wilcoxon signed rank test, dan Percentage of Non-overlapping Data (PND) untuk mengetahui effect size. Hasil analisis data menunjukkan nilai effect size sebesar 1 (>0,90) yang berarti ACT mampu menurunkan stres kedua subjek dengan kategori efektivitas sedang hingga sangat efektif. Melalui penerapan ACT, family caregiver mampu memaknai situasi stres dengan lebih positif sehingga muncul penerimaan dan komitmen yang baik dalam perannya sebagai caregiver pasien kanker payudara.
References
Aguilo, S., Barbeito, B., Garcia, E., & Aguilo, J. (2017). Stress management in primary Caregivers: A health challenge. Society for Science and Education, 5(4), 558-564. doi:10.14738/tmlai.54.3292.
American Cancer Society. (2011). Breast cancer facts & figures. Atlanta, ATL: American Cancer Society Inc.
Arbi, D. (2017). Efektivitas brief mindfulness based body scan therapy untuk menurunkan stres pada atlet bola basket wanita professional (Tesis). Surabaya, ID: Universitas Airlangga.
Azwar, S. (2010). Reliabilitas dan validitas. Yogyakarta, ID: Pustaka Pelajar.
Bevans, M. F., & Sternberg, E. M. (2012). Caregiving burden, stress, and health effect among family caregivers of adult cancer patients. National Institutes of Health Public Access, 307(4), 398-403. doi:10.1001/jama.2012.29.
Borji, M., Nourmohammadi, H., Otaghi, M., Hosein, A., & Tarjoman, A. (2018). Positive effect of cognitive behavioral therapy on depression, anxiety, and stress of family caregiver of patients with Prostate Cancer. Asian Pacific Journal Cancer, 18(12), 3207-3212. doi:10.22034/APJCP.2017 .18.12.3207.
Cantwell, P., Turco, S., Brenneis, C., Hanson, J., Neumann, C. M., & Bruera, E. (2000). Predictors of home death in palliative care cancer patients. Journal of Palliative Care, 16, 23–28.
Cash, T., & Lageman, S. (2015). Randomized controlled expressive writing pilot in individuals with parkinson’s disease and their caregivers. Biomedical Central Psychology, 3(44), 1-12. doi:10.1186/s40359-015-0101-4.
Cassidy, T., & McLaughlin, M. (2015). Psychological distress of female caregivers of significant others with cancer. Cogent Psychology, 2(999405), 1-12. doi:10.1080/23311908.2014.999405.
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure if perceived stress. Journal of Health and Social Behavior, 24(4), 385-396.
Collins, L. & Swartz, K. (2011). Caregiver care. American Family Physician, 83(11), 1309-1317.
Costa, D. S., Bebber, R. M., Rutherford, C., Gabb, L., & King, M. T. (2016). The impact of cancer on psychological and social outcomes. Australian Psychology Society, 51(2016), 89-99. doi:10.111/ap.12165.
Davis, E. L., Deane, F. P., & Lyons, G. C. (2015). Acceptance and valued living as critical appraisal and coping strengths for caregivers dealing with terminal illness and bereavement. Palliative and Supportive Care, 13(2), 359-368. doi:10.1017/S1478951514000431.
Davis, E. L., Deane, F. P., & Lyons, G.C. (2019). An acceptance and commitment therapy self-help intervention for carers of patients in palliative care: Protocol of a feasibility randomized controlled trial. Journal of Health Psychology, 24(5), 685-704. doi: 10.1177/1359105316679724.
Family Caregiver Alliance. (2009). Caregiving. San Francisco, CA: National Center on Caregiving.
Harris, R. (2006) Embracing your demons: An overview of acceptance and commitment therapy. Psychotherapy in Australia, 12, 2-8.
Hartini, N. (2007). Dinamika pasien paliatif dalam menghadapi kematian. Media Insan Psikologi, 9(1), 69-80.
Hayes, S. C., Luoma, J. B., Bond, E. W., Masuda, A., & Lilis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Georgia, ID: Georgia State University.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York, US: Guilford Press.
Hayes, S., Levin, M., Vilardaga, J., Villatte, J., & Pistorello, J. (2011). Acceptance and commitment therapy and contextual behavioral science: Examining the progress of a distinctive model of behavioral and cognitive therapy. National Institute of Health, 44(2), 180-198. doi:10.1016/j.beth.2009.08.002.
Jenkins, J., & Ahles, A. (2019). When the going get tough, the tough get mindful: A toolkit based on the principles of acceptance and commitment therapy. Oklahoma, US: Family & Children’s Services.
[Kemenkes] Kementerian Kesehatan. (2020). Jenis Kanker ini Rentan Menyerang Manusia (online). Retrieved from http://sehatnegeriku.kemkes.go.id/baca/rilis-media/20200113/3432693/jenis-kanker-rentan-menyerang-manusia/.
Kim, Y., & Schulz, R. (2008). Family caregivers strains: Comparative analysis of cancer caregiving with dementia, diabetes, and frail elderly caregiving. Journal of Aging and Health, 20(5), 483-503, doi:10.1177/0898264308317533.
Kohle, N., Drossaert, H. C., Schreurs, K. M., Hagedoorn, M., Leeuw, I. M., & Bohlmeijer, E. T. (2015). A web-based self-help intervention for partners of cancer patients based on acceptance and commitment therapy: A protocol of a randomized controlled trial. BMC Public Health, 15(303), 1-13, doi:10.1186/s12889-015-1656-y.
Lazarus, R. S., & Folkman, S. (1984). Stress: Appraisal and coping. New York, US: Springer.
Lenz, A. (2013). Calculating effect size in single-case research: A comparison of non-overlap methods. Measurement and Evaluation in Counseling and Development, 46(1), 64-73. doi:10.1177/0748175612456401.
Losada, A., Moreno, R., Lopez, J., Gonzalez, M., Mausbach, B., Fernandez, V., & Gonzalez, C. (2015). Cognitive behavioral therapy (CBT) versus acceptance and commitment therapy (ACT) for demensia family caregivers with significant depressive symptoms: Results of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 83(4), 760-772. doi:10.1037/ccp0000028.
Mahleda, M., & Hartini, N. (2012). Post-traumatic growth pada pasien kanker payudara pasca mastektomi usia dewasa madya. Jurnal Psikologi dan Kesehatan Mental, 1(2), 67-71.
Marguire, P. & Parkes, C.M. (1998). Coping with loss: Surgery and loss of body parts. BMJ Clinical Research, 316(7137), 1086. doi: 10.1136/bmj.316.7137.1086.
Neuman, W. (2006). Social research methods: Qualitative and quantitive approaches (7th ed.). New York, US: Pearson Education Inc.
Nijboer, C., Tempelaar, R., Sanderman, R., Triemstra, M., Spruijt, R., & Van den bos, G, A. (1998). Cancer and caregiving: The impact on the caregiver’s health. Psycho-Oncology, 7(1), 3-13. doi:10.1002/(SICI)1099-1611(199801/02).
Othman, N., Mahmud, Z., & Karim, D. (2019). Family caregiver for cancer patients. Indian Journal of Public Health Research and Development, 10(6). 1-12, doi:10.5958/0976-5506.2019.01514.6.
Pallant, J. (2010). SPSS survival manual: A step by step guide to data analysis using the SPSS program (4th Edition). New York, US: McGraw Hill.
Palos, G. R., Mendoza, T. R., Liao, K., Anderson, K., Gonzales, A., Hahn, K., Nazario, A., Ramondetta, L. M., Valero, V., Lynch, G., Weiss, J., & Cleeland, C. (2010). Caregiver symptom burden: The risk of caring for an underserved patient with advanced cancer. Cancer, 117(5), 1070-1079. doi:10.1002/cncr.25695.
Ramli, M. (2015). Update breast cancer management diagnostic and treatment. Majalah Kedokteran Andalas, 38(1), 28-53.
Riskind, J.H. & Alloy, L. (2006). Cognitive vulnerability to psychological disorders: Overview of theory, design, and methods. Journal of Social and Clinical Psychology, 25(7), 705-725. doi:10.1521/jscp.2006.25.7.705.
Scruggs, T., & Mastropieri, M. (1998). Summarizing single-subject research: Issues and applications. Behavior Modification, 22(3), 221-242. doi:10.1177/01454455980223001.
Sercekus, P., Besen, D., Gunusen, N., & Edeer, D. (2014). Experiences of family caregivers of cancer patients receiving chemotherapy. Asian Pacific Journal of Cancer Pervention, 15(12), 5063-5069. doi:10.7314/APJCP.2014.15.12.5063.
Soemitro, M. P. (2012). Blak-blakan kanker payudara. Bandung, ID: Mizan Pustaka.
Son, J., Erno, A., Shea, D., Femia, E., Zarit, S., & Stephens, M. (2007). The cargiver stress process and health outcomes. Journal of Aging and Health, 19(6), 817-887. doi:10.1177/0898264307308568.
Stenberg, U., Ruland, C., & Miaskowski, C. (2010). Review of the literature on the effect of caring for a patient with cancer. Psycho-Oncology, 19(10), 1013-1025. doi:10.1002/pon.1670.
Sunanto, J., Takeuchi, K., & Nakata, H. (2005). Pengantar penelitian dengan subjek tunggal. Tsukuba, JP: Center for Research on International Coorporation in Educational Development (CRICED), University of Tsukuba.
Weitzner, M. A., Haley, W. E., & Chen, H. (2000). The family caregiver of the older cancer patient. Oncology Clinics of North America, 14(1), 269-281. doi:10.1016/S0889-8588(05)70288-4.
[WHO] World Health Organization. (2019). Preventing Cancer (online). Retrieved from https://www.who.int/activities/preventing-cancer.
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