Pengaruh Cognitive Behavioral Therapy Terhadap Self Efficacy dan Self Care Behavior Pasien Hipertensi di Kota Palangka Raya
DOI:
https://doi.org/10.33084/jsm.v3i2.113Keywords:
Cognitive Behavioral Therapy, hypertension, self-efficacy, self-care behaviorAbstract
Nurse as educator and counselor for patients can provide assistance to patients in the form of the supportive-educative system by providing health education or counseling with the goal of treatment of hypertension patients were able to perform independently. One technique used counseling is Cognitive Behavioral Therapy (CBT) which is an approach to psychotherapy that is used to handle the emotions dysfunctional, maladaptive behaviors and cognitive processes and contents through goal-oriented, systematic procedure explicit. This study aims to determine the effect of Cognitive Behavioral Therapy (CBT) against self-efficacy and self-care behavior of patients with hypertension in the city of Palangkaraya. The design used in this study is a quasi-experiment with the non-randomized study design pretest-posttest control group design. Sampling techniques in this study were consecutive sampling, 12 patients with hypertension in the puskesmas Kayon, the city of Palangkaraya as the intervention group and 12 patients with hypertension in the puskesmas Panarung, the city of Palangkaraya as a control group. The results showed that Cognitive Behavioral Therapy (CBT) significantly improve self-efficacy of patients with hypertension in the city of Palangkaraya (p = 0.000) and also improve self-care behavior of patients with hypertension in the city of Palangkaraya (p=0.000) Recommendations of the results of this study is Cognitive Behavioral Therapy (CBT) can be used as action by nurses in puskesmas through home visits to patients with hypertension to reduce complications of the disease and improve the quality of life of patients hypertension.
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References
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Jernelov S., Lekander, M., Blom, K., Rydh, S., Ljótsson, B., Axelsson, J.& Kaldo, V., 2012. ‘Efficacy of a behavioral self-help treatment with or without therapist guidance for co-morbid and primary insomnia-a randomized controlled trial’. BMC Psychiatry. 2012 Jan 22;12:5.
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Molaie, A., Shahidi, S., Vazifeh, S., & Bagherian, S., 2010. ‘Comparing the effectiveness of cognitive behavioral therapy and movie therapy on improving abstinence self-efficacy in Iranian substance-dependent adolescents’. Procedia Social and Behavioral Sciences 5 (2010) 1180–1184.
Myers, E., Startup, H., & Freeman, D., 2011. ‘Cognitive behavioral treatment of insomnia in individuals with persistent persecutory delusions: a pilot trial’. J. Behav. Ther. & Exp. Psychiat. 42 (2011) 330e336.
NACBT, 2007. ‘Cognitive behavioral therapy’.
Notoatmodjo, S., 2010. Ilmu perilaku kesehatan. Jakarta: Rineka Cipta.
Nursalam, 2003. Konsep dan penerapan metodologi penelitian ilmu keperawatan: pedoman skripsi, tesis, dan instrumen penelitian. Jakarta: Salemba Medika.
Oemarjoedi, A.K. 2003. Pendekatan cognitive behavior dalam psikoterapi. Jakarta: Kreativ Media.
Puskesmas Panarung Kota Palangka Raya, 2013. Laporan surveilans kasus Penyakit Tidak Menular bulan September 2013.
Puskesmas Panarung Kota Palangka Raya, 2013. Laporan surveilans kasus Penyakit Tidak Menular bulan Oktober 2013.
Puskesmas Panarung Kota Palangka Raya, 2013. Laporan surveilans kasus Penyakit Tidak Menular bulan Nopember 2013.
Schuurmans, J., Comijs, H., Emmelkamp, P.M., Gundy, C.M., Weijnen, I., Van Den Hout M., & Van Dyck R., 2006. ‘A randomized controlled trial of the effectiveness of cognitive-behavioral therapy and sertraline versus a waitlist control group for anxiety disorders in older adults’. Am J Geriatr Psychiatry. 2006 Mar;14(3):255-63.
Schuurmans, J., Comijs, H., Emmelkamp, P.M., Weijnen, I., Van Den Hout M., & Van Dyck R., 2009. ‘Long-term effectiveness and prediction of treatment outcome in cognitive behavioral therapy and sertraline for late-life anxiety disorders’. Int Psychogeriatr. 2009 Dec;21(6):1148-59.
Shahni, R., Shairi, M.R., Moghaddam, M.A.A., & Zarnaghash, M., 2013. ‘Appointment the effectiveness of cognitive-behavioral treatment of pain on increasing of self-efficacy in patients with chronic pain’. Procedia-Social and Behavioral Sciences 84 (2013) 225–229.
Smeltzer, Suzanne C., 2002. Buku ajar keperawatan medikal bedah: Brunner & Sudarth. edisi 8. vol 2. Alih bahasa: Kuncara, dkk. Jakarta: EGC.
Stanley M.A., Wilson, N., Novy, D.M., Rhoades, H.M., Wagener, P., Greisinger, A.J., Cully, J.A., & Kunik, M.E., 2009. ‘Cognitive behavior therapy for generalized anxiety disorder among older adults in primary care: a randomized clinical trial’. JAMA. 2009 April 8; 301(14): 1460–1467.
Sung, J., Woo, J.M., Kim, W., Lim, S.K., & Chung, E.J., 2012. ‘The effect of cognitive behavior therapy-based "forest therapy" program on blood pressure, salivary cortisol level, and quality of life in elderly hypertensive patients’. Clin Exp Hypertens. 2012;34(1):1-7.
Tomey A.M. dan Alligood M. R., 2006. Nursing theorists and their work. 6th ed. USA: Mosby.
Waite, P., McManus, F., & Shafra, R., 2012. ‘Cognitive behavior therapy for low self-esteem: a preliminary randomized controlled trial in a primary care setting’. J. Behav. Ther. & Exp. Psychiat. 43 (2012) 1049e1057.
Zadeh, Z.F. & Lateef, M., 2012. ‘Effect of cognitive behavioral therapy (CBT) on depressed female university students in Karachi’. Procedia-Social and Behavioral Sciences 69 (2012) 798–806.
Arch, J.J., Ayers, C.R., Baker, A. Almklov, E., Dean, D.J., & Craske M.G., 2013. ‘Randomized clinical trial of adapted mindfulness-based stress reduction versus group cognitive behavioral therapy for heterogeneous anxiety disorders’. Behaviour Research and Therapy 51 (2013) 185e196.
Badan Penelitian dan Pengembangan Kesehatan Kemenkes R.I., 2013. Laporan hasil riset kesehatan dasar (Riskesdas) 2013. Kementerian Kesehatan Republik Indonesia, Jakarta.
Bandura, A., 1994. ‘Self-efficacy: toward a unifying theory of behavioral change’. Psychological Review 1977, vol. 84. no. 2. 191-215.
Bandura, A., 1994. ‘Self-efficacy. in v. s. Ramachandran (ed.), Encyclopedia of human behavior’. New York: Academic Press, vol. 4, pp. 71-81.
Bappeda Kota Palangka Raya, 2014. ‘Selayang pandang Kota Palangka Raya’, 11 Pebruari 2014.
Beck, Judith S., 2011. Cognitive behavior therapy: basics and beyond.2nd ed. New York: The Guilford Press.
Bosworth, H.B., Olsen, M.K., Grubber J.M., Neary A.M., RN, Orr M.M., Powers B.J., Adams M.B., Svetkey L.P., Reed S.D., Li, Yanhong, Dolor R.J., Oddone E.Z., 2009. ‘Two Self-management Interventions to Improve Hypertension Control’. Ann Intern Med. 2009;151:687-695.
Brashers, Valentina L., 2008. Aplikasi klinis patofisiologi: pemeriksaan dan manajemen. edisi 2. Alih bahasa: Kuncara. Jakarta: EGC.
Brennan, L., Walkley, J., Fraser, S.F., Greenway, K., & Wilks, R., 2008. ‘Motivational interviewing and cognitive behavior therapy in the treatment of adolescent overweight and obesity: study design and methodology’. Contemporary Clinical Trials 29(2008)359–375.
Cooper, Z., Doll, H.A., Hawker, D.M., Byrne, S., Bonner, G., Eeley, E., O’Connor, M.E., & Fairburn, C.G., 2010. ‘Testing a new cognitive behavioral treatment for obesity: a randomized controlled trial with three-year follow-up’. Behaviour Research and Therapy 48 (2010) 706e713.
Craciun, B., 2013. ‘The efficiency of applying for a cognitive behavioral therapy program in diminishing perfectionism, irrational beliefs, and teenagers’ stress’. Procedia-Social and Behavioral Sciences 84 (2013) 274–278.
Currie, S.R., Clark, S., Hodgins, D.C., & El-Guebaly, N., 2004. ‘Randomized controlled trial of brief cognitive-behavioral interventions for insomnia in recovering alcoholics’. Addiction. 2004 Sep;99(9):1121-32.
Dinas Kesehatan Kota Palangka Raya, 2009. Profil kesehatan Kota Palangka Raya, 2008.
Dinas Kesehatan Kota Palangka Raya, 2010. Profil kesehatan Kota Palangka Raya, 2009.
Dinas Kesehatan Kota Palangka Raya, 2011. Profil kesehatan Kota Palangka Raya, 2010.
Dinas Kesehatan Kota Palangka Raya, 2014. ‘UPTD Puskesmas Panarung’.
Edberg, M., 2010. Buku ajar kesehatan masyarakat: teori sosial dan perilaku. Alih bahasa: Anwar, dkk, Jakarta: EGC.
Evans, G., Lewin, T.J., Bowen, K., & Lowe, J., 2009. ‘Dealing with anxiety: a pilot cognitive behavioral therapy program for diabetic clinic outpatient attendees’. International Journal of Diabetes Mellitus 2 (2010) 51–55.
Findlow, J.W. & Seymour, R.B., 2011. ‘Prevalence rates of hypertension self-care activities among African Americans’. J Natl Med Assoc. 2011 June; 103(6): 503–512.
Findlow, J.W., Seymour, R.B., & Brunner, H.L.R., 2012. ‘The association between self-efficacy and hypertension self-care activities among African American adults’. J Community Health. 2012 Feb;37(1):15-24. doi: 10.1007/s10900-011-9410-6.
Friedman, Marilyn M., 1998. Keperawatan keluarga: teori dan praktik, ed.3. Jakarta: EGC.
Ilkhchi, S.V., Poursharifi, H., Alilob, M.M., 2011. ‘The effectiveness of cognitive-behavioral group therapy on self-efficacy and assertiveness among anxious female students of high schools’. Procedia-Social and Behavioral Sciences 30 (2011) 2586–2591.
Jernelov S., Lekander, M., Blom, K., Rydh, S., Ljótsson, B., Axelsson, J.& Kaldo, V., 2012. ‘Efficacy of a behavioral self-help treatment with or without therapist guidance for co-morbid and primary insomnia-a randomized controlled trial’. BMC Psychiatry. 2012 Jan 22;12:5.
Lemeshow, S., Hosmer, D.W., Klar, J. & Lwangsa, S.K., 1990. Adequacy of sample size in health studies. World Health Organization.
Marzocchi, R., Moscatiello, S., Villanova, N., Suppini, A., & Marchesini, G., 2008. ‘Psychological profile and quality of life of morbidly obese patients attending a cognitive behavioral program’. Psychological Topics 17 (2008), 2, 349-360.
Molaie, A., Shahidi, S., Vazifeh, S., & Bagherian, S., 2010. ‘Comparing the effectiveness of cognitive behavioral therapy and movie therapy on improving abstinence self-efficacy in Iranian substance-dependent adolescents’. Procedia Social and Behavioral Sciences 5 (2010) 1180–1184.
Myers, E., Startup, H., & Freeman, D., 2011. ‘Cognitive behavioral treatment of insomnia in individuals with persistent persecutory delusions: a pilot trial’. J. Behav. Ther. & Exp. Psychiat. 42 (2011) 330e336.
NACBT, 2007. ‘Cognitive behavioral therapy’.
Notoatmodjo, S., 2010. Ilmu perilaku kesehatan. Jakarta: Rineka Cipta.
Nursalam, 2003. Konsep dan penerapan metodologi penelitian ilmu keperawatan: pedoman skripsi, tesis, dan instrumen penelitian. Jakarta: Salemba Medika.
Oemarjoedi, A.K. 2003. Pendekatan cognitive behavior dalam psikoterapi. Jakarta: Kreativ Media.
Puskesmas Panarung Kota Palangka Raya, 2013. Laporan surveilans kasus Penyakit Tidak Menular bulan September 2013.
Puskesmas Panarung Kota Palangka Raya, 2013. Laporan surveilans kasus Penyakit Tidak Menular bulan Oktober 2013.
Puskesmas Panarung Kota Palangka Raya, 2013. Laporan surveilans kasus Penyakit Tidak Menular bulan Nopember 2013.
Schuurmans, J., Comijs, H., Emmelkamp, P.M., Gundy, C.M., Weijnen, I., Van Den Hout M., & Van Dyck R., 2006. ‘A randomized controlled trial of the effectiveness of cognitive-behavioral therapy and sertraline versus a waitlist control group for anxiety disorders in older adults’. Am J Geriatr Psychiatry. 2006 Mar;14(3):255-63.
Schuurmans, J., Comijs, H., Emmelkamp, P.M., Weijnen, I., Van Den Hout M., & Van Dyck R., 2009. ‘Long-term effectiveness and prediction of treatment outcome in cognitive behavioral therapy and sertraline for late-life anxiety disorders’. Int Psychogeriatr. 2009 Dec;21(6):1148-59.
Shahni, R., Shairi, M.R., Moghaddam, M.A.A., & Zarnaghash, M., 2013. ‘Appointment the effectiveness of cognitive-behavioral treatment of pain on increasing of self-efficacy in patients with chronic pain’. Procedia-Social and Behavioral Sciences 84 (2013) 225–229.
Smeltzer, Suzanne C., 2002. Buku ajar keperawatan medikal bedah: Brunner & Sudarth. edisi 8. vol 2. Alih bahasa: Kuncara, dkk. Jakarta: EGC.
Stanley M.A., Wilson, N., Novy, D.M., Rhoades, H.M., Wagener, P., Greisinger, A.J., Cully, J.A., & Kunik, M.E., 2009. ‘Cognitive behavior therapy for generalized anxiety disorder among older adults in primary care: a randomized clinical trial’. JAMA. 2009 April 8; 301(14): 1460–1467.
Sung, J., Woo, J.M., Kim, W., Lim, S.K., & Chung, E.J., 2012. ‘The effect of cognitive behavior therapy-based "forest therapy" program on blood pressure, salivary cortisol level, and quality of life in elderly hypertensive patients’. Clin Exp Hypertens. 2012;34(1):1-7.
Tomey A.M. dan Alligood M. R., 2006. Nursing theorists and their work. 6th ed. USA: Mosby.
Waite, P., McManus, F., & Shafra, R., 2012. ‘Cognitive behavior therapy for low self-esteem: a preliminary randomized controlled trial in a primary care setting’. J. Behav. Ther. & Exp. Psychiat. 43 (2012) 1049e1057.
Zadeh, Z.F. & Lateef, M., 2012. ‘Effect of cognitive behavioral therapy (CBT) on depressed female university students in Karachi’. Procedia-Social and Behavioral Sciences 69 (2012) 798–806.
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Published
2018-02-01
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Datak, G., Sylvia, E. I., & Manuntung, A. (2018). Pengaruh Cognitive Behavioral Therapy Terhadap Self Efficacy dan Self Care Behavior Pasien Hipertensi di Kota Palangka Raya. Jurnal Surya Medika (JSM), 3(2), 132–143. https://doi.org/10.33084/jsm.v3i2.113
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