KEEFEKTIFAN COGNITIVE BEHAVIOUR THERAPY UNTUK MENURUNKAN DERAJAT DEPRESI, MENINGKATKAN AKTIVITAS PERAWATAN DIRI, DAN MENURUNKAN KADAR GULA DARAH PASIEN DM TIPE 2 DI RS DR. MOEWARDI SURAKARTA

Satyaningrum, Rohmaningtyas Hidayah (2012) KEEFEKTIFAN COGNITIVE BEHAVIOUR THERAPY UNTUK MENURUNKAN DERAJAT DEPRESI, MENINGKATKAN AKTIVITAS PERAWATAN DIRI, DAN MENURUNKAN KADAR GULA DARAH PASIEN DM TIPE 2 DI RS DR. MOEWARDI SURAKARTA. Masters thesis, Universitas Sebelas Maret.

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    Abstract

    EFFECTIVENESS COGNITIVE BEHAVIOUR THERAPY TO DECREASE DEGREES OF DEPRESSION, IMPROVE SELF- CARE ACTIVITIES AND DECREASE BLOOD GLUCOSE OF PATIENT TYPE 2 DIABETES IN DR. MOEWARDI HOSPITAL SURAKARTA Rohmaningtyas Hidayah Setyaningrum Background: The effectiveness of adding psychotherapy have been proven successful for patients who suffer from depression with chronic medical illness, but this successful in reducing blood glucose in patients type 2 diabetes mellitus has not been shown to be consistent. Cognitive behaviour psychotherapy is based on the concept that changes in cognitive structure will change the patient's emotional state and behaviour. So expect the improvement in depression it will improve the patient's behaviour in this case diabetes self-care activities. Ultimately expected to be in control of blood glucose. Objective: To determine the effectiveness of Cognitive Behaviour Therapy (CBT) in decreasing the degree of depression, improve self-care activities, and decrease blood glucose of patients with type-2 Diabetes Mellitus in the Dr. Moewardi Hospital Surakarta. Methods: This study was an experimental design of randomized controlled trial with pre and post design. Depression was evaluated using the Beck Depression Inventory, diabetes self-care activities using the Summary of Diabetes Self-Care Activities, and blood glucose using fasting plasma glucose and postprandial glucose. The subject were type-2 Diabetes Mellitus outpatient clinic at Dr. Moewardi Hospital Surakarta. In total 34 patients were enrolled in the study, divided in two groups: treatment and control. Results: Subjects who received CBT significantly decrease scores of depression and level of blood glucose compared with that of the group without CBT (p <0,05), and very significantly increase in diabetes self-care activities (p<0,01). Conclusions: CBT is effective to decrease degree of depression, improve self-care activities, and decrease blood glucose of patients with type 2 diabetes mellitus. Key words: Cognitive Behaviour Therapy, depression, diabetes self-care activities, blood glucose. KEEFEKTIFAN COGNITIF BEHAVIOUR THERAPY UNTUK MENURUNKAN DERAJAT DEPRESI, MENINGKATKAN AKTIVITAS PERAWATAN DIRI, DAN MENURUNKAN KADAR GULA DARAH PASIEN DM TIPE 2 DI RS. DR. MOEWARDI SURAKARTA Rohmaningtyas Hidayah Setyaningrum Latar Belakang: Pemberian psikoterapi telah terbukti berhasil untuk pasien depresi yang menderita penyakit medis kronik, namun keberhasilannya dalam menurunkan kadar gula darah pasien Diabetes Mellitus tipe-2 belum terbukti konsisten. Psikoterapi kognitif perilaku didasarkan atas konsep bahwa perubahan dalam struktur kognitif akan mengubah kondisi emosi serta perilaku pasien. Sehingga diharapkan dengan membaiknya depresi maka akan memperbaiki perilaku pasien dalam hal ini aktivitas perawatan diri diabetesnya. Akhirnya diharapkan kadar gula darah akan terkendali. Tujuan: Untuk mengetahui keefektifan Cognitive Behaviour Therapy (CBT) dalam menurunkan derajat depresi, meningkatkan aktivitas perawatan diri, dan menurunkan kadar gula darah pasien Diabetes Mellitus tipe-2 di Rumah Sakit Dr. Moewardi Surakarta. Metode: Penelitian eksperimental dengan rancangan randomized controlled trial pre and post design. Depresi dievaluasi menggunakan Beck Depression Inventory, aktivitas perawatan diri diabetes menggunakan The Summary of Diabetes Self- Care Activities, dan kadar gula darah menggunakan Gula Darah Puasa dan Gula darah 2 Jam Post Prandial. Yang menjadi subjek adalah pasien Diabetes Mellitus tipe-2 di Poli Penyakit Dalam Rumah Sakit Dr. Moewardi Surakarta. Jumlah subjek 34 pasien, dibagi dua kelompok yaitu perlakuan dan kontrol. Hasil: Subjek yang mendapat CBT secara signifikan didapatkan penurunan skor depresi dan penurunan kadar gula darah dibandingkan kelompok yang tidak mendapat CBT (p<0,05) serta peningkatan secara sangat signifikan terhadap aktivitas perawatan diri diabetes (p<0,01). Kesimpulan: CBT efektif menurunkan derajat depresi, meningkatkan aktivitas perawatan diri, dan menurunkan kadar gula darah pasien diabetes mellitus tipe-2. Kata kunci: Cognitive Behaviour Therapy, depresi, aktivitas perawatan diri diabetes, gula darah.

    Item Type: Thesis (Masters)
    Subjects: R Medicine > RM Therapeutics. Pharmacology
    Divisions: Pasca Sarjana > Magister
    Depositing User: Nur Anisah
    Date Deposited: 23 Apr 2014 04:09
    Last Modified: 23 Apr 2014 04:09
    URI: https://eprints.uns.ac.id/id/eprint/12866

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