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"This book reviews the research and philosophical foundations for using mindfulness, acceptance, and Buddhist psychology in couple and family therapy. It also provides a detailed and practical approach for putting these ideas into action in the therapy room, including a mindful approach to therapeutic relationships, case conceptualization, treatment planning, teaching meditation, and intervention."

"AbstrakMen who have sex with men (MSM) comprise a population at risk for HIV infection. Assessing the Quality of Life (QOL) in MSM might be different than other populations. This study showed a secondary analysis from our previous research. It was needed to understand whether peer support and family acceptance had an impact on QOL of MSM living with HIV and ART (Antiretroviral Therapy). A total of 175 respondents were involved in this cross-sectional study that was carried out with purposive sampling. The questionnaires were translated to Bahasa and tested for validity and reliability. Data questionnaires completed were analyzed. Results showed that peer support was positively correlated with QOL (p= 0.023; OR= 2.070), and also, family acceptance was significantly related to QOL (p= 0.001; OR= 2.766). Thus, peer support and family acceptance are important factors affecting the well-being and QOL of MSM living with HIV and ART. This finding can be used for the improvement of QOL in people living with HIV."

"Heart failure and hypertension are non-communicable diseases that are responsible for 70% of deaths worldwide and cause anxiety and impaired body image. Nursing interventions (therapy in general) and acceptance and commitment therapy increase patients’ acceptance of the disease and commitment to alleviate anxiety and improve impaired body image. Meanwhile, family psychoeducation improves the family’s ability to care for the patient. This case report presents two patients with heart failure and hypertension. The two patients experienced a decrease in symptoms on the cognitive aspects (difficulty concentrating, focusing on self, and decline body changes), affective aspects (worry, shame, and despair), physiological aspects (sleep disorders and appetite), and behavioral aspects (daydreaming, decreased productivity, and social difficulties). Patients who find difficulty enjoying daily activities and increasing their ability and commitment to overcome anxiety and impaired body image should receive nursing intervention, acceptance and commitment therapy, and family psychoeducation as part of nursing services.

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Peningkatan Kemampuan Klien Merawat Ansietas dan Gangguan Citra Tubuh: Laporan Kasus Acceptance and Commitment Therapy dan Psikoedukasi Keluarga. Gagal jantung dan hipertensi merupakan penyakit tidak menular yang menjadi penyebab 70% kematian di dunia serta menyebabkan ansietas dan gangguan citra tubuh. Tindakan keperawatan ners dan ners spesialis Acceptance and commitment therapy diberikan pada klien agar dapat meningkatkan penerimaan terhadap penyakit dan komitmen merawat ansetas dan gangguan citra tubuh. Psikoedukasi keluarga dilakukan agar keluarga mampu membantu merawat klien dalam menghadapi penyakitnya. Metode yang digunakan berupa laporan kasus dalam bentuk case series pada dua klien dewasa dengan gagal jantung dan hipertensi. Hasil menunjukkan bahwa kedua klien mengalami penurunan gejala pada aspek kognitif berupa sulit konsentrasi, fokus pada diri sendiri, tidak menerima perubahan tubuh; afektif: khawatir, malu dan putus asa; aspek fisilogis: gangguan tidur dan tidak nafsu makan; perilaku: melamun, penurunan produktivitas; dan sosial: sulit menikmati kegiatan harian serta terjadi peningkatan kemampuan klien dalam menerima penyakit dan komitmen merawat ansietas dan gangguan citra tubuh. Pemberian tindakan keperawatan ners dan ners spesialis acceptance and commitment therapy serta psikoedukasi keluarga perlu dibudayakan dalam pemberian pelayanan keperawatan di unit umum."

"Stres psikologis mengacu pada hubungan antara seseorang dan lingkungan yang dinilai oleh seseorang berlebihan atau melampaui kemampuannya, membahayakan kesejahteraan orang tersebut. Stress orang tua dalam membesarkan anak menimbulkan kesulitan tersendiri bagi orang tua khususnya ibu. Adapun penulisan Karya Tulis Ilmiah ini bertujuan untuk memberikan gambaran hasil penerapan praktik berbasis bukti pada pengelolaan stres pengasuhan melalui asuhan keperawatan Ibu N di RT 02 RW 02, Kelurahan Jatijajar. Metode penelitian yang digunakan adalah case study. Terapi Meditasi Mindfulness diberikan selama 7 kali dengan disertakan pemantauan tekanan darah yang dilakukan sebelum dan setelah diberikan meditasi mindfulness. Hasil dari intervensi terapi meditasi Mindfulness, yaitu pada saat kunjungan pertama stres pengasuhan (skor 90) dengan menggunakan parenting stress index yang memiliki 3 kategori yaitu (1) rendah: <72; (2) sedang: 72 – 102; (3) tinggi : ≥102 kategori rendah, sedangkan setelah dilakukanya meditasi Mindfulness selama 7 kali skor stres pengasuhan menjadi 80 kategori sedang. Selama 7 kali dilakukan meditasi Mindfulness

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Psychological stress refers to a relationship between a person and the environment that is valued by a person excessively or beyond his or her capabilities, endangering the person's well-being. Parental stress in raising children creates its own difficulties for parents, especially mothers. The aim of writing this scientific paper is to provide an overview of the results of implementing evidence-based practices in managing parenting stress through Mrs. N's nursing care in RT 02 RW 02, Jatijajar Village. The research method used is a case study. Mindfulness Meditation Therapy was given 7 times with blood pressure monitoring included before and after being given mindfulness meditation. The results of the Mindfulness meditation therapy intervention, namely at the first visit parenting stress (score 90) using the parenting stress index which has 3 categories, namely (1) low: <72; (2) moderate: 72 – 102; (3) high: ≥102 low category. whereas after carrying out Mindfulness meditation for 7 times the parenting stress score was 80 in the medium category. Do Mindfulness meditation 7 times"

"ABSTRAKGagal jantung dan hipertensi merupakan penyakit tidak menular yang menjadipenyebab 70 kematian di dunia serta menyebabkan ansietas dan gangguan citratubuh. Tindakan keperawatan ners dan ners spesialis Acceptance and commitmenttherapy diberikan pada klien agar dapat meningkatkan penerimaan dan komitmenmerawat penyakit untuk mencapai kesembuhan. Psikoedukasi keluarga dilakukan agarkeluarga mampu membantu merawat klien dalam menghadapi penyakitnya. Metodeyang digunakan berupa laporan kasus dalam bentuk case series pada 3 klien dewasadengan gagal jantung dan hipertensi. Hasil menunjukkan bahwa ketiga klienmengalami penurunan gejala pada aspek kognitif berupa sulit konsentrasi, fokus padadiri sendiri, tidak menerima perubahan tubuh; afektif: khawatir, malu dan putus asa;fisilogis: gangguan tidur dan tidak nafsu makan; perilaku: melamun, penurunanproduktivitas; dan sosial: sulit menikmati kegiatan harian serta terjadi peningkatankemampuan klien dalam menerima penyakit dan komitmen merawat ansietas dangangguan citra tubuh. Pemberian tindakan keperawatan ners dan ners spesialis acceptance and commitment therapy serta psikoedukasi keluarga perlu dibudayakandalam pemberian pelayanan keperawatan di unit umum. Kata kunci: Ansietas, Gangguan Citra Tubuh, Acceptance and commitment therapy,psikoedukasi keluarga

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ABSTRACTABSTRACT: Heart failure and hypertention are a non communicable diseases that cause 70 of deathsin the world and causes ansietas and impaired body image. Nursing Intervention Therapyas usual and Acceptance and commitment therapy is given to the client in order to increaseacceptance of the disease and commit to caring anxiety and impaired body image. FamilyPsychoeducation is given to improve family ability for caring client. The method used iscase reports in the form of case series in 3 adult with heart failure and hipertention. Theresults showed that the three clients experienced a decrease in symptoms on the cognitiveaspect of difficulty concentrating, focusing on self, decline body changes Affective worry,shame and despair Fisilogis sleep disorders and no appetite Behavior daydreaming,decreased productivity And social it is difficult to enjoy daily activities as well asincreasing the ability of clients in receiving illness and commitment to care for anxiety andimpaired body image. Nursing intervention and acceptance and commitment therapy and family psychoeducation should be realised in the provision of nursing services."

"Perilaku kekerasan merupakan perilaku yang sering ditemui pada klien dengan skizofrenia yang mengakibatkan klien dapat mencederai diri sendiri, orang lain dan lingkungannya serta menjadi penyebab rehospitalisasi. Tindakan keperawatan ners, dan Acceptance Commitment Therapy ACT diberikan pada klien dengan tujuan untuk menurunkan tanda gejala risiko perilaku kekerasan, meningkatkan kemampuan klien mengontrol emosi, menerima masalahnya dan berkomitmen, sedangkan Family Psychoeducation FPE diberikan dengan tujuan meningkatkan kemampuan keluarga dalam merawat klien. Tindakan keperawatan diberikan kepada 5 klien risiko perilaku kekerasan dengan menggunakan pendekatan model stres adaptasi stuart. Hasil yang didapatkan adalah terjadi penurunan tanda gejala risiko perilaku kekerasan pada aspek kognitif, afektif, fisiologis, perilaku dan sosial, terjadi peningkatan kemampuan klien dalam mengontrol emosi, menerima masalahnya, dan berkomitmen, serta kemampuan keluarga dalam merawat. Hasil penanganan kasus ini merekomendasikan pentingnya pelaksanaan tindakan keperawatan ners sendiri terhadap klien dan keluarga serta menggunakan sistem rujukan jika tindakan keperawatan ners tidak mampu mengatasi masalah klien. Penelitian lebih lanjut juga diperlukan dengan kelompok kontrol dan follow-up berkelanjutan untuk melihat sejauh mana komitmen klien terhadap terapi.

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Agressive behavior is frequently occured in clients with schizophrenia that resulted clients injured themselves, others and the environment and caused rehospitalization. Nursing intervention Therapy As Usual TAU , and Acceptance Commitment Therapy ACT were delivered in order to reduce signs of violent behavior, improve clients ability to control anger, to accept the problems and commit to the therapy, while Family Psychoeducation FPE was given to improve the family 39 s ability in caring for clients. TAU, ACT and FPE were given to 5 clients of risk of agressive behavior by using the stuart tress adaptation model approach. The finding indicated decrease in signs of agressive behavior on cognitive, affective, physiological, behavioral and social aspects, increasing client 39 s ability to control anger, accept problems, and commit to the therapy, as well as family rsquo s ability in caring. The results of this case report recommends the importance of implementing nursing intervention TAU itself both on clients and the families and using a referral system to the specialist nurse if TAU are not able to solve client rsquo s problem. Further research is also required with continuous control group and follow up intervention to see how committed clients are to the therapy."

"Pendahuluan : Kesehatan jiwa merupakan komponen integral dari kesehatan dan kesejahteraan yang mendasari kemampuan individu untuk mengambil keputusan, membangun hubungan, dan membentuk dunia ditempat yang ditinggali. Rawat inap dan penyakit kronis meningkatkan level distres psikologis yang dialami klien terutama ansietas dan ketidakefektifan koping. Ansietas dan ketidakefektifan koping berdampak negatif pada diri klien diantaranya dapat memperburuk kondisi medisnya, kualitas hidup menurun, meningkatnya penggunaan dan biaya layanan kesehatan serta penurunan kepatuhan pengobatan. Tujuan : Memberikan gambaran hasil penerapan acceptance commitment therapy dan family psychoeducation pada klien ansietas dan ketidakefektifan koping menggunakan pendekatan model adaptasi Roy di Rumah Sakit Umum. Hasil : Terdapat penurunan tanda gejala ansietas dan ketidakefektifan koping setelah diberikan acceptance commitment therapy dan family psychoeducation. Selain itu terdapat peningkatan kemampuan individu dan keluarga dalam mengatasi masalah ansietas dan ketidakefektifan koping. Kesimpulan : Acceptance Commitment Therapy dan Family Psychoeducation dengan pendekatan model adaptasi Roy direkomendasikan untuk diberikan pada klien dengan ansietas dan ketidakefektifan koping.

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Introduction: Mental health is an integral component of health and well-being that underlies an individual's ability to make decisions, build relationships, and shape the world in which they live. Hospitalization and chronic illness increase the level of psychological distress experienced by clients, especially anxiety and ineffective coping. Anxiety and ineffective coping have a negative impact on clients, including worsening medical conditions, decreasing quality of life, increasing use and costs of health services and decreasing medication compliance. Objective: To provide an overview of the results of applying acceptance commitment therapy and family psychoeducation to clients with anxiety and ineffective coping using the Roy adaptation model approach at a General Hospital. Results: There was a decrease in signs of anxiety symptoms and ineffective coping after being given acceptance commitment therapy and family psychoeducation. Apart from that, there is an increase in the ability of individuals and families to overcome anxiety problems and ineffective coping. Conclusion: Acceptance Commitment Therapy and Family Psychoeducation with the Roy adaptation model approach are recommended for clients with anxiety and ineffective coping."

"Latar Belakang: Kanker kolorektal merupakan salah satu penyakit kanker tertinggi di Indonesia. Fokus perawatan selama ini lebih banyak tentang cara merawat stoma. Namun masalah psikososial gangguan citra tubuh yang melekat pada pasien sering diabaikan. Tujuan penulisan karya ilmiah ini untuk memberikan gambaran penerapan acceptance commitment therapy dan family psychoeducation pada gangguan citra tubuh pasien kanker kolorektal dengan pendekatan teori chronic sorrow. Metode yang digunakan yaitu laporan kasus hasil asuhan keperawatan jiwa spesialistik yang dilakukan pada 31 orang pasien dan 31 orang caregiver. Intervensi dilakukan selama 2 siklus kemoterapi rawat inap masing – masing 5 hari rawat dengan rata – rata pertemuan 45 – 60 menit. Hasil pengukuran pre dan post menunjukan penurunan tanda gejala gangguan citra tubuh. Perubahan tanda gejala paling dominan yaitu aspek kognitif, aspek fisiologis dan aspek sosial. Dampak lain yang dihasilkan yaitu meningkatnya dukungan keluarga dan kualitas hidup pasien. Intervensi ini dapat diaplikasikan pada gangguan citra tubuh pada pasien kanker kolorektal.

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Colorectal cancer is one of the highest cancers in Indonesia. The focus of treatment so far is more about how to treat stomas. However, psychosocial problems of body image disorders inherent in patients are often overlooked. The purpose of writing this scientific paper is to provide an overview of the application of acceptance commitment therapy and family psychoeducation in body image disorders of colorectal cancer patients with a chronic sorrow theory approach. The method used was a case report of specialist psychiatric nursing care results carried out on 31 patients and 31 caregivers. The intervention was performed during two cycles of inpatient chemotherapy of 5 days each with an average meeting of 45 – 60 minutes. The results of pre and post-measurements showed a decrease in symptoms of body image disorders. The most dominant changes in symptom signs are cognitive, physiological, and social. Another impact that resulted was an increase in family support and patients' quality of life. This intervention can be applied to body image disorders in colorectal cancer patients."