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"Ketidakefektifan pemeliharaan kesehatan diartikan sebagai suatu ketidakmampuan klien dalam mengenal, mengatur, serta mencari bantuan dalam usaha untuk meningkatkan serta mempertahankan kesehatannya. Acceptance and commitment therapy melalui pendekatan Teori Self-care Orem dan Model Tidal Phil Baker yang diberikan pada klien ketidakefektifan pemeliharaan kesehatan bertujuan untuk meningkatkan kemampuan klien dalam menerima dan berkomitmen pada pengobatan. Tujuan studi kasus ini adalah untuk mengetahui manfaat dari pemberian Acceptance and commitment therapy pada klien ketidakefektifan pemeliharaan kesehatan. Metode studi kasus digunakan untuk membuktikan manfaat dari Acceptance and commitment therapy pada klien ketidakefektifan pemeliharaan kesehatan Hasil: setelah diberikan 2 sesi Acceptance and commitment therapy kelima klien mampu menerima keadaannya sakitnya saat ini, menerima regimen terapeutik yang dianjurkan oleh tenaga kesehatan, serta mampu menerapkan nilai-nilai yang dimiliki dalam proses perawatan dan berkomitmen untuk mematuhinya agar tidak terjadi kekambuhan. Kesimpulan dari studi kasus ini adalah pemberian Acceptance and commitment therapy dengan pendekatan Teori Self-care Orem dan Model Tidal Phil Baker tepat diterapkan pada klien dengan ketidakefektifan pemeliharaan kesehatan.

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Health maintenance ineffectiveness is defined as a client's inability to recognize, organize, and seek help in an effort to improve and maintain their health. Acceptance and commitment therapy through Orem's Self-care Theory approach and Phil Baker's Tidal Model given to clients with ineffective health care aims to improve clients' ability to accept and commit to treatment. The purpose of this case study is to determine the benefits of providing Acceptance and commitment therapy to clients with health maintenance ineffectiveness. The case study method was used to prove the benefits of Acceptance and commitment therapy for clients with health maintenance ineffectiveness Results: after being given 2 sessions of Acceptance and commitment therapy, the five clients were able to accept their current illness, accept the therapeutic regimen recommended by health workers, and were able to apply their values in the treatment process and commit to adhering to it to prevent relapse. The conclusion of this case study is that the provision of Acceptance and commitment therapy with the Orem Self-care Theory approach and the Phil Baker Tidal Model is appropriately applied to clients with ineffective health maintenance."

"Klien gangguan jiwa cenderung tidak produktif dan berpenghasilan mempengaruhi stigma sehingga menyebabkan Harga Diri Rendah (HDR) dan isolasi sosial. Klien memerlukan pemulihan jangka panjang, yang dipersulit insight buruk. Tujuan: menjelaskan penerapan Acceptance and Commitment Therapy (ACT), Cognitive Behavior Social Skills Training (CBSST) menggunakan pendekatan Model Adaptasi Roy (MAR) dan Model Tidal. MAR sebagai kerangka utama dan Teori Model Tidal pada proses kontrol koping. Analisis dilakukan pada 32 klien ACT+CBSST, dan 22 klien CBSST. Hasil: ACT+CBSST memperbaiki insight dan meningkatkan keterampilan sosial, perilaku adaptif meningkatkan penurunan tanda gejala HDR kronis dan isolasi sosial. Saran: kombinasi ACT+CBSST pilihan pada awal program pemulihan.

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Clients of mental disorders tend to be non- productive and non-income that affect stigma the impact Low Self-Esteem (LSE) and social isolation. The client required a long-term recovery, which compounded a poor insight.

Objective: explained the application of Acceptance and Commitment Therapy (ACT), Cognitive Behavior Social Skills Training (CBSST) by using the approaches of Roy Adaptation Model (RAM) and the Tidal Model. RAM as the main framework and the Tidal Model Theory as coping control process. Analysis was performed on 32 ACT + CBSST clients, and 22 CBSST client.

Results: ACT improved insight and increased social skills, improved adaptive behavior and decreased in signs and symptoms of chronic LSE and social isolation.

Recomendation: the combination of ACT + CBSST choice at the beginning of the recovery program."