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The Improvement of Elderly Acceptance in Cronic Pain, Comfort, and Quality of Life Through Acceptance and Commitment Therapy (ACT)

机译：通过接纳和承诺疗法（ACT）改善老年人对慢性疼痛，舒适度和生活质量的接纳

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Introduction: Chronic joint pain is a problem for the majority of elderly. Psychosocial factors have a great impact on people with chronic pain. The acceptance of pain in people with chronic pain can increase their activity daily living, comfort, and quality of life. Acceptance And Commitment Therapy (ACT) is a form of psychotherapy which effective in the management of chronic pain. The objective of this study was to analyze the effect of ACT on improvement acceptance of chronic pain, comfort, and quality of life elderly with chronic joint pain. Method: This study was used a quasy experiment pre-post test control group design. Population were elderly who lived at UPT PSLU Jombang di Pare-Kediri. Sample were 32 respondents gotten by purposive sampling, divided into experiment and control group. Independent variable was ACT, and dependent variables were pain acceptance, comfort, and quality of life elderly with chronic joint pain. Data were collected by using questionnaire with CPAQ (pain acceptance), GCQ (comfort) and WHO-QOLBREF (Quality of Life). Data then analyzed by using Wilcoxon Signed Ranks Test, Mann Whitney U Test, Paired t test and Independent Samples t test with significance value of 0.05. Result: The results had showed that there was an influence ACT to improvement acceptance of chronic pain (p=0,003), comfort (p=0,008), and quality of life elderly with chronic joint pain (p=0,002). Discussion: ACT improved pain acceptance, comfort, and quality of life of elderly with joint chronic pain. Geriatric nurses should include psychosocial activities as a routine activities, as an effort to improve the quality of life. Beside that, the quality of nursing care for elderly can be improved.
机译：简介：慢性关节痛是大多数老年人的问题。社会心理因素对患有慢性疼痛的人有很大的影响。在慢性疼痛患者中接受疼痛可以提高他们的日常生活，舒适度和生活质量。接受和承诺疗法（ACT）是一种有效治疗慢性疼痛的心理疗法。这项研究的目的是分析ACT对改善慢性痛患者的慢性疼痛，舒适度和生活质量的接受度。方法：本研究采用了准实验前，后测试对照组的设计。人口是住在UPT PSLU Jombang di Pare-Kediri的老年人。样本是通过有目的抽样获得的32名受访者，分为实验组和对照组。自变量为ACT，因变量为疼痛程度，舒适度和患有慢性关节痛的老年人的生活质量。通过使用带有CPAQ（疼痛接受），GCQ（舒适度）和WHO-QOLBREF（生活质量）的问卷来收集数据。然后使用Wilcoxon符号等级检验，Mann Whitney U检验，配对t检验和独立样本t检验分析数据，显着性值为0.05。结果：结果表明，ACT对改善慢性疼痛的接受度（p = 0,003），舒适度（p = 0,008）和老年慢性关节痛的生活质量（p = 0,002）有影响。讨论：ACT提高了患有关节慢性疼痛的老年人的疼痛接受度，舒适度和生活质量。老年护士应将社会心理活动作为日常活动，以改善生活质量。除此之外，可以提高老年人的护理质量。

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