ABSTRAKPendahuluan: Permasalahan yang terjadi pada klien dengan hemodialisis (HD) adalah terjadi penambahan berat badan atau Interdialytic Weight Gain (IDWG) karena ketidakpatuhan klien dalam pembatasan cairan. Tujuan penelitian adalah mengetahui perbedaan efektifitas pemberian Self Help Group (SHG) dengan Acceptance and Commitment Therapy (ACT) terhadap penurunan IDWG klien yang menjalani HD.Metode: Desain penelitian menggunakan kuasi eksperimental dengan pendekatan kelompok kontrol pre dan post. Jumlah responden 57 orang dipilih menggunakan purposive sampling. Variabel independen adalah SHG dan ACT, sedangkan variabel dependen IDWG. Uji statistik untuk kelompok SHG dan kelompok pembanding menggunakan Wilcoxon Signed_Rank Test dengan nilai p≤0,005, untuk kelompok ACT menggunakan Paired T Test dengan nilai p≤0,005. Perbandingan antara SHG, ACT dan kelompok pembanding menggunakan Mann Whitney dengan nilai p≤0,005.Hasil: Hasil uji Wilcoxon Signed Rank Test kelompok SHG p=0,002, hasil uji Paired T Test kelompok ACT p=0,000, hasil Wilcoxon Signed Rank Test kelompok pembanding p=0,224. Hasil statistik Mann Whitney antara SHG-ACT didapatkan nilai p=0,838; uji Mann Whitney SHG-kelompok pembanding p=0,044; uji Mann Whitney ACT-kelompok pembanding p=0,015. Hasil uji statistik menunjukan bahwa antara SHG dan ACT keduanya efektif terhadap penurunan IDWG namun pemberian ACT lebih efektif terhadap IDWG dengan p=0,015.Kesimpulan: Penerapan SHG dan ACT efektif terhadap penurunan IDWG pada klien yang menjalani HD, diharapkan SHG dan ACT dapat diterapkan untuk mengantisipasi IDWG yang berlebihan pada klien yang menjalani HD.ABSTRACT Introduction: Problem that occurs in hemodialysis clients was the occurrence of Interdialytic Weight Gain (IDWG) due to client's nonadherence in fluid restrictions. Thus, Self Help Group (SHG) with Acceptance and Commitment Therapy (ACT) were applied. The purpose of the study was to determine the differences in the effectiveness of SHG with ACT towards the decrease of IDWGs in clients' hemodialysis.
Method:The study used quasi-experimental with pretest-posttest one control group design. Total respondent were 57 people determined by purposive sampling. The independent variables were SHG and ACT. The dependent variable was IDWG. Statistical test using Wilcoxon Signed_Rank Test with significance level p≤0,005 to compare between SHG and comparator group, Paired T Test with significance level p≤ 0,005 for ACT, and Mann Whitney with significance level p≤0,005 to compare between SHG, ACT, and comparator group.Result: Wilcoxon Signed Rank Test of SHG's group obtained p=0.002, Paired T Test of ACT's group obtained p=0.000, Wilcoxon Signed Rank Test of comparator's group obtained p=0.224. Statistical test using Mann Whitney between SHG-ACT obtained p=0.838, Mann Whitney test between SHG-comparator obtained p=0.044, while Mann Whitney test between ACT-comparator obtained p=0.015. The results showed that both SHG and ACT were effective against the decline of IDWG, but ACT was more effective than SHG with p=0.015....
