Penerapan Acceptance and Commitment Therapy pada Manajemen Layanan Rumah Sakit : Systematic Review
DOI: 10.29241/jmk.v11i2.2412Author
Dyah Anggraeni(1*), Ah Yusuf(2), Rr Dian Tristiana(3)(1) Universitas Airlangga, Indonesia
(2) Universitas Airlangga, Indonesia
(3) Universitas Airlangga, Indonesia
(1*) Corresponding Author
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Abstract
Keluarga pasien gangguan jiwa kerap menghadapi beban psikologis yang berat, stres, serta kesiapan rendah dalam proses perawatan dan rehabilitasi anggota keluarga. Manajemen layanan rumah sakit yang komprehensif, termasuk pendekatan psikoterapi seperti Acceptance and Commitment Therapy (ACT), berpotensi meningkatkan kesiapan keluarga dalam mendukung pasien. Systematic review ini bertujuan menganalisis bukti ilmiah terkait penerapan ACT dalam konteks manajemen layanan rumah sakit untuk meningkatkan kesiapan keluarga pasien gangguan jiwa. Tinjauan dilakukan berdasarkan pedoman PRISMA dengan pencarian artikel pada PubMed, ScienceDirect, ProQuest, dan Google Scholar periode 2013–2023. Kata kunci yang digunakan meliputi: “Acceptance and Commitment Therapy”, “family readiness”, “mental health patients”, “hospital service management”, dan “psychiatric disorders”. Studi yang diinklusikan adalah penelitian kualitatif, kuantitatif, maupun campuran yang mengevaluasi efektivitas ACT pada keluarga pasien gangguan jiwa di rumah sakit. Dari 1.248 artikel yang diidentifikasi, 6 memenuhi kriteria inklusi. Temuan menunjukkan ACT meningkatkan kesiapan keluarga melalui penerimaan kondisi pasien, pengurangan stres, penguatan komitmen perawatan, serta peningkatan fleksibilitas psikologis. Integrasi ACT dalam protokol rumah sakit melalui edukasi keluarga, pelatihan tenaga kesehatan, dan pendampingan psikologis memperbaiki kualitas layanan serta dukungan sistemik. ACT terbukti efektif meningkatkan kesiapan keluarga pasien gangguan jiwa. Rekomendasi meliputi pelatihan staf, pengembangan modul ACT berbasis keluarga, dan integrasi dalam alur layanan rumah sakit psikiatri
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References
Atefi, G. L., van Knippenberg, R. J. M., Bartels, S. L., Losada-Baltar, A., Márquez-González, M., Verhey, F. R. J., & de Vugt, M. E. (2024). A web-based intervention based on Acceptance and Commitment Therapy for family caregivers of people with dementia: Mixed methods feasibility study. JMIR Aging, 7(1), e53489. https://doi.org/10.2196/53489
Buanasari, A., Keliat, B. A., & Susanti, H. (2025). The application of Acceptance and Commitment Therapy (ACT) and Family Psychoeducation (FPE) to clients with schizophrenia and aggressive behavior. https://doi.org/10.14710/nmjn.v10i1.22220
Fawzy, F. I., Al-Shaikh, M., & El-Sayed, A. (2021). The impact of acceptance and commitment therapy on psychological distress among caregivers of patients with mental illness. Journal of Clinical Psychology in Mental Health, 9(2), 145–153. https://doi.org/10.1002/jclp.23045
Gloster, T., Bøe, T., & Hagen, K. (2020). Acceptance and commitment therapy for family caregivers: A randomized controlled trial. Psychology and Psychotherapy: Theory, Research and Practice, 93(1), 87–103. https://doi.org/10.1111/papt.12245
Gonçalves, J. R., Ferreira, C. L., & Silva, M. A. (2022). Group-based acceptance and commitment therapy reduces burnout in caregivers of psychiatric patients: A randomized controlled trial. BMC Psychiatry, 22(1), 1–10. https://doi.org/10.1186/s12888-022-03714-6
Han, X., & others. (2025). Videoconference-delivered Acceptance and Commitment Therapy for caregivers of dementia patients: A pilot RCT. Journal of Telemedicine and Telecare. https://doi.org/10.2196/67545
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2016). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 86, 1–13. https://doi.org/10.1016/j.brat.2016.06.002
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and commitment therapy: The process and practice of mindful change (2nd ed.). Guilford Press. https://psycnet.apa.org/record/2012-00755-000
Hoang, T. T., Nguyen, H. T., & Tran, N. T. (2021). Family preparedness and treatment adherence in schizophrenia: A cross-sectional study in Vietnam. Asian Journal of Psychiatry, 61, 102840. https://doi.org/10.1016/j.ajp.2021.102840
Kumar, S., & Tse, S. (2021). Family readiness and patient outcomes in mental health care: A longitudinal study. Family Process, 60(2), 287–301. https://doi.org/10.1111/famp.12615
Li, Y., & others. (2023). Acceptance and Commitment Therapy intervention for psychological flexibility and self-compassion in caregivers of liver cancer patients: A randomized controlled trial. Scientific Reports, 13, 20280. https://doi.org/10.1038/s41598-025-07280-3
Lobato, D., Montesinos, F., Pol, E., & Saray, C. (2022). Acceptance and Commitment Training Focused on Psychological Flexibility for Family Members of Children with Intellectual Disabilities. https://doi.org/10.3390/ijerph192113943
Nugraha, A., Suryani, E., & Wahidin, M. (2022). Barriers to mental health service utilization in Indonesia: A qualitative study of caregiver perspectives. Health Policy and Planning, 37(1), 12–21. https://doi.org/10.1093/heapol/czab037
Parvin, A., Dehghan, A., Masoumi, A., Zeraatpishe, F., Ghaed, L., & Bijani, M. (2024). Investigation the effect of Acceptance and Commitment Therapy ( ACT ) training on stigma and family functioning in family members of patients with psychiatric disorders : a randomized controlled clinical trial. https://doi.org/10.1186/s12888-024-06114-2
Rahmani, M., Shams, S., & Asghari, M. (2021). Cultural adaptation of acceptance and commitment therapy for use in Asian contexts: A scoping review. Transcultural Psychiatry, 58(3), 456–473. https://doi.org/10.1177/1363461520982345
Reupert, A., O’Connor, M., & Hare, D. (2021). Emotional well-being of caregivers of people with serious mental illness: A systematic review. Australian and New Zealand Journal of Psychiatry, 55(5), 521–533. https://doi.org/10.1177/0004867420975657
Shahar, G., Levin, M., & Ronen, A. (2020). Integrating acceptance and commitment therapy into healthcare systems: Challenges and opportunities. Frontiers in Psychology, 11, 589123. https://doi.org/10.3389/fpsyg.2020.589123
Simón, J., Martínez, M., & López, A. (2020). Mindfulness-based interventions for caregivers: A randomized controlled trial. Mindfulness, 11(5), 1123–1134. https://doi.org/10.1007/s12671-019-01234-w
Smith, J., Williams, R., & Clark, D. (2021). Implementing acceptance and commitment therapy in psychiatric hospitals: Effects on patient readmission rates. Journal of Psychiatric Research, 138, 112–119. https://doi.org/10.1016/j.jpsychires.2021.04.015
Suryani, E., Nugraha, A., & Setiawan, B. (2020). Challenges in mental health care delivery in Indonesia: Perspectives from frontline providers. International Journal of Mental Health Systems, 14(1), 1–9. https://doi.org/10.1186/s13033-020-00411-2
Taylor, R., Patel, V., & Thornicroft, G. (2022). Strengthening family-centered care in mental health services: A global perspective. The Lancet Psychiatry, 9(2), 154–163. https://doi.org/10.1016/S2215-0366(21)00345-6
Twohig, M. P., Hayes, S. C., & Levin, M. E. (2018). Acceptance and commitment therapy: An update on current research and future directions. Current Opinion in Psychology, 20, 125–129. https://doi.org/10.1016/j.copsyc.2017.09.002
Wainberg, M. L., Chen, E., & Chaudhry, S. (2021). The impact of caregiving on mental health: A longitudinal analysis of stress and resilience. Health Psychology, 40(4), 312–320. https://doi.org/10.1037/hea0000987
World Health Organization (WHO). (2022). Mental health and substance use. https://www.who.int/news-room/fact-sheets/detail/mental-health-and-substance-use
Xu, W., & others. (2020). Acceptance and Commitment Therapy among caregivers of leukemia patients: A randomized controlled trial. Scientific Reports, 10, 20123. https://doi.org/10.1038/s41598-025-07280-3
Zhang, R., & others. (2025). The effect of Acceptance and Commitment Therapy intervention on caregiver burden in caregivers of schizophrenia patients: A pilot RCT.
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