Zeitschrift für fortgeschrittene Praktiken in der Krankenpflege

The Lactational Amenorrhea (LAM) is a new introductory method of family planning methods that simultaneously promotes child spacing and breastfeeding, with its
optimal nutrition and disease preventive benefits for the infant.

Education and training are terms closely related due to the similar objectives. As education strives to equip the learner with the primary skills and knowledge for handling
wide array of tasks, training cares for the skills for particular job tasks. However, education and training do not stand on different islands. They complement each other,
because, as Ariga&Brunello “there is a significant relationship between educational attainment and On-Job-Training”. Education empowers and opens chances for the
provision of the on-job- training (also referred to as the employer provided training) activities. In addition, there is an empirical regularity in the training that the educated
individuals get as compared to the less educated counterparts.

Quality of health care includes several aspects of health care delivery characterized by elements such as getting timely appointments, availability and affordability
services, easy access to information, and good communication with health care providers.

Background: Schizophrenia is a mental disorder characterized by impaired thought processes and weak emotional responses. This situation is generally a chaotic way of speaking and thinking, and is accompanied by significant social and work dysfunction. Early symptoms usually appear during young adulthood. One of the negative symptoms of schizophrenia is low self-esteem. Therapy given in this study is Acceptance and Commitment Therapy (ACT).

The Study: the purpose of this research is to determine the effect of Acceptance and Commitment Therapy on the reduction of symptoms of low self-esteem schizophrenia patients in mental hospitals in Medan, North Sumatra

Methods: This study used a quasi-experimental design with a control group". The sample of this study was schizophrenia patients with nursing problems with low selfesteem at mental hospital in North Sumatra. The sample of this study was 60 respondents, 30 respondents who received ACT and 30 respondents control group.

Results: The results showed no significant differences between the intervention group and the control group (p<0.05).Changes in symptoms of low self-esteem after being given ACT increased by 24, 51% and the control group by 7.74%. This means that the higher the percentage obtained, the lower the symptoms of low self-esteem in schizophrenic patients Conclusion: The results of this ACT study can be applied in public hospitals and mental hospitals and can be combined with other nursing therapies