Ruben Dharmawan
Public Health Science Study Program, Postgraduate Program of Sebelas Maret University

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The Effect of Peer Support Group on Depression and Quality of Life among People Living with HIV/AIDS in Kediri East Java Astika Rasyiid; Ruben Dharmawan; Supriyadi Hari Respati
Journal of Health Promotion and Behavior Vol. 1 No. 1 (2016)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: People living with Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome or HIV/AIDs encounter such problems as society stigma and depression that can affect their quality of life in the term of physical, mental, and social health. Social support should be improved from individual, family, Peer Support Group (PSG), and government. PSG serves to help PLWHA feel not lonely, to give opportunity of seeing others, of sharing information about newest treatment and local support service, to reduce isolation, to improve social support, and to reduce stigma in order to achieve better quality of life and to reduce depression. The objective of research was to analyze the effect of KDS on depression and quality of life among PLWHA in Friendship Plus Peer Support Group in Kediri City.Subjects and Method: This study was an analytical observational study with cross sectional design. This was conducted at Friendship Plus Peer Support Group in Kediri, Indonesia in May to July 2016. The sample consisted of 60 subjects taken using simple random sampling. Technique of collecting data used was questionnaire, while analysis was carried out using Pearson’s Product Moment correlational and multiple linear regression tests.Results: The result of research showed that there was a statistically significant effect of Peer Support Group on the reduced depression in PLWHA (b= -0.60; 95% CI= -0.82 to 0.38; p<0.001). Depression was affected by family income of 88.8% (b= -8.68; 95% CI= 0.01; p=0.021) and education (b= -7.86; 95% CI= -14.05 to 1.67; p=0.014). There was a statistically significant effect of Peer Support Group on the improved quality of life among PLWHA (b=0.32; 95% CI= 0.09 to 0.53; p=0.005). Quality of life was affected by family income of 92.3% (b= 1.36; 95% CI= 0.01; p<0.001) and education (b=20.84; 95% CI=  14.75 to 26.93; p<0.001). Conclusion: This research concluded that there was an effect of peer support group on the reduced depression among PLWHA and there was an effect of peer support group the improved quality of life among PLWHA.Keywords: peer support group, depression, quality of life, PLWHACorrespondence: Astika Rasyiid. Diploma III Midwifery of Tulungagung University, East Java.Journal of Health Promotion and Behavior (2016), 1(1): 32-40https://doi.org/10.26911/thejhpb.2016.01.01.05
Decision to Choose Acupuncture Therapy for Degenerative Diseases among the Elderly at Ja’far Medika Hospital, Karanganyar Purwanto -; Ruben Dharmawan; Argyo Demartoto
Journal of Health Promotion and Behavior Vol. 1 No. 2 (2016)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Aging process results in biological, physical, and mental changes in the elderly. Degenerative diseases are common in the elderly. They can be treated by pharmacologic or non pharmacologic treatment. Acupuncture therapy potentially can be used as a complementary or alternative therapy to treat degenerative diseases in the elderly. This study aimed to investigate factors that determine the decision to choose acupuncture therapy for the degenerative diseases in the elderly at Ja’far Medika Hospital, Karanganyar, Central Java.SubjectsandMethod: This was a qualitative study with phenomenology approach. This study was conducted at Ja’far Medika Hospital, Karanganyar, Central Java, fromMarch to April 2015. Ten informants were selected for this study by purposive sampling. The data were collected by in-depth interview, observation, and document review.They were validated by source triangulation, and analyzed by Miles and Huberman method.Results: The sample consisted of 5 men and 5 women, aged 53 to 72 years old, with school attainment varying from primary school to university graduate. Job category included farmer, civil servant, and pensioner. The degenerative diseases that were treated by acupuncture therapy including post-stroke, hernia nucleous pulposus, and eyelid disorder.  Internal factors that determined the decision to choose acupuncture were motivation to recover, (religious) belief, and boredom to medical service. External factors that determined the decision to choose acupuncture included the quality of service, family support, trust in the therapist, and hospital image. According to the informants, the acupuncture therapy could help recover their health from the degenerative diseases. Most of them used acupuncture as a complementary treatment.Conclusion: Some internal and external factors determine the decision to choose acupuncture therapy for the degenerative health problem in the elderly. Acupuncture treatment is reported to help recover health in the elderly. Keywords: acupuncture, decision, degenerative disease, elderlyCorrespondence: Purwanto. Masters Program in Public Health, Sebelas Maret University. Email: Purwanto.akp@gmail.com. Mobile: 081393289784.Journal of Health Promotion and Behavior (2016), 1(2): 127-137https://doi.org/10.26911/thejhpb.2016.01.02.08