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Journal : Jurnal Ilmiah Keperawatan Imelda

PENGARUH TERAPI SYUKUR DALAM MENINGKATKAN KUALITAS HIDUP PASIEN TERINFEKSI HIV Rahayu, Esti Kusuma; Azzam, Rohman; Yunitri, Ninik; Rayasari, Fitrian; Astuti, Widia; Ulina, Barita; Maemun, Siti
Jurnal Ilmiah Keperawatan IMELDA Vol. 10 No. 2 (2024): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v10i2.1585

Abstract

Background: Quality of life remains an important concern for people living with HIV/AIDS (PLHIV). The challenges experienced have a major impact on their well-being, including psychological aspects. This study aims to evaluate the effectiveness of gratitude therapy on the quality of life of PLHIV. Methods: This study is a pre-experiment with a total of 30 subjects at RSPI Prof. Dr Sulianti Saroso. The sample selection method is purposive sampling with inclusion criteria of adult ODHIV (age >18 years) and actively visiting RSPI Prof. Dr. Sulianti Saroso to take antiretroviral (ARV) drugs every month, while the exclusion criteria are pregnant women. Subjects will undergo gratitude therapy for six weeks. Gratitude therapy was measured with gratitude inventory instrument and quality of life with WHOQOL-HIV BREF instrument. Significant changes in average quality of life scores before and after gratitude therapy with Wilcoxon test. Results: The majority of participants were male (70%) with a median (IQR) age of 39.6 (26-52) years. After subjects received gratitude therapy, there was a significant improvement in quality of life, with a mean difference of 4.00 (95% CI: 3.00-5.65; SE 0.693; p-value <0.001) and an effect size measured by biserial rank correlation of 1.00. Conclusion: The findings of this study indicate that gratitude therapy has a significant and positive impact on improving the quality of life of PLWHA. Gratitude is a necessity in fostering a positive outlook on life. Gratitude therapy can be a standardised form of service in hospitals. Future research with qualitative studies to determine the magnitude of its effect on the psychology of PLHIV.
The THE RELATIONSHIP BETWEEN SELF EFFICACY AND SPIRITUAL WELL-BEING WITH THE USE OF COPING STRATEGIES IN PEOPLE WITH HIV (ODHIV) Sukmawati, Lina; Azzam, Rohman; Yunitri, Ninik; Rayasari, Fitrian; Novianti, Dian; Maemun, Siti
Jurnal Ilmiah Keperawatan IMELDA Vol. 11 No. 1 (2025): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v11i2.1598

Abstract

HIV infection continues to be a significant public health problem worldwide, including Indonesia, with impacts spanning social, economic, and cultural aspects. People living with HIV (PLHIV) are faced with various pressures and are in dire need of coping strategies. This study aimed to determine the relationship between self-efficacy and spiritual well-being with the use of coping strategies in PLHIV. This study is an analytic study with a cross sectional approach. A sample of 39 ODHIV was selected using purposive sampling method. Data were collected by filling out the GSES questionnaire to assess self-efficacy, the SWBS questionnaire to measure spiritual well-being, and the BRIEF RCOPE questionnaire to determine coping strategies. Logistic regression multinomial inferencial test found no association between self-efficacy and spiritual well-being with the use of coping strategies. Most were male (76.9%), high school education level (64.1%), and married (59%). Descriptive analysis obtained respondents who used problem-oriented coping strategies (28.2%); emotion-oriented (38.5%); and religious-oriented (33.3%). Multinomial logistic regression test showed no significant association between self-efficacy and the use of coping strategies and no association between spiritual well-being and coping strategies (p-value > 0.05). Spiritual aspects are important to consider as they can be a source of coping and motivation to help patients cope with sudden illness and reduce the level of pain due to the perceived condition so as to quickly move towards healing. Nurses need to apply nursing care using coping instruments, comprehensively from the assessment process to the evaluation process.