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Resilience model based Roy Adaptation Model toward self-care among women living with HIV in Surabaya, Indonesia Yuanita Wulandari; Nursalam; Ninuk Dian Kurniawati; Mundakir; Farida Umama
Pediomaternal Nursing Journal Vol. 12 No. 2 (2026): VOLUME 12 NO 2 JULY 2026
Publisher : Universitas Airlangga

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Abstract

Introduction: Women living with HIV face clinical, psychological, and social challenges that can affect self-care. While demographic and disease-related factors have been widely studied, the roles of adaptation and resilience in self-care remain unclear. Objective: To develop and test a resilience model based on the Roy Adaptation Model to explain self-care among women living with HIV in Surabaya, Indonesia. Methods: A cross-sectional study was conducted among 111 women living with HIV recruited through purposive sampling from primary healthcare centers in Surabaya. Eligible participants were women aged ≥18 years receiving antiretroviral therapy for at least three months, able to complete an online questionnaire, and without diagnosed mental disorders or a history of substance abuse treatment. Data were collected using structured questionnaires measuring focal, contextual, and residual stimuli, coping mechanisms, adaptation modes, resilience, and self-care. SEM-PLS with 5,000 bootstrap resamples was used to evaluate the proposed model. Results: The measurement model showed satisfactory reliability and validity (CR = .564–.953; AVE > .50). Contextual (β = .170; P-value<.05) and residual stimuli (β = .492; P-value<.05) significantly influenced coping mechanisms, whereas focal stimuli did not. Coping mechanisms were associated with adaptation modes (β = .624; P-value<.05), which in turn were associated with resilience (β = .669; P-value<.05) and self-care (β = 0.758; P-value<.05). Self-care showed the highest predictive relevance (Q² = .425). Conclusion: Self-care among women living with HIV is closely associated with coping, adaptation, and resilience rather than clinical or demographic factors. Keywords: adaptation; HIV; resilience; self-care; women
Co-Authors -, Ririn Probowati Abdan Syakura Abu Bakar Abu Bakar Achmad Fauzi Achmad Tirmidzi Adi Sukma Septiana Adi Sukrisno Aesthetica Islamy Agoesta Pralita Sari Agostinha Soares Agostinha Soares Ah Yusuf, Ah ah. Yusuf Ahmad Mufid Sultoni Ahsan Ahsan Ainul Mufidah Albertina Dete Tabik Ambarwati, Diah Retno Amin Rahmawati Purwaningrum Aminuddin, Achmad Thobib Andri Setiya Wahyudi Andri Setya Wahyudi Andri Setya Wahyudi Andy Kristiyan Aqmarina Abidah Ardi, Ekal Maulana Arief, Yuni Sufyanti Arina Qona'ah Arina Qona’ah Ariningpraja, Rustiana Tasya Asroful Hulam Zamroni Ayatulloh, Daviq Baidhowy, Arief Shofyan Baiq Rista Ananta Pratiwi Bakhtiar, Arief Budi Utomo Cahyaningsih Efendi Candra Panji Asmoro, Candra Panji Cucuk Rahmadi Purwanto Dadik Dwi Fata Suparda Dariroh, Khoirotur Rizkia Deni Yasmara Desky, Meutia Azkia M Dessy Era Puspitasari Dewa Kadek Adi Surya Antara Dewi, Fifi Rahmawati Diah Lestari, Diah Dian Naelatul Karimah Dwi Dina Romantika Dwi Maryuni Dwi Uswatun Sholikhah Dwikora Dwikora Dwikora Novembri Utomo Dyah Sekaringtyas Ciptaningrum Eka MHas Elida Ulfiana Elok Faradisa Elvi Kurnia Damayanti Erna Dwi W Erwansyah, Rio Ady Esti Yunitasari Fanni Okviasanti Farida Umama Firman Oswari Fransisco Godinho Pereira Gunawan Gunawan Hakim Zulkarnain hammad, hammad Harianto, Susilo Hariyati, Leli Ika Harmayetti Harmayetti Harmayetty, Harmayetty Hartin I.K Nadi Hasanudin Hasanudin Henry Saktiana Herdina Mariyanti Herminia Maria Ximenes Hersinta Retno Martani I Ketut Sudiana Ifada Nurrohmaniah Ika Nur Pratiwi Ika Puspita Sari Ika Yuni Widyawati Ike Nesdia Rahmawati Ilmiatun, Nur Annisa Inda Rian Patma Putri Indarwati , Retno Intan Munawaroh Irvana, Titi Roedhotul Iswatun Iswatun Johanes Eban B. Dorman Junait Junait Junait, Junait Karingga, Devangga Darma Khotimatul Husna Kiki Fajar Nurhidayah Kristiawati Kristiawati Kristiyan, Andy Kusnanto Kusnanto Kusnanto Kusnanto Laely Sholihah Lailatun Nikmah Lailatun Ni’mah Laili, Nadia Rohmatul Lailiah, Novianti Laily Hidayati Lataima, Nurmawati S Lema, Elizabeth Risha Murlina Lin, Mei-Feng Madiha Mukhtar Mairo, Ratu Izza Auwah Makhfudli Makhfudli Maria Theresia Dhiu Maropi, Anuchit Martini, Made Yuni Melan Apriaty Simbolon Moecharom Moecharom Muftikhar, Zulfian Kurniadi Muhalla, Hafna Ilmy Muhammad Amin Muhammad Iqbal Muhammad Sajidin Muhammad Zaki Mundakir Nadia Rohmatul Laily Ni Wayan Trisnadewi, Ni Wayan Nihayati, Hanik Endang Nining Puji Astuti Noviani Nastiti Susantiningdyah Nunik Wijayanti Nur, Akbar Nursalam Nursalam . Nursalam Nursalam Nursalam, Nursalam Nuzul Qur'aniati Pella, Yosin Herloheti Praba Diyan Pradanie, Retnayu Prananda Surya Airlangga Priyantini, Diah Puji Astuti Purwaningsih - Qona'ah, Arina Rahmadani, Nida Harosa Rini Winasih Rini Winasih, Rini Rismayanti, I Dewa Ayu Rizki Nur Azhadin Rusdi, Ainur Saktiana, Henry Santi Dwi Lestari Sari, Diah Nur Indah Sellyta, Anggraini Yudia Sila, Nissa Aruming Siti Nur Cahyaningsih Sriyono Sriyono Sriyono Sriyono Sriyono Suarilah, Ira Suciari, Ana Suharto Suharto Sukma Randani I Suniyadewi, Ni Wayan Suparda, Dadik Dwi Fata superzeki Zaidatul Fadilah Tiara Aninditha Tintin Sukartini Sukartini, Tintin Sukartini Titiek Berniyanti Tri Nurhudi Sasono Triana, Wiwin Yuli Ulin Marliana Wahyudi, Andri Setya Wahyuni, Erna Dwi Wilandika, Angga Yuanita Wulandari Yulia Kurniawati Yulis Setiya Dewi Yulita Thadea Retanubun Yulmira Maria Tisel Yuni Damayanti Yuni Dwi Hastuti Zahra, Naili Raudiatus Zahrotul Widad Zamroni, Asroful Hulam