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Exploration of lived experiences among LGBT individuals living with HIV/AIDS: A phenomenological study Ikhwan Amirudin; Nor Aziyan; M. Agung Akbar; Agung Waluyo; Astuti Yuni Nursasi
Gaster Vol 24 No 1 (2026): FEBRUARI
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v24i1.2402

Abstract

Background: Lesbian, gay, bisexual, and transgender (LGBT) individuals remain a key population with high vulnerability to HIV/AIDS. Although antiretroviral therapy has significantly reduced morbidity and mortality, LGBT people living with HIV/AIDS continue to face layered stigma stemming from both HIV status and sexual or gender identity. However, in-depth understanding of the lived experiences of this population, particularly within Indonesia's sociocultural context, remains limited. Objective: This study aimed to explore and understand the lived experiences of LGBT individuals living with HIV/AIDS in Lampung Province through a phenomenological approach. Methods: A qualitative phenomenological study was conducted with 15 LGBT participants living with HIV/AIDS. Data collection was performed through in-depth interviews during September–October 2025 in Lampung Province. Data analysis employed in vivo coding to preserve the original meaning of participants' expressions. Research reporting followed the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. Results: Analysis yielded three major themes: (1) living in the shadow of layered stigma, (2) negotiating identity and self-acceptance following HIV diagnosis, and (3) building meaning in life and resilience. These themes emerged from interrelated subthemes and categories, all grounded in participants' narratives. Conclusion: The lived experience of LGBT individuals with HIV/AIDS constitutes a complex and multidimensional phenomenon encompassing social, psychological, and existential dimensions. These findings underscore the critical importance of inclusive HIV services that are sensitive to stigma and oriented toward psychosocial needs.
PHENOMENOLOGY STUDY THE EXPERIENCE OF PERSONS WITH DIABETES MELLITUS WHO HAD EXPERIENCED OF HYPOGLYCEMIA EPISODES IN DEPOK CITY Jon Hafan Sutawardana; Yulia; Agung Waluyo
NURSELINE Vol. 1 No. 1 (2016): May 2016
Publisher : NURSELINE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v1i1.60079

Abstract

Hypoglycemia is an acute complication of diabetes mellitus which frequently occur repeatedly identified by blood glucose level less than 70 mg/dl. Diabetic patients experience dilemmatic situation where they are required to obtain diabetes drug therapy tocontrol blood sugar level remain normal, but facing another concerns about the side effects of treatment which can lead to complication of hypoglycemia. This condition will affect the psychological fearness of repeated attacks that result a traumatic feelings in diabetic patients. The study aimed to gain in depth understanding of diabetic patients experiences who had experienced of hypoglycemia episodes in Persadia Depok. This was a qualitative research which applied phenomenology method and involved six participants with diabetes mellitus experienced hypoglycemia episodes. Data were collected using in-dept hinterview and field notes. A Colaizzi's content analysis method was operated across data andrevealed 6 themes: decline in physical function while in response to hypoglycemia, traumatic feelings when experiencing hypoglycemia, participants' understanding that caused of hypoglycemia, awareness of hypoglycemia prevention, internal beliefs became the main source of coping strategy to face hypoglycemia and nursing care needs. The results of this study suggested a need of improvement innursing education for patients with hypoglycemia.
Perbandingan efektivitas sabun antiseptik dan alcohol-based hand rub dalam pencegahan infeksi nosokomial di ICU: A systematic review Worabay, Apia Yeany; Waluyo, Agung; Zahra, Anggri Noorana
Holistik Jurnal Kesehatan Vol. 20 No. 2 (2026): Volume 20 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i2.2963

Abstract

Background: Nosocomial infections, or healthcare-associated infections, remain a major problem in intensive care units (ICUs) due to the critical condition of patients and the frequent use of invasive medical devices. Hand hygiene is an important strategy to prevent the transmission of microorganisms among healthcare workers. Antiseptic soap and alcohol-based hand rub are commonly used methods, but their effectiveness in the ICU setting has shown varying results. Purpose: To compare the effectiveness of antiseptic soap and alcohol-based hand rub in preventing nosocomial infections in the ICU. Method: This study used a systematic review based on the PRISMA guidelines. A literature search was conducted through PubMed, ScienceDirect, ClinicalKey, Wiley Online Library, and Google Scholar using keywords based on the PICO framework. Of the 17,477 articles found, 25 were assessed for full-text eligibility, and 7 studies met the inclusion criteria. Results: Antiseptic soap, particularly chlorhexidine-based hand rub, effectively reduced the number of microorganisms on the hands of healthcare workers and contributed to a decrease in infection rates. Alcohol-based hand rub is also effective in reducing bacterial contamination and offers the advantages of practicality, shorter application time, and ease of use. Conclusion: Antiseptic soap and alcohol-based hand rub are both effective in reducing microbial contamination. Antiseptic soap tends to provide stronger microbial reduction, while alcohol-based hand rub can improve hand hygiene compliance. Their complementary use can support the prevention of nosocomial infections in the ICU. Suggestion: Healthcare facilities should provide adequate antiseptic soap and alcohol-based hand rub (ABHR) and ensure they are easily accessible to healthcare workers. Education, training, compliance audits, and regular feedback are needed to improve hand hygiene practices. Future research should use more robust designs and more standardized measurement methods.   Keywords: Alcohol-Based Hand Rub; Antiseptic Soap; Intensive Care Unit (ICU); Nosocomial Infection.   Pendahuluan: Infeksi nosokomial atau healthcare-associated infections masih menjadi masalah utama di intensive care unit (ICU) karena kondisi pasien yang kritis dan seringnya penggunaan alat medis invasif. Kebersihan tangan merupakan strategi penting untuk mencegah transmisi mikroorganisme pada tenaga kesehatan. Sabun antiseptik dan alcohol-based hand rub merupakan metode yang umum digunakan, namun efektivitas keduanya di ruang ICU masih menunjukkan hasil yang bervariasi. Tujuan: Untuk membandingkan efektivitas sabun antiseptik dan alcohol-based hand rub dalam mencegah infeksi nosokomial di ICU. Metode: Penelitian ini menggunakan metode systematic review berdasarkan pedoman PRISMA. Pencarian literatur dilakukan melalui PubMed, ScienceDirect, ClinicalKey, Wiley Online Library, dan Google Scholar menggunakan kata kunci berdasarkan kerangka PICO. Dari 17,477 artikel yang ditemukan, 25 artikel dinilai kelayakan full-text, dan 7 studi memenuhi kriteria inklusi. Hasil: Sabun antiseptik, khususnya berbasis klorheksidin efektif menurunkan jumlah mikroorganisme pada tangan tenaga kesehatan dan berkontribusi terhadap penurunan angka infeksi. Alcohol-based hand rub juga efektif menurunkan kontaminasi bakteri serta memiliki keunggulan dalam kepraktisan, waktu penggunaan yang lebih singkat, dan kemudahan penggunaan. Simpulan: Sabun antiseptik dan alcohol-based hand rub sama-sama efektif dalam mengurangi kontaminasi mikroba. Sabun antiseptik cenderung memberikan penurunan mikroba yang lebih kuat, sedangkan alcohol-based hand rub dapat meningkatkan kepatuhan kebersihan tangan. Penggunaan keduanya secara saling melengkapi dapat mendukung pencegahan infeksi nosokomial di ICU. Saran: Fasilitas pelayanan kesehatan perlu menyediakan sabun antiseptik dan alcohol-based hand rub (ABHR) secara memadai serta mudah diakses oleh tenaga kesehatan. Edukasi, pelatihan, audit kepatuhan, dan umpan balik berkala perlu dilakukan untuk meningkatkan praktik kebersihan tangan. Penelitian selanjutnya perlu menggunakan desain yang lebih kuat dan metode pengukuran yang lebih terstandar.   Kata Kunci: Alcohol-Based Hand Rub; Infeksi Nosokomial; Intensive Care Unit (ICU); Sabun Antiseptik.
Experiences of People Living with HIV and Tuberculosis amid Fear, Guilt, and Silence: A Qualitative Study Amirudin, Ikhwan; Waluyo, Agung; Sujianto, Untung; Akbar, M Agung; Nursasi, Astuti Yuni; Ayubi, Dian
Nurse Media Journal of Nursing Vol 16, No 1 (2026): (April 2026) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i1.79237

Abstract

Background: People living with HIV–TB (PLHIV–TB) continue to experience persistent stigma, fear, guilt, and silence that shape their psychosocial wellbeing and social interactions. HIV–TB represents a double burden that intensifies stigma and moral judgment, particularly within sociocultural and religious contexts. However, the lived experiences of PLHIV–TB in Indonesia remain insufficiently explored, despite the country’s unique cultural and religious dynamics. Understanding these contextualized experiences is essential for strengthening holistic, culturally responsive, and stigma-sensitive HIV–TB care.Purpose: This study aimed to explore experiences of PLHIV-TB amid fear, guilt, and silence within the Indonesian sociocultural context.Methods: A descriptive phenomenological design was employed, with 20 PLHIV-TB purposively selected from Lampung, Palembang, Depok, and Yogyakarta between January and June 2025. Data were collected through in-depth, semi-structured interviews lasting 45–70 minutes and analyzed using NVivo software with Colaizzi’s method. Trustworthiness was ensured through member checking, peer debriefing, and reflexivity.Results: Six themes captured the essence of participants’ experiences: (1) living under constant fear of exposure, (2) choosing silence as protection, (3) bearing the weight of guilt and moral judgment, (4) loneliness amid social disconnection, (5) struggling with faith and moral reconciliation, and (6) searching for meaning and self-acceptance. Participants’ narratives revealed a transformation from concealment and shame toward spiritual reconciliation and dignity through emotional and faith-based resilience.Conclusion: The lived experiences of people living with HIV–TB in Indonesia are shaped by intertwined dynamics of fear, guilt, and silence within a context of pervasive stigma. At the same time, some individuals demonstrate adaptive processes that reflect a complex journey from suffering to meaning-making and self-acceptance. These findings underscore the need for stigma-sensitive, psychosocial, and spiritually informed interventions to support holistic HIV–TB care.
Co-Authors Abd Rahman, La Ode Aby Yazid Al Busthomy Rofi'i Achir Yani S. Hamid Adam, Muhamad Adelia Pradita Adelia Pradita Ainur & Moch.Achwandi, Ika Aisyiyah, Umi Akbar, M. Agung Akhyarul Anam Allenidekania Allenidekania Amelia Amelia Amir, Haeril Amirudin, Ikhwan Anatha C Selaindoong Andi Sudrajat Andrian Waluya Adi Andriani, Zilya Anggri Noorana Zahra Anggri Noorana Zahra Anki Tias Yolanda Anki Tias Yolanda Anung Widi Armunanto Arief Andriyanto Arief Dwi Setiawan Arif Rahman Arisdiani, Triiana Arisdiani, Triiana Aryani, Denissa Faradita Asep Novi Taufiq Firdaus Astuti Yuni Nursasi Bahrul Hayat, Bahrul Bambang Budi Siswanto Bambang Wispriyono Besral . Butarbutar, Sonang Veronika Carolina, Erisca Chairul Huda Chaterina Janes Pratiwi Chiyar Edison Sunarya Dahlia, Debie - Dameria Ginting Dasna Dasna Dede Wirdah Budiastuti Denissa Faradita Aryani Dewi Atika Sari Dewi Gayatri DEWI IRAWATI Dewi Irawati Dhea Nastashia Dhea Natashia Dian Ayubi Dikha Ayu Kurnia Ede Surya Darmawan Ede Surya Darmawan Edianto Edianto Edianto Edianto Efitra Efri Widianti Eliana Sinaga Elly Nurachmah Elteria Sianturi Elysabeth Sinulingga Elysabeth Sinulingga Endang Murwaningsih Enny Virda Yuniarti Etty Rekawati Eusabius Separera Niron Faljeki Kurniawan Faradilla Miftah Suranata Faradita, Denissa Fatma, Endah Panca Lydia Fatriani Fatriani Fatriani, Fatriani Fuadah, Samrotul Gatra Satria Gayatri, Dewi Gayatri Giri Widakdo Hafan Sutawardana, Jon Hana Dodik Pramiasti Hanny Handiyani Happy Hayati Hapsari, Tutut Riana Haris Fadjar Setiawan Harison, Nunu Hasmi Hasmi Hening Pujasari Herlina Herlina Hermin Esti Dianingtyas Hesti Rahayu Hilman Syarif Hilman, Syarif Hulu, Soni Roy Kurniawan I Gd. Nym Ardi Supartha I Ketut Suada I Made Kariasa I Made Sumaharianta Radin Idramsyah Idramsyah Ikhwan Amirudin Imam Ghozali Imami Nur Rachmawati Ina Martiana Indah Indreani Sari Irawati, Diana Irman Irman irmayati, noverita Isnaeni Nur Khayati Jaemi Jaemi Jaemi, Jaemi Jahja, Umar Jaya, Irvantri Aji Josua Edison Mangole, Josua Edison Juli Andri Juliana GEP Massie Jumaiyah, Wati Jumaiyah, Wati Jumari Jumari Kapriana Tanty Natalia Kartikaningtyas Kusumastuti Katarina Windhi Anggita Sari Khamarudin, Khamarudin Krisna Yetti Krisna Yetti Krisna Yetti Kristina Lisum Kuntarti Kurnia, Pasti Kurniati, Amelia Laili Fitriana Legu, Ermelinda Toyo Lestari Sukmarini Lisum, Kristina Liya Arista Lussy Afriyanti M. Agung Akbar M. Yogi Riyantama Isjoni Maesaroh Maesaroh Mansyur4, Muchtarudin Margaret I Fitch Maria Pele Maria Syelvrida Tumina Maria, Riri Maria, Riri Maria, Riri Masfuri - Massie, Juliana G.E.P Mayasari Mayasari Melly Rahmayani Mey Nurrohmah Mislan Mislan Mislan Moch. Abdul Mukid monika rini puspitasari Muchtaruddin Mansyur Muchtaruddin Mansyur Muhamad Adam Muhamad Adam Muhamad Adam Muhammad Putra Ramadhan Mukhlish Hidayat Mulyadi, Budhi Murwaningsih, Endang Mustikasari - Neli Mariani Netty Herawati Ni Nyoman Budi Indrayanti Nila Fitri Nirwanto K. Rahim Nisa Utami Nisaa, Mariani Noor Diani Nor Aziyan noverita irmayati Novi Pampalia Novi Pampalia Nugroho, Rico Maulana Nunu Harison Nunung Nurhayati Nur Afni Wulandari Arifin Nuraidah Nuraidah Nurlelasari Harahap Nurmayanti Nurmayanti Nyayu Nina Putri Calisanie Oky Octaviani Opan Sukiman Orpa Diana Suek Parman, Dewy Haryanti Pasaribu, Jesika Pasaribu, Yengsi Mei Karmita Br Pele, Maria Prima Agustia Nova Prima Khairunisa Primayanthi, Anak Agung Ayu Emi Purba, Sariaman Putra, Kharisma Adytama Putri, Arvianty Shafira QURRATA AINI Qurratu Iffoura Qurratu Iffoura Raden Mohamad Herdian Bhakti Rahmat Kurniawan Rahmatia Amelia Kaaba Ramal Saputra Ramdhani Ramlah Ramlah Ratna Esmayanti Ratna Fithriyah Sholihany Ratna Sitorus Ratna Sitorus Ratna Sitorus Ratna Sitorus Ratna Sitorus Reineldis Gerans Retnowati Retnowati Rica Fitria Rika Srywahyuni Rima Novia Putri Riri Maria Rita Fitri Yulita Rizany, Ichsan Rizka Amelia Rofi'i, Aby Yazid Al Busthomy Rohman Azzam Rohman Azzam Rohman Azzam Rosakawati Rosakawati Rr. Tutik Sri Hariyati Rumiati, Rumiati - Rusdian, Uti S., Chiyar Edison Sahrudi Sahrudi Sali Rahadi Asih Samon, Bergita Olivia Hali Santi Wahyuningsih Sapto Haryatmo Sapto Haryatmo Sari, Indah Indreani Sekarsari, Rita Sembiring, Rinawati Sepang, Gledis Merry Septa Permana Setyowati Setyowati Setyowati Setyowati Siti - Aisah Siti Nurlaelah Siti Utami Dewi, Siti Utami Sitti Shoimatul A Sonang Veronika Butarbutar Sopiah, Siti Herlina Ali Sri Yona Suanda Saputra Sudibyo Supardi Supartha, I Gede Nyoman Ardi Supriadin Supriadin Suryaman, Agus Susiladewi, Ida Ayu Md. Vera Susy Puspasari Sutarni , Nani Tintin Sukartini Sukartini, Tintin Sukartini Tri Hapsari Retno Agustiyowati Tri Hapsari Retno Agustiyowati Triastuti Wuryandari Triensya, Rafiana Tris Eryando Tris Yonado Tulangow, Indri Winny Tumina, Maria Syelvrida Tuti Herawati Tuti Nuraini Umi Aisyiyah Untung Sujianto Usman Barus Ohorella Uswatun Hasanah Uti Rusdian Vika Endria Wahyuni, Azriwi Wanda , Dessie Wasal Desrial Siregar Wati Jumaiyah Wibawa, Shinta Restu Widaningsih, Widaningsih Worabay, Apia Yeany Yati Afiyanti Yeni Rumyani Yossie Susanti Eka Putri Yowel Kambu Yudi Elyas yulia Yulia Yulia Yulia Yulia Yuliasih Yuliasih Yuniarti, Irmina Ika Yunisar Gultom Yunisar Gultom Yunita Devianti