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VIRAL LOAD AND OPPORTUNISTIC INFECTION AS THE INDICATOR OF QUALITY-OF-LIFE PEOPLE WITH HIV/AIDS Yuliaty, Rina; Rohman; Rayasari, Fitrian; Kurniasih, Dian Noviati; Aini, Nur; Shahroh, Yuni; Rusli, Adria; Maemun, Siti; Saadulloh, Dadang; Yunitri, Ninik
Nurse and Health: Jurnal Keperawatan Vol 13 No 2 (2024): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v13i2.690

Abstract

Background: Human immunodeficiency virus (HIV) is a significant concern in the field of global health. However, studies on the relationship between viral load, opportunistic infections, and quality-of-life among them are limited. Objectives: This study aims to determine the relationship between viral load count, the presence of opportunistic infection, and the quality-of-life among people living with HIV. Methods: A cross-sectional study was used involving 35 respondents recruited through convenience sampling. The quality-of-life of individuals living with HIV was assessed using the World Health Organization Quality-of-Life instrument for HIV. Statistical analysis using descriptive statistics, including mean, standard deviation, and proportion, and bivariate analysis with p-value<0.05. Results: Of the 35 participants, the majority were male (57.1%), with a mean age of 41.63 (9.09), and had a low education level (51.4%). The mean quality-of-life score was 86.88 (12.27), with a mean duration of ARV treatment of 7.23 years (5.36), undetectable viral load (68.6%), living with opportunistic infections (80%), and with tuberculosis being the most common (52.63%). There was a significant correlation between viral load and overall quality-of-life (p-value 0.04). Conclusion: The results of viral load testing and the identification of opportunistic infections can serve as indicators to assess the quality-of-life among people living with HIV. The outcomes of this study have practical implications for enhancing healthcare services in clinical settings. This information can guide the implementation of targeted interventions to strengthen social relationships and these individuals' environmental quality-of-life.
The Effect of Combined Music Therapy and Stress Ball on Pain During Vascular Access Cannulation in Hemodialysis Patients Fatma, Hindri Royiah; Azzam, Rohman; Yunitri, Ninik; Sofiani, Yani; shahroh, Yuni
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6215

Abstract

Hemodialysis remains the main therapy for patients with kidney failure. During the cannulation process, which is the insertion of a needle into a vascular access, hemodialysis patients often experience pain. The combination of music therapy and the use of stress balls is an example of a non-pharmacological intervention that can be used to overcome pain during cannulation. Objective to identify the effectiveness of the combination of music therapy and stress balls on pain in hemodialysis patients during the vascular access cannulation process. This study used a phased cross-over design, where each respondent received both treatments alternately. A total of 42 respondents were divided into two groups: the experimental group (n = 21) received music therapy and stress balls , while the control group (n = 21) received standard hospital therapy, namely deep breathing relaxation. Furthermore, the two groups exchanged treatments. The level of pain was measured using a VAS (Visual Analog Scale). The results showed that the combination of music therapy and stress balls was effective in reducing pain during the cannulation process, with significant changes in pain levels after insertion (p < 0.001). Cohen's d effect size of -0.632 indicates that combination therapy has a stronger effect in reducing pain than deep breathing relaxation therapy.