Association of patients’ perceptions of nurses’ roles and nurse-provided psychosocial support with quality of life among people living with HIV: A cross-sectional study

Rizaldi Emi (Universitas Prima Nusantara Bukittinggi, Bukittinggi, Indonesia)
Untung Sujianto (Departemen Keperawatan, Fakultas Kedokteran, Universitas Diponegoro, Semarang, Indonesia)
Elfira Husna (Universitas Prima Nusantara Bukittinggi, Bukittinggi, Indonesia)
Dwi Apriadi (Universitas Prima Nusantara Bukittinggi, Bukittinggi, Indonesia)
Erian Fatria (Universitas Prima Nusantara Bukittinggi, Bukittinggi, Indonesia)
Habibah Muchtar (Universitas Prima Nusantara Bukittinggi, Bukittinggi, Indonesia)

Lentera Perawat
Vol. 7 No. 3 (2026): July - September

Background: Quality of life is an important outcome of long-term HIV care and is shaped by clinical, psychological, social, and health-service factors. Nurses are positioned to support people living with HIV (PLHIV) through care coordination, education, counselling, advocacy, and psychosocial support, yet evidence on these service-related factors remains limited in West Sumatra, Indonesia. Objective: To examine the associations of patients’ perceptions of nurses’ roles and nurse-provided psychosocial support with quality of life among PLHIV receiving outpatient HIV care. Methods: This single-centre analytical cross-sectional study was conducted at the Serunai Clinic, Dr. Achmad Mochtar Regional General Hospital, Bukittinggi, Indonesia, from 7 March to 7 April 2026. Total sampling included 80 PLHIV. Quality of life was measured using the Indonesian WHOQOL-HIV BREF; patients’ perceptions of nurses’ roles and nurse-provided psychosocial support. Associations were examined using Pearson’s chi-square test and a two-predictor binary logistic model in which each nursing-related exposure was adjusted only for the other; demographic, clinical, and psychosocial confounders were not included. Results: Among 80 participants, 42 (52.5%) rated nurses’ roles as inadequate, 45 (56.3%) rated nurse-provided psychosocial support as inadequate, and 43 (53.8%) had poor quality of life. Adequate nurses’ roles were associated with higher odds of good quality of life (OR=738.00; 95% CI 64.21–8482.70; p<0.001), as was adequate psychosocial support (OR=85.33; 95% CI 18.95–384.33; p<0.001). In the two-predictor logistic model, nurses’ roles remained associated with quality of life (AOR=262.61; 95% CI 19.28–3577.91; p<0.001), and psychosocial support also remained associated (AOR=18.60; 95% CI 1.43–241.95; p=0.026). Conclusion: Patients’ perceptions of nurses’ roles and nurse-provided psychosocial support were strongly associated with quality of life. Strengthening therapeutic communication, counselling, and person-centred biopsychosocial care is warranted, alongside larger studies that adjust for clinical and psychosocial confounders.