AbstrakDiskriminasi dan stigmatisasi terhadap ODHA telah dilaporkan terjadi di beberapa rumah sakit di Jakarta.\Tujuan dari penelitianini adalah untuk mengetahui pengetahuan HIV, keyakinan agama, dan persepsi perawat tentang HIV-stigma mempengaruhisikap terhadap ODHA. Studi deskriptif korelatif dengan menggunakan mix method dalam pengumpulan data yang digunakan.Sampel 326 perawat yang merawat ODHA dari 4 rumah sakit dan 5 pusat kesehatan masyarakat di Jakarta, direkrut menggunakanteknik convenience. Hasilnya menunjukkan bahwa sikap terhadap ODHA secara signifikan berbeda antara perawat yang memilikipelatihan HIV dan yang tidak (p= 0,001; α= 0,05), bekerja di rumah sakit dan Puskesmas (p= 0,01; α= 0,05), perawat dengan latarbelakang pendidikan yang berbeda (p= 0,05; α= 0,05), dan perawat yang merasa kompeten atau tidak kompeten untuk merawatODHA (p= 0,001; α= 0,05). Peningkatan pengetahuan HIV diperlukan perawat untuk menurunkan stigma pasien ODHA.Kata kunci: Indonesia, perawat, stigma HIVAbstractDiscrimination and stigmatization towards PLWH has been documented in some hospitals in Jakarta. The purpose of thisstudy is to determine the extent to which the nurses’ HIV knowledge, religious beliefs, and their perception of HIV-stigmaaffect their attitudes toward HIV/AIDS. Descriptive correlative study with using mixed method in collecting data was used. Aconvenience sample of 326 nurses who are working with PLWH from 4 hospitals and 5 public health centers in Jakarta,Indonesia were recruited. The result shows that attitudes toward PLWH were significantly different between nurses who hadHIV training and not (p= 0.001; α= 0,05), works in hospitals and public health centers (p= 0.01; α= 0.05), nurses withdifferent educational background (p= 0.05; α= 0.05), and nurses who perceived that they are competent or not competent tocare PLWH (p= 0.001; α= 0.05). Increase of HIV knowledge required nurses to reduce PLWH patient’s stigma.Keywords: Indonesia, Nurses, HIV-stigma
Background: Adherence to antiretroviral therapy (ART) continues to pose a significant challenge for people living with HIV (PLWH). Non-adherence to ART can have far-reaching implications for patient well-being, particularly in increasing the risk of opportunistic infections when medication is not taken as prescribed. Objective: This study aimed to develop a theoretical model that explains how PLWH in Indonesia adhere to their ART regimen and the strategies they follow to maintain adherence. Methods: The study used a grounded theory approach. Data were collected through face-to-face in-depth interviews with 21 PLWH who had been taking ART for six months or more at a non-governmental organization (NGO) in Jakarta, Indonesia, between July 2019 and November 2019. Theoretical sampling was used, and the data analysis method of Corbin and Strauss was utilized, including open coding, axis coding, and selective coding. Results: Three stages were identified as a process of adherence to the ART regimen: 1) initiating ART, 2) missing the connection, and 3) taking control. Self-awareness was identified as the central core theme describing the ART adherence process. Conclusion: Having adequate self-awareness to take ART regularly is crucial to improving adherence to ART. Moreover, social support from one’s spouse and family members can help patients maintain adherence. Therefore, self-awareness and support systems should be included as components in nursing interventions when starting ART therapy. In addition, nurses can help identify potential support persons and provide information related to ART therapy.
Kesejahteraan spiritual merupakan domain yang mempengaruhi luaran dari terapi antiretroviral pada ODHA. Namun, saat ini kebutuhan spiritual pada ODHA masih belum optimal terpenuhi dalam tatanan layanan kesehatan. Oleh karena itu, penting diketahui pengalaman spiritual pada ODHA untuk diketahui gambaran kebutuhannya. Penelitian fenomenologi deskriptif ini bertujuan untuk mengeksplorasi pengalaman spiritual ODHA selama menjalani proses penyakitnya dengan melibatkan lima partisipan dalam wawancara mendalam. Analisis konten tematik menghasilkan lima tema besar, yaitu: (1) Mendapatkan hidayah, dekat dengan agama, lebih takut dengan dosa dan lebih rajin sholat dan membaca kitab suci; (2) Pasrah dan menerima penyakitnya karena ini adalah teguran, cobaan dan kekuasaan Allah; (3) Dukungan ibu yaitu mengajak ke pengajian dan diingatkan untuk dzikir; (4) Mengalami kesedihan, syok, menyalahkan orang lain sehingga ingin mengakhiri hidup dan menghindari orang lain; (5) Harapan partisipan adalah sehat di dunia, dan beruntung di akhirat. Studi ini merekomendasikan penelitian lebih lanjut secara kuantitatif serta perlunya pengkajian spiritualitas pada ODHA dalam praktik asuhan keperawatan.
<div><p class="Keywords"><strong>Objective: </strong>Hemodialysis therapy management consists of four main aspects; hemodialysis program, medication, fluid restriction, and diet. One of important factors in patients’ adherence to hemodialysis therapy is the relationship between health care providers and patients. Nurses have a great role in improving patients’ adherence since they have the most acquaintances with patients. The purpose of this study was to identify the association between caring nurses’ behaviors and respondent characteristics with adherence to hemodialysis therapy management in end- stage renal disease patients.<strong> </strong></p><p class="Keywords"><strong>Methods: </strong>This study employed a descriptive quantitative research design with a cross sectional approach. A purposive sample of 97 ESRD patients on hemodialysis were involved in this study. data were collected using questionnaire to identify patients’ characteristics, perception on nurses caring behaviors, and compliance on hemodialysis therapy management. Data were analyzed using univariate and bivariate analyses.</p><p class="Keywords"><strong>Results: </strong>Over half of the patients were adherent to hemodialysis therapy management (50.5%) and perceived that nurses have caring behaviors (54.6%). Age, gender, education, economic and marital status were not associated with patients’ adherence. In addition, nurses caring behaviors were not related with patients’ adherence. In contrast, family support was significantly linked with patients’ adherence (p = 0.033).</p><p class="Keywords"><strong>Conclusion: </strong>Nurses caring behaviors were not related to patients’ adherence but family support was. Nurses need to involve family in nursing care as appropriate to better improve patients’ adherence.<strong> </strong></p><p class="Keywords"><strong>Key words: </strong>end- stage renal disease, nurses’ caring behaviors, patients’ adherence <strong></strong></p></div>
Pendahuluan : Stres akademik merupakan respon yang rentan dialami mahasiswa akibat tuntutan akademik yang tinggi. Timbulnya gejala long covid dinilai dapat mempengaruhi kualitas hidup penyintas covid 19. Tujuan: mengidentifikasi ada tidaknya hubungan stres akademik yang menggunakkan instrumen ASS (Academic Stres Scale) dengan kualitas hidup menggunakkan instrumen WHOQoL-BREF pada mahasiswa keperawatan penyintas covid 19. Metode: Penelitian menggunakkan desain cross sectional dengan melibatkan 106 mahasiswa keperawatan tingkat S1 dan profesi Ners FIK UI. Analisis data menggunakkan analisis univariat serta bivariat (uji chi-square) dengan penggunaan program SPSS dan tingkat kemaknaan 0,05. Hasil: Uji Chi-square menunjukkan tidak adanya hubungan bermakna antara kedua variabel (p=0,513; 0,381; 0,527; 0,494) pada keempat domain instrumen WHOQoL-BREF. Kesimpulan: Meskipun tidak ada hubungan antara stres akademik dan kualitas hidup, gambaran kualitas hidup pada penyintas Covid-19 perlu menjadi perhatian khususnya domain fisik dan psikologis. Studi ini merekomendasikan perlunya penelitian lanjutan untuk mengeksplorasi factor-faktor yang mempengaruhi kualitas hidup pada penyintas Covid-19.
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