Introduction: The discriminatory behavior experienced by People Living With HIV (PLWH) remains an unresolved problem in Indonesia. The aims of this research were to determine the factors associated with the discriminatory behavior experienced by PLWH in Indonesia. Methods: This study used cross-sectional design data by processing secondary data from the Indonesian Demographic Health Survey (IDHS) conducted in 2017. The total sample in this study was 15,413 records obtained via the two-stage stratified cluster sampling technique. The variables in this study were knowledge, information, socioeconomic and demographic details and the discriminatory behavior experienced by PLWH. The instrument refers to IDHS 2017. The data were analyzed using a chi-squared test and multinomial logistic regression. Results: The results obtained show that approximately 78.87% of respondents exhibited discriminatory behavior against PLWH in Indonesia. Respondents who had more knowledge about HIV [RRR: 25.35; CI: 2.85, 225.18] and who had earnings [RRR: 2.15; CI: 1.18, 3.92] were more at risk of discriminatory behavior than others. Respondents who lived in a rural area were less likely to engage in discriminatory behavior against PLWH than those who lived in urban areas [RRR: 0.51; CI: 0.29, 0.91]. Conclusion: An increased understanding of HIV-AIDS and Indonesian people's acceptance of PLWH can occur through the provision of accurate information that is designed to prevent discriminatory behavior against PLWH. The government can consider this problem and further related policies so that PLWH can coexist in society and enjoy the same rights as those living without discrimination.
Aim: To explore the impact of mastectomy on the body image of women with breast cancer. Design: A qualitative study with a phenomenological approach. Methods: Thirty women (n = 30) with post-mastectomy breast cancer were obtained through a purposive sampling technique. Data were collected using in-depth and semi-structured individual interviews to explore the experiences of the participants and the meanings they attribute to them. The data was analysed using the Van Manen method and with the help of NVivo 12 software. Results: Three main themes were identified in this study: "breast meaning", "selfconcept", and coping strategies for women after mastectomy. Breasts are interpreted as a symbol of female status that reflects femininity and attractiveness. Mastectomy can cause changes in appearance, which can affect women's body image, selfconcept, and social interaction. Emotional intensive coping and problem-solving intensive coping are coping strategies used by women after mastectomy. Conclusion: Breasts are synonymous with femininity, beauty, and attractiveness. Therefore, many women feel that they have lost their femininity and self-confidence after losing their breasts due to mastectomy.
<p><em>Hemodialysis patients experienced sleep disturbance problems that directly affect sleep quality and quality of life of hemodialysis patients. Quality of life is an important part of hemodialysis patients that need attention. The purpose of this study was to analyze the effect of sleep hygiene and deep breathing exercise with spiritual care on sleep quality and quality of life of hemodialysis patients. The research design used a quasy experiment with the pretest posttest approach with control group. Population in this study were all of hemodialysis patients . Sample of this study </em><em>were </em><em>38 respondents divided into 19 respondents for intervention group and 19 respondents for control group. Sleep hygiene intervention and deep breathing exercise with spiritual care were applied every day for 30 days 30 minutes before going to sleep in the intervention group and in the control group only ran routine or habit before going to bed. Instrument used a PSQI questionnaire (Pittsburgh Sleep Quality Index) </em><em>and</em><em> KDQOL SF<sup>TM </sup>1.3 (Kidney Disease Quality of Life). </em><em>Data</em><em> analysis us</em><em>ed</em><em> MANOVA test with significance value α = 0.05. The results of this study indicated that p value 0,000 with the effect of R squared 72.7% on sleep quality and 66.4% on quality of life, which means that sleep hygiene and deep breathing exercise with spiritual care were significantly influence sleep quality and quality of life</em><em> on </em><em>hemodialysis patient </em><em>in </em><em>Ahmad</em><em> </em><em>Yani </em><em>Islamic Hospital </em><em>Surabaya. The application of sleep hygiene and deep breathing exercise with spiritual care had a strong influence on the quality of sleep and the quality of life of hemodialysis patients. Nurses are expected to be able to implement sleep hygiene interventions and deep breathing exercises with spiritual care to enhance sleep quality and quality of life for hemodialysis patients.</em></p><p><em> </em></p><p><strong>Keyword</strong> : <em>Hemodialysis, Sleep Quality, Quality of Life, Sleep Hygiene, Deep Breathing Exercise, Spiritual care</em><em></em></p>
The acceptance of people living with HIV-AIDS (PLHA) within the community is still a problem that should be highlighted and addressed (Fitriyani & Waluyo, 2019). Bringing attention to this problem could also have an impact on the community's willingness to help and care for PLHA (Stroumpouki et al., 2020). The operational definition of caring, in this case, not only refers to caring for PLHA who are sick but also to being willing to provide the support, attention, information, assistance and acceptance that allow PLHA to live healthily (Watson, 2002;You et al., 2013). PLHA become vulnerable because of their illness, so they have many needs. Moreover, the stigma within communities makes it very difficult for PLHA to obtain rights such as access to medical services, socialisation and improvements to their quality of life, such as through access to work (Alemu
Introduction: Tuberculosis is one cause of infectious death worldwide. In relation to the healing of pulmonary tuberculosis in Indonesia, there are still certain areas where the cure rate is still low. This study aims to identify the effect of spiritual emotional breathing (SEB) on the quality of respiratory function and the modulation of immune response in tuberculosis patients.Methods: The study used a quasi-experimental design with two groups of pre-post-test design. The population was 34 patients with tuberculosis in East Perak’s primary health care. The independent variable was SEB (spiritual emotional breathing). The dependent variables were peak expiratory flow rate (PEFR), pulse, oxygen saturation, breath frequency, breath sound, stiffness complaints, human IL-2, human cortisol, IgG.Results: The results showed that there was a significant difference in PEFR, pulse, oxygen saturation, respiratory rate, respiratory sound, stiffness, human IL-2, human cortisol, IgG.Conclusion: SEB can improve the quality of respiratory function and the modulation of immune response in tuberculosis patients. The emotional spiritual approach is part of the science of energy psychology that aims to turn the negative energy in a person into positive energy that can help the healing process. This therapy is performed as a complementary therapy for TB patients to improve their quality of life and the control of symptoms
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