https://doi.org/10.4081/hls.2024.11871
The self-management model can increase the immunity of people with HIV and AIDS during the COVID-19 pandemic
Submitted: 25 September 2023
Accepted: 20 December 2023
Published: 8 February 2024
Accepted: 20 December 2023
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Cases of people living with HIV and AIDS continue to increase from year to year, necessitating a focus on maintaining their health. To ensure their well-being, individuals with HIV/AIDS must be vigilant in preserving their immunity, especially during COVID-19 pandemic. This research aimed to enhance the immunity of people with HIV and AIDS during the COVID-19 pandemic utilizing a self-management model approach. The research employed a quasi-experimental design with pretest and posttest measurements, involving a sample of 30 HIV and AIDS patients in Sorong City, selected through purposive sampling technique. Independent variable in this research was the self-management model, which measured using Self-Management Model Guidebook and dependent variable was increasing the immunity of people with HIV and AIDS, which was measured using Self Reporting Questionnaire (SRQ) and CD4 cell observation. Data were analyzed using Wilcoxon test with significance level for these tests was set at 95%, with α ≤ 0.05. Analyzing the SRQ results of HIV/AIDS patients before and after the intervention, indicated a significant difference with a Sig. (2-tailed) of 0.044 < 0.05. This suggests a notable change in the SRQ results of HIV/AIDS patients. Additionally, the analysis of CD4 cell values before and after the intervention, yielded a Sig. (2-tailed) of 0.000 < 0.05, signifying a difference in the CD4 cell results of HIV/AIDS patients. In conclusion, implementing the self-management model with the four management functions from Planning, Organizing, Actuating, and Controlling (POAC) over a period of 30 days for HIV and AIDS patients during the COVID-19 pandemic can enhance both mental and psychosocial immunity, as well as physical immunity. The findings of this research provide valuable information to health workers, recommending the adoption of the Self-Management Model Guide intervention to enhance the immunity of individuals with HIV and AIDS.
Nurlinawati I, Sumiarsih M, Andarwati P, et al. Determinants of risk factors for COVID-19 transmission in densely populated areas: Insights from the first wave of the pandemic. Electron J Gen Med 2023;20:em531.
DOI: https://doi.org/10.29333/ejgm/13520
Bestari R, Nainggolan IRA, Hasibuan M, et al. SARS-CoV-2 lineages circulating during the first wave of the pandemic in North Sumatra, Indonesia. IJID Reg 2023;8:S1–7.
DOI: https://doi.org/10.1016/j.ijregi.2023.07.006
Wijono H, Melaniani S, Kuntoro, et al. Anxiety and perceived mental healthcare need among non-frontline in coronavirus referral hospital, Surabaya. Bali Med J 2023;12:1528–32.
WHO. COVID-19 Weekly Epidemiological Update. World Heal Organ 2022;August:1–33.
Wahyuhadi J, Id FE, Jibril M, et al. Association of stigma with mental health and quality of life among Indonesian COVID-19 survivors. PLoS One 2022;17:1–13.
DOI: https://doi.org/10.1371/journal.pone.0264218
Elaidy AM, Hammoud MS, N Albatineh A, et al. Coping strategies to overcome psychological distress and fear during COVID-19 pandemic in Kuwait. Middle East Curr Psychiatry 2023;30:12.
DOI: https://doi.org/10.1186/s43045-023-00285-6
WHO. Weekly Epidemiological Update on COVID-19 on 19 - 27 July 2022. World Heal Organ 2022;14.
Satuan Tugas Penanganan COVID-19. Data Sebaran COVID-19 di Indonesia. 2022;1–5.
WHO. HIV. World Health Organization; 2022.
Wilandika A, Yusuf A. The Driving Factors of Social Stigma Against People With HIV/AIDS: An Integrative Review. Malaysian J Med Heal Sci 2023;19:164–72.
Afifah LN, Arfijanto MV, Sa’adi A. Relationship Between Cd4 Levels And Menstrual Disorders In Women Hiv Patients At Dr Soetomo Hospital, Surabaya. Community Pract 2023;20:302–8.
DOI: https://doi.org/10.20473/cimrj.v4i1.42609
Efendi F, Pratama ER, Hadisuyatmana S, Indarwati R, Lindayani L, Bushy A. HIV-related knowledge level among Indonesian women between 15 years and 49 years of age. Afr Health Sci 2020;20:83–90.
DOI: https://doi.org/10.4314/ahs.v20i1.13
Nasir A, Yusuf A, Makhfudli, et al. Living experiences of people living with HIVAIDS from the client’s perspective in nurseclient interaction in Indonesia: A qualitative study. PLoS One 2023;18:1–14.
DOI: https://doi.org/10.1371/journal.pone.0282049
Kemenkes RI. Laporan Perkembangan Hiv Aids Dan Penyakit Infeksi Menular Seksual (Pims) Triwulan I Tahun 2021. Kementerian Kesehatan Republik Indonesia; 2021.
Dinkes Kota Sorong. Data Kasus HIV dan AIDS Di Kota Sorong Provinsi Papua Barat Tahun 2021. 2021.
Arifin B, Rokhman MR, Zulkarnain Z, et al. The knowledge mapping of HIV/AIDS in Indonesians living on six major islands using the Indonesian version of the HIV-KQ-18 instrument. PLoS One 2023;18:e0293876.
DOI: https://doi.org/10.1371/journal.pone.0293876
Jardim CGR, Zamani R, Akrami M. Evaluating the Impact of the COVID-19 Pandemic on Accessing HIV Services in South Africa: A Systematic Review. Int J Environmenal Res Public Heal 2022;19:11899.
DOI: https://doi.org/10.3390/ijerph191911899
CDC. STEPS to Care: HIV Self-Management. Centers for Disease Control and Prevention. 2021.
Fauzi A, Anggraini N, Fatkhurohman N. Self-management : A comprehensive approach to improve quality of life among people living with HIV in Indonesia. Belitung Nurs J 2021;7:395–401.
DOI: https://doi.org/10.33546/bnj.1554
Nkhoma K, Norton C, Sabin C, et al. Self-management Interventions for Pain and Physical Symptoms Among People Living With HIV: A Systematic Review of the Evidence. Clin Sci 2018;79.
DOI: https://doi.org/10.1097/QAI.0000000000001785
Webel AR, Moore SM, Longenecker CT, et al. A Randomized Controlled Trial of the SystemCHANGE Intervention on Behaviors Related to Cardiovascular Risk in HIV + Adults. J Acquir Immune Defic Syndr 2019;78:23–33.
DOI: https://doi.org/10.1097/QAI.0000000000001635
Areri HA, Marshall A, Harvey G. Interventions to improve self-management of adults living with HIV on Antiretroviral Therapy: A systematic review. PLoS One 2020;15:1–22.
DOI: https://doi.org/10.1371/journal.pone.0232709
Duko B, Toma A, Abraham Y. Prevalence and correlates of common mental disorder among HIV patients attending antiretroviral therapy clinics in Hawassa City , Ethiopia. Ann Gen Psychiatry 2019;18:1–6.
DOI: https://doi.org/10.1186/s12991-019-0241-7
Aavani P, Allen LJS. The role of CD4 T cells in immune system activation and viral reproduction in a simple model for HIV infection. Appl Math Model 2019;75:210–22.
DOI: https://doi.org/10.1016/j.apm.2019.05.028
Triratnawati A. Ketahanan Keluarga Orang Dengan Hiv/Aids (Odha) Di Masa Pandemi Covid-19: Studi Kasus Di Daerah Istimewa Yogyakarta. J Antropol Isu-Isu Sos Budaya. 2021;01:74–82.
DOI: https://doi.org/10.25077/jantro.v23.n1.p74-82.2021
Hafidzah UK, Suryawati C, Shaluhiyah Z. Dampak Pandemi Covid-19 Terhadap Pemanfaatan dan Akses Pelayanan PMTCT. J Mhs dan Peneliti Kesehat 2023;10:83–94.
Satria RMA, Tutupoho RV, Chalidyanto D. Analisis Faktor Risiko Kematian Dengan Penyakit Komorbid Covid-19. J Keperawatan Silampari 2020;4:48–55.
DOI: https://doi.org/10.31539/jks.v4i1.1587
Ladyani F, Kiristianingsih A. Hubungan antara Jumlah CD4 pada pasien yang terinfeksi HIV / AIDS dengan Infeksi Oportunistik di Rumah Sakit Umum Abdul Moeloek Bandar Lampung Tahun 2016. JK UNILA (Jurnal Kedokt Univ Lampung) 2019;3:34–41.
Kurniawati VV. Pengaruh Kadar CD4 , Viral Load , dan NLR terhadap Infeksi Oportunistik Pada Pasien HIV / AIDS di Poliklinik VCT RSUD Dr . UNS Repos 2021;1:23–4.
Aureline R. Faktor-Faktor Yang Berhubungan Terhadap Kadar Cluster Of Differentiation 4 (CD4) Pada Pasien Hiv/Aids. JMH (Jurnal Med Utama) 2020;2:308–13.
Mahalta MA, Sabri R, Mahathir. Analisis Persepsi Orang Dengan HIV (ODHIV) Terhadap Risiko Penularan COVID -19 Di Kota Padang Tahun 2021. JIUBJ (Jurnal Ilm Univ Batanghari Jambi) 2021;21:1095–103.
DOI: https://doi.org/10.33087/jiubj.v21i3.1712
Ibrahim K, Herliani YK, Rahayuwati L, Inriyana R. Penguatan Pengetahuan dan Perilaku Hidup Sehat Orang dengan HIV pada Masa Pandemi Covid 19. Media Karya Kesehat 5:46–53.
DOI: https://doi.org/10.24198/mkk.v5i1.36108
Sidjabat FN, Triatmaja NT, Bevi A. Status Gizi, Aktivitas Fisik, Persepsi Manfaat, Dan Hambatan Pemenuhan Asupan Gizi Orang Dengan HIV/AIDS. Gizi Indones - Journal Indones Nutr Assoc 2021;44:41–54.
DOI: https://doi.org/10.36457/gizindo.v44i1.556
Mobalen O, Kambu Y. Snowball Education Method Effect the Family Support for Plwha Art ’ s Adherence. Medico-legal Updat 2020;20:852–6.
Cahyanti L, Jamaludin. Mindfulness Meditasi Meningkatkan Kualitas Tidu Pasien HIV. CENDEKIA UTAMA Jurnal Keperawatan dan Kesehat Masy STIKES Cendekia Utama Kudus 2021;3:199–209.
DOI: https://doi.org/10.31596/jcu.v10i3.824
Ramayanti ED, Jayani I, Nurseskasatmata SE, et al. Effects of Health Education Using Informative Video Media on Changes in Stress Levels in PLWHA during the Covid-19 Pandemic. Nurs Sci J 2023;7:29–42.
DOI: https://doi.org/10.30737/nsj.v7i1.4506
Pauzan, Halid I. Penyuluhan Peningkatan Pemahaman dan Pencegahan HIV / AIDS Bagi Masyarakat di kawasan wisata Desa Giri Sasak Kecamatan Kuripan Lombok Barat. JPMS (Jurnal Pengabdi Masy Sehati) 2023;2:24–9.
DOI: https://doi.org/10.33651/jpms.v2i1.524
Puspasari FD. Pengaruh Self Manajemen Dan Konsep Diri Terhadap Kualitas Hidup Pada Pasien Hiv / Aids. VIVA Med (Jurnal Kesehatan, Kebidanan, dan Keperawatan. 2021;15:81–90.
Nur DM, Mairanti L, Aini A. Konseling Individu Dengan Teknik Self Management dalam Proses Rehabilitas Orang dengan HIV/AIDS (ODHA). Ghaidan (Jurnal Bimbing Konseling Islam dan Kemasyarakatan) 2022;1:35–40.
DOI: https://doi.org/10.19109/ghaidan.v5i1.11458
Martin S, Chinnock P, Perales J, et al. Self-management interventions for people living with HIV / AIDS ( Protocol ). Cochrane Libr 2017;10:3–6.
DOI: https://doi.org/10.1002/14651858.CD008731.pub3
How to Cite
Mobalen, O., Raka, I. M., & Fabanyo, R. A. (2024). The self-management model can increase the immunity of people with HIV and AIDS during the COVID-19 pandemic. Healthcare in Low-Resource Settings, 12(1). https://doi.org/10.4081/hls.2024.11871
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