The Relationships between Self-care and Coping Strategy among People Living with Human Immunodeficiency Virus

Authors

  • Kusman Ibrahim Department of Medical Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia
  • Desri Resnawati Department of Medical Surgical Nursing
  • Laili Rahayuwati Department of Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia
  • Yusshy Kurnia Herliani Department of Medical Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia
  • Nursiswati Nursiswati Department of Medical Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.7332

Keywords:

Coping Strategy; Self-Care; People Living with HIV

Abstract

AIM: This study aims to examine the relationships between self-care and coping strategy among people living with human immunodeficiency virus (HIV) (PLWH).

METHODS: A cross-sectional design involving 76 subjects of PLWH who attended the HIV clinic at a District Hospital in West Java Province, Indonesia. They met inclusion criteria such as being adult, has been living with HIV for over 1 year, and be able to communicate both verbal and written in Bahasa Indonesia. Self-care was measured by the 41-item Self-care Assessment Worksheet instrument, and coping strategies were measured by the 60-item Jalowiec Coping Scale. Pearson-product moment correlation was performed to examine the relationships between self-care and coping strategy scores.

RESULTS: The majority of respondents (57.8%) used the emotion focused coping strategy such as supportant (31.5%) followed by fatalistic (21%) and optimistic (17.1%) when they deal with stressful situations. Optimistic coping was reported as the most effective coping by the respondents. Nearly half of respondents (42%) have intermediate self-care level which the highest number of self-care was medication. There was a significantly relationship between problem-focused coping strategy and the self-care scores (r = 0.378, p < 0.01). Confrontive coping strategy has positive correlation with symptoms management (r = 0.264, p < 0.05) and stress management (r = 0.280, p < 0.05). Self-care information has positive correlation with palliative coping strategy (r = 0.281, p < 0.05) and supportant coping strategy management (r = 0.236, p < 0.05). Prevention and medication have positive correlation with optimistic emotional coping strategy (r = 0.264, p < 0.05).

CONCLUSION: Understanding PLWH coping strategies could assist nurses to reinforce patient’s positive coping strategies and change maladaptive coping strategies. Nurses could facilitate patients to develop a more adaptive coping strategies in enhancing self-care capability among PLWH.

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Published

2021-11-10

How to Cite

1.
Ibrahim K, Resnawati D, Rahayuwati L, Herliani YK, Nursiswati N. The Relationships between Self-care and Coping Strategy among People Living with Human Immunodeficiency Virus. Open Access Maced J Med Sci [Internet]. 2021 Nov. 10 [cited 2021 Dec. 4];9(T6):52-6. Available from: https://oamjms.eu/index.php/mjms/article/view/7332

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