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. 2021 Oct 28;7(5):395-401.
doi: 10.33546/bnj.1554. eCollection 2021.

Self-management: A comprehensive approach to improve quality of life among people living with HIV in Indonesia

Achmad Fauzi  1 , Nofa Anggraini  1 , Novy Fatkhurohman  2
Affiliations

Self-management: A comprehensive approach to improve quality of life among people living with HIV in Indonesia

Achmad Fauzi et al. Belitung Nurs J. .

Abstract

Background: People living with HIV (PLWH) today have to deal with a chronic condition that requires efficient self-management due to increased longevity. Self-management interventions have been shown to improve physical and psychological symptoms as well as clinical results in chronic diseases. However, few studies have investigated the effect of self-management on quality of life (QOL) among PLWH in Indonesia.

Objective: To examine the effect of a self-management program on QOL among PLWH in Indonesia.

Methods: This was a quasi-experimental study with a comparison group in a general hospital in Jakarta, Indonesia. Of the 114 recruited PLWH, 57 were assigned to the intervention group and 57 to the comparison group. The self-management group attended a four-week program workshop. The intervention consisted of five sessions: need assessment and goal setting, maintaining a healthy lifestyle, educational participation to increase communication and self-esteem, and evaluation. The comparison group received standard educational material throughout the leaflet regarding HIV prevention. The post-test assessment was conducted immediately after intervention (T1) and two months (T2) after the intervention in both groups. QOL was measured using the World Health Organization Quality of Life (WHOQOL)-HIV brief Bahasa version. The estimations were obtained using fixed-effect regressions. The differences between T0, T1, and T2 for the intervention and comparison groups were evaluated and compared using the DI Differences method (DID).

Results: The self-management program improved outcomes relative to the comparison group at T1: 1) overall QOL score increased 8.7% (95% CI 0.021-0.149), 2) physical domain saw a modest increased 8.8% (95% CI 0.017-0.125), 3) psychological domain increased 23.5 % (95% CI 0.085-0.689), and 4) environmental domain showed a modest increase of 18.7% (95% CI 0.053-0.371). At T2, the total QOL score and the physical, psychological, and environmental dimensions were significantly improved compared to the comparison group.

Conclusion: The self-management program appears to improve the QOL of the life of PLWH. Nurses are advised to provide PLWH with self-management training. Future research on self-management intervention would need to be refined further to ensure that each community achieves consistent intervention outcomes.

Keywords: HIV/AIDS; Indonesia; health-related quality of life; nursing; quality of life; self-management.

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Conflict of interest statement

All authors declare no conflict of interest.

References

    1. Areri, H. A., Marshall, A., & Harvey, G. (2020). Interventions to improve self-management of adults living with HIV on antiretroviral therapy: A systematic review. PloS One, 15(5), e0232709. 10.1371/journal.pone.0232709 - DOI - PMC - PubMed
    1. Bravo, P., Edwards, A., Rollnick, S., & Elwyn, G. (2010). Tough decisions faced by people living with HIV: A literature review of psychosocial problems. Aids Review, 12(2), 76-88. - PubMed
    1. Cooper, V., Clatworthy, J., Harding, R., & Whetham, J. (2017). Measuring quality of life among people living with HIV: A systematic review of reviews. Health and Quality of Life Outcomes, 15(1), 1-20. 10.1186/s12955-017-0778-6 - DOI - PMC - PubMed
    1. Cutrono, S. E., Lewis, J. E., Perry, A., Signorile, J., Tiozzo, E., & Jacobs, K. A. (2016). The effect of a community-based exercise program on inflammation, metabolic risk, and fitness levels among persons living with HIV/AIDS. AIDS and Behavior, 20(5), 1123-1131. 10.1007/s10461-015-1245-1 - DOI - PubMed
    1. ElZarrad, M. K., Eckstein, E. T., & Glasgow, R. E. (2013). Applying chronic illness care, implementation science, and self-management support to HIV. American Journal of Preventive Medicine, 44(1), S99-S107. 10.1016/j.amepre.2012.09.046 - DOI - PubMed

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