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

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.

The new model for medicine distribution by combining of supply chain and expert system using rule-based reasoning method

“…Pearson product moment correlation [22] was used to examine the effect of independent regulatory variables and logistical management variables on the dependent medicine distribution variable. The data used is ordinal data which is discrete because the distance value between variables cannot be measured with certainty.…”

“…The process of validity and reliability in this research is a test carried out before conducting the interview process and providing questionnaires as a research instrument to respondents to determine the quality and scientifically accountable variables to be used to design a new framework for medicine distribution [36], [22]. Test the validity of this research using the Pearson product moment technique which is  ISSN: 2252-8938 Int J Artif Intell, Vol.…”