"Government lead, social support, and mutual help among patients".. A new social care model for HIV/AIDS patients in Shuizhou, China

Abstract Objective: To explore the relationship between suicidal ideation and stigma, disclosure and social support in HIV /AIDS patients.Methods: A total of 1146 HIV-infected /AIDS patients were investigated by a general situation questionnaire, Perceived Social Support Scale (PSSS), Beck Suicidal Ideation Scale (Chinese version) (BSI-CV), disclosure questionnaire and Stigma Scale (SSS-S) on a WeChat platform. Results: 54.01% (619/1146) of the sample reported having suicidal ideation in the past week or at the height of depression; The results of multivariate logistic regression analysis showed that In SS-S, the affective dimension [OR value (95%CI) was 1.63(1.17-2.26)], the cognitive dimension [OR value (95%CI) was 2.06 (1.48-2.87)], the behavioral dimension [OR value (95%CI) was 2.05 (1.53-2.76)], and the family support [OR value (95%CI) was 0.64 (0.47 ~ 0.87)], which were associated with suicidal ideation in HIV /AIDS patients; Social support mediated between AIDS-related stigma and suicidal ideation (19.80% of the total effect). Conclusion: Suicidal ideation in HIV /AIDS patients is strongly associated with stigma, awareness, and perceived social support. So, stigma, awareness, and perceived social support should be incorporated into the suicide intervention system for HIV /AIDS patients.

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IMPLEMENTASI BIMBINGAN DAN KONSELING UNTUK MENINGKATKAN SELF ESTEEM PASIEN PENYAKIT TERMINAL DI KELOMPOK DUKUNGAN SEBAYA (KDS) RSUP DR. KARIADI SEMARANG

Jurnal Ilmu Dakwah ◽

10.21580/jid.v38.1.3970 ◽

2019 ◽

Vol 38 (1) ◽

pp. 31

Author(s):

Ema Hidayanti

Keyword(s):

Social Support ◽

Peer Support ◽

Support Groups ◽

Social Life ◽

Psychosocial Problems ◽

Self Esteem ◽

Peer Counseling ◽

Aids Patients ◽

Patients Experience ◽

Hiv Aids

HIV / AIDS patients experience complex problems both physically, psychologically, socially, and spiritually. Psychosocial problems experienced include depression, anxiety, despair, and worry, and affect the destruction of social life such as isolating themselves and getting stigmatized. These various problems make HIV / AIDS patients feel useless and worthless. In dealing with psychological problems such as low self-esteem, HIV / AIDS patients desperately need social support from both partners, parents, children, friends, counselors and health teams. Unfortunately during this time the expected social support, rarely HIV / AIDS patients were found, including from their own families. To facilitate these needs, hospitals that become a reference center for HIV / AIDS patients form Peer Support Groups (PSG). PSG activities include group guidance and peer counseling for HIV / AIDS patients. These activities provide opportunities for HIV / AIDS patients to increase knowledge about their illness, exchange experiences with each other, even help each other solve problems. The various positive benefits of peer support groups in turn can increase the self-esteem of HIV / AIDS patients. ****Pasien HIV/AIDS mengalami problem yang kompleks baik fisik, psikologis, sosial, dan spiritual. Problem psikososial yang dialami antara lain depresi, cemas, putus asa, dan khawatir, serta berpengaruh pada rusaknya kehidupan sosial seperti mengisolasikan diri dan mendapat stigmatisasi. Berbagai masalah tersebut membuat ODHA merasa tidak berguna dan tidak berharga. Dalam menghadapi problem psikologis seperti rendahnya harga diri, ODHA sangat membutuhkan dukungan sosial baik dari pasangan, orang tua, anak, teman, konselor dan tim kesehatan. Sayangnya selama ini dukungan sosial yang diharapkan tersebut, jarang ODHA didapatkan termasuk dari keluarganya sendiri. Untuk memfasilitasi kebutuhan tersebut, rumah sakit yang menjadi pusat rujukan bagi ODHA membentuk Kelompok Dukungan Sebaya (KDS). Kegiatan KDS diantaranya bimbingan kelompok dan konseling sebaya bagi ODHA. Kegiatan tersebut memberikan peluang bagi ODHA untuk menambah pengetahuan tentang sakitnya, bertukar pengalaman dengan sesamanya, bahkan saling membantu memecahkan masalah. Berbagai manfaat positif KDS tersebut pada gilirannya mampu meningkatkan harga diri ODHA.

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Prevalence of Depressive Symptoms and Its Associated Factors among People Living with HIV Attending Public Hospitals of Nekemte Town, Western Ethiopia, 2021

Behavioural Neurology ◽

10.1155/2021/8854791 ◽

2021 ◽

Vol 2021 ◽

pp. 1-7

Author(s):

Eba Abdisa ◽

Tizita Tolesa ◽

Muktar Abadiga

Keyword(s):

Social Support ◽

Depressive Symptoms ◽

Public Hospitals ◽

People Living With Hiv ◽

Perceived Stigma ◽

Aids Patients ◽

Sleeping Problems ◽

Living With Hiv ◽

Western Ethiopia ◽

Hiv Aids

Background. Depressive symptoms are the most common mental illness among people living with HIV/AIDS. Depressive symptoms impact negatively on the course of HIV infection and can lead to suicide and increased risk of mortality when it is a severe form. Although depressive symptoms are common among HIV/AIDS patients, only a few studies have been conducted in Ethiopia and no study, particularly at Nekemte town public hospitals. Therefore, this study was aimed at assessing the prevalence and risk factors for depressive symptoms among people living with HIV/AIDS attending Nekemte town public hospitals, Western Ethiopia. Methods. An institution-based cross-sectional study design was conducted on 425 HIV/AIDS patients at Nekemte town public hospitals, from March 30 to May 30, 2019. Data were collected through interviews and patient document reviews. The nine-item Patient Health Questionnaire (PHQ-9) was used to collect information concerning depressive symptoms and was defined by a PHQ-9 score ≥ 5 . HIV stigma and discrimination scales were used to measure stigma. Social support was described by a sum score of the Oslo3 social support scale (OSS-3). The collected data was entered into EpiData Windows version 4.1 and then exported to Statistical Package for the Social Sciences (SPSS) Windows version 24.0 for analysis. All variables found to be significant at the bivariable level ( p value < 0.25) were entered into a multivariable logistic regression model. p values of <0.05 and 95% confidence level were used to determine statistical significance. Results. Out of the total of 384 study participants who participated in the study, 165 (42.96%) had depressive symptoms. Self-reported sleeping problems ( AOR = 7.04 , 95% CI: 3.23, 15.33), CD4 level of <200 ( AOR = 5.45 , 95% CI: 2.06, 14.42), poor social support ( AOR = 2.79 , 95% CI: 1.17, 6.67), and perceived stigma ( AOR = 9.11 , 95% CI: 1.17, 17.33) were significantly associated with depressive symptoms among HIV/AIDS patients at Nekemte town public hospitals. Conclusion. The level of depressive symptoms among HIV/AIDS patients in this study was high. Self-reported sleeping problems, CD4 level, social support, and perceived stigma were found to be significantly associated with depressive symptoms among HIV patients. Health care professionals should have to strengthen the linkage of mental health with antiretroviral therapy (ART) clinic to early detect and treat depressive symptoms.

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Social Care for HIV/AIDS Patients in Spain

Health Care Current Reviews ◽

10.4172/2375-4273.1000148 ◽

2015 ◽

Vol 03 (02) ◽

Keyword(s):

Social Care ◽

Aids Patients ◽

Hiv Aids

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Relationship of Social Support and Treatment Compliance with the Quality of Life of HIV/AIDS Patients in Hospitals RAA Soewondo Pati

Proceedings of the 1st Paris Van Java International Seminar on Health, Economics, Social Science and Humanities (PVJ-ISHESSH 2020) ◽

10.2991/assehr.k.210304.103 ◽

2021 ◽

Author(s):

Muhammad Purnomo ◽

Subiwati

Keyword(s):

Quality Of Life ◽

Social Support ◽

Treatment Compliance ◽

Aids Patients ◽

Relationship Of ◽

Hiv Aids

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The Effect of Poor Social Support on Depression among HIV/AIDS Patients in Ethiopia: A Systematic Review and Meta-Analysis

Depression Research and Treatment ◽

10.1155/2020/6633686 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8

Author(s):

Adisu Birhanu Weldesenbet ◽

Sewnet Adem Kebede ◽

Biruk Shalmeno Tusa

Keyword(s):

Immune Deficiency ◽

Social Support ◽

Meta Analysis ◽

Immune Deficiency Syndrome ◽

Human Immune Deficiency Virus ◽

Aids Patients ◽

Pooled Prevalence ◽

Prevalence Of Depression ◽

Poor Social Support ◽

Hiv Aids

Background. Low- and middle-income countries of which Ethiopia is one bears the high burden of depression among human immune deficiency virus and acquired immune deficiency syndrome (HIV/AIDS) patients. Several factors have been identified as being associated with increased depression among HIV/AIDS patients including poor social support. However, studies examining the effect of poor social support on depression among HIV/AIDS patients in Ethiopia have had inconsistent findings. This systematic review and meta-analysis is therefore aimed at estimating the pooled effect of poor social support on depression among HIV/AIDS patients in Ethiopia. Methods. All relevant articles published prior to July 1, 2020, were retrieved from scientific databases: PubMed, Scopus, and Google Scholar systematically. The identified studies reporting the association of depression and poor social support among HIV patients in Ethiopia were included. I 2 tests were used to assess the heterogeneity of the studies. Subgroup analysis was done based on tools to determine how pooled estimates of depression vary across tools. The pooled estimate of association between poor social support and depression was reported. Results. The aggregated meta-analysis revealed a higher odds of depression among patients with poor social support than those who had strong social support (OR: 2.31, 95% CI: 1.69, 2.93). The pooled prevalence of depression among HIV/AIDS patients in Ethiopia was 38.93% (95%: CI: 32.01, 45.84); ( I 2 = 94.44 %, p ≤ 0.001 ). The subgroup analysis was performed based on tools, and the result showed that the highest pooled prevalence (44.42%) was among primary studies that used the Hospital Anxiety and Depression Scale (HADS) tool. Conclusions. Human immune deficiency virus and acquired immune deficiency syndrome (HIV/AIDS) patients with poor social support were more likely to develop depression. The pooled prevalence of depression among HIV/AIDS patient was high in Ethiopia. The highest prevalence of depression was observed among studies that used HADS to screen depression. Therefore, we recommend integration of mental health and psychosocial support services into the HIV/AIDS care. Prevention of HIV/AIDS-related stigma for people with HIV/AIDS is also needed to reduce the impact of poor social support.

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Developing and establishing an advanced nursing practice for HIV abd AIDS patients.

Pflege ◽

10.1024/1012-5302.15.6.293 ◽

2002 ◽

Vol 15 (6) ◽

pp. 293-299 ◽

Cited By ~ 2

Author(s):

Rebecca Spirig ◽

Dunja Nicca ◽

V. Werder ◽

J. Voggensperger ◽

Miriam Unger ◽

...

Keyword(s):

Nursing Practice ◽

Aids Patients ◽

Advanced Nursing Practice ◽

Hiv Aids

Die Entwicklung und Etablierung einer erweiterten und vertieften Pflegepraxis («Advanced Nursing Practice») ist ein wichtiger Schritt in Richtung einer zukunftsorientierten Pflege. An der HIV-Sprechstunde der Medizinischen Universitätspoliklinik des Kantonsspitals Basel, wo akut- und chronischkranke PatientInnen mit HIV/Aids medizinisch und pflegerisch behandelt werden, wurde deshalb ein Aktionsforschungsprojekt in Gang gesetzt mit dem Ziel, PatientInnen kompetentere Dienstleistungen anzubieten. Partizipative Aktionsforschung ist ein Prozess, mit dem gleichzeitig Wissen über ein System generiert und dieses System verändert wird. Im Mittelpunkt des Prozesses steht die kontinuierliche Analyse, Verbesserung und Evaluation der Pflege zugunsten von Patienten und Angehörigen. Eine erweiterte und vertiefte HIV/Aids-Pflegepraxis erfordert solides Grundlagenwissen über die Krankheit und über die aktuelle Behandlung. Patientenpräferenzen, Caring, Erfahrungswissen und Evidenz sind wesentliche konzeptuelle Grundpfeiler. Neben der Aneignung von neuen Kenntnissen spezialisierten sich die Pflegenden in einem von ihnen gewählten Gebiet der HIV/Aids-Pflege, z.B. im Umgang mit Medikamenten und der Bedeutung der Therapietreue, Gesundheitsförderung und Prävention oder im Umgang mit Symptomen, um Beratungen und Schulungen für PatientInnen und Angehörige anzubieten. Mit einer erweiterten und vertieften Pflegepraxis werden Pflegende befähigt, den sich abzeichnenden Veränderungen im Gesundheitswesen zukünftig proaktiv begegnen zu können.

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