Depression, Stigma, and Quality Of Life among Elderly with HIV/AIDS in Bali

2020 ◽  
Vol 1 (3) ◽  
pp. 100-111
Author(s):  
Ni Made Diah Pusparini Pendet ◽  
Sri Yona ◽  
Yulia

Introduction: Quality of life is a significant aspect of care among the elderly with HIV/AIDS. The aging process affects their physical, physiological, and social function. Depression due to perceived stigma from the community also influences their quality of life. This study aimed to analyze the correlation between depression and stigma on the quality of life among the elderly with HIV/AIDS. Methods: This was a cross-sectional study employed 67 participants were selected by purposive sampling. Results: Results showed that the majority of participants experienced depression (64.2%) and stigma (76.1%), but they are still classified on good quality of life category (64.2%). Analysis showed that there was a significant correlation between quality of life and depression, & and stigma (p=0.021, p=0.031, α=0.05). Result from logistic regression statistical analysis also revealed that stigma and depression affected the poor quality of life after controlled by gender, occupational status, education, clinical stadium, comorbidities, duration of disease, living and marital status, with the p-value 0.029 and 0.014 (CI=95%), respectively. Conclusion: Promotive and preventive efforts required to be implemented in reducing stigma on the elderly with HIV/AIDS. Screening program also would help prevent depression among this vulnerable group.

1970 ◽  
Vol 29 (6) ◽  
Author(s):  
Sri Handayani ◽  
Nita Yunianti Ratnasari ◽  
Putri Halimu Husna ◽  
Marni . ◽  
Tantut Susanto

BACKGROUND: The quality of life (QoL) construct has also contributed to understanding the comprehension of factors involved in the existence of people infected by the HIV/AIDS. The objective of this study is to assess the quality of life (QoL) of people with HIV/AIDS (PLWHA) in Wonogiri District, Indonesia.METHODS: A cross-sectional study was conducted from September to November 2017. Convenience sampling method was employed to recruit 39 people living with HIV/AIDS (PLWHA) at Voluntary Counselling and Testing (VCT) of Wonogiri, Indonesia. Research data were collected using a self-administered questionnaire of WHOQOL-HIV BREF. The data were further analysed using a ttest and a Chi-square test, while linear regression was used to evaluate factors that correlate with the PLWHAs’ quality of life.RESULTS: The results showed that the gross mean score of social relationships domain is 13.59; psychological domain is 13.31;environment domain is 13.28; spiritual/personal beliefs domainis 13.15; physical domain is 13.10; and level of independence domain is 13.77. The symptom of HIV is associated with quality of life (B =7.611, β = 0.362, t = 2,046, p value = 0.049).CONCLUSION: Healthcare provider should increase providerinitiated testing and counselling (PITC) to contracting group, high risk group, susceptible group, and the community. The PLWHA are recommended to actively participate in peer support groups (PSGs) so that they can improve their quality of life.


Author(s):  
Marni Marni ◽  
Nita Yunianti Ratnasari ◽  
Domingos Soares ◽  
Putri Halimu Husna

HIV / AIDS sufferers overcome various problems both physical, social, and emotional. If emotional problems such as decreased arousal succeed, stress, confusion, depression, are not immediately addressed then it can reduce the quality of life of people with HIV / AIDS. The purpose of this study was to determine the relationship of depression levels with the quality of life of people with HIV / AIDS in the Gajah Mungkur Wonogiri Peer Support Group. The study used descriptive correlative with a cross sectional study design. The sample took with a consecutive sampling, with the sample size of 116 respondents. There were 14 respondents did not arrive when the data was taken. The instruments in this study used the Beck Depression Inventory (BDI) and WHOQOLHIV-BREF questionnaire. Data were analyzed using Chi-Square test. This study result showed that depression level of respondent were 25 respondents did not experience depression, 21 respondents (18.1%) had good perception quality, the remaining 4 respondents had poor quality of life, while 36 respondents experienced an increase in poor quality of life as many as 19 respondents (16.4%). Respondents who experience severe depression as many as 33 respondents (28.4%) more have a poor quality of life as many as 20 respondents (17.2%). The result showed that p-value = 0.001, which means there was a relationship between the level of depression with the quality of life of people with HIV / AIDS in the Gajah Mungkur Peer Support Group. Keywords: depression; HIV / AIDS; quality of life ABSTRAK Penderita HIV/AIDS mengalami berbagai masalah baik fisik, sosial, maupun emosional. Apabila masalah emosional seperti penurunan gairah bekerja, stress, bingung, malu, depresi tidak segera diatasi maka bisa menurunkan kualitas hidup penderita HIV/AIDS. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat depresi dengan kualitas hidup penderita HIV/AIDS di Kelompok Dukungan Sebaya Gajah Mungkur Wonogiri. Jenis penelitian ini adalah deskriptif korelatif dengan desain cross sectional study melalui kuesioner, Teknik pengambilan sampling dengan consecutive sampling dengan ukuran sampel sebanyak 116 responden. Instrumen pada penelitian ini adalah kuesioner Beck Depression Inventory (BDI) dan WHOQOLHIV-BREF. Analisis data dilakukan menggunakan uji Chi-square. Hasil penelitian menunjukkan bahwa 25 responden tidak mengalami depresi, 21 responden (18,1%) memiliki persepsi kualitas hidupnya baik, sisanya 4 responden memiliki kualitas hidup yang buruk; sedangkan 36 responden mengalami depresi sedang memiliki kualitas hidup yang buruk sebanyak 19 responden (16,4%). Responden yang mengalami depresi berat sebanyak 33 responden (28,4%) lebih banyak memiliki kualitas hidup yang buruk sejumlah 20 responden (17,2%). Nilai p adalah 0,001, yang berarti ada hubungan antara tingkat depresi dengan kualitas hidup penderita HIV/AIDS di Kelompok Dukungan Sebaya Gajah Mungkur Wonogiri. Kata kunci: depresi; HIV/AIDS; kualitas hidup


2021 ◽  
Vol 4 (1) ◽  
pp. 62-71
Author(s):  
Rasniah Sarumi ◽  
Muhammad Khidri Alwy ◽  
Arman

The problem faced by the elderly is the natural aging process. Aging process causes many problems both physical, psychological, social relationship and environment. It has resulted disruption to always need the help, elderly people do not feel qualified because they always felt dependence on others. The existence of a family can support the daily activities of the elderly to be of higher quality.The aim of the study is determinant the relationship between family function toward the elderly life quality in the working place of Puskesmas Waara Muna’s Regency. Type of the study is quantitative by using Cross-Sectional Study approach. There are 71 elderly as sample. Data analysis are Univariate, Bivariate and Multivariate. The results showed that there was a relationship between adaptation (p-value=0,001), partnership (p-value= 0,000), affection (p value=0,040), resolve (p value=0,001) and the quality of life of the elderly. Meanwhile, the growth variable (p value=0,052) has nothing to do with the quality of life of the elderly. The partnership variable has a significant relationship with the quality of life of the elderly (ρ-value<0,05) with a sig. of 0,000 on the quality of life of the elderly. It is recommended for puskesmas to improve health services for the elderly by conducting home visits to carry out direct monitoring of the elderly.


Author(s):  
Fitta Deskawaty ◽  
Bratasena .

People's perception of HIV / AIDS is transmitted through sexual relations that are considered immoral and embarrassing tends to discriminate against PLWHA. This negative stigma can indirectly reduce the quality of life of PLWHA. The low quality of life of PLWHA can affect their health. But in the end, all sufferers accept their condition as sufferers of HIV / AIDS by returning the problem to God. The spiritual role is very important in the process of acceptance because it has a positive influence marked by a reduction in depression, an improvement in the quality of life, a reduction in the fear of facing death, and a growing spirit of survival. This research method was observational analytic with a cross-sectional approach which was conducted at the Angel Heart Foundation in Batam City in 2018. The population in this study was people with HIV / AIDS at the Angel Heart Foundation in Batam City in 2018, amounting to 50 people, using retrieval techniques total sampling. The statistical test used was the chi-square test using a 95% significance level. 50 respondents, of which 30 respondents with a less spiritual level with a classification of 27 respondents (90.0%) had poor quality of life, and 3 respondents (10.0%) had a good quality of life. Meanwhile, 20 respondents with a good spiritual level with a classification of 1 respondent (5.0%) had poor quality of life and 19 respondents (95.0%) had a good quality of life. Statistical test results with chi-square obtained p-value = 0.00 <0.05, then Ho is rejected and Ha is accepted. There is a relationship between Spiritual Level and Quality of Life of People with HIV / AIDS (PLWHA) at Angel Heart Foundation Batam City in 2018.


2019 ◽  
pp. 55-62
Author(s):  
Vuong Diem Khanh Doan ◽  
Ngoc Minh Chau Ho ◽  
Thi Van Ngo ◽  
Thi Bao Nga Phan ◽  
Thi Hong Phan Nguyen

Background: Vietnam is entering the stage of aging population; as a result, the quality of life (QOL) of the elderly is really a matter of concern. There is a great deal of research on the quality of life of the elderly while Vietnam witnesses a lack of research on this topic, especially on how physical and social activities have impact on QOL of the elderly. Objectives: (1) To describe the situation of participation in physical, social activities and QOL of the elderly residing in Truong An Ward, Hue city. (2) To examine the association between physical, social activities and QOL among participants. Methodology: This study used cross-sectional study design. A total sample of 420 people aged 60 and above in Truong An Ward, Hue city were interviewd. The SF36 was used to measure the QOL of participants. Results: Percentage of the elderly taking part in physical activity were 66%. 49% reported having the habit of taking part in social activities. The majority of the elderly get their QOL level in three health fields, namely physical, mental and general health at above average. (56.0, 60.7 and 60.8 respectively). There were significant associations between physical activities, social activities and QOL among participants. Conclusion: The percentage of the elderly taking part in physical and social activities were still low. Besides, QOL of the elderly at the research location was not really high. It’s important to encourage the elderly taking part in physical and social activities to improve their quality of life. Key words: Physical activities, social activities, QOL, the elderly


2018 ◽  
Vol 71 (suppl 1) ◽  
pp. 513-522 ◽  
Author(s):  
Juliano de Souza Caliari ◽  
Lilian Andreia Fleck Reinato ◽  
Daiana Patrícia Marchetti Pio ◽  
Letícia Pimenta Lopes ◽  
Renata Karina Reis ◽  
...  

ABSTRACT Objective: To analyze factors related to the quality of life of elderly people living with HIV/AIDS. Method: A cross-sectional study was carried out with people aged 50 years or more in a specialized outpatient clinic. The data collection was by means of an interview. For the analysis of data and characterization of the sample, descriptive statistics and comparison tests were used. The project met the ethical requirements. Results: Participants were 81 users aged 50 to 75 years, mean age was 57.8 (± 6.1) years, 71.6% of whom were men. There was a statistically significant relationship with the quality of life, the following variables: gender, children, occupation, religion, diagnosis time, HIV exposure, adverse effects, treatment interruption, viral load counts, hospitalization, dependence for daily activities and use of drugs. Conclusion: The results suggest that the quality of life deficit is related not only to physical changes, but to the anguish and stigma related to HIV/AIDS.


2018 ◽  
Vol 14 (1) ◽  
pp. 264-269 ◽  
Author(s):  
Patricia Ciminelli ◽  
Sergio Machado ◽  
Manoela Palmeira ◽  
Mauro Giovanni Carta ◽  
Sarah Cristina Beirith ◽  
...  

Background: Emotional stress is frequently associated with otologic symptoms as tinnitus and dizziness. Stress can contribute to the beginning or worsening of tinnitus. Objective: The objective of the study is to evaluate the presence of stress symptoms in patients with chronic, subjective tinnitus, and correlate its presence to annoyance associated with tinnitus. Methods: This is a cross-sectional study. One hundred and eighty patients with chronic, subjective tinnitus were included. Patients answered the Tinnitus Handicap Inventory (THI) to evaluate the impact of tinnitus in the quality of life and answered the Lipp's inventory symptoms of stress for adults (ISSL). The data obtained was organized using Excel® 2010, mean values, linear regression and p-value were calculated. Results: Of the 180 patients included in the study, 117 (65%) had stress symptoms, 52 of the 117 (44%) were in the resistance phase and 23 of the 117 (20%) in the exhaustion phase, the remaining was in the alert phase. There was a clear progressive increase in stress as THI raised, with more impact of tinnitus in quality of life. Conclusion: The presence of stress symptoms, measured by ISSL was observed in most of our patients with chronic subjective tinnitus, specially in the resistance and exhaustion phases and it is directly associated with tinnitus annoyance.


2020 ◽  
Vol 17 (34) ◽  
pp. 867-873
Author(s):  
Dhfer ALSHAYBAN ◽  
Royes JOSEPH

Diabetes is a common chronic disease that is considered as one of the fastest-growing health problems in the world. Adherence to medications could be an important factor in reducing these complications and improving the quality of life. The purpose of this research was to assess the impact of treatment adherence on health-related quality of life in patients with type 2 diabetes. A multicenter cross-sectional study was carried out among 368 diabetes patients. General Medication Adherence Scale was used to assess the adherence level and EuroQol-5D to assess the quality of life. The results show that 19%, 21%, and 23% of patients had maintained low medication adherence due to patient’s intentional or unintentional behavior due to additional diseases or pills burden and due to financial constraints, respectively. Overall, 43% (n=162) participants had maintained high medication adherence, and 37% (n=138) had maintained low medication adherence to antidiabetic drugs. Nearly one-third (31%) of patients with high overall adherence had perfect health state in comparison with 4% among patients with low adherence. Further, the lower proportion (21%) of patients with high overall adherence had perfect health state in comparison with that among patients with low adherence (34%). In addition to the overall adherence, the association was statistically significant for the domains related to non-adherence due to the patient’s intentional or unintentional behavior (p-value 0.001) and non-adherence due to additional diseases or pills burden (p-value 0.001) after taking into account of socio-demographic and clinical characteristics. In conclusion, the findings suggest that the policymakers should establish an intervention to improve adherence to diabetic treatment, and thus improve the quality of life for the type 2 diabetic patients.


2020 ◽  
Vol 5 (1) ◽  
pp. 1-8
Author(s):  
Kurniawan Amin ◽  
Sigit Mulyono ◽  
Lili Herlina

Quality of life is a level that describes the advantages of an individual that can be assessed from their lives. The purpose of this study was to determine the relationship of social interaction with the quality of life of the elderly in the work area of Bangkala Health Center, Kel. Biring Romang, Kec Manggala, Makassar City. Method: This research is a quantitative study with a type of research with cross-sectional studies with a sample size of 219 respondents using a computerized application of SPSS 20 Che Square test. The results showed that interaction using social media in the elderly P-value = 0,000, which means there is a significant relationship between quality of life in the elderly in the area of Bangkala Health Center, Kel. Biring Romang, Kec. Manggala, Makassar City. Conclusion: There is a relationship between quality of life in the elderly, therefore it is expected that an elderly person should slowly be acquainted with so that in the process of daily life can do social interaction Keywords: Social Interaction, Quality of Life.


2021 ◽  
Vol 15 (11) ◽  
pp. 3087-3089
Author(s):  
Rashida Jabeen ◽  
Kousar Perveen ◽  
Muhammad Afzal ◽  
Sadia Khan

Kidney transplantation is the famous and most important choice of treatment of renal replacement therapies (RRTs) because of its positive impact on morbidity, survival and cost. The health related quality of life is becoming important outcome. Quality of life is usually impaired in patients who have renal transplant because of renal transplant patients have anxiety, lack of social, physical and emotional support and diminished ability to take care of themselves. The basic purpose of renal transplantation is to achieve maximum quality of life with minimum side effects. Methods: A cross sectional study was conducted at Rukhsana Akhtar Bahria International Orchard Hospital Lahore after approval from institution board of university of Lahore. 36 patients were enrolled in study by using purposive sampling technique. After taking informed consent all Kidney transplant patients aged between 18 years to 60 years, visited the post-transplantation OPD and continuously in follow-up sessions were included in study. A validated and standard WHO questionnaire of “Kidney Disease and Quality of Life (KDQOL-36™)” was used for data collection. Data was entered and analyzed in SPSS version.21.Chi-square test was applied to find out significant association between qualitative variables. P -Value < 0.05will be considered as statistically significant. Results: Majority of patients were from 40-49 years 10(27.0%). Females were more as compared to men (20(55.6) vs 16(44.4%)). 10(27.8) patients can read and write and 8(22.2%) have done matriculation. More patients live in Urban area as compared to rural area(19(52.8%) vs 17(47.2%)).8(22.2%) patients have less than 1 year of post kidney transplantation time and 19(52.8%) have 1 to 3 years. All the seven domains of KDQOL show poor QOL. General Health, Physical function and physical and emotional function shows average QOL and Emotional, social, daily activities and overall KDQOL shows poor QOL. There was insignificant association with age, gender, education; residential area and Post kidney transplantation length of time (years)(p-value > 0.05). Conclusions: After renal transplantation HRQOL becomes very important factor. After kidney transplantation HRQOL depends on many factors. It was concluded from current study that the HRQOL was not as good as it should be. Over the period of transplantation time patient’s quality of life remain same. The society, government, family, and medical staff need to support patients so they can also improve their QOL. Key word: Renal Diseases, Kidney transplant, Quality of life, KDQOL-36


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