Experiences of people with HIV/AIDS (PLWHA) at the critical condition due to AIDS

Authors

  • I Made Sukarja Department of Nursing, Denpasar Health Polytechnic, Denpasar, Bali, Indonesia http://orcid.org/0000-0001-7096-3396
  • Endang Sutedja Department of Nursing, Denpasar Health Polytechnic, Denpasar, Bali, Indonesia
  • . Nursiswati Department of Nursing, Denpasar Health Polytechnic, Denpasar, Bali, Indonesia
  • I Wayan Sukawana Department of Nursing, Denpasar Health Polytechnic, Denpasar, Bali, Indonesia
  • I Made Sundayana Department of Nursing, Buleleng School of Health, Singaraja, Bali, Indonesia

DOI:

https://doi.org/10.18203/2320-6012.ijrms20171226

Keywords:

Critical condition, Experiences, PLWHA

Abstract

Background: PLWHA who suffered critical condition and being treated in intensive care the majority (84%) due to Pneumocystis carinii pneumonia, 47% experienced respiratory failure, sepsis, 12% and 11% neurologic disease. The death rate PLHIV patients treated in intensive reaches 83%. Of all patients passing through a critical phase, 27% survived for 1 year, 18% survive the second year, 13% survived 3 years and 11% last more than four years. They have the experience that need to be explored in a comprehensive manner to provide support to people living with HIV else.

Methods: This research was conducted through qualitative research with phenomenological approach that focuses on the depth of the process through in-depth interviews on 10 participants. Participants in this study were HIV-positive people who visit the Polyclinic Teratai Hasan Sadikin Hospital in Bandung. Recruitment of participants was done by purposive sampling with criteria for inclusion namely 1) PLHIV been treated in hospital with critical conditions, 2) Ability to communicate with tray, 3) People who say they remember past experiences related to the care in critical condition.

Results: The data were analysed to identify themes about the experiences of people living with HIV during critical condition. The results found six themes namely: 1) experiencing emotional response, 2) striving to overcome the feelings and the impact of illness, 3) closer to God, 4) undergoing their destiny as People Living with HIV/AIDS (PLWHA), 5) received support and prayers of people around, and 6) has a hope of a cure.

Conclusions: PLWHA treated in a critical condition experience threat of death from opportunistic infections and had the psychological burden of disease due to the stigma of HIV/AIDS. This makes them slumped physically and psychologically, thus they felt helpless. The recommendation from the results of this research is that communities, families and health workers should provide a support system to people living with HIV in order to increase life expectancy due to a collapsed condition and hopelessness.

Author Biography

I Made Sukarja, Department of Nursing, Denpasar Health Polytechnic, Denpasar, Bali, Indonesia

Nursing Department of Denpasar Health Polytechnic

References

UNAIDS. Global Report: UNAIDS Report on the global AIDS epidemic 2010: WHO Library Cataloguing. 2010.

Kemenkes, RI, Laporan Triwulan Situasi Perkembagan HIV/AIDS di Indonesia sd 30 Juni 2010. Jakarta: Kementerian Kesehatan RI, 2010.

Moleong LJ. Metodologi Penelitian Kualitatif (Edisi Revisi ed.). Bandung: Remaja Rosdakarya, 2010.

Carter, M. Depression and HIV/AIDS. J Adv Nurs. 2006;30:825-34.

Mohammadpour A, Yekta ZP, Nasrabadi ARN, Mohraz M. Coming to terms with a diagnosis of HIV in Iran: a phenomenological study. The Association of Nurses in AIDS Care. 2009;20:249-59.

Pecheny M, Manzeli HM, Jones DE. The experience of stigma: people living HIV/AIDS and Hepatitis C in Argentina. Interamerican J Psychol. 2007;41:17-30.

Chulay M, Burns SM. Essentials of critical care nursing. USA: The McGraw Hill Companies; 2006.

Selwyn PA. Palliative care for patients with HIV/AIDS. J Palliative Medice. 2005;8 (Palliative Care Review).

Mansur H. Acquired immunodeficiency syndrome in the intensive care unit. Am J Respirator Crit Care Med. 2002;166:258-9.

Nickas G, Wacther RM. Outcomes of intensive care for patients with human immunodeficiency virus infection. Arch Intern Med. 2000;160:541-7.

Dickson, Batson, Copas, Singer, Miller. Survival of HIV Infected Patients in the Intensive Care Unit in the area of Highly Active Antiretroviral Therapy. Thorax, 2007, 62, 964-8.

Sole ML, Klein DG, Mosely MJ. critical care nursing. USA: Saunders. 2009.

Oyeyemi AOB, Bello I. Caring for patients living with AIDS: knowledge, attitude and global level of comfort. J Adv Nurs. 2005;53:196-204.

Fournier B, Walter K, Judy M, Mariam W. Nursing care of AIDS patient in Uganda. J Transcultural Nurs. 2007;18:253.

Smith R, Levine S, Lewis M. Prognosis of patients with AIDS requiring intensive care. Chest J. 1989;96:857-61.

Kollef MH, Bedient TJ, Isakow W. The Washington manual of critical care. Philadelpia: Lippincort Wllialms and Wilkins. 2008.

Beanland C, Wood GL, Haber J. Nursing reaserch: methods, critical apprasial and utlisation. Philadelpia: Mosby. 2005.

Nevid JS, Rathus SA, Greene B. Psikologis Abnormal (Murad J, Gianjar A, Basri AS, Poerwandari K, Musabia S, Nurwianti F, et al Trans. Edisi 5 ed.). Jakarta: Penerbit Erlangga. 2005.

Durand M, Barlow DH. Psikologi Abnormal (Soetjipto HP, Soetjipto SM, Trans. Keempat ed.). Yogjakarta: Pustaka Pelajar. 2006.

Kimberly P. Nursing care management of older adults with HIV/AIDS and chronic depression. Care Manag J. 2006;7:115-20.

Wangsadjaja Stress. Journal. Retrieved from http://rumahbelajarpsikologi.com/index.php/stress.htm, 2008.

Di Suriah AR, AIDS adalah Takdir Tuhan. Journal. Retrieved from http://www.rnw.nl/bahasa-indonesia/ article/di-suriah-aids-adalah-takdir-tuhan.; 2010.

Nyblade L, Stangl A, Weiss E, Kim A. Combating HIV Stigma in Health Care Setting: What Works? J Int AIDS Soc. 2009;12:15.

Helene L, Ricardo Z. Socio-political determinant of an AIDS prevention program: multiple actors and vertical relationships of control and influence. Policy Polit Nurs Pract. 2006;7:125.

Downloads

Published

2017-03-28

How to Cite

Sukarja, I. M., Sutedja, E., Nursiswati, ., Sukawana, I. W., & Sundayana, I. M. (2017). Experiences of people with HIV/AIDS (PLWHA) at the critical condition due to AIDS. International Journal of Research in Medical Sciences, 5(4), 1357–1362. https://doi.org/10.18203/2320-6012.ijrms20171226

Issue

Section

Original Research Articles