Nursing Care Approch Model (NCAM–PAKAR) on the Increasing of Cognitif and Biological Adaptation Responses Patient with HIV Infection
Journal Title: Jurnal Ners - Year 2011, Vol 6, Issue 2
Abstract
Introduction: PAKAR model that focused on coping strategy and social support (nurse, family and patients) lead to positive coping mechanism through the learning process. The purpose of the study was to examine the effect of PAKAR toward adaptive response on PWH infection. PNI and nursing sciences from Roy paradigm were used in this study. Method: Quasy-experimental pre-post-test non randomized control group design is used in this study. Forty (40) PWH infections in Intermediate Department Care for Infection Disease (UPIPI) Dr. Soetomo hospital in Surabaya were selected and non-randomized assignment divided into 2 groups of 20, experiment and control group. In vitro- test were used to measure biological response change: cortical, CD4, IFNγ, and Anti-HIV. Psychological, social, and spiritual response were measured and observed by using questionnaires, in depth interview and Focus Group Discussion. A Multivariate analysis was used to evaluate the data of biological response and non-parametric test: Wilcoxon and Mann Whitney were used to measure cognitive response. Result: Result showed that there were signifi cantly differences on cognitive response between PAKAR and Standard, namely; spiritual response on be patient, social response on emotional stable, and acceptance response on anger and bargaining. In addition, biological response were signifi cantly differences between the groups with F = 0.497 and p = 0.000. The cortical and Anti-HIV variables were the pattern contribution between the groups, with 77.5%. The increase the number of CD4 was found to be the dominance factor that was correlated toward the positive of cognitive response caused by PAKAR. Discussion: PAKAR model that focused on coping strategy and utilizing social support lead to treat cognitive response PWH infection. The model is based on nursing science theory (Roy and Hall) combined with psychoneuroimmunology paradigm that is able to induce immune response modulation, especially the increase of the number of CD4. The increase of CD4 will induce IFN-γ to help macrophage in destroying HIV.
Authors and Affiliations
Nursalam Nursalam
Keywords
Related Articles
- EP ID EP206665
- DOI 10.20473/jn.v6i2.3974
- Views 81
- Downloads 0
Date Seeds Steeping (Phoenix Dactylifera) Strengthen Sperm Cells Membrane and Reduce Malondialdehyde Level
Introduction: Infertility in men is becoming more frequent and are usually caused by high levels of free radicals as a result of diet, smoking or pollution. Oxidative stress can be reduced by antioxidants, but a source o...
RED ROSELLA TEA AND AVOCADO AS SIMVASTATIN THERAPY SUPPORT REDUCE TOTAL CHOLESTEROL
Introduction: Hypercholesterolemia is a condition characterized by high levels of total cholesterol in the blood. Many studies have proven that steeping tea rosella and flesh of an avocado can reduce total cholesterol le...
Analysis of Risk Factors Ectopic Pregnancy
Introduction: Ectopic pregnancy is a pregnancy with extrauterine implantation. This situation is gynecologic emergency that contributes to maternal mortality. Therefore, early recognition, based on identifi cation of the...
Work atmosphere and Perception on Job as Determinant Factor of Employee’s Intention to Stay in Wahyu Tutuko Police Hospital Bojonegoro
Introduction: Many studies suggested that employee intention to stay were determined by job satisfaction, particularly correlated with salary or other economic aspects. However, the initial survey showed that 55 % of emp...
Hopelessness Experience among Stroke Survivor in Semarang
Introduction: Hopelessness was a negative feelings about goal achievement and powerlessness feeling against an expectation. Hopelessness in stroke survivors can occur due to prolonged disability and neurologic defi cit....