Self-management: A comprehensive approach to improve quality of life among people living with HIV in Indonesia


quality of life
health-related quality of life

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Fauzi, A., Anggraini, N., & Fatkhurohman, N. (2021). Self-management: A comprehensive approach to improve quality of life among people living with HIV in Indonesia. Belitung Nursing Journal, 7(5), 395–401.
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Accepted for publication: 2021-08-23
Peer reviewed: Yes

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Background: People living with HIV (PLWH) today have to deal with a chronic condition that requires efficient self-management due to increased longevity. Self-management interventions have been shown to improve physical and psychological symptoms as well as clinical results in chronic diseases. However, few studies have investigated the effect of self-management on quality of life (QOL) among PLWH in Indonesia.

Objective: To examine the effect of a self-management program on QOL among PLWH in Indonesia.

Methods: This was a quasi-experimental study  with a comparison group in a general hospital in Jakarta, Indonesia. Of the 114 recruited PLWH, 57 were assigned to the intervention group and 57 to the comparison group. The self-management group attended a four-week program workshop. The intervention consisted of five sessions: need assessment and goal setting, maintaining a healthy lifestyle, educational participation to increase communication and self-esteem, and evaluation. The comparison group received standard educational material throughout the leaflet regarding HIV prevention. The post-test assessment was conducted immediately after intervention (T1) and two months (T2) after the intervention in both groups. QOL was measured using the World Health Organization Quality of Life (WHOQOL)-HIV brief Bahasa version. The estimations were obtained using fixed-effect regressions. The differences between T0, T1, and T2 for the intervention and comparison groups were evaluated and compared using the DI Differences method (DID).

Results: The self-management program improved outcomes relative to the comparison group at T1: 1) overall QOL score increased 8.7% (95% CI 0.021–0.149), 2) physical domain saw a modest increased 8.8% (95% CI 0.017–0.125), 3) psychological domain increased 23.5 % (95% CI 0.085–0.689), and 4) environmental domain showed a modest increase of 18.7% (95% CI 0.053–0.371). At T2, the total QOL score and the physical, psychological, and environmental dimensions were significantly improved compared to the comparison group.

Conclusion: The self-management program appears to improve the QOL of the life of PLWH. Nurses are advised to provide PLWH with self-management training. Future research on self-management intervention would need to be refined further to ensure that each community achieves consistent intervention outcomes.

Supporting Agencies

STIKes Abdi Nusantara, Indonesia


Copyright (c) 2021 Achmad Fauzi, Nofa Anggraini, Novy Fatkhurohman

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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