Jurnal Bahasa Inggris

Jurnal Bahasa Inggris
Headline
Using Spiritual Relaxation as a Nursing Intervention to Improve Quality

of Life and CD4 Cells in HIV/AIDS Patient
Introduction
HIV and AIDS are emergency global issues which need serious handling. They become the
greatest threats to socio-economic development, stability and security in developing countries.
Based on UNAIDS data, in 2013 there were 35 million people with HIV around the world. In
Indonesia, the cumulative number of HIV / AIDS by the year 2014 was 206 095 people. Whereas
for the number of HIV / AIDS in the East Java province was 19 249 cases by the year 2014.
According to data of Jombang District Health Office (2015). The stress sources of HIV/AIDS
patient are stigma and discrimination of environment.The environment views them(HIV/AIDS
patient) in negative point of view. Stigma also contribute to psychological condition such as
depression, social isolation and anxiety, poor quality of life. Physiological state, stigma and
discrimination often caused a decline in life spirit of HIV/AIDS patient, which contribute more
to the decreased of their quality of life(8).When their stress attain the stage of fatigue (exhausted
stage), it can lead to failure of immune function resulting in exacerbation of their condition.
Background
There is a correlation between biopsychosocial condition and the severity of HIV/AIDS patient.
Using spiritual relaxation as nursing intervention aims to improve quality of life and their
immune respond. The purpose of this research is to confirm that spiritual relaxation can improve
quality of life and the number of CD4 cells of HIV/AIDS patient.
Research methods
1. Research design
The study design used Quasy Experimental. Design approach randomized pretest-posttest control
group design. This study analyzed the effect of spiritual relaxation therapy on quality of life and
CD4 cell for HIV/AIDS patient in Jombang.
2. Research location and time
The research was held at Jombang care Centre with ethical approval recomendatiaon
Reg.No.:099/KEPKPOLKESMA/2015.
3. Population, sample and sampling
Research design used was Quasy-experimetal with pre test post test control group design. The
sample was 20 respondents of HIV/AIDS patient. At the moment they are active in non-profit
organization Jombang Care Centre. The research sample were divided into control and treatment
group with simple random sampling technique.
4. Research variable
The independent variable is the intervention of nursing spiritual relaxation. While the dependent
variable is the quality of life and CD4 cells number. Spiritual relaxation of nursing intervention
was performed by researchers once a week every Friday with a frequency of 5-20 minutes in two
months. It would be carried by the patient on a daily basis before sleeping. The quality of life
was measured by a questionnaire (WHOQOL-Bref), according to the WHO as seen from the
domain of physical, psychological, social and environmental. CD4 cell number is a check list
that is drawn from the examination of the data in the VCT at RSUD Jombang.
5. Data Processing and Analysis
The quality of life and the number of CD4 mesured before and after treatment. Data were
analyzed by using t-test to determine differences in the provision of nursing actions
relaxation.Statistical analysiswith a number of significant P<0.05
DISCUSSION
The results of this study stated that there is a spiritual relaxation effect on quality of life and CD4
cell the control and treatment groups of HIV/AIDS patients. Relaxation can release of tension or
relaxation techniques, eg deep breath and slowly. Relaxation is one of the techniques in behavior
therapy. Relaxation can be done by including some elements of beliefs. It can be done by anyone
who believes in something and can be practiced by any religion. Complementary and alternative
medicine recommend complementary interventions that can be given to HIV/AIDS clients is
spiritual, faith healing and Positive Affirmation. A study at Southern Methodist University in
Dallas have shown that people who experience trauma are getting support systems such as
spirituality will enhance immune function, reduce stress and improve health status. With
modified using spiritual relaxation is expected to be more effective in improving quality of life
patients with HIV. As already observed by Basavaraj et al, that spirituality is an important
contributor to prosperity for HIV patient, which is considered as a bridgebetween despair and
meaningfulness in life.

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Using Spiritual Relaxation as a Nursing Intervention to Improve Quality

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