THE EFFECT OF NURSING CARE APPROACH MODEL (NCAM= PAKAR) ON THE INCREASE OF CD4 CELL COUNT FOR PATIENT WITH HIV INFECTION
ABSTRACT: The increase of the
number of patient With HIV (PWH) Infection has become a great challenge to
Indonesian nurses, confronting their values, practices and prejudices and many
ethical dilemmas concerning autonomy, control and confidentiality. HIV
diagnosis is perceived as a death sentence and the first reaction often include
denial and shock. The purpose of the study was to examine NCAM, that focused on
on coping strategy and social support (nurse, family, and peer groups). This
may result in positive cognitive response and to increase Biological responses.
Psychoneuroimmunology paradigm was used in this study. Quasy-experimental
pre-post test non randomized control group design was 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. Instruments, in vitro- test were used to measure
biological response change: CD4 and IFN-γ and questionnaires, in depth
interview and Focus Group Discussion were used to measure the cognitive
responses; spiritual, social, and self-acceptance. A multivariate analysis was
used to evaluate the data of biological response, while non-parametric test: Wilcoxon
and Mann Whitney were used to measure cognitive response. The finding indicated
that NCAM model is able to treat positive cognitive response that leads to
induce immune response modulation that showed by the increase of CD4 cell
count.
Keywords: Nursing Care Approach Model (PAKAR),
cognitive adaptive responses, and Biological responses
Author: Nursalam
Journal Code: jpkedokterangg050034
