Detail Article

Folia Medica Indonesiana

ISSN 0303-7932

Vol. 41 / No. 3 / Published : 2005-07

Order : 7, and page :212 - 216

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Original Article :

Research article: the effect of nursing care approach model (ncam = pakar) on the increase of cd4 cell count for patient with hiv infection

Author :

  1. Nursalam*1
  1. School of Nursing Airlangga University School of Medicine Surabaya

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 selfacceptance. 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.

Keyword :

Nursing Care Approach Model (PAKAR), cognitive adaptive responses, and biological responses,

References :

Ader R, Felten DL, Cohen N,(1991) Psychoneuroimmunology. 2nd. ed San Diego : Academic Pres. INC

Clancy J,(1998) Basic Concept in Immunology: Student's survival guide New York : The McGraw- Hill Companies

Archive Article

Cover Media Content

Volume : 41 / No. : 3 / Pub. : 2005-07
  1. Editorial Vol 41 No 3 2005
  2. Opinion: The Dramatic Avian Influenza Epidemic And The Pig Connection
  3. The Potency Of Piperine As Antiinflammatory And Analgesic In Rats And Mice
  4. Brain Derived Neurotrophic Factor (bdnf) Is A Key Mediator Of Learning Plasticity
  5. Migraine Headache In A Child With House Dust And Mite Allergy. A Case Report
  6. Long Versus Standard Initial Steroid Therapy For Children With Idiopathic Nephrotic Syndrome
  7. Research Article: The Effect Of Nursing Care Approach Model (ncam = Pakar) On The Increase Of Cd4 Cell Count For Patient With Hiv Infection
  8. Clinical Outcome Of Asthma With House Dust Immunotherapy In Children
  9. Different Clinical Manifestation Of Cerebral Lupus Due To Different Brain Involvement. A Report Of Two Cases
  10. A Comparative Test Of Eyedrops Timolol 0.5% And Betaxolol 0.5% In The Reduction Of Intraocular Pressure In Primary Open-angle Glaucoma In Dr Soetomo Hospital, Surabaya
  11. Efficacy Of Fine Needle Biopsy In The Diagnosis Of Tuberculous Cervical Lymphadenitis
  12. Molecular And Immunological Aspects Of Anemia In Malaria
  13. Review Article And Clinical Experience: Insulin Glargine Combined With Oral Agent In T2dm (clinical Uses Of Formulas: 1/3, 5-5, 2-2, 1-1, And 1-2)