Problems and Needs of Palliative Care and Quality of life among Patients with HIV/AIDS in Indonesia

Abstract

Background: The HIV/AIDS prevalence in Indonesia estimated 0 7% it was increased significantly and become the sixth leading cause of death Objective: The study aims to identify problems and needs of palliative care and their relationship with quality of life among patients with HIV/AIDS in Bandung Indonesia Method: A cross-sectional design was conducted at a tertiary referral HIV-designated hospital Individuals were assessed using the short version of Problems and Needs of Palliative Care (PNPC-sv) and the World Health Organization Quality of Life (WHOQOL-BREF) instrument that has been translated into Bahasa with satisfactory reliability and validity Linear regression applied to determine the relationships among problems and needs of palliative care and quality of life Result: A total of 215 patients with HIV/AIDS were enrolled On average 11 problems (SD= 7 554; range 0-33) and required more professional attention for 10 problems (SD= 6 467; range 0-29) Fatigue as a major problems experienced by 67 5% of patients and over 30% patients’ needs of attention on fatigue program from professional Mean total score for quality of life 79 9 (range 46 2-101 2) Gender initiation of HAART Problems experienced by patients with HIV/AIDS and their need were associated with QoL with R2= 0 329 Conclusion: The study identified the quality of life among patients with HIV/AIDS are significantly associated with gender initiation of HAART numbers of problems and needs of palliative care Thus health care policy should start to initiate HAART following WHO guideline to improve patients’ quality of life and solve their problems related to sleeping problems and fatigue

Date of Award	2015 May 21
Original language	English
Supervisor	Nai-Ying Ko (Supervisor)