Status disclosure and the acceptance of women living with HIV

Objective: This study aimed at identifying the acceptance of women living with HIV in relation to status disclosure. Method: This cross sectional study involved 235 women with HIV positive in Public Health Centre in Jakarta, Indonesia, who were chosen with a consecutive sampling. We used a modified Acceptance of Disease and Impairments Questionnaire (ADIQ) as the instrument. Results: The median score of acceptance was 3 (SD 0.72) in the range of 2.79 to 2.98 at 95% confidence interval. More than half of the respondent (65%) are housewives and 50% of them got infected from their spouses. It was also found that status disclosure was associated with the women acceptance towards HIV (p < 0.05) Conclusions: The acceptance of HIV-positive women is influenced by status disclosure which can be positive or negative. This study suggests nurses to consider the grief response of the women with HIV positive to facilitate their acceptance and better adaptation to the illness

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The influence of adolescent postpartum women's psychosocial condition on mother-infant bonding

Objective: To identify the correlation between the psychosocial condition of adolescent women in the postpartum period and mother-infant bonding. Method: This study used a cross-sectional design. Using a consecutive sampling method, 103 adolescent women with a 1- to 12-week-old baby were recruited. Participants completed the postpartum bonding questionnaire to identify mother-infant bonding. This questionnaire included four dimensions: the relationship between mother and baby, baby acceptance, readiness to perform maintenance, and delivery of comfort. Results: We identified that 45.6% of the teen mothers in this study were at risk of psychosocial problems and that 67% of them had insufficient mother-infant bonding. There was a statistically significant correlation between the psychosocial condition of adolescent postpartum women and mother-infant bonding (p=0.000; OR=5.143; 95%CI, 0.195 to 135.662). Conclusions: Adolescent mothers require special attention during the perinatal period. They also require infant care education and preparation to become a successful mother. Maternity nurses play a very important role in providing education for adolescent mothers and the elderly. Maternity nursing services must be expanded to include psychosocial assessments for teen mothers throughout the pregnancy, childbirth, and postpartum periods

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Oncology nurse reflection on the necessity of a pain assessment tool for Indonesian cancer patients

Objective: The purpose of this study was to obtain an overview on nurses' opinions and perceptions related to pain assessment and other problems experienced in evaluating pain in cancer patients. Method: This descriptive qualitative study was part of a series of studies to develop a pain assessment tool for cancer patients in Indonesia. Data were collected by semi-structured interviews from 16 oncology nurses. A cross-case comparison of the interview responses was used to analyze the data from verbatim interview transcripts. Results: Six themes were identified: pain as the main complaint reported by cancer patients; pain assessment using a pain scale; an awareness of the absence of nurses' role in pain management; a lack of understanding of pain conditions; acknowledgement that a pain assessment tool should be practical and user friendly; and the need to develop a pain assessment tool. We also explored the knowledge of nurses in pain management and achieved an in-depth understanding of the nurses' desire to seek additional knowledge related to pain assessment. Conclusions: A pain assessment tool should be developed to assist nurses to independently interpret data about pain and allow them to select or modify interventions consistent with the patients' needs. Pain management for cancer patients is one of the essential nurses' responsibilities in providing comprehensive meaningful nursing care

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Family support and maternal self-efficacy of adolescent mothers

Objective: To identify a correlation between family support and maternal self-efficacy of adolescent mothers. Method: This cross-sectional study applied a consecutive sampling technique. The sample was 100 primiparous adolescent mothers. Instruments utilized were structured questionnaires, including a demographic questionnaire, Maternal Efficacy Questionnaire (MEQ), Postpartum Support System, Edinburgh Postnatal Depression Scale (EPDS), and Infant Characteristics Questionnaire (ICQ). The correlation of family support and maternal self-efficacy was analyzed using chi-square and logistic regression. Results: The results showed a significant correlation between family support and maternal self-efficacy of adolescent mothers. The family support that most influenced maternal self-efficacy of adolescent mothers was family instrument support, with Wald value of 34.720. Conclusions: Instrument support most affects maternal self-efficacy of adolescent mothers and encourages adolescents performing nurturing and mothering roles

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