Abstract
Introduction: Incidence of Human Immunodeficiency Virus (HIV) among Indonesian Migrant Workers (TKI) returning from his destination countries, especially in East Java is quite high. Stress experienced by the patient is affected bythe family member maladaptive behaviors; thus affect healing process and even increased mortality. The purpose of this study was to analyze the response of the bio-psycho-socio-spiritual family of Indonesian Workers who are infected with HIV and compared with the response of non-family workers who are infected with HIV. Method: Research design was comparative to reveal the response of the bio-psycho-socio-spiritual families of HIV-infected familyof migrant workers and non-migrant workers. The population was family of both migrant and non-migrant in two districts in East Java in 2014. Sample of 17 people were recruited by simple random sampling technique. Data were performed at the family home, including biologic response (venous blood sampling for cortisol examination), and measurement of the psychological, social and responses by using questionnaires and interviews. Data were analysed with statistical t test and Mann-Whitney test with a significance level of 0.05. Result: The results showed no differences in the biological response of HIV patients’ families among migrant and non-migrant workers (p = 0.000) although the majority of respondents were in the normal range or not stress. In contrast, the psychology, social and spiritual responsesshowed no statistically significant difference with p = 0.065, p = 0.057, p = 0.243 for psychological, social, and spiritual responses respectively. Discussion: There is a difference in the biological response (cortisol) in the group of family and relatives of patients with HIV among migrant workers compared with non-migrant workers, but there is no statistical difference in the psychological, social and spiritualresponses.Keywords: HIV, migrant workers, their families, stress, psychological, social, spiritual
Highlights
Incidence of Human Immunodeficiency Virus (HIV) among Indonesian Migrant Workers (TKI) returning from his destination countries, especially in East Java is quite high
The purpose of this study was to analyze the response of the bio-psycho-socio-spiritual family of Indonesian Workers who are infected with HIV and compared with the response of non-family workers who are infected with HIV
Research design was comparative to reveal the response of the bio-psycho-socio-spiritual families of HIV-infected familyof migrant workers and non-migrant workers
Summary
Penelitian ini sudah diuji dan dinyatakan laik etik oleh Tim Etik Universitas Airlangga pada tanggal 23 Juli 2014, dengan nomor surat persetujuan No 1245/UN3.14/LT/2014. Tabel 1 menunjukkan nilai hasil pemeriksaan kortisol pada kelompok keluarga TKI lebih baik dibandingkan dengan non TKI, tetapi hampir seluruh responden baik anggota keluarga TKI maupun non-TKI penderita HIV & AIDS mempunyai kadar kortisol berada dalam rentang normal. Hanya masing-masing satu orang responden yang memiliki kadar kortisol tinggi pada kelompok keluarga TKI, dan satu orang pada tingkat rendah yaitu pada keluarga non-TKI. Uji t-Test menunjukkan angka p = 0,000 artinya terdapat perbedaan kadar kortisol antara keluarga pasien HIV TKI dan non TKI. Hasil uji statistik dengan Mann Whitney menunjukkan tidak ada satu pun respons psikologis, sosial dan spiritual yang bermakna antara kelompok keluarga TKI dan non-TKI dengan nilai signifikasi psikologis p = 0,065, sosial p = 0,057, dan spiritual p = 0,243. Tabulasi kadar kortisol responden keluarga penderita HIV TKI dan Non TKI
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