Abstract
OBJECTIVES: This study aimed to examine spiritual well-being and predicting factors of spiritual well-being among people living with HIV/AIDS (PLWHA). MATERIALAND METHODS: 138 participants were selected using a simple random sampling technique from one tertiary hospital in the northeast region of Thailand. The research instruments included: 1) the demographic characteristic questionnaire 2) the spiritual well-being questionnaire 3) the religious practice questionnaire 4) the social support questionnaire 5) the depressive questionnaire, and 6) the hope questionnaire. The reliabilities were tested by applying Cronbach’s alpha coefficient, which were 0.87, 0.90, 0.89, 0.89 and 0.87 respectively. Data were analyzed by frequency, percentage, mean, standard deviation, Pearson product-moment correlation, and stepwise multiple regression. RESULT: 1) The overall spiritual well-being was at a high level (4.03 ± 0.55). 2) Factors related to spiritual well-being were religious practice (r = 0.40, p = 0.000), social support (r = 0.57, p = 0.000), depression (r = -0.26, p = 0.002), and hope (r = 0.66, p = 0.000). Meanwhile, there was no correlation between CD4 level and spiritual well-being (r = -0.17, p = 0.053). 3) Predicting factors of spiritual well-being were hope (β = 0.446, p = 0.000), religious practice (β = 0.188, p = 0.005), and social support (β = 0.225, p = 0.007). These predictor variables accounted for 49.90% of the variance in spiritual well-being. CONCLUSION: It was summarized that hope, religious practice, and social support can predict spiritual well-being. Therefore, implementing intervention programs with a focus on the significant predicting factors to promote spiritual well-being among PLWHA is recommended. Further research should focus on other factors influencing spiritual well-being.
Highlights
Implementing intervention programs with a focus on the significant predicting factors to promote spiritual well-being among PLWHA is recommended
While there was no correlation between CD4 level and spiritual well-being among PLWHA (r = -0.17, p = 0.053), predicting factors of spiritual well-being among PLWHA were hope
Predicting factors of spiritual well-being among PLWHA were hope, religious practice, and social support, accounting for 49.90% (p < 0.05)
Summary
Participants were PLWHA who followed up at a tertiary hospital in the northeast region of Thailand from 1 July 2019 to 30 September 2019. Diagnosed by a doctor with HIV/AIDS 2. Both non-drug resistance and drug resistance groups 5. The sample size was calculated by using G*power. There were five factors consisting of religious practices, social support, depression, hope and CD4 cell count. The effect size was 0.15, α = 0.05 and 1 – β = 95%. The samples were selected by simple random sampling technique
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