Application of the Purpose in Life Model for Enhancing Holistic Health Promotion of Thai Adolescents Living with HIV

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Karnsunaphat Balthip
Usanee Petchruschatachart
Siriwan Piriyakoontorn
Siriluck Chandrema
Kittikorn Nilmanat

Abstract

    This participation action research (PAR), with a technical collaborative approach, is aimed at developing a purpose in life model for enhancing holistic health promotion of Thai adolescents living with HIV. The study was conducted from September, 2015-March, 2017. The data were collected using 4 instruments: 1) demographic data; 2) holistic health record; 3) rapport semi structured interview; and 4) two sets of semi structured interview. The participants comprised 2 groups; 22 adolescents living with HIV and two professional nurses. Data were gathered by in-depth interviews. Demographic data were analyzed by descriptive statistics and qualitative data were analyzed by Strauss & Corbin’s grounded theory.  This participation action research (PAR), with a technical collaborative approach, is aimed at developing a purpose in life model for enhancing holistic health promotion of Thai adolescents living with HIV. The study was conducted from September, 2015-March, 2017. The data were collected using 4 instruments: 1) demographic data; 2) holistic health record; 3) rapport semi structured interview; and 4) two sets of semi structured interview. The participants comprised 2 groups; 22 adolescents living with HIV and two professional nurses. Data were gathered by in-depth interviews. Demographic data were analyzed by descriptive statistics and qualitative data were analyzed by Strauss & Corbin’s grounded theory. 
       The results illustrated the model to increase knowledge of enhancing holistic health promotion of Thai adolescents living with HIV. The model consisted of 5 steps in 54 weeks. Step one, understanding the purpose in life and holistic care experience consisted of 2 activities: 1) building trust and rapport, and 2) understanding the perception of purpose in life and holistic care of the participant. Step two, searching for the purpose in life consisted of 2 activities: 1) searching for the purpose in life, and 2) sharing the purpose in life. Step three, designing life paths for the purpose in life consisted of 4 activities: 1) reviewing the purpose in life, 2) sharing holistic care activities with nurse professions, 3) defining activities to achieve the purpose in life and recording in the “my path in life and my commitment form 4) sharing activities to achieve the purpose in life by storytelling. Step four, practicing to achieve the purpose in life consisted of 5 activities; 1) practicing activities and recording in the form, 2) sharing holistic care activities with nurse professions, 3) using technology to search for holistic care activities and access to health services, 4) increasing feelings of pride and inspiration in a variety of ways, 5) cultivating a sense of social responsibility. Step five, evaluation and encouraging continuous practice; consisted of one activity called “making bracelet from beads”. The seven consequences were identified in relation to holistic care: 1) focusing on life’s purposes, 2) accepting HIV, 3) living with consciousness, 4) maintaining hope for cure, 5) making choices for life, 6) caring for oneself, and (7) responsibility towards others.


     The findings would benefit stakeholders in promoting holistic health and improving quality of life of adolescents living with HIV. 

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Balthip, K., Petchruschatachart, U., Piriyakoontorn, S., Chandrema, S., & Nilmanat, K. (2018). Application of the Purpose in Life Model for Enhancing Holistic Health Promotion of Thai Adolescents Living with HIV. Songklanagarind Journal of Nursing, 38(4), 49–67. Retrieved from https://he02.tci-thaijo.org/index.php/nur-psu/article/view/163897
Section
Research Articles

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