CORRELATION OF SPIRITUAL SCORE WITH CD4 LEVELS IN HIV PATIENTS SUFFERING DEPRESSION IN HAJI ADAM MALIK GENERAL HOSPITAL MEDAN

Background Chronic illnesses greatly affect the mental (psychological) concept of the patient, so holistic management is needed. Serious diseases such as cancer, heart disease, stroke, and Human Immunodeficiency Virus (HIV) infections often occur with depression. Percentage of depression in people with infection with Human Immunodeficiency Virus / Acquired Immunodeficiency Syndrome (HIV / AIDS) of 22% -45%, even as many as 15% -20% conducting suicide attempts. Method This study was conducted on all HIV patients who came for treatment at the Center for Special Services Clinic (Pusyansus) Medan Haji Adam Malik General Hospital, observational with a cross-sectional design, starting in July 2019 until September 2019. The patient supports filling the FACIT Sp 12 questionnaire which contains 12 questions filled in ± 5 minutes. Result The study involved 52 subjects with a mean age of 33 ± 8.5 years, male subjects as many as 35 (67.3%) and 17 women (32.7%). There were 25 people with severe depression (48.1%), 14 people (26.9%) mild depression and 13 people (35%) moderate depression. The average spiritual FACIT score was 24.15 ± 7.58. The mean CD4 value was 98.11 ± 94.54. Discussion In the study, a significant negative power correlation was found between depression and spiritual scores. Spiritual scores have a strong positive correlation with CD4 + levels in HIV / AIDS patients. Psychotherapy also enhances neuronal development and neural network integration. Changes that occur in the brain are in line with changes in glucose metabolism, neurotransmitter concentration, and blood flow, which in turn increases the immune system (CD4). Conclusion In this study, spiritual scores were found to be significantly correlated with CD4 + levels in HIV patients suffering from depression. The higher spiritual scores showed higher CD4 levels