title: Resourcefulness and self-care in pregnant women with HIV.
abstract: The human immunodeficiency virus (HIV) has caused suffering in the lives of humans worldwide. Pregnant Thai women now constitute the fastest-growing segment of individuals diagnosed with HIV/AIDS. Few studies have looked at self-care or resourcefulness among pregnant women with HIV. Using Rosenbaum's theory of learned resourcefulness, this study examined the direct effects of depression and resourcefulness on prenatal self-care as well as the mediating effects of resourcefulness on depression and self-care. A model testing study with 153 pregnant Thai women compared the effects of depression and resourcefulness on prenatal self-care in HIV-positive and HIV-negative groups. Regression analyses indicated direct effects of depression and resourcefulness on prenatal self-care. The effect of depression on prenatal self-care was mediated by resourcefulness. HIV status did not predict prenatal self-care. The findings on the relationships of depression, resourcefulness, and prenatal self-care can help nurses provide effective services to pregnant Thai women, including counseling on self-care.
authors.affiliation: Faculty of Nursing, Obstetrics and Gynecology Department, Prince of Songkla University, Songkla, Thailand.
authors.forename: Chayanin
authors.initials: C
authors.lastname: Boonpongmanee
authors.forename: Jaclene A
authors.initials: JA
authors.lastname: Zauszniewski
authors.forename: Diana Lynn
authors.initials: DL
authors.lastname: Morris
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D003863:Depression / Q000523:psychology; D005260:Female; D015658:HIV Infections / Q000523:psychology / Q000628:therapy*; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000523:psychology / Q000628:therapy* / Q000821:virology*; D011295:Prenatal Care; D012044:Regression Analysis; D012648:Self Care / Q000523:psychology*; D020377:Self Efficacy; D013785:Thailand