Spirituality in the Life of People with HIV in Light of Neuman’s Systems Model


Background: since its discovery as the etiological agent of the Acquired Immune Deficiency Syndrome (AIDS), the Human Immunodeficiency Virus (HIV) has infected 75.7 million people worldwide Due to the specific characteristics of the Brazilian population, it is considered that spirituality, or spiritual well-being, is an important factor in the way individuals face the HIV/AIDS problematic and its consequences. To understand the spirituality of living with HIV in the light of Neuman's Systems Model.

Method: qualitative, descriptive-exploratory research in the light of the Systems Model proposed by Betty Neuman. Data collection took place between the months of March and August 2016 in an outpatient clinic specialized in the treatment of patients with HIV/AIDS of a university hospital located in the city of Recife, Pernambuco, Brazil. Thirty people living with HIV participated in the study. The data were collected through a questionnaire and an interview with a semi-structured script and underwent categorical content analysis.

Results: the understanding of spirituality in living with HIV is presented in three categories: the discovery of the diagnosis and the initial reactions: stressors that affect the lines of defense; the spiritual and religious search: protection when stressors penetrate the lines of defense; and the influence of faith combined with ART in living with HIV: dynamic relationship of the variable spirituality with the other variables.

Conclusion: the applicability of the theory can provide important gains to the patient living with HIV/AIDS, generating a way to ensure the strengthening and establishment of lines of defense during their daily lives, and thus maintaining the balance of the patient's system, as well as the harmonic relationship between its variables and the environment.


1. UNAIDS. [Internet]. Resumo informativo: estatísticas mundiais sobre o HIV 2020. [cited 2021 Mar 8]. Available from: https://unaids.org.br/estatisticas/
2. Agostini R, Rocha F, Melo E, Maksud I. The Brazilian response to the HIV/AIDS epidemic amidst the crisis. Ciênc. saúde coletiva [Internet]. 2019 Dec [cited 2021 Mar 13]; 24(12): 4599-4604. DOI: http://dx.doi.org/10.1590/1413-812320182412.25542019.
3. Menezes EG, Santos SRF, Melo GZS, Torrente G, Pinto AS, Goiabeira YNLA. Factors associated with non-compliance with antiretrovirals in HIV/AIDS patients. Acta paul. enferm. [Internet]. 2018 June [cited 2021 Mar 13]; 31(3): 299-304. DOI: http://dx.doi.org/10.1590/1982-0194201800042.
4. Pinho CM, Gomes ET, Trajano MFC, Cavalcanti ATA, Andrade MS, Valença MP. Impaired religiosity and spiritual distress in people living with HIV/AIDS. Rev. Gaúcha Enferm. [Internet]. 2017 [cited 2021 Mar 13]; 38(2): e67712. DOI: http://dx.doi.org/10.1590/1983-1447.2017.02.67712.
5. Soares MS, Nóbrega MML, Garcia TR. Cuidados de enfermagem a uma paciente com AIDS à luz da variável espiritual do modelo teórico de Betty Neuman. Cienc. Cuid. Saúde [Internet]. 20º de outubro de 2008 [citado 13 de março de 2021];3(2):187-94. Disponível em: http://www.periodicos.uem.br/ojs/index.php/CiencCuidSaude/article/view/5425
6. Faria JB, Seidl EMF. Religiosidade, enfrentamento e bem-estar subjetivo em pessoas vivendo com HIV/aids. Psicologia em Estudo, 2006; 11(1), 155-164. DOI: https://dx.doi.org/10.1590/S1413-73722006000100018
7. Pinho CM, Damaso BFR, Gomes ET, Trajano MFC, Andrade MS, Valenca MP. Religious and spiritual coping in people living with HIV/Aids. Rev Bras Enferm [Internet]. 2017;70(2):392-9. DOI: http://dx.doi.org/10.1590/0034-7167-2015-0170.
8. Neuman, B., & Fawcett, J. The Neuman Systems Model (5th ed.). Upper Saddle River, NJ: Pearson. 2011.
9. Bardin L. Análise de Conteúdo. Lisboa, Portugal; Edições 70, LDA, 2011.
10. Curran G. The spiritual variable: a world view. In: Neuman B. The Neuman systems model. Stamford: Lance, 1995. p. 581-589.
11. Ashaba S, Cooper-Vince CE,Vořechovská D, Rukundo GZ, Maling S, Akena D et al. Community beliefs, HIV stigma, and depression among adolescents living with HIV in rural Uganda. African Journal of AIDS Research [Internet]. 2021; 18(3):169-180. DOI: https://doi.org/10.2989/16085906.2019.1637912.
12. Beyeza-Kashesya J, Wanyenze RK, Goggin K, Finocchario- Kessler S, Woldetsadik MA, Mindry D, et al. Stigma gets in my way: Factors affecting client-provider communication regarding childbearing among people living with HIV in Uganda. PLos ONE. [Internet]. 2018; 13(2): e0192902. DOI: https://doi.org/10.1371/journal.pone.0192902.
13. Cobb RK. How Well Does Spirituality Predict Health Status in Adults Living with HIV-Disease: A Neuman Systems Model Study. Nursing Science Quarterly. 2012;25(4):347-355. DOI:10.1177/0894318412457051
14. Carvalho PP, Barroso SM, Coelho HC, Penaforte FRO. Factors associated with antiretroviral therapy adherence in adults: an integrative review of literature. Ciênc. saúde coletiva [Internet]. 2019 July [cited 2021 Mar 13]; 24(7): 2543-2555. DOI: https://doi.org/10.1590/1413-81232018247.22312017.
15. Poteat T, Lassiter JM. Positive religious coping predicts self-reported HIV medication adherence at baseline and twelve-month follow-up among Black Americans living with HIV in the Southeastern United States. AIDS Care [Internet]. 2019; 31(8):958-964. DOI: https://doi.org/10.1080/09540121.2019.1587363.
16. Vasconcelos EM. Espiritualidade na educação popular em saúde.Cad. Cedes, Campinas, vol. 29, n. 79, p. 323-334, set./dez. 2009. Disponível em http://www.cedes.unicamp.br
17. Neuman B, Fawcett J. The Neuman systems model. 4th ed. Upper Saddle River, NJ: Prentice Hall; 2002, 16p.
How to Cite
ABRÃO, Fatima Maria da Silva et al. Spirituality in the Life of People with HIV in Light of Neuman’s Systems Model. International Archives of Medicine, [S.l.], v. 14, mar. 2021. ISSN 1755-7682. Available at: <http://imedicalpublisher.com/ojs/index.php/iam/article/view/2935>. Date accessed: 14 apr. 2021. doi: https://doi.org/10.3823/2633.

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