Factors Related to Compliance of ARV Medication in HIV Patients at RSCM Jakarta

Debby, Chryest; Sianturi, Sondang Ratnauli; Susilo, Wilhelmus Hary

doi:10.22219/jk.v10i1.5886

Cited by 14 publications

(13 citation statements)

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“…yang menyebutkan bahwa dari 41 responden, sebanyak 26 responden (64,41%) memiliki tingkat pengetahuan yang tinggi. Hasil penelitian lain yang dilakukan oleh Debby, et al29 di Unit Pelayanan Terpadu RSUPN Dr. Cipto Mangunkusumo juga sejalan dengan hasil penelitian ini, dengan mayoritas pengetahuan ODHA berada dalam kategori baik (70,2%). AIDS yang memiliki pengetahuan baik, belum tentu memiliki kepatuhan yang tinggi.Latif et al8 dalam penelitiannya mendapatkan hasil, efek samping ARV menjadi faktor yang menyebabkan ODHA menjadi tidak patuh saat minum obat.…”

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Hubungan Tingkat Pengetahuan dengan Kepatuhan Terapi ARV pada ODHA di Yogyakarta

Wulandari

Rukmi

2022

JKKK

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Background: Knowledge is something that can influence individual behaviour, and it is also one of the factors that can affect adherence. On the other hand, an individual who has knowledge about HIV/AIDS does not always has good adherence to ARV (antiretroviral) therapy.Objective: Determine the correlation between the level of HIV/AIDS knowledge with the adherence to ARV therapy in people living with AIDS (PLWHA) at the Victory Plus Foundation, Yogyakarta.Methods: This research was a correlative analytic study with a cross-sectional design approach. A total of 67 PLWHA who underwent ARV therapy at the Victory Plus Foundation Yogyakarta were chosen as respondents through purposive sampling technique, between May and July 2019. Data collection used the HIV/AIDS Knowledge Level Questionnaire and The Morisky Medication Adherence Scale (MMAS-8), which have been considered as valid and reliable. Somers' D Test used to analyze obtained data.Results: The level of knowledge of PLWHA in this study was in the high category (92,5%), while adherence to ARV therapy was in the moderate category (40,3%). There is no significant correlation between the level of knowledge and adherence to ARV therapy (r= 0,113; p-value= 0,153).Conclusion: The level of knowledge of HIV patients undergoing ARV therapy at the Victory Plus Foundation Yogyakarta is high and their adherence to ARV therapy is moderate, but there is no relationship between these two variables. Consequently, healthcare provider should focus on other scientific-proven factors, than HIV/AIDS knowledge, to increase ARV therapy adherence among patients for successful HIV treatment.Keywords: ARV, adherence, HIV, level of knowledge, PLWHA ABSTRAKLatar Belakang: Pengetahuan merupakan salah satu faktor yang dapat memengaruhi perilaku individu dan kepatuhan. Namun, individu yang memiliki pengetahuan yang baik tentang HIV/AIDS tidak selalu memiliki kepatuhan terapi ARV (antiretroviral) yang baik.Tujuan: Mengetahui hubungan tingkat pengetahuan HIV/AIDS dengan kepatuhan terapi ARV pada orang dengan HIV AIDS (ODHA) di Yayasan Victory Plus Yogyakarta.Metode: Penelitian ini merupakan penelitian analitik korelatif dengan pendekatan desain cross sectional. Sebanyak 67 ODHA yang menjalani terapi ARV di Yayasan Victory Plus Yogyakarta dipilih sebagai responden dengan teknik purposive sampling, antara bulan Mei hingga Juli 2019. Pengumpulan data menggunakan kuesioner Tingkat Pengetahuan HIV/AIDS dan Morisky Medication Adherence Scale (MMAS-8), yang sudah valid dan reliabel. Uji Somers' D digunakan untuk menganalisis data yang diperoleh.Hasil: Tingkat pengetahuan ODHA dalam penelitian ini termasuk dalam kategori tinggi (92,5%), sedangkan kepatuhan terapi ARV dalam kategori sedang (40,3%). Tidak ada hubungan yang signifikan antara tingkat pengetahuan dengan kepatuhan terapi ARV (r= 0,113; p-value= 0,153).Kesimpulan: Tingkat pengetahuan pasien HIV yang menjalani terapi ARV di Yayasan Victory Plus Yogyakarta tinggi dan kepatuhan terapi ARV sedang, tetapi tidak ada hubungan antara kedua variabel tersebut. Dampaknya, penyedia layanan kesehatan harus fokus pada faktor-faktor ilmiah lain, selain pengetahuan HIV/AIDS, agar dapat meningkatkan kepatuhan terapi ARV di antara pasien untuk pengobatan HIV yang berhasil.Kata kunci: ARV, HIV, kepatuhan, ODHA, tingkat pengetahuan

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Hubungan Tingkat Pengetahuan dengan Kepatuhan Terapi ARV pada ODHA di Yogyakarta

Wulandari

Rukmi

2022

JKKK

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“…The lower the support received, the more in line with the respondent’s lack of contact time with family. 8 , 9 …”

Section: Discussionmentioning

confidence: 99%

“…Adherence during treatment with a good ARV will also have a better effect on increasing immunity. 7 , 8 One of the efforts to increase knowledge is through counseling activities for PLWHA patients. Good knowledge will make it easier for someone to behave in a healthy manner.…”

Section: Discussionmentioning

confidence: 99%

Antiretroviral medication adherence for people with HIV/AIDS

Supriyatni

Salim

Hargono

et al. 2023

J. Public Health Afr.

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Background: People with HIV/AIDS require treatment with ARV to reduce the amount of HIV virus in the body it does not enter the AIDS stage, while people with AIDS require ARV treatment to prevent opportunistic infections with various complications. Aim: Determine antiretroviral medication adherence of PLWHA, get information on the facts that influence PLWHA in using ARVs, analyze factors that influence PLWHA in using ARV, and get information about management treatment antiretroviral of PLWHA. Method: a systematic review. Research information was obtained by utilizing the Google Sholar facility and index of journal publications. Result: Factors related to antiretroviral medication adherence to PLWHA include family support, level of knowledge, peer group support, side effects of medicine, motivation, behavioral skills, psychology of PLWHA patients, boredom, stigma, health care facilities, therapy guidelines, characteristics of comorbidities, perception, gender, health insurance, self-efficacy, social isolation, age, education level, income, duration of treatment with ARV, support from health workers, spiritual motivation, and utilization of health services for the last three years. Conclusion: Adherence and family support are important roles in healing PLWHA. PLWHA must obedient to treatment with antiretrovirals. Family support is an important role in healing PLWHA. They suggested to the families of PLWHA to give motivation and comply with the advice of health workers.

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“…The effectiveness of ARV management hinges on patient adherence to medication. ARV treatment is considered most effective when over 95% of patients consistently adhere to their treatment regimen ( 18 ). A major factor affecting treatment outcomes is late diagnosis and delayed initiation of ARV treatment.…”

Section: Current Treatment Scenariomentioning

confidence: 99%

HIV/AIDS in Indonesia: current treatment landscape, future therapeutic horizons, and herbal approaches

Jocelyn,

Nasution,

Nasution

et al. 2024

Front. Public Health

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HIV/AIDS is still a major worldwide health concern, and Indonesia is making efforts to mitigate its effects. Antiretroviral therapy (ARV), which aims to decrease viral replication, boost immunological function, and lengthen the lifespans of persons living with HIV/AIDS, is the cornerstone of Indonesia’s strategy. The availability of ARV has significantly increased, yet problems including stigma and the requirement for regular medication adherence still exist. To address the broader needs of those affected by HIV/AIDS, Indonesia lays a major focus on comprehensive care, which includes mental health and social support, in addition to ARV. Data show that, despite progress, there is still a stigma surrounding HIV/AIDS, which affects patient outcomes and access to care. With vigorous research into cutting-edge antiretroviral medications and treatment techniques, Indonesia has a thriving future therapeutic landscape. The goals of these programs are to increase treatment effectiveness, decrease side effects, and increase access to cutting-edge treatments. Preventive methods, such as PrEP (pre-exposure prophylaxis), are making progress, and efforts to find a cure are gaining prominence. Notably, HIV/AIDS management plan of Indonesia heavily relies on natural remedies. Patient care incorporates traditional Indonesian medicine, such as jamu and several herbal medicines. Although there is little scientific proof to support the effectiveness of these herbal remedies, complementary and alternative therapies frequently employ them to manage symptoms and promote general wellness. In terms of the 95-95-95 targets, Indonesia is making an effort to comply with these international goals by seeking to diagnose 95% of HIV-positive individuals, provide sustained ARV to 95% of those diagnosed, and achieve viral suppression in 95% of ARV recipients. Although there are gaps in reaching these aims, progress is being made, in part because of the aforementioned challenges. In summary, Indonesia employs a multimodal approach to HIV/AIDS management, including traditional herbal cures, continuous research into cutting-edge treatments, and conventional ARV. In order to enhance overall health outcomes and create a healthier society, the future of HIV/AIDS treatment in Indonesia is concentrated on expanding therapeutic alternatives, reaching the 95-95-95 targets, decreasing stigma, and improving access to care.

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Factors Related to Compliance of ARV Medication in HIV Patients at RSCM Jakarta

Cited by 14 publications

References 0 publications

Hubungan Tingkat Pengetahuan dengan Kepatuhan Terapi ARV pada ODHA di Yogyakarta

Hubungan Tingkat Pengetahuan dengan Kepatuhan Terapi ARV pada ODHA di Yogyakarta

Antiretroviral medication adherence for people with HIV/AIDS

HIV/AIDS in Indonesia: current treatment landscape, future therapeutic horizons, and herbal approaches

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