scholarly journals Investigating Treatment Literacy on Antiretroviral Drugs (ARVs) and Nutrient Interaction Among People Living with HIV/AIDS (PLHIV)

2021 ◽  
Vol 5 (4) ◽  
pp. 30-48
Author(s):  
Nthani D ◽  
Hamoonga Mwiinga Bona
2017 ◽  
Vol 3 (1) ◽  
Author(s):  
Tri Nurhudi Sasono

Abstract : Indicator of the health welfare through Sustanable Development Goals (SDGs) is to reduce the incidence of HIV-AIDS, decrease the rate of the epidemic and maintain the quality of life of people living with HIV-AIDS (PLWHA). Trend cases of HIV-AIDS is the most recent spread among people, especially housewives. In Malang until 2015 found 278 Housewife of 409 cases of AIDS. The prevalence of HIV-AIDS in Malang Regency is ranked second after Surabaya city in East Java. For the importance of public participation and citizen care AIDS Cahaya Care Turen take responsibility for the condition. Determination Rule Goverment number 2 2015 year on the Participation of the community response to HIV-AIDS in Malang as a legal rule. Concerned Citizens activities AIDS (WPA). WPA Cahaya Care Turen is increases HIV risk and quality of life PLWHA. The purpose of this study was to determine the role of Citizens AIDS Cahaya Care Quality of Care Turen against people living with HIV in Puskesmas Turen Malang. The study design using a quasi-experimental, with purposive sampling using a sampling technique. Total number of research subjects 23. Based on test results obtained with the Wilcoxon p value <0.005, which means that there is a significant difference before and after PLWHA joining participated in the WPA Cahaya Care Turen. The conclusion of this study is WPA activities involving people living with HIV and at risk groups can optimize compliance with antiretroviral drugs that have an impact on improving the quality of life of PLHIV. Suggestions in this research is done WPA Program activities are structured and ongoing cross-sector in order to improve the quality of life and empower PLWHA.Keywords : WPA Cahaya Care Turen, Quality of life, PLWHA Abstrak : Salah satu indikator kesejahteraan kesehatan melalui Sustanable Development Goals (SDGs) adalah menekan angka kejadian HIV-AIDS, menurunkan laju epidemik dan mempertahankan kualitas hidup Orang dengan HIV-AIDS (ODHA). Trend kasus HIV-AIDS terkini terbanyak adalah menjangkit dikalangan masyarakat khususnya pada ibu rumah tangga. Kabupaten Malang sampai dengan tahun 2015 ditemukan 278 Ibu Rumah Tangga dari 409 kasus AIDS. Prevalensi HIV-AIDS di Kabupaten Malang ini merupakan peringkat kedua di Jawa Timur setelah Kota Surabaya. Untuk itu pentingnya peran serta masyarakat dan warga peduli AIDS Cahaya Care Turen ikut bertanggung jawab terhadap kondisi tersebut. Penetapan Peraturan Bupati Malang no.2 th.2015 tentang Peran serta masyarakat penanggulangan HIV-AIDS di Kabupaten Malang diharapkan dapat mengurangi risiko penularan HIV dan meningkatkan kualitas hidup ODHA. Tujuan dari penelitian ini adalah untuk mengetahui Peran Warga Peduli AIDS Cahaya Care Turen terhadap Kualitas ODHA Di Wilayah Kerja Puskesmas Turen Kabupaten Malang. Desain penelitian menggunakan quasi eksperimen, dengan teknik sampling menggunakan purposive sampling. Jumlah subyek penelitian sejumlah 23. Berdasarkan hasil uji dengan Wilcoxon didapatkan nilai p value < 0.005 yang berarti bahwa terdapat perbedaan bermakna sebelum dan sesudah ODHA bergabung mengikuti kegiatan WPA Cahaya Care Turen. Kesimpulan dalam penelitian ini adalah kegiatan WPA dengan melibatkan ODHA dan kelompok beresiko dapat mengoptimalkan kepatuhan obat ART sehingga berdampak terhadap peningkatan kualitas hidup ODHA. Saran dalam penelitian ini adalah dilakukannya Program kegiatan WPA yang terstruktur dan berkesinambungan lintas sektor guna meningkatkan kualitas hidup dan memberdayakan ODHA.     Kata kunci : WPA Cahaya Care Turen, kualitas hidup, ODHA


2020 ◽  
Author(s):  
Fatuma Degu ◽  
Yeneabat Birhanu ◽  
Abere Azagew

Abstract Background Sleep disturbance is the leading health problem in the era of HIV/AIDS. The exact cause of sleep disturbance was not well known, but it is related to HIV itself, antiretroviral drugs side effect, and other HIV related disorders. This study aimed to assess the prevalence of sleep disturbance and associated factors among adult people living with HIV/AIDS. Methods A cross-sectional study was conducted. A total of 419 study participants participated in the study. A systematic random sampling method was employed. An interviewer-administered a method of data collection with a chart review was used. Pittsburg Sleep Quality of Index for assessing sleep disturbance was used. A binary logistic regression was conducted. The variables having a p-value < 0.05 with 95% CI were used to declare an association. Results The prevalence of sleep disturbance was 36% (95% CI: 31–41%). The study revealed that being female (AOR = 3.45, 95% CI: 1.52–7.79), viral loads ≥ 1000 copies /ml (AOR = 6.88, 95% CI: 2.79–16.9), CD4 cell count < 200 cells/mm3 (AOR = 6.85, 95% CI: 2.42–19.39), WHO stage II and III(AOR = 4.29, 95%CI: 1.05–17.53), having anxiety (AOR = 10,95% CI: 4.21–23.9), having depression (AOR = 4.4, 95% CI: 1.95–10.1), having not a separated bedroom (AOR = 3.94, 95% CI: 1.86–8.36), and living alone (AOR = 6, 95% CI: 2.81–13.12) were found to be factors associated with sleep disturbance. Conclusion In this study, more than one - thirds of the study participants were developed sleep disturbance. Being female, low CD4 cell counts, viral load ≥ 1000copies/ml, WHO stage II and III, having depression and anxiety, living alone, and have not a separate bedroom have increased the experience of sleep disturbance.


Author(s):  
Muhammed O. Afolabi ◽  
Kayode T. Ijadunola ◽  
Adesegun O. Fatusi ◽  
Olayinka A. Olasode

Background: The advent of antiretroviral (ARV) drugs has transformed HIV/AIDS into a chronic manageable disease and strict adherence is required for the medication to be effective. However, factors influencing adherence to ARV therapy (ART) vary from country to country.Method: 120 subjects who received ARV drugs at a federal government-designated ART site located within the Obafemi Awolowo University Teaching Hospital complex, (OAUTHC), Ile-Ife, and a community-based non-governmental organisation, Living Hope Care (LIHOC), Ilesa, from February to May 2006 were serially recruited and studied. Relevant data were collected using an interviewer-administered, patient medication adherence questionnaire. Focus group discussions were also held among the subjects to further elicit qualitative information on factors influencing adherence to ART.Results: The age of participants ranged from 21 to 65 years with a mean age of 40.2 + 10.3 years. Participants had been on ARV drugs for a period ranging between three and 60 months. The overall adherence rate in the study population was 44%. 66% of participants who accessed ARV drugs from LIHOC, Ilesa, had good adherence while only 14% of participants who accessed ARV drugs from OAUTHC, Ile-Ife, had good adherence. Participants with good adherence did not pay funds for the preliminary ARV eligibility investigations and they were also offered regular adherence counselling. These facilities were barely available in the group with poor adherence. Demographic factors such as age, gender and marital status did not seem to have any significant association with adherence level (p > 0.05).Conclusion: The level of adherence was high in a cohort of PLWHA accessing ARV drugs in Ilesa while it was low among PLWHA receiving ART in Ife. The most important reasons for this difference were lack of funds for investigations and poor psycho-social counselling.


1998 ◽  
Vol 9 (10) ◽  
pp. 579-586 ◽  
Author(s):  
Douglas M Ezzy ◽  
Michael R Bartos ◽  
Richard O De Visser ◽  
Doreen A Rosenthal

The objective of this study was to describe the medical, attitudinal and cultural correlates of antiretroviral uptake amongst people living with HIV/AIDS (PLWHA) in Australia. Stratified purposive sampling produced a sample of 925 PLWHA, which represents 8.3% of the current population of PLWHA in Australia. Respondents completed a self-administered questionnaire which revealed that 78% of respondents were using antiretroviral drugs for HIV/AIDS. Logistic regression revealed that PLWHA were more likely to use antiretroviral drugs if they had more favourable attitudes toward antiretroviral drugs, if they had been diagnosed with an AIDS-defining illness, and if they had ever had a CD4/T-cell count below 400 copies/ml blood. Women were less likely than men to use antiretroviral drugs, and logistic regression revealed different predictors of antiretroviral drug use amongst men and women. Given the importance of attitudes toward antiretroviral drugs, it is likely that if the current confidence in antiretroviral drugs were to change, this would be reflected in an equally rapid cessation of treatment amongst many PLWHA.


2021 ◽  
Vol 1 (2) ◽  
pp. 82-91
Author(s):  
Dalfian Adnan TH ◽  
Ahmad Kheru ◽  
Dede Marwan

 ABSTRACT: RELATIONSHIP ON FAMILY SUPPORT AND PATIENT EDUCATION ON COMPLIANCE WITH HIV AIDS PATIENTS OF ANTIRETROVIRAL DRUGS AT POLI RSUD DR. PRAWIRANEGARA DRAJAT SERANG BANTEN  Background: Antiretroviral therapy (ART) means treating HIV infection with several drugs. There are major obstacles around the world in improving ART adherence. Several factors are predisposition factors, namely education levels, and driving factors, namely family support. The higher the level of education of a person, the more obedient the person is in undergoing treatment, and the more encouragement the family gets, the more obedient to treatment. Purpose: This study aims to determine the relationship between family support and patient education level with adherence to taking antiretroviral drugs for HIV-aids patients in dr. Drajat Prawiranegara Serang Banten.Research Method: This type of research is quantitative analytic with a cross-sectional approach. The sample of this study was 75 respondents who had met the inclusion criteria. The level of education, family support, and medication intake were assessed using a questionnaire. Data analysis used the chi square test where p <0.05 was considered significant.Results: The highest number of PLHIV family support at the Serang Banten Regional General Hospital in 2020 was 39 people (52.0%), greater than the 36 respondents who did not receive family support (48.0%). There were 7 people living with HIV with family support and disobedience (17.9%), 18 people living with HIV without family support and disobedience, 32 people living with HIV receiving family support and obedience ), as well as PLWHA who do not receive family support and obey as many as 18 people (50.0%) with a value of p = 0.007 (p <0.05) and 95% CI and OR 4.57 (1.6-13.02) times greater than not being able to support the family. The education level of PLWHA at the Serang Banten Regional General Hospital in 2020 was mostly low education respondents (SMP and SMA), namely as many as 47 people (62.7%), greater than respondents with high education (Academy / Bachelor) only 28 people (37, 3%). There were 21 people with low education and non-compliance with HIV / AIDS, 4 people with higher education and non-adherence (14.3%), 26 people living with HIV with low education and obedience (55, 3%), as well as PLWHA with higher education and obedience as many as 24 people (85.7%) with a value of p = 0.014 (p <0.05) and CI 95% and OR 4.846 times greater than those with low education.Conclusion: There is a significant relationship between family support and education level with adherence to taking ARV drugs in PLHIV. Keywords: Family support and education level, compliance with ARV medication, PLWHABSTRAK: HUBUNGAN DUKUNGAN KELUARGA DAN TINGKAT PENDIDIKAN PASIEN TERHADAP KEPATUHAN MINUM OBAT ANTIRETROVIRAL PASIEN HIV AIDS DI POLI RSUD DR. DRAJAT PRAWIRANEGARA SERANG BANTEN  Latar belakang : Terapi antiretroviral (ART) berarti mengobati infeksi HIV dengan beberapa obat. Terdapat kendala utama di seluruh dunia dalam meningkatkan kepatuhan ART beberapa faktor adalah faktor presdisposisi yaitu Tingkat pendidikan dan faktor Pendorong yaitu dukungan keluarga. Semakin tinggi tingkat pendidikan seseorang maka semakin patuh orang tersebut dalam menjalani pengobatan dan semakin dapat dorongan keluarga maka semakin patuh dalam menjalani pengobatan.Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga dan tingkat pendidikan pasien terhadap kepatuhan minum obat antiretroviral pasien hiv aids di poli rsud dr. drajat prawiranegara serang banten tahun 2020Metode penelitian : Jenis penelitian ini adalah kuantitatif analitik dengan pendekatan cross sectional. Sampel penelitian ini sebanyak 75 responden yang telah memenuhi criteria inklusi. Tingkat pendidikan, dukungan keluarga dan kepatuan minum obat dinilai menggunakan alat kuesioner. Analisis data menggunakan uji chi squere dimana nilai p<0,05 dianggap bermakna.Hasil : Dukungan keluarga ODHA di Rumah Sakit Umum Daerah Serang Banten Tahun 2020 terbanyak adalah berjumlah 39 orang (52.0%), lebih besar dari responden yang tidak mendapat dukungan keluarga berjumlah 36 orang (48,0%). ODHA dengan mendapat dukungan keluarga dan tidak patuh sebanyak 7 orang (17,9%), ODHA Tidak mendapat dukungan keluarga dan tidak patuh sebanyak 18 orang (50,0%), ODHA Mendapat dukungan keluarga dan patuh sebanyak 32 orang (82,1%), serta ODHA Tidak mendapat dukungan keluarga dan patuh sebanyak 18 orang (50,0%) dengan nilai p = 0,007 (p < 0,05) dan CI 95% serta OR 4,57 (1,6-13,02) kali lebih besar dibandingkan dengan tidak dapat dukungan keluarga. Tingkat pendidikan ODHA di Rumah Sakit Umum Daerah Serang Banten Tahun 2020 terbanyak adalah responden pendidikan rendah (SMP dan SMA) yaitu sebanyak 47 orang (62.7%), lebih besar dari responden yang berpendidikan tinggi (Akademi/ Sarjana)  hanya berjumlah 28 orang (37,3%).ODHA dengan pendidikan rendah dan tidak patuh sebanyak 21 orang (44,7%), ODHA dengan pendidikan tinggi dan tidak patuh sebanyak 4 orang (14,3%), ODHA dengan pendidikan rendah dan patuh sebanyak 26 orang (55,3%), serta ODHA dengan pendidikan tinggi dan patuh sebanyak 24 orang (85,7%) dengan nilai p = 0,014 (p < 0,05) dan CI 95% serta OR 4,846 kali lebih besar dibandingkan dengan pendidikan rendah.Kesimpulan : Ada hubungan bermakna antara dukungan keluarga dan tingkat pendidikan dengan kepatuhan minum obat ARV pada ODHA. Kata kunci: Dukungan keluarga dan tingkat pendidikan, Kepatuhan Minum Obat  ARV, ODHA


2019 ◽  
Vol 8 (1) ◽  
pp. 31
Author(s):  
Lilik Manowati ◽  
Purwaningsih Purwaningsih ◽  
Abu Bakar

ABSTRACTIntroduction: HIV/AIDS sufferers must consume antiretrovirals every day and control routinely each month to take ARVs in the hospital. The condition make patients having a risk of lost to follow up attitude. The purpose of this study was to determine the factors related to the attitude of lost to follow-up on people living with hiv/aids with arv therapy at rsud dr. soetomo surabaya. Method: This study used descriptive correlation design with a cross-sectional approach. The population were 135 patients and 100 patients were required as research participant with consequtive sampling. Independent variables were perceived susceptibility, perceived severity, perceived barrier to action, perceived benefits of action, cues to action, and self efficacy. The dependent variable was lost to follow up behavior. Data were obtained by questionnaire and analyzed with Spearman's Rho. Result: There was a relationship between perceived susceptability (p=0.002), perceived severity (p=0.025), perceived barrier to action (p=0.022) and cues to action (p=0.011) with lost to follow-up behavior. There was no correlation between perceived benefit of action (p=0.196) and self efficacy (p=0.071) with lost to follow-up behavior. Discussion: Knowledge and awareness regarding the importance taking antiretroviral drugs regularly and control routinely needs to be increased for patients with antiretroviral drugs. Further researchers are advised to conduct in-depth research (qualitative research) related to the causes of lost to follow-up behaviour thus.


2016 ◽  
Vol 1 (2) ◽  
Author(s):  
YELMI RENI PUTRI

<div class="WordSection1"><p align="center"><strong>Relations </strong><strong>of pursuance taking drug of HIV patients</strong><strong> with the success of Antiretroviral Therapy (ART) in Poli Serunai Hospital Dr. Achmad Muchtar Bukittinggi<br /> Year 2014</strong></p><p align="center"><strong> </strong></p><p align="center">Yelmi Reni Putri, Adriani</p><p align="center">Program Studi Ilmu Keperawatan STIKes Fort De Kock Bukittinggi</p><p align="center">Email : <a href="mailto:[email protected]">[email protected]</a><strong></strong></p><p align="center"><strong> </strong></p><p align="center"><strong><em>ABSTRACT</em></strong></p><p><em>1st of of December is the day each year is celebrated as a day of HIV / AIDS this year themed "prevent HIV / AIDS, protect workers, families and the nation", this is when the right moment for us health workers give a good contribution to overcome or provide suggestions for improving services to patients with HIV / AIDS. The increasing number of patients with HIV / AIDS today is not only to make our health care workers need to be vigilant, even patients and families also need to work together to overcome this proble.</em></p><p><em>The purpose of this study was to identify the level of compliance of patients taking antiretroviral drugs and HIV-positive people do with the success of antiretroviral therapy, the study sample taken in accident sampling with the number of respondents 40 patients idODHA of the month from May to October 2014. The study design using qualitative and quantitative method Mix , measuring instrument used in this research is a questionnaire that contains the characteristics of patients living with HIV, guided interviews to assess the role of the KPA, manager of HIV RSAM, and people living with HIV patients themselves.</em></p><p><em>The result showed 57.5% of patients did not obey, and as much as 52.5% of patients successfully in HIV treatment, but there is no relationship between adherence with therapy success with value value 0.583 and 0.677 OR it is associated with the patient's anxiety and fear to know the results of which he repeated CD4 CD4 is one measure of the success of therapy.<br /> The conclusion of this study is important to know the patients' adherence PLWHA still low this will impact on the occurrence of resistance will even increase mortality, it is recommended that the family, NGOs, health workers to be more proactive in reaching out cases there and in people who risk to exposed HIV</em><em>, </em><em>then motivate PLWHA for routine treatment.</em></p><p><em><br /> Keyword: HIV / AIDS, Compliance, people living with HIV, Antiretroviral Therapy (ART)</em></p></div><strong><em><br clear="all" /> </em></strong>


2020 ◽  
Vol 8 (2) ◽  
pp. 116
Author(s):  
Putu Dian Prima Kusuma Dewi ◽  
Putu Sukma Megaputri ◽  
Ni Ketut Ayu Wulandari ◽  
Ni Made Dwi Yunica Astriani ◽  
Ari Pertama Watiningsih ◽  
...  

<pre><span>Cases of death in HIV / AIDS are still a benchmark for the success of treatment. Studies of predictors of death in people with HIV in the general population are still very limited. Longitudinal analytic with a retrospective approach using cohort data of patients receiving antiretroviral drugs at Buleleng General Hospital in the period 2006-2015. Analysis uses logistic regression with SPSS version 17. Results show a total of 1204 that the incidence of total mortality rate is 3 per 100 person years. 50% of deaths occurred at 0.14 years of observation. Men and the general functional status of employment were predictors of death in PLHAs. Men have a risk of death 2.12 times higher than that of women (aOR 2.12 (p 0.01 CI 1.28-3.51). Functional status of beds increases the risk of death aOR 2.14 (CI 1.39-3.29 p 0.01).Men have a risk of death evaluation of the success of antiretroviral therapy considers studies and differences in needs between women and men.The functional status of beds shows a poor clinical condition that increases the risk of death in people with HIV. Evaluation of regularity of treatment and the incidence of gender-based deaths should be done more intensively.</span></pre>


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