scholarly journals Literature Review : Efektifitas SMS Reminder dan Wechat Dalam Meningkatkan Kepatuhan Minum Obat ARV Pada Penderita HIV/AIDS

2019 ◽  
Vol 5 (1) ◽  
pp. 1
Author(s):  
NURAIDAH NURAIDAH
Keyword(s):  
Viral Load ◽  
Literature Review ◽  
Sms Reminder ◽  
Aids Diagnosis ◽  
Hiv Aids

Latar belakang: Aplikasi seluler SMS dan WeChat selain dapat digunakan sebagai SMS reminder juga dapat menjadi media visual untuk pendidikan kesehatan yang berisi materi pencegahan penularan HIV/AIDS, diagnosis dan pengobatan HIV/AIDS sehingga kualitas hidup pasien dapat meningkat. Tujuan penelitian ini adalah untuk mengetahui efektifitas SMS reminder dan WeChat dalam meningkatkan kepatuhan minum obat ARV pada penderita HIV/AIDS. Metode: Artikel ini dibuat berdasarkan literature review artikel jurnal yang berkaitan dengan inovasi mHealth lima tahun terakhir yaitu 2013-2018. Hasil: Dari  4 jurnal yang dianalisa lebih mendalam  menyebutkan efektivitas intervensi SMS dan WeChat untuk meningkatkan kepatuhan minum obat pada pasien dengan HIV/AIDS telah menjadi bukti awal dan dibuktikan secara  klinis oleh 1 artiel yang di telaah dengan adanya penekanan jumlah virus atau viral load. Kesimpulan : Berdasarkan analisa dari jurnal jurnal yang ada metode SMS remainder dan WeChat efektif dalam meningkatkan kepatuhan minum obat  ARV pada pasien HIV/AIDS.

scholarly journals SMS REMINDER TERHADAP MOTIVASI MENJALANI TERAPI ARV PADA PEREMPUAN DENGAN HIV/AIDS

2020 ◽  
Vol 5 (1) ◽  
pp. 61-71
Author(s):  
Lina Safarina ◽  
Ismafiaty Ismafiaty
Keyword(s):  
Viral Load ◽  
Mobile Health ◽  
P Value ◽  
Purposive Sampling ◽  
Sms Reminder ◽  
Hiv Aids

Perempuan merupakan kelompok yang paling rentan tertular HIV dari pasangan atau suaminya. Kerentanan tertularnya perempuan oleh HIV ini diakibatkan oleh adanya ketimpangan gender, faktor biologis, ekonomi dan sosial budaya. Ketika perempuan tertular HIV/AIDS maka berbagai permasalahan dapat dialami misalnya dari segi fisik kekebalan tubuh semakin menurun dan terjadi infeksi opportunistic. Pemerintah telah melaksanakan berbagai program penanggulangan HIV/AIDS termasuk pada perempuan, salah satunya melalui PMTCT dan didalam upayanya terdapat pengobatan ARV untuk perempuan dengan HIV/AIDS. Beberapa hasil penelitian menunjukkan masih banyaknya orang dengan HIV AIDS yang tidak teratur melakukan pengobatan bahkan dropout yang pada akhirnya berdampak pada umur harapan hidup dan kualitas hidup mereka. Ketika ODHA tidak patuh dalam pengobatan ARV maka dapat menimbulkan resistensi, peningkatan kadar viral load, penurunan kadar CD4 dan berkembangnya infeksi opportunistic, terlebih ODHA perempuan, bila dalam kondisi hamil maka dapat berpengaruh terhadap ststus HIV anaknya. Untuk itu perlu upaya yang lebih intensif dalam rangkan meingkatkan kepatuhan terhadap ARV ini. SMS remainder, sebagai pemanfaatan tekhnologi M-Health (Mobile Health) telah diujicobakan di beberapa Negara, di Indonesia sendiri sebagai aplikasi pemanfaatan tekhnologi dapat dilakukan sms remainder ini pada berbagai kondisi pasien termasuk pasien dengan HIV/AIDS. Penelitian ini bertujuan untuk mengidentifikasi pengaruh SMS remainder terhadap motivasi menjalani terapi ARV pada perempuan dengan HIV/AIDS di kota Bandung dan Cimahi. Pengambilan data dilakukan pada klien HIV AIDS di kota Bandung dan Cimahi dilakukan beberapa klinik HIV/ AIDS. Tehnik pengambilan sample dengan purposive sampling, dan didapat sample 30 orang. Pengambilan data dilakukan mulai 20 Juni 2015-20 Agustus 2015. Instrument untuk motivasi menjalani terapi ARV dengan kuesioner dan Intervensi SMS reminder dengan pengiriman SMS selama dua bulan berturut-turut yang dikirim setiap hari minggu dengan isi pesan motivasi untuk meningkatkan kesehatan. Desain penelitian dengan metode eksperimen, analisa data dengan uji t dependen. Didapatkan hasil terdapat pengaruh sms reminder terhadap motivasi menjalani terapi ARV dengan nilai P value 0,000. Diharapkan metode SMS reminder ini dilakukan secara rutin terutama pada perempuan dengan HIV/AIDS agar mereka selalu memiliki motivasi positif untuk menjalani terapi ARV

scholarly journals Factors associated with prognostic or treatment outcomes in HIV/AIDS patients with and without hypertension in Eswatini

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sabelo Bonginkosi Dlamini ◽  
Hans-Uwe Dahms ◽  
Ming-Tsang Wu
Keyword(s):  
Viral Load ◽  
P Value ◽  
Aids Patients ◽  
Large Hospital ◽  
Hypertensive Patients ◽  
Factors Associated ◽  
Cell Counts ◽  
Cd4 Cell Counts ◽  
Cd4 Cell ◽  
Hiv Aids

AbstractNon-communicable diseases are increasing faster in HIV/AIDS patients than in the general population. We studied the association between hypertension and other possible confounding factors on viral load and CD4-cell counts in hypertensive and non-hypertensive HIV/AIDS patients receiving antiretroviral therapy (ART) at a large hospital in Eswatini over a 4-year period. We performed a retrospective longitudinal review of the medical records of 560 ART patients divided into non-hypertension and hypertension groups (n = 325 and n = 235) from July 27 to September 8, 2018. Generalized Estimated Equation was used to analyze the longitudinal data. Hypertensive patients were more likely to have improved CD4-cell counts than non-hypertensive patients (OR = 1.83, [1.37–2.44]). ART patients with hypertension were more likely to have detectable viral loads, though not significant (OR = 1.37 [0.77–2.43]). In non-hypertensive patients, second line ART was significantly associated with viral load (OR = 8.61 [2.93–25.34]) and adverse side effects (OR = 3.50 [1.06–11.54]), while isoniazid preventive therapy was significantly associated with CD4-cell counts (OR = 1.68 [1.16–2.45]). In hypertensive patients, factors associated with viral load were WHO HIV stage (OR = 2.84 [1.03–7.85]) and adherence (OR = 8.08 [1.33–49.04]). In both groups, CD4-cell counts significantly and steadily increased over time (p-value < 0.001). Results show a significant association between hypertension and CD4 cell counts but not viral load. In ART patients with and without hypertension, the factors associated with prognostic markers were different. More attention may need to be paid to ART patients with well controlled HIV status to monitoring and controlling of hypertension status.

scholarly journals Evaluation of laboratory markers of progression of HIV disease to death

2011 ◽  
Vol 44 (6) ◽  
pp. 657-660 ◽  
Author(s):  
Graça Maria de Castro Viana ◽  
Maria do Desterro Soares Brandão Nascimento ◽  
Aila de Menezes Ferreira ◽  
Érica Milena Fernandes Rabelo ◽  
João Arnaud Diniz Neto ◽  
...  
Keyword(s):  
Viral Load ◽  
Hiv Disease ◽  
Significant Relation ◽  
Chi Square ◽  
Laboratory Markers ◽  
Cd4 Lymphocyte Count ◽  
Chi Square Test ◽  
Cd4 Lymphocyte ◽  
Hiv Aids

INTRODUCTION: One of the important current problems in HIV/AIDS infection is the establishment of epidemiological and laboratorial prognostic parameters during patient follow-up. This study aimed at analyzing the evolution of laboratory tests: CD4 lymphocyte count, viral load, hemoglobin (Hb), aspartate aminotransferase (AST), alanine aminotransferase (ALT), and the epidemiological variables sex and age as prognostic factors for survival in progression to death among AIDS patients. METHODS: A retrospective study was conducted using analysis of medical records, and prospective 24-month follow-up of patients with HIV/ AIDS attended at the President Vargas Hospital Outpatient Clinic, a reference center in HIV/ AIDS attendance in the State of Maranhão, Brazil. The study analyzed patients aged 10 to 60 years old, who manifested AIDS and who were not using antiretroviral therapy or had used it for less than 5 years. The Chi-square test was used for statistical analysis. RESULTS: The sample included 100 patients - 57 were current outpatients, and 43 had died. The variables viral load (p=0.726), ALT (p=0.314), sex (p=0.687), and age (p=0.742) were analyzed, and no evidence of association between them and worst prognosis was observed. CONCLUSIONS: A significant relation was verified between low Hb levels (p=0.000) and CD4 (p=0.000) and shorter survival.

scholarly journals Depression and suicidal ideation among HIV seropositive patients attending the special treatment clinic of the University of Calabar Teaching Hospital, Calabar, Nigeria

2021 ◽  
Vol 4 ◽  
pp. 64-70
Author(s):  
Elvis Mbu Bisong ◽  
Chidi John Okafor ◽  
Agam Ebaji Ayuk ◽  
Udeme Essien Asibong ◽  
Henry Ohem Okpa
Keyword(s):  
Viral Load ◽  
Suicidal Ideation ◽  
Highly Active Antiretroviral Therapy ◽  
Cd4 Count ◽  
Special Treatment ◽  
Prevalence Rates ◽  
Highly Active ◽  
Study Participants ◽  
Hiv Seropositive ◽  
Hiv Aids

Objectives: The introduction of highly active antiretroviral therapy and innovations in healthcare has contributed in improving the lives of persons living with human immunodeficiency virus (HIV)/AID. Patients infected with HIV are more susceptible to develop psychiatric illnesses. Depression is common among patients suffering from chronic illness such as HIV/AIDS and can exacerbate these illnesses. Depression has been observed to be twice as common in HIV seropositive individuals than in the general population. Undiagnosed and untreated depression in patients suffering from HIV/AIDS could lead to poor adherence to medications and lower quality of life. Depression is associated with rapid HIV disease progression. The diagnosis of HIV infection may be associated with feelings of anger, denial, sadness, guilt feelings, loss of self-esteem among others. These negative feelings could lead to suicidal ideation and attempted suicide or suicide. We sought to determine the prevalence rates, sociodemographics and predictors, of depression and suicidal ideation among study participants. Material and methods: Two hundred and two adult participants who met the inclusion criteria were recruited into the study. Mini International Neuropsychiatric Interview English version 6.0.0 was employed to diagnose depression and suicidal ideation. Data were analyzed using Statistical Package for the Social Sciences version 20.0. Significant levels were set at P < 0.05. Results: This study revealed prevalence rates of 11.4% for depression and 7.9% for suicidal ideation among study participants. Majority of the participants were females in the young age group category of 30–40 years (45%) with mostly secondary education (47.8%), most had a higher CD4 count greater than 200 cells/µL (82.6%) and were mainly on zidovudine/lamivudine/nevirapine combination therapy (56.5%). Mean age, CD4 count, and viral load levels were lower in HIV patients with depression but were not statistically significant (P > 0.05). CD4 count and viral load were not significantly associated with suicidal ideation. Lower age (30–40 years) was significantly associated with suicidal ideation (P < 0.05). Suicidal ideation is a predictor of depression in the same way depression is a predictor of suicidal ideation (P < 0.05). Conclusion: Routine screening for depression and suicidal ideation especially among younger HIV/AIDS patients is recommended in the clinic setting.

scholarly journals Stressor And Coping Strategies Of People Living With Hiv/aids (PlWHA): A Literature Review

2021 ◽  
Author(s):  
Ahmad Ikhlasul Amal ◽  
Moses Glorino Rumambo Pandin
Keyword(s):  
Literature Review ◽  
Coping Strategies ◽  
Coping Strategy ◽  
People Living With Hiv ◽  
General Will ◽  
External Conditions ◽  
English Articles ◽  
And Coping ◽  
Living With Hiv ◽  
Hiv Aids

Background: A person living with HIV / AIDS bargains with stressors such as discrimination, stigma depression, and several psychological impacts. The stressors experienced by people with HIV/ AIDS will certainly have an impact on daily activities, welfare, and management of medications which in general will have an impact on the quality of life. To deal with these stressors, it is necessary to have good and proper coping from within the PLWHA. Coping strategies need to be owned and carried out by PLWHA in order to respond adaptively to the stressor conditions experienced. Purpose: The aim of this review is to describe the stress experienced and the coping strategies used among PLWHA. Methods: This literature review used keywords in the search for international references are coping strategy, stressor, HIV-AIDS. Inclusion criteria: selection of titles that are relevant to the formulation of the problem and objectives, full-text articles in English, articles published from 2019 to 2021. The exclusion criteria used were coping strategy articles that did not involve HIV patients. Search references from electronic database sources namely ProQuest, CINAHL, and ScienceDirect.Six articles that are deemed worthy of analysis are then discussed or analyzed. Results: Age, gender and sexual orientation have contributed to the emerging stressor among PLWHA. The internal and external coping strategies focusing on the problem are important for PLWHA in handling the stressor. Conclusion: People with HIV-AIDS have many stressors in their lives, but they also have proper coping strategies depending on their internal and external conditions.

scholarly journals Faktor Penghambat dalam Pelaksanaan Program VCT (Voluntary Counselling And Testing): A Literature Review

2020 ◽  
Vol 11 (4) ◽  
pp. 346
Author(s):  
Nita Anggerina Putri Hi Setiawan ◽  
Mateus Sakundarno Adi
Keyword(s):  
High Risk ◽  
Literature Review ◽  
Keyword Search ◽  
Health Workers ◽  
Google Scholar ◽  
Voluntary Counselling ◽  
Voluntary Counseling And Testing ◽  
Hiv Test ◽  
Voluntary Counselling And Testing ◽  
Hiv Aids

The prevalence of HIV/AIDS had been increasing due to the lack of awareness of people to use or access VCT services, especially those with high risk. Many factors affect people and people at high risk of accessing VCT services. The study aims to describe barriers that arise in the implementation of the VCT program. The research method was a literature review from electronic database such as Google Scholar, PubMed, and Science Direct. Keyword search included barrier, Voluntary Counseling and Testing, and HIV VCT. Selected 9 articles published from 2018 to 2020. The results of the study of all articles founded that barriers in the implementation of VCT in the form of lack of knowledge, fear, and shame when taking an HIV test, difficulty in communicating because of hearing impairment so that the information received was not enough, stigma from the community and health workers, barriers to limited operational hours of VCT services, lack of staff as program implementers, limited competence due to lack of training, and limited health infrastructure/facilities. Keywords: barrier; VCT; HIV/AIDS ABSTRAK Prevalensi HIV/AIDS semakin meningkat karena kurangnya kesadaran orang-orang untuk memanfaatkan atau mengakses layanan VCT terutama mereka dengan risiko tinggi. Banyak faktor yang mempengaruhi masyarakat maupun orang dengan risiko tinggi dalam mengakses layanan VCT. Tujuan penulisan artikel ini adalah untuk menggambarkan tentang hambatan-hambatan yang muncul dalam pelaksanaan program VCT. Metode penelitian adalah literature review dari database elektronik seperti Google Scholar, PubMed, dan Science Direct. Kata kunci pencarian antara lain menggunakan kata kunci barrier, Voluntary Counselling and Testing, dan VCT HIV. Terpilih 9 artikel yang dipublikasi tahun 2018 sampai 2020. Hasil penelitian dari semua artikel, diperoleh bahwa hambatan-hambatan dalam pelaksanaan VCT yaitu berupa kurangnya pengetahuan, rasa takut, dan malu jika melakukan tes HIV, kesulitan dalam berkomunikasi karena memiliki gangguan pendengaran sehingga informasi yang diterima pun kurang, stigma dari masyarakat serta petugas kesehatan, hambatan jam operasional layanan VCT yang terbatas, kurangnya jumlah staf sebagai pelaksana program, kompetensi yang terbatas karena kurang mengikuti pelatihan, serta infrastruktur/fasilitas kesehatan yang terbatas. Kata Kunci: hambatan; VCT; HIV/AIDS

scholarly journals Ocular manifestations of HIV/AIDS: A literature review* (Part 1)

2010 ◽  
Vol 69 (4) ◽  
Author(s):  
P. Govender ◽  
R. Hansraj ◽  
K. S. Naidoo ◽  
L. Visser
Keyword(s):  
Literature Review ◽  
Ocular Manifestations ◽  
Hiv Aids

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