scholarly journals Hubungan Dukungan Keluarga Dan Tingkat Pendidikan Pasien Terhadap Kepatuhan Minum Obat Antiretroviral Pasien Hiv Aids Di Poli Rsud Dr. Drajat Prawiranegara Serang Banten

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

2017 ◽  
Vol 33 (11) ◽  
pp. 509 ◽  
Author(s):  
Fitri Handayani ◽  
Fatwa Sari Tetra Dewi

Purpose This study aimed to determine factors that affect the quality of life of people living with HIV/AIDS (PLWHA) in Kota Kupang.MethodsThe study used cross-sectional study design with 100 people who had been on ARV therapy ≥1 months, age ≥18 years, was able to communicate with Indonesian language and willing to become respondents. The bivariate analysis used chi-square test and multivariate analysis used logistic regression test.ResultsThere was no significant correlation between the level of education, duration of antiretroviral therapy and the stigma of the quality of life of PLWHA. There was no significant relationship between sex, age, occupation, income, marital status, and adherence to the quality of life of PLWHA. The factors that most affect the quality of life of PLWHA were education level and stigma of ARV therapy.Conclusion The factors that most affect the quality of life of people living with HIV were education level and stigma of ARV therapy.


2015 ◽  
Vol 20 (4) ◽  
pp. 1109-1118 ◽  
Author(s):  
Leonara Maria Souza da Silva ◽  
Jeane Saskya Campos Tavares

The study of HIV transmission and the implementation of AIDS prevention actions recognize the importance of social networks in the transmission of the disease, the adherence to treatment and the quality of life of those infected. For this relevance there was a review of articles on social support networks to people living with HIV /AIDS available in the Virtual Health Library (VHL) were published in Brazil between 2002 and 2012. In this study 31 articles were used from journals covering the following áreas: Nursing (n = 15), Psychology (n = 6) and Science Health / Biomedica (n = 6), were included, which some principal authors were affiliated to higher education public institutions (n = 17). In relation to the methodology used, priority wasgiven to conducting: qualitative research (n = 18), cross-sectional studies (n = 19) and studies that involved talking to people living with HIV/AIDS (n = 13). Particular importance was placed on analytic categories related to: adherence to treatment (n = 6), the family (n = 4), vulnerability (n = 3) and support from social networks (n = 5). Within this paper we argue for more investments into studies that focus on the family, carers and their households, as well as deepening the theoretical study of the themes discussed and the use of developed theories for the analysis of Social Networks.


2019 ◽  
Vol 7 ◽  
pp. 205031211986910
Author(s):  
Olaide Olutoyin Oke ◽  
Adeolu Oladayo Akinboro ◽  
Fatai Olatunde Olanrewaju ◽  
Olatunbosun Ayokunle Oke ◽  
Ayanfe Samuel Omololu

Introduction: HIV/AIDS-related stigma remains an essential barrier to the formulated care delivery and improved quality of life of people living with HIV/AIDS in sub-Saharan Africa. Only a few studies have evaluated stigma and its determinants as concerns people living with HIV/AIDS in Nigeria. Methods: A cross-sectional design study recruited 386 people living with HIV/AIDS attending the government clinic, Federal Medical Centre, Abeokuta, Nigeria, for the assessment of stigma using Berger’s HIV stigma scale and United States Agency International Development-recommended indicators and questions on HIV-related stigma among people living with HIV/AIDS. Data were analyzed using SPSS 21. Results: Of the 386 people living with HIV/AIDS, 322 (83.4%) were females and 64 (16.6%) were males, and 96.9% had disclosed their HIV status. Overall, mean perceived stigma score was moderately high at 95.74 (standard deviation = ±16.04). Majority (77.2%) of the participants experienced moderately perceived stigma. Among the subscales, disclosure concerns contributed the most to stigma score at 68.9%. Enacted stigma in the last 12 months was documented in 35.8% (138). There was no association observed between age, gender, marital status and HIV-related stigma. However, low education was associated with higher negative self-image perception (31.83 ± 5.81 vs 29.76 ± 5.74, p < 0.001). Furthermore, higher perceived stigma score was associated with abandonment by spouses (p < 0.001), isolation from household members (p < 0.001) and social exclusion (p < 0.001). We demonstrated a correlation between the domains of enacted stigma and Berger HIV stigma scales except for the loss of resources. Conclusion: Perceived HIV-related stigma is moderately high among people living with HIV/AIDS. Low education, disclosure concerns, spousal or household abandonment and social exclusion are the significant contributors. HIV-related stigma preventive interventions at different levels of care are advocated.


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


2009 ◽  
Vol 13 (4) ◽  
pp. 475-479 ◽  
Author(s):  
Elizabeth Nafula Kuria

AbstractObjectiveTo establish the food consumption, dietary habits and nutritional status of people living with HIV/AIDS (PLWHA) and adults whose HIV status is not established.DesignCross-sectional descriptive survey.SettingThika and Bungoma Districts, Kenya.SubjectsA random sample of 439 adults; 174 adults living with HIV/AIDS and 265 adults whose HIV/AIDS status was not established in Thika and Bungoma Districts.ResultsMajority of PLWHA consume foods that are low in nutrients to build up the immune system and help maintain adequate weight, and there is little variety in the foods they consume. More adults who are HIV-positive are undernourished than those whose status is not established. Of the HIV-positive adults, those with a BMI of ≤18·5 kg/m2 were 23·6 % (Thika 20·0 % and Bungoma 25·7 %) while of the adults whose status is not established those with BMI ≤ 18·5 kg/m2 were 13·9 % (Thika 9·3 % and Bungoma 16·7 %).ConclusionsAdults who are HIV-positive are more likely to be undernourished than those whose status is not established, as there is a significant difference (P = 0·000) between the nutritional status (BMI) of PLWHA and those whose HIV/AIDS status is not established. PLWHA consume foods that are low in nutrients to promote their nutritional well-being and health.


2018 ◽  
Vol 71 (suppl 1) ◽  
pp. 513-522 ◽  
Author(s):  
Juliano de Souza Caliari ◽  
Lilian Andreia Fleck Reinato ◽  
Daiana Patrícia Marchetti Pio ◽  
Letícia Pimenta Lopes ◽  
Renata Karina Reis ◽  
...  

ABSTRACT Objective: To analyze factors related to the quality of life of elderly people living with HIV/AIDS. Method: A cross-sectional study was carried out with people aged 50 years or more in a specialized outpatient clinic. The data collection was by means of an interview. For the analysis of data and characterization of the sample, descriptive statistics and comparison tests were used. The project met the ethical requirements. Results: Participants were 81 users aged 50 to 75 years, mean age was 57.8 (± 6.1) years, 71.6% of whom were men. There was a statistically significant relationship with the quality of life, the following variables: gender, children, occupation, religion, diagnosis time, HIV exposure, adverse effects, treatment interruption, viral load counts, hospitalization, dependence for daily activities and use of drugs. Conclusion: The results suggest that the quality of life deficit is related not only to physical changes, but to the anguish and stigma related to HIV/AIDS.


2013 ◽  
Vol 16 (3) ◽  
pp. 622-632
Author(s):  
Katia Cristina Bassichetto ◽  
Denise Pimentel Bergamaschi ◽  
Deivis Elton Schlickmann Frainer ◽  
Vania Regina Salles Garcia ◽  
Edina Aparecida Tramarin Trovões

The nutritional status of people living with HIV/AIDS (PLWHA) is related to morbidity and mortality and its monitoring is important in the maintenance of the health status. This is a cross-sectional study carried out in Brazilian National Health System in the Municipality of São Paulo. It describes anthropometrical characteristics: weight and height; indices of weight for height (W/H), height for age (H/A), body mass index for age (BMI/A) and Z score for height and weight. The study includes 772 participants from all ages: children, adolescents, adults and elderly. The graphical analysis shows that in under-5s and in the 5 to 19 years old group, the W/H, the H/A and the BMI/A curves are similar to the reference population with an exception in the H/A for 5 to 19 years old group which is left-shifted (mean Z = -0.66). In the case of adults, graphics for the study population show median weight apparently lower than in the reference population for most age groups in the case of men, and when age is greater in women. The proportion of people over 20 years old with AIDS on anti-retroviral therapy is lower when coinfection is present (p < 0.001). The findings of the study showed that, for children and adolescents with HIV/AIDS, the average weight and height are lower than the values for non infected population. For adults and elderly, the weight average is lower than the reference population with a worsening among coinfected patients. This underscores the need to direct more effort in nutritional actions thus helping enhance the health status of this group.


2017 ◽  
Vol 11 (1) ◽  
pp. 67-75 ◽  
Author(s):  
Idongesit Godwin Utuk ◽  
Kayode Omoniyi Osungbade ◽  
Taiwo Akinyode Obembe ◽  
David Ayobami Adewole ◽  
Victoria Oluwabunmi Oladoyin

Background:Despite demonstrating global concerns about infection in the workplace, very little research has explored how co-workers react to those living with HIV in the workplace in sub-Saharan Africa. This study aimed to assess the level of stigmatising attitude towards co-workers living with HIV in the workplace.Methods:The study was a descriptive cross-sectional survey involving 403 respondents. They were recruited from selected companies through a multistage sampling technique. Survey was carried out using pre-tested semi-structured questionnaires. Data were analyzed using the Statistical Package for the Social Sciences to generate frequencies, cross tabulations of variables at 5% level of significance. Logistic regression model was used to determine the predictors at 95% confidence intervals.Results:Mean age of respondents was 32.9 ± 9.4 years with 86.1% being females. Overall, slightly below two-third (63.0%) had good knowledge on transmission of HIV/AIDS while 218 (54.1%) respondents had a high stigmatising attitude towards co-workers with HIV in the workplace. More female respondents (69.6%) demonstrated high stigmatising attitudes towards co-workers with HIV in the workplace (p = 0.012). Female workers were twice more likely to have high stigmatising attitudes towards co-worker with HIV [OR 2.1 (95% CI: 1.13 – 3.83)].Conclusion:Stigma towards people living with HIV/AIDs is still very persistent in different settings. Good knowledge amongst our participants about HIV/AIDs did not translate to low stigmatising attitudes among workers. Concerted efforts and trainings on the transmission of HIV/AIDs are essential to reduce stigma that is still very prevalent in workplace settings.


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