FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN PASIEN HIV DALAM MENGONSUMSI TERAPI ANTIRETROVIRAL DI PUSKESMAS SIMPANG KAWAT KOTA JAMBI

Authors

  • Erny Kusdiyah
  • Firinia Rahmadani
  • Nuriyah Nuriyah
  • Miftahurrahmah Miftahurrahmah

DOI:

https://doi.org/10.22437/esehad.v3i1.20279

Keywords:

Key words: HIV (Human Immunodeficiency Virus), Adherence, Antiretroviral Therapy, HIV patient

Abstract

ABSTRACT
Background : HIV (Human immunodeficiency virus) is a virus that infects the human immune system. The cure to
eliminate HIV completely and effectively in the human body is not discovered yet, but there is an effective treatment
named antiretroviral therapy (ART), which results in suppressing the quantity of HIV effectively. Adherence is the
main factor to be a consideration for patients to be able to start ART. This study aims to discover factors that
correlate to HIV patients' adherence to ART consumption in Puskesmas Simpang Kawat Kota Jambi.
Method : Cross-sectional design through a questionnaire to 67 HIV patients in Puskesmas Simpang Kawat Jambi.
This study was conducted in May 2022 with univariate and bivariate data analyses
Results : The majority of respondents are 26 – 35 years old (mean: 33,6), male, have an occupation, high school
as their last formal education, and have gone through therapy for >24 months. As well as have good knowledge,
attitude, social support, evaluation of health care services, and adherence. On bivariate analyes, the results
obtained were p = 0,580 for age, p = 0,744 for sex, p = 0,235 for educational level, p = 0,143 for occupation, p =
2016 for therapy duration, p = 0,010 for knowledge, p = 0,010 for attitude, p = 589 for social support and p = 0,429
for healthcare service.
Conclusion : There are significant associations between the adherence of HIV patients with knowledge and
attitude. There are no significant associations between the adherence of HIV patients with age, sex, educational
level, occupation, duration of therapy, social support, and healthcare service.
Key words: HIV (Human Immunodeficiency Virus), Adherence, Antiretroviral Therapy, HIV patient.
ABSTRAK
Latar Belakang : HIV (Human immunodeficiency virus) adalah virus yang menginfeksi sistem imun manusia. Obat
yang tepat untuk mengeliminasi HIV pada tubuh manusia secara efektif dan keseluruhan belum ditemukan hingga
saat ini, namun sudah ada terapi ARV (antiretroviral) yang efektif dapat mensupresi jumlah virus HIV yang
diindikasikan kepada semua pasien HIV. Kepatuhan menjadi pertimbangan utama pasien untuk dapat memulai
terapi ARV. Tujuan penelitian ini untuk mengetahui faktor-faktor yang berhubungan dengan kepatuhan pasien HIV
dalam mengonsumsi terapi antiretroviral di Puskesmas Simpang Kawat Kota Jambi.
Metode : Rancangan cross sectional melalui kuesioner pada 67 pasien HIV di Puskesmas Simpang Kawat Kota
Jambi. Penelitian dilakukan pada Mei 2022 dengan analisis data univariat dan bivariat.
Hasil : Mayoritas responden berusia 26 – 35 tahun (mean: 33,6), berjenis kelamin laki-laki, memiliki pekerjaan,
pendidikan terakhir SMA, dan telah menjalani terapi >24 bulan. Serta memiliki pengetahuan, sikap, dukungan
sosial, penilaian pelayanan kesehatan, dan tingkat kepatuhan yang baik. Pada analisis bivariat, didapatkan hasil
p = 0,580 untuk usia, p = 0,744 untuk jenis kelamin, p = 0,235 untuk tingkat pendidikan, p = 0,143 untuk pekerjaan, 

p = 0,206 untuk lama menjalani terapi, p = 0,010 untuk pengetahuan, p = 0,010 untuk sikap, p = 0, 589 untuk
dukungan sosial, dan p = 0,429 untuk pelayanan kesehatan.
Kesimpulan : Terdapat hubungan bermakna antara pengetahuan dan sikap pasien HIV dengan kepatuhan
mereka mengonsumsi terapi ARV. Tidak ada hubungan bermakna antara kepatuhan pasien HIV mengonsumsi
terapi ARV dengan usia, jenis kelamin, tingkat pendidikan, pekerjaan, lama menjalani terapi, dukungan sosial, dan
pelayanan kesehatan.
Kata kunci: HIV (Human Immunodeficiency Virus), Kepatuhan, Terapi Antiretroviral, pasien HIV

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Reminders And Peer Counseling Improve Adherence And Treatment Outcomes Of Patients On Art In

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The Us, 2001 To 2012: An Observational Cohort Study. J Int Aids Soc. 2019;22(8):1–10.

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Antiretroviral Adherence In Primary Healthcare Service In Malang City. J Hiv Aids Soc Serv.

;20(3):228–45.

Ahmed S, Autrey J, Katz It, Fox Mp, Rosen S, Onoya D, Et Al. Why Do People Living With Hiv Not Initiate

Treatment? A Systematic Review Of Qualitative Evidence From Low- And Middle-Income Countries. Soc

Sci Med [Internet]. 2018;213(November 2017):72–84. Available From:

Https://Doi.Org/10.1016/J.Socscimed.2018.05.048

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Berobat Pasien Hiv/Aids Dalam Menjalani Terapi Antiretroviral Di Puskesmas Manahan Surakarta. Univ

Muhammadiyah Surakarta. 2018;88–99.

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Treatment Uptake And Adherence Among People Living With Hiv In Australia: A Mixed-Methods

Systematic Review. Aids Behav. 2017;21(2):352–85.

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Published

2022-09-30