ANALYSIS OF FACTORS INFLUENCING ADHERENCE TO ANTIRETROVIRAL MEDICATION (ARV) IN HIV/AIDS PATIENTS BASED ON INFORMATION, MOTIVATION, BEHAVIORAL SKILLS AT CUT MEUTIA GENERAL HOSPITAL
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HIV (Human Immunodeficiency Virus), included in the Retroviridae family, is a virus that causes AIDS (Acquired Immunodeficiency Syndrome), a syndrome caused by a decrease in the body's immune system. Compliance with taking medication on HIV/AIDS clients is very important, non-adherence in implementing therapy will reduce the effectiveness of ARV drugs and even increase viral resistance in the body. Information, motivation and ability to behave are fundamental determinants of a behavior in adherence to taking medication. This study will analyze the factors associated with adherence to taking ARV medication in HIV/AIDS patients to find out the causes of nonadherence to taking ARV medication. This type of research uses descriptive research methods while based on the time dimension the research uses a cross sectional design. The research was conducted at Cut Meutia General Hospital. This research was conducted from 2018-2019. The sampling technique in this study used the total sampling method. The population in this study were all HIV/AIDS patients who were treated at the VCT and CST clinics at Cut Meutia Hospital, North Aceh District, which were recorded until 2018-2019, totaling 62 people. The results of this study found that respondents at Cut Meutia Hospital had low information of 90.0% regarding adherence to ARV drug use. Respondents at Cut Meutia Hospital had low motivation of 96.7% for adherence to ARV drug use. Respondents at Cut Meutia Hospital had low behavioral skills of 96.7% for compliance with the use of ARV drugs. The sampling technique in this study used the total sampling method. The population in this study were all HIV/AIDS patients who were treated at the VCT and CST clinics at Cut Meutia Hospital, North Aceh District, which were recorded until 2018-2019, totaling 62 people. The results of this study found that respondents at Cut Meutia Hospital had low information of 90.0% regarding adherence to ARV drug use. Respondents at Cut Meutia Hospital had low motivation of 96.7% for adherence to ARV drug use. Respondents at Cut Meutia Hospital had low behavioral skills of 96.7% for compliance with the use of ARV drugs. The sampling technique in this study used the total sampling method. The population in this study were all HIV/AIDS patients who were treated at the VCT and CST clinics at Cut Meutia Hospital, North Aceh District, which were recorded until 2018-2019, totaling 62 people. The results of this study found that respondents at Cut Meutia Hospital had low information of 90.0% regarding adherence to ARV drug use. Respondents at Cut Meutia Hospital had low motivation of 96.7% for adherence to ARV drug use. Respondents at Cut Meutia Hospital had low behavioral skills of 96.7% for compliance with the use of ARV drugs. The population in this study were all HIV/AIDS patients who were treated at the VCT and CST clinics at Cut Meutia Hospital, North Aceh District, which were recorded until 2018-2019, totaling 62 people. The results of this study found that respondents at Cut Meutia Hospital had low information of 90.0% regarding adherence to ARV drug use. Respondents at Cut Meutia Hospital had low motivation of 96.7% for adherence to ARV drug use. Respondents at Cut Meutia Hospital had low behavioral skills of 96.7% for compliance with the use of ARV drugs. The population in this study were all HIV/AIDS patients who were treated at the VCT and CST clinics at Cut Meutia Hospital, North Aceh District, which were recorded until 2018-2019, totaling 62 people. The results of this study found that respondents at Cut Meutia Hospital had low information of 90.0% regarding adherence to ARV drug use. Respondents at Cut Meutia Hospital had low motivation of 96.7% for adherence to ARV drug use. Respondents at Cut Meutia Hospital had low behavioral skills of 96.7% for compliance with the use of ARV drugs. Respondents at Cut Meutia Hospital had low motivation of 96.7% for adherence to ARV drug use. Respondents at Cut Meutia Hospital had low behavioral skills of 96.7% for compliance with the use of ARV drugs. Respondents at Cut Meutia Hospital had low motivation of 96.7% for adherence to ARV drug use. Respondents at Cut Meutia Hospital had low behavioral skills of 96.7% for compliance with the use of ARV drugs.
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Radji, M., Immunology and Virology. 2nd rev. ed. ISFI publishing, Jakarta. 2015.
Ministry of Health of the Republic of Indonesia, InfoDATIN HIV AIDS Situation and Analysis. Republic of Indonesia Ministry of Health, Jakarta. 2014.
Nelwan, EJ, HIV infection in Indonesia. Department of Internal Medicine, Faculty of Medicine, University of Indonesia, 2017 ,49(3):193-194.
Djoerban, Z., HIV/AIDS in Indonesia. UPT HIV RSCM Prodiscus, 2010.
Montaner, et al, Expansion of HAART Coverage Is Associated with Sustained Decreases in HIV/AIDS Morbidity, Mortality and HIV Transmission: The “HIV Treatment as Prevention” Experience in a, 2014.
Fisher, An Information-Motivation-Behavioral Skills Model of Adherence to Antiretroviral Therapy. Health Psychology. 2006, 25(4):462-73.
Amico, KR, Fisher, WA, Cornman, DH, Shuper, PA, Redding, CG, Konkle-Parker, DJ, … Fisher, JD Visual analog scale of ART adherence: association with 3-day self-report and adherence barriers.Journal of Acquired Immune Deficiency Syndromes (1999), 2006, 42(4), pages 455–459. http://doi.org/10.1097/01.qai.0000225020.73760.c2
Ministry of Health of the Republic of Indonesia, InfoDATIN Situation of HIV AIDS in Indonesia. Republic of Indonesia Ministry of Health, Jakarta. 2016
Costa, TLD, Oliveira, DCD, Quality of life of people with human immunodeficiency virus and interiorization: multidimensional assessment. Universidade Federal do Rio de Janeiro, Brazil., 2013.
Sithole, BM, Factors that influence treatment adherence for people living with HIV and accessing antiretroviral therapy in rural communities in Mpumalanga. Retrieved from <http://uir.unisa.ac.za/handle/10500/11897>,2013.
Horvath, KJ, Smolenski, D., & Amico, KR, An empirical test of the information-motivation-behavioral skills model of ART adherence in a sample of HIV-positive persons primarily in out-of-HIV-care settings.AIDS Care , 26(2), page.142–151.http://doi.org/10.1080/09540121.2013.802283, 2014.
Kalichman, et al., HIV Treatment Adherence In Women Living With HIV/AIDS: Research Based On The Information-Motivation-Behavioral Skills Model Of Health Behavior. Center for AIDS Intervention Research (CAIR), Medical College of Wisconsin, USA. Journal of Association Nurses AIDS Care. 2001. 12(4); 58-67.
Nursalam and Ninuk, D. Nursing care for HIV/AIDS infected patients. New York: Salemba Medika. 2007.
Nasronudin and Margarita. Counseling, Support, Care and Treatment of PLHIV. Surabaya: Airlangga University Press. 2007.
Muzaham, F. Health Sociology. Jakarta: UI Press. 1995.
Azwar, A. Basic Principles of Motivation for Implementing Health Programs. Jakarta: EGC. 2001.