ANALISIS FAKTOR BIOPSIKOSOSIOKULTURAL DAN SPIRITUAL TERHADAP KEPATUHAN MINUM OBAT ARV PADA PASIEN HIV/ AIDS DI KLINIK PENYAKIT TROPIK INFEKSI RUMAH SAKIT DI SEMARANG

Abstract

Master Program in Nursing Concentration of Adult Nursing Department of Nursing Faculty of Medicine Diponegoro University July 2017 ABSTRACT Utami Hidayati An Analysis of Biopsychosociocultural and Spiritual Factors Against Drug Compliance ARV Drugs on HIV / AIDS Patients at Tropical Disease Clinic Hospital Infection in Semarang xviii + 132 pages + 2 figures + 16 tables + 8 appendixes Compliance of HIV/AIDS-infected patients in undergoing treatment still becomes a serious problem in HIV/AIDS infection control strategies in Indonesia. Compliance with antiretroviral therapy is expected to be improved to minimize the adverse effects. One way of anticipation that can be done by health personnel is to know biopsychosociospiritual and spiritual factors that affect the compliance of HIV/AIDS patients in taking antiretroviral drugs. The purpose of this study was to determine the biopsychosociospiritual and cultural factors associated with ARV drug adherence in HIV/AIDS patients. This study was a descriptive analytical with a cross sectional study design. The sampling technique used was consecutive sampling with respondents as many as 118. The study was conducted at Tropical Infectious Disease Clinic of Dr. Kariadi Semarang. The results showed that some of the respondents experienced drug side effects (53.4%), no depression (53.4%), good social support (54.2%), good cultural support (79.7%), and high spirituality (49.2%). In the correlation analysis, there was a correlation between psychological, social, spiritual factors and ARV drug adherence (p = 0,000, p = 0.005, p = 0.044). Furthermore, the results of logistic regression test showed that the psychological factor was the most potential factor to influence the adherence of taking ARV drugs with p = 0.000 and OR = 5,286. This study recomends that nurses are expected to improve the quality of nursing care by understanding aspects of psychology, social and spiritual in HIV/AIDS patients mainly related to the adherence in taking antiretroviral drugs. Keywords: ARVs, Biopsychosociocultural and Spiritual Factors, HIV / AIDS Compliance. References : 91 (2007-2017)