Hubungan Kesejahteraan Spiritual Pasien Pengetahuan dan Dukungan Keluarga dengan Kepatuhan Pengobatan Antiretroviral (ARV) di Rs Bhayangkara Indramayu
Hubungan Kesejahteraan Spiritual Pasien Pengetahuan dan Dukungan Keluarga dengan Kepatuhan Pengobatan Antiretroviral (ARV) di Rs Bhayangkara Indramayu
DOI:
https://doi.org/10.37012/jik.v18i1.3322Keywords:
bridewealth culture, family support, pregnancy planning, reproductive health, AyamaruAbstract
Abstrak
Latar Belakang: Kepatuhan terhadap terapi antiretroviral (ARV) sangat penting untuk keberhasilan pengobatan pasien HIV/AIDS. Faktor yang memengaruhi kepatuhan antara lain kesejahteraan spiritual, pengetahuan pasien, dan dukungan keluarga. Tujuan: Menganalisis hubungan antara kesejahteraan spiritual, pengetahuan, dan dukungan keluarga dengan kepatuhan pengobatan ARV, serta menentukan faktor yang paling dominan setelah dikontrol oleh usia, jenis kelamin, dan pendidikan. Metode: Penelitian ini menggunakan desain cross-sectional pada 242 pasien HIV/AIDS yang menjalani terapi ARV di RS Bhayangkara Indramayu dengan teknik purposive sampling. Data dikumpulkan menggunakan kuesioner dan dianalisis menggunakan uji Chi-square serta regresi logistik. Hasil: Kesejahteraan spiritual, pengetahuan, dan dukungan keluarga berpengaruh signifikan terhadap kepatuhan ARV setelah dikontrol oleh usia, jenis kelamin, dan pendidikan. Kesejahteraan spiritual merupakan faktor dominan (OR=23,8). Model prediksi menjelaskan 67,2% variabilitas kepatuhan ARV. Kesimpulan: Intervensi untuk meningkatkan kepatuhan ARV sebaiknya mengintegrasikan edukasi kesehatan, dukungan keluarga, dan pendampingan spiritual bagi pasien.
Kata Kunci: Kepatuhan ARV, Kesejahteraan Spiritual, Pengetahuan, Dukungan Keluarga
Abstract
Background: Adherence to antiretroviral (ARV) therapy is crucial for treatment success in HIV/AIDS patients. Factors influencing adherence include spiritual well-being, patient knowledge, and family support. Objective: To analyze the relationship between spiritual well-being, knowledge, and family support with ARV adherence, and to identify the most dominant factor after controlling for age, gender, and education. Methods: A cross-sectional study was conducted on 242 HIV/AIDS patients receiving ARV therapy at RS Bhayangkara Indramayu using purposive sampling. Data were collected via questionnaires and analyzed using Chi-square tests and logistic regression. Results: Spiritual well-being, knowledge, and family support were significantly associated with ARV adherence after controlling for age, gender, and education. Spiritual well-being was the most dominant factor (OR=23.8). The predictive model explained 67.2% of adherence variability. Conclusion: Interventions to improve ARV adherence should integrate health education, family involvement, and spiritual support to enhance treatment compliance
Keywords: ARV Adherence, Spiritual Well-Being, Knowledge, Family Support
References
Alhassan, R.K., Nketiah-Amponsah, E., Spieker, N. and Arhinful, D.K., (2024). The role of family support in antiretroviral therapy adherence: Evidence from Ghana. Frontiers in Public Health, 12, pp.1–9.
Aresta, S. A., & Jumaiyah, W. (2019). Pengetahuan dan Dukungan Keluarga dengan Kepatuhan dalam Menjalankan Pengobatan Antiretroviral (ARV) pada Pasien HIV/AIDS. Indonesian Journal of Nursing Practices, 2(2), 42–47.
Arsy, R.A., Hidayati, D. and Surya, R., (2023). Spiritualitas dan dukungan sosial terhadap kepatuhan terapi antiretroviral. Jurnal Keperawatan Indonesia, 26(1), pp.1-8.
Arsy, R., Pratiwi, H. & Nugraha, Y. (2023) ‘The role of social support and spirituality in ARV adherence among PLWHA’, Indonesian Journal of Public Health Research and Development, 4(2), pp. 77–85.
Chen, W.T., Shiu, C., Yang, J.P., Simoni, J.M., & Zhao, H. (2021) ‘The impact of HIV knowledge on ART adherence: A cross-sectional study’, Journal of the Association of Nurses in AIDS Care, 32(3), pp. 318–327.
Devi, A., (2023). Dukungan keluarga terhadap kepatuhan pengobatan ARV pada ODHA. Jurnal Ilmiah Kesehatan, 15(1), pp.55-62.
Devi, Y. (2023). Hubungan Pengetahuan dan Dukungan Keluarga Terhadap Kepatuhan Pengobatan Antiretroviral (ARV) Pada Penderita HIV/AIDS di RSUD dr. Pirngadi Medan. Tour Health Journal, 2(1), 62–71.
Edison, C., & Waluyo, A. (2021). Pengalaman Aktivitas Spiritual pada Orang dengan HIV / AIDS ( ODHA ) dalam Menjalani Proses Penyakitnya Spiritual Activities Experience of People Living with HIV / AIDS ( PLWH ) in the Disease Process. 8(3), 216–222.
Edison, E. & Waluyo, A. (2021) ‘Spirituality and religiosity in HIV prevention and treatment adherence’, Belitung Nursing Journal, 7(5), pp. 435–442.
Edison, E. and Waluyo, A., (2021). Spirituality and medication adherence among people living with HIV/AIDS in Indonesia. Jurnal Keperawatan Soedirman, 16(2), pp.92-98.
Ezeanya, C., Nwankwo, T.O., & Obiechina, N. (2022) ‘Role of family support on ART adherence in Nigeria’, African Journal of Reproductive Health, 26(1), pp. 87–96.
Fitri, D.A., Wahyuni, D. and Isnawati, E., (2023). Pengaruh spiritualitas terhadap kepatuhan pengobatan pada ODHA di wilayah Jawa Tengah. Jurnal Kesehatan Masyarakat, 18(1), pp.43-50.
Fitriani, Y., Hidayat, R. & Safitri, M. (2021) ‘The relationship between knowledge and family support with ARV adherence’, Jurnal Kesehatan Metro Sai Wawai, 14(1), pp. 31–39.
Frohlich, J. (2020). Rats and Mice. In: Ferrets, Rabbits, and Rodents. Carpenter, J. (Ed.), pp: 345-367. eBook ISBN: 9780323484343 DOI: http://dx.doi.org/10.1016/B978-0- 323-48435-0.00025-3.
Gichangi, P., Wambugu, S., Gachuno, O. and Kiarie, J., (2021). Family support and ARV adherence among HIV patients in Uganda: A cross-sectional study. East African Medical Journal, 98(3), pp.125-132.
Gurm, H., Tshuma, N., & Mwansa, J. (2021) ‘Age differences in ART adherence: A study in Zambia’, Journal of the International Association of Providers of AIDS Care, 20, pp. 1–7.
Handayani, T. and Wahyuningsih, S., (2020). Peran dukungan keluarga terhadap kepatuhan terapi ARV pada ODHA di Puskesmas X Yogyakarta. Jurnal Kesehatan Holistik, 14(2), pp.95-102.
Isnaini, N., (2023). Hubungan antara dukungan keluarga dengan kepatuhan minum obat ARV di Puskesmas Sukamaju. Jurnal Penelitian Kesehatan, 9(1), pp.12-18.
Khamid, A., Azzam, R., Yunitri, N., Rayasari, F., & Astuti, W. (2023). Hubungan Dukungan Keluarga Dengan Kepatuhan Terapi Antiretroviral Pada Orang Dengan HIV The Relationship between Family Support and Adherence Antiretroviral Therapy among People living with HIV. 10(2), 78–88.
Kheswa, J. G. (2017). Exploring the Factors and Effects of Non-Adherence to Antiretroviral Treatment by People Living with HIV/AIDS. Indo-Pacific Journal of Phenomenology, 17(1), 1–11. https://doi.org/10.1080/20797222.2017.1280923.
Kurniawan, D., Sari, P., & Hidayat, R. (2023) ‘Faktor-faktor yang memengaruhi kepatuhan terapi ARV pada ODHA usia produktif’, Jurnal Kesehatan Masyarakat Nasional, 18(3), pp. 155–164
Kurniawati, A., Putri, R. & Santoso, J. (2023) ‘Pengetahuan, motivasi, dan kepatuhan pasien HIV terhadap terapi ARV’, Jurnal Keperawatan dan Kesehatan, 9(2), pp. 80–89.
Langebeek, N., Gisolf, E.H. and Reiss, P., (2021). Adherence to antiretroviral therapy and the impact of patient-healthcare provider relationship. AIDS Patient Care and STDs, 35(1), pp.18-25.
Langebeek, N., Gisolf, E. & Reiss, P. (2021) ‘Factors associated with antiretroviral therapy adherence: patient-healthcare provider relationships’, Patient Preference and Adherence, 15, pp. 789–798.
Musrifah Ahmad, R., Hidayat, H. & Zulkarnain, M. (2024) ‘Patient knowledge and adherence to HIV/AIDS treatment’, Journal of Global Health Science, 6(1), pp. 11–20.
Mutabazi, J.C., Rwibasira, G.N., & Hakizimana, C. (2022) ‘Knowledge, attitudes, and ART adherence in Rwanda’, International Journal of STD & AIDS, 33(5), pp. 427–436.
Nafi’ah, U. & Melastuti, E. (2025) ‘Spiritual assessment and holistic nursing care in PLWHA’, Jurnal Keperawatan Indonesia, 28(1), pp. 23–34.
Nanjala, C., Wekesa, P., & Ochieng, C. (2021) ‘Age and ART adherence among PLHIV in Kenya’, Journal of HIV/AIDS & Social Services, 20(3), pp. 210–222.
Nurdin, A., Syam, A., & Abdullah, M. (2022) ‘Gender differences in ART adherence among HIV patients in Indonesia’, Jurnal Kesehatan Reproduksi, 13(1), pp. 45–53.
Putra, A.Y., Wahyuni, T. and Rahayu, S., (2021). Hubungan antara spiritualitas dengan kepatuhan minum obat antiretroviral pada ODHA di RSUD Kota X. Jurnal Keperawatan Nusantara, 8(1), pp.20-26.
Saputra, R.A., Fitriyani, F. and Sari, N., (2023). Dukungan keluarga dan kepatuhan terapi ARV: Studi pada pasien HIV di Sumatera Barat. Jurnal Keperawatan Padang, 11(2), pp.34-41.
Setyowati, H., Lestari, A. & Rahayu, W. (2021) ‘Spirituality and health behavior among PLWHA’, Indonesian Journal of Public Health, 16(1), pp. 1–10.
Takarinda, K., Machekano, R., & Mutasa-Apollo, T. (2021) ‘Gender differences in ART adherence among people living with HIV in Zimbabwe’, PLOS ONE, 16(3), pp. 1–13.
Vigliotti, V., Taggart, T., Walker, M., Kusmastuti, S., & Ransome, Y. (2020). Religion, faith, and spirituality influences on HIV prevention activities: A scoping review. PLoS ONE, 15(6), 1–20. https://doi.org/10.1371/journal.pone.0234720
Vigliotti, V., Taggart, T., Ritieni, A. and Howell, A., (2020). Religiosity, spirituality, and medication adherence among individuals living with HIV/AIDS in the United States. Psychology, Health & Medicine, 25(2), pp.1-9.
Wako, E., Kamau, A. & Muriithi, P. (2020) ‘Family support and adherence to ARV in Kenya’, East African Medical Journal, 97(8), pp. 433–441.
Wasti, S., Simkhada, P. & van Teijlingen, E. (2020) ‘Factors influencing adherence to antiretroviral treatment in Nepal’, PLoS ONE, 15(8), e0236272.
WHO. (2023). HIV and AIDS: HIV statistics, globally and by WHO region.
Downloads
Published
How to Cite
Issue
Section
Citation Check
License
Copyright (c) 2026 Neti Erawati, Titi Indriyati, Brian Sri Prahastuti
This work is licensed under a Creative Commons Attribution 4.0 International License.
Jurnal Ilmiah Kesehatan allows readers to read, download, copy, distribute, print, search, or link to the full texts of its articles and allow readers to use them for any other lawful purpose. The journal allows the author(s) to hold the copyright without restrictions. Finally, the journal allows the author(s) to retain publishing rights without restrictions Authors are allowed to archive their submitted article in an open access repository Authors are allowed to archive the final published article in an open access repository with an acknowledgment of its initial publication in this journal.
Lisensi Creative Commons Atribusi 4.0 Internasional.
