MOTIVASI SPIRITUAL MENINGKATKAN KEPATUHAN MINUM OBAT ARV PADA PASIEN HIV/AIDS (Spiritual Motivation to Improve ARV Drug Compliance in HIV/AIDS Patients)
| Main Authors: | Umah, Khoiroh, Irawanto, Didit |
|---|---|
| Format: | Article eJournal |
| Terbitan: |
, 2019
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| Subjects: | |
| Online Access: |
https://zenodo.org/record/3573276 |
Daftar Isi:
- ABSTRAK Pasien ODHA dalam kepatuhan minum obat kurang, sebagaian besar pasien tidak patuh minum obat dikarenakan lupa dan sibuk dengan aktivitasnya. Perawat atau tenaga kesehatan di poli VCT hanya memberikan pendidikan kesehatan untuk kepatuhan minum obat ARV, namun pasien masih tidak patuh dikarenakan motivasi kepatuhan minum obat kurang. Tujuan penelitian ini menjelaskan pengaruh motivasi spiritual terhadap kepatuhan minum obat ARV pada pasien HIV/AIDS di RSUD Ibnu Sina Kabupaten Gresik. Penelitian ini menggunakan metode penelitian Pre Eksperimental dengan rancangan One Group Pre test - Post test Design. Sampel dipilih menggunakan metode Purposive sampling. Sampel didapatkan sebanyak 44 responden yang mendapat terapi obat ARV. Variabel independen dalam penelitian ini adalah motivasi spiritual, sedangkan variabel dependen dalam penelitian ini adalah kepatuhan minum obat ARV. Instrumen yang di gunakan adalah kuesioner kepatuhan minum obat MMAS (Morisky Medication Adherence Scale) dan SOP motivasi spiritual. Data dikumpulkan sebelum dan sesudah intervensi. Analisis data menggunakan uji statistik Wilcoxon Signed Ranks Test dengan SPSS 16.0. Hasil dari penelitian ini kepatuhan minum obat ARV pada pasien sebelum dilakukan intervensi termasuk kategori kepatuhan rendah dan sesudah dilakukan intervensi termasuk kategori kepatuhan sedang. Hasil uji statistik Wilcoxon Signed Ranks Test di dapatkan nilai ρ = 0,000 (ρ <0,05), yang berarti ada pengaruh motivasi spiritual terhadap kepatuhan minum obat ARV pada pasien HIV/AIDS. Motivasi spiritual berpengaruh terhadap kepatuhan minum obat di karenakan motivasi dapat meningkatkan keyakinan sikap dan kepatuhan sehingga ada perubahan sikap dan tingkah laku dalam mengkonsumsi obat. Penelitian diharapkan dapat menjadi salah satu pilihan terapi dalam meningkatkan kepatuhan minum obat ARV pada pasien HIV/AIDS. ABSTRACT Patients with HIV / AIDS in adherence to take medication less, most patients are not compliant to take medication due to forgetfulness and busy with their activities. Nurses or health workers in poly VCT only provide health education for adherence to taking medication ARV, but patients still do not comply because of lack of motivation to take medication. The purpose of this study explains the influence of spiritual motivation to obedience taking medication ARV on patient HIV / AIDS in Poly Jasmine Hospital Ibnu Sina Districts Gresik. This study used a Pre-Experimental research method with One Group Pre Test - Post Test Design. Samples were selected using the Purposive sampling method. Samples were obtained as many as 44 people who received arv medicine therapy. The independent variable in this study was spiritual motivation, while the dependent variable in this study was obedience taking medication ARV. The instrument used was the medication compliance questionnaire for MMAS (Morisky Medication Adherence Scale) and SOP for spiritual motivation. Data collected before and after the intervention. Data analysis used statistical tests Wilcoxon Signed Ranks Test with SPSS 16.0. The results of this study adherence to obedience taking medication ARV on patient prior to intervention including the category of low compliance, after the intervention including the category of moderate compliance. The Wilcoxon Signed Ranks Test statistic results obtained a value of ρ = 0,000 (ρ <0.05), which means that there was an influence of spiritual motivation on adherence to obedience taking medication ARV on patient HIV / AIDS. Spiritual motivation has an effect on medication adherence because motivation can increase attitudes and adherence beliefs so that there are changes in attitudes and behavior in consuming medication. Research was expected to be one of the therapeutic options in improving obedience taking medication ARV on patient HIV / AIDS.