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The Effect of Health Education on Arv Therapy Adherence to Odha in The Ponggok Blitar Health Center Area Ahmad Wasis Setyadi; Erna Irawati
International Journal of Health Engineering and Technology Vol. 4 No. 5 (2026): IJHESS JANUARY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v4i5.541

Abstract

Adherence to Antiretroviral therapy (ARV) in People with HIV/AIDS (ODHA) is an important factor in suppressing viral replication and improving patients' quality of life. However, compliance is often low due to a lack of understanding and motivation. Health education is seen as an effective strategy to improve patient adherence to ARV therapy. This study uses a pre-experimental design  with a one-group pre-test and post-test design. The research sample of 44 ODHA respondents was selected using a simple random sampling technique. Interventions in the form of health education about HIV/AIDS, the importance of ARV therapy, the benefits of adherence, and the risk of non-compliance were provided through interactive counseling. Data were analyzed using the Wilcoxon Signed Ranks Test to see differences in compliance before and after education. Before the intervention, all respondents (100%) were in the low compliance category. After the intervention, most respondents (86.4%) improved to moderate adherence. The results of the Wilcoxon test showed that none of the respondents experienced a decrease in compliance (negative ranks = 0), all respondents (positive ranks = 44) experienced an increase, with a value of Z = -6.289 and a p-value = 0.000 (p < 0.05). The results of the study prove that health education has a significant influence on increasing ARV therapy adherence in ODHA. Comprehensive education is able to increase knowledge, awareness, and motivation of patients to be more consistent in undergoing therapy. Thus, health education needs to be used as a routine intervention in HIV/AIDS control programs in primary services.
Analysis of The Implementation of Betta Fish–Assisted Animal Therapy in Reducing Anxiety in Hospitalized Children at Rsui Madinah, Kasembon District Ahmad Wasis Setyadi; Cyrilla Ayu Pamela; Andan Liries Chopor
International Journal of Health Engineering and Technology Vol. 5 No. 1 (2026): IJHET MAY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v5i1.857

Abstract

Anxiety in hospitalized children is a disturbance of the need for safety and comfort, reflecting inadequate emotional fulfillment, thus requiring adaptation during the treatment process. The purpose of this study is to analyze the implementation of betta fish–assisted animal therapy in reducing anxiety among hospitalized children. This study employed a case study design. The subjects were two hospitalized children experiencing anxiety-related nursing problems in the Wahab Khasbullah Ward at RSUI Madinah Kasembon. Data collection methods included interviews, observations, and documentation using source triangulation. Data analysis was conducted in three stages: (1) data reduction, (2) data display, and (3) conclusion drawing. The nursing evaluation showed that participant 1 (P1) had an anxiety level of HARS scale 12 (no anxiety) and FAS scale 2 (smiling). Meanwhile, participant 2 (P2) had an anxiety level of HARS (mild anxiety) and FAS scale 4 (silent). There was a decrease in anxiety levels among hospitalized children in the Wahab Khasbullah Ward at RSUI Madinah Kasembon after the implementation of betta fish–assisted animal therapy. Animal Assisted Therapy (AAT) provides a combination of care activities involving betta fish, where children imagine that a sick fish, when properly cared for, fed, and kept in a clean environment, can recover quickly and avoid illness.