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CONCEPT ANALYSIS OF ADHERENCE TO ANTIRETROVIRAL THERAPY IN PEOPLE LIVING WITH HIV/AIDS Zahra, Anggri Noorana; Waluyo, Agung; Yona, Sri
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 1 (2024): March 2024
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i1.2555

Abstract

HIV/AIDS remains a global health challenge, with adherence to antiretroviral therapy (ART) being crucial for its management. This comprehensive concept analysis explores adherence to ART in people living with HIV/AIDS, considering its multifaceted nature and the diverse factors influencing it. The purpose of this study was to explore the concept of adherence and define the operational definition of adherence to antiretroviral therapy in PLWH. Walker and Avant’s eight-step concept analysis was used in this study. The terms "adherence", "compliance", "concordance", and "definition" were used in a literature search that was done using the EBSCOhost, Proquest, Science Direct, and Google Scholar databases. The inclusion criteria were full text, written in English or Indonesian, and open access. This study identified four attributes that constitute the concept of adherence: the ability to follow recommended treatment recommendations, collaborative/cooperative whether forced or not, obedience/loyalty/discipline, adaptability and flexibility. The antecedents of adherence to ARV are patient-related factors, therapy-related factors, environment-related factors and health care system-related factors. The consequences of adherence are increasing health outcomes, reducing the transmission of HIV and health care costs. This concept analysis provides a comprehensive understanding of adherence, emphasizing the need for individualized assessments, patient education, stigma reduction, social support, and targeted interventions. Collaboration among healthcare providers, continuous education, and measurement tool refinement are essential for enhancing adherence rates, improving patient outcomes, and reducing the global burden of HIV/AIDS.  
Peer Experiences In Supporting People With HIV (PLWH) On Antiretroviral (ARV) Therapy: A Qualitative Study Banna, Triani; Afiyanti, Yati; Mustikasari, Mustikasari; Yona, Sri
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 10, No 1 (2025): March
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v10i1.3056

Abstract

One of the domains of quality of life for people living with HIV (PLWH) is independence, which is how PLWH undergo antiretroviral therapy (ARV) adherently. PLWHA face various problems, including social problems such as stigma, ostracization, and discrimination. Social stigma can be a form of chronic stress for HIV/AIDS patients. One of the approaches used to improve intervention outcomes for PLWH is peer support. This study was conducted to explore in-depth the experiences of peer supporters in assisting PLHIV undergoing ARV therapy. This study was a qualitative research with a descriptive qualitative approach. Eight peer supporters who are members of peer support groups in Sorong City and Sorong Regency, and have been actively providing support to PLHIV for at least one year were purposively selected for this study. Data were obtained through in-depth interviews using a semi-structured interview guide. Data was collected over a period of one month, and analyzed thematically. Three main themes were generated, namely the benefits of peer support for ODHIV, barriers to the implementation of peer support, and efforts to overcome barriers. The conclusion of this study is that the support provided to ODHIV through peer supporters has a good impact on the achievement of care for ODHIV. The peer support program can be integrated with nursing programs and interventions for PLHIV. Although there are obstacles in its implementation, it can be resolved with the cooperation of various parties.
The Effectiveness of Hand Exercise on Limb Function in Patient Coronary Artery Disease Posttransradial Artery Catheterization: Systematic Review Herdiana, Dian; Herawati, Tuti; Yona, Sri
Indonesian Journal of Global Health Research Vol 6 No 1 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i1.2797

Abstract

Coronary Artery Disease (CAD) is leading cause of mortality worldwide. Catheterization using the transradial arterial (TRA) technique has been able to reduce morbidity and mortality rates from CAD, but this procedure also contributes to the occurrence of complications. The aim of this study was to search literature and analyse articles discussing the use of hand exercise on improving limb function in patients posttransradial cardiac catheterization. Methods: The design used was a systematic review with PRISMA adaptation. Articles were searched using databases: ScienceDirect, ProQuest, PubMed, Scopus and Hand Searching in Google Scholar. The keywords of article search were using “Coronary artery disease” AND “transradial artery catheterization” OR “Trans cardiac Catheterization” AND “hand exercise” AND “limb function. In the initial stage of information search on 5 October 2023, the total number of articles obtained before selection was carried out based on inclusion and exclusion criteria was 7273 articles. From the five databases used, selection was then carried out according to the inclusion and exclusion criteria. The inclusion criteria were research articles published in the last 10 years (2013-2023); use English; a journal article and open access; Involves adult respondents and full text articles. Exclusion criteria were encyclopedia articles, book chapters, conferences, correspondence, editorials, news, practice guidelines, protocols, systematic reviews, literature reviews and meta analysis. The results are discussing 7 articles published from 2013-2023. Conclusions Hand exercises are useful for restoring limb function within two hours after the procedure and over a long period of time.
Praychological Experiences of Sifon for Women in Timor Island Tumina, Maria Syelvrida; Yona, Sri; Waluyo, Agung; Niron, Eusabius Separera
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.3917

Abstract

Sifon is a post-circumcision ritual of sexual intercourse in the Atoin Meto tribe with women who are not their partners. Sifon women have various reasons for doing this practice such as fulfilling their economic and daily needs. Most of Sifon women are the heads of families. In addition to having an impact on the risk of contracting HIV, AIDS and STD Infection, Sifon also has other impacts on women such as social stigma and shameful accusation. Objective:The purpose of this study is to explore the psychological experiences of Sifon women in Timor Island.Method:This study used a phenomenological approach and purposive sampling technique. Participants were with inclusion criteria. They have to be more than 18 years old and have practiced Sifon in the last 6 (six) months. Data collection was carried out from March to July 2020 in Kupang Regency and South Central Timor Regency, East Nusa Tenggara Province. The data was processed using Collaizi method.Results: There were 13 women who were successfully interviewed and 7 of them shared their psychological experiences. Most of them are farmers, have elementary school education and become the head of their families. Based on the results of data analysis, the researcher found 3 themes: (1) feeling shameful, (2) feeling humiliated and not worthed, (3) having trauma.Conclusions:The decision to become a Sifon woman was made with various considerations, including meeting economic needs and earming money for all family members. It is necessary to take a culturally sensitive approach and deeper psychological assistance with Sifon women to help improve their wellbeing. The findings of this study show that most of these Sifon women are heads of families.
Mobile Health for Adherence to Antiretroviral Therapy in HIV-AIDS: A Systematic Review Alandia, Alandia; Yona, Sri
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.3929

Abstract

The prevalence of HIV/AIDS presents a significant global health challenge, impacting populations worldwide. Despite advancements in antiretroviral therapy (ART), adherence to medication remains suboptimal, contributing to increased transmission risks. Objective: This study aims to explore the effectiveness and potential of mobile health (mHealth) technologies in enhancing adherence to ART among individuals living with HIV/AIDS. Method: This study conducted a systematic search across major databases including PubMed, Sage Journals, Scopus, SpringerLink, and ProQuest from 2019 to 2024. The inclusion criteria comprised full-text English articles, randomized controlled trials (RCTs), and studies focusing on mHealth interventions among HIV patients. Results: The utilization of mHealth interventions demonstrated a positive impact on improving knowledge, perception, and social support among PLWHA, thereby enhancing medication adherence. Conclusions: Integrating mHealth technologies into healthcare strategies can significantly improve adherence to ART among individuals with HIV/AIDS. Healthcare providers should embrace these innovations to optimize patient care outcomes and address global HIV/AIDS challenges effectively
The Effectiveness of Relaxation Therapy on Symptoms and Quality of Life in Hemodialysis Patients: A Literature Review Addawiah, Rabiatul; Yulia, Yulia; Yona, Sri
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.4448

Abstract

Hemodialysis (HD) is the main therapy for patients with end-stage renal disease (ESRD) in Indonesia, but the patients' quality of life is lower than other methods due to the physical and psychological effects of HD. One of the therapies that can be used to reduce the effects of HD is relaxation therapy. Objective: This review aims to analyse the effectiveness of relaxation therapy in managing physical and psychological symptoms to improve the quality of life of HD patients. Method: A literature review using databases such as Pubmed, Science Direct, Scopus, Sage Journal and Proquest to search for relevant articles within the period 2020-2024. Results: A review of twelve articles shows that relaxation therapy is effective for pain, fatigue, stress, depression, anxiety, sleep quality and patient quality of life. Conclusions: Relaxation therapy can be integrated into routine care and is feasible for nurses to provide because of its simplicity so that patients can do it themselves at home. Nurses also need to conduct further research into other non-pharmacological therapies that are widely effective for patients with ESRD.
Effectiveness of Early Cardiac Rehabilitation in Improving Quality of Life for Acute Coronary Syndrome Patients: A Systematic Review Wardin, Rany Novia; Nurachmah, Elly; Yona, Sri
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.4943

Abstract

The provision of early cardiac rehabilitation intervention in patients with cardiovascular disease is necessary as it can accelerate recovery and determine the needs for the subsequent phases of cardiac rehabilitation. This study aims to identify the effectiveness of early cardiac rehabilitation on the quality of life of patients with acute coronary syndrome (ACS). The method used is a systematic review by searching articles in five journal databases: Clinical Key Nursing, ProQuest, PubMed, ScienceDirect, and Scopus. Article analysis used the PRISMA (Preferred Reporting Items for Systematic-Reviews and Meta-Analyses) method. The results of the study indicate that early cardiac rehabilitation significantly improves cardiac function, hemodynamic parameters, and patients mental health. Additionally, the use of innovative educational technologies, such as augmented reality and mobile applications, has been shown to enhance self-efficacy, exercise tolerance, and adherence to rehabilitation programs. Cardiac rehabilitation also provides additional benefits for patients with Diabetes Mellitus (DM) complications, improving cardiorespiratory function, exercise capacity, and quality of life. The conclusion from the ten analyzed articles suggests that comprehensive and structured early cardiac rehabilitation is effective in improving the quality of life of ACS patients and provides long-term benefits in the secondary prevention of cardiovascular diseases.
Effectiveness of Oral Stimuly Cold Therapy (Popsicle) on Thirst Perception in Postoperative Patients: A Systematic Review Melawati, Wati; Dahlia, Debie; Yona, Sri; Arista, Liya
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6400

Abstract

Thirst after surgery is commonly experienced by patients, with prevalence reaching 70-80% within the first 24 hours postoperatively. This condition, often overlooked in clinical practice, can impact the quality of patient recovery. Popsicle, as a form of oral stimuli cold therapy, offers an effective solution to alleviate this complaint. Objective: This study aims to evaluate the effectiveness of popsicle therapy in reducing thirst and improving comfort and the quality of recovery in postoperative patients.Methodology: A systematic review approach was used by analyzing five scholarly articles based on randomized controlled trials (RCT) and quasi-experimental designs from 2018–2024. The keyword search used was popsicle OR "oral stimuli cold therapy" OR ice therapy AND postoperative period OR postoperative AND thirst. A total of 486 articles were found, and 5 were analyzed. Articles were selected based on Joanna Briggs Institute (JBI) criteria to assess methodological quality. Discussion: The use of popsicle has been proven to reduce the intensity of thirst, with higher effectiveness compared to other non-pharmacological methods such as room-temperature water or cold sprays. The addition of menthol to popsicles enhances patient comfort and satisfaction, as well as reduces symptoms of dry mouth and halitosis.Results: All studies indicated that popsicles, especially those containing menthol, were significantly more effective in reducing postoperative thirst. Popsicles also improved the patient's recovery experience through positive psychological effects.
Upaya Pekerja Seks Komersial Lokalisasi Daerah Pesisir dan Perbatasan dalam Mencegah Penularan HIV AIDS: Studi Fenomenologi Parman, Dewy Haryanti; Waluyo, Agung; Yona, Sri; Wispriyono, Bambang
Faletehan Health Journal Vol 11 No 03 (2024): Faletehan Health Journal, November 2024
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v11i03.747

Abstract

HIV AIDS cases continue to increase every year. In 2023, out of 1,414 HIV AIDS cases in North Kalimantan, Indonesia, 500 cases were in Tarakan region. This study aimed to reveal the situation of the extent of efforts of commercial sex workers (CSWs) in preventing HIV AIDS transmission in coastal and border areas of Tarakan. This research was qualitative with a descriptive phenomenological approach. This study involved 15 CSWs in the localization of Tarakan area as the participants. The data analysis used thematic analysis by Braun and Clarke. This study produced four themes, namely: (1) health checks were carried out on an irregular basis, (2) customers who refused to use condoms were still served, (3) the use of antibiotics to prevent HIV AIDS transmission, and (4) limiting customers. The prevention of HIV AIDS transmission by CSWs had not been maximized due to the limitations of economic background and negotiation skills and a lack of understanding of HIV AIDS. A more comprehensive educational approach was needed to raise awareness of the importance of self-prevention from infectious diseases to work, so that they can work for a long time.
Integrative Emotional Resilience Model to Improve Blood Pressure Control of Hypertensive Patients: A Phenomenological Study Sukarmin; Soesanto, Edy; Elly Nurachmah; Sri Yona; Dewi Gayatri; Ratna Aryani
Babali Nursing Research Vol. 6 No. 4 (2025): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.64481

Abstract

Introduction: Emotional states significantly influence blood pressure among hypertensive patients. This study explores the impact of Islamic spiritual practices and emotional resilience in managing hypertension. Methods: We conducted in-depth interviews with 20 Muslim participants using a qualitative transcendental phenomenological approach. Result: Analysis revealed five primary themes: 1) Suppression of anger through Islamic teachings; 2) Enhanced resilience through religious practices; 3) Improvement in mental relaxation via prayer and dhikr; 4) Physical management to alleviate stress-related symptoms; 5) Socio-cultural activities fostering mental stability. Discussion: The findings suggest that Islamic spiritual practices contribute to emotional resilience by providing coping mechanisms that reduce psychological stress, a known factor in elevated blood pressure. Integrating spiritual, physical, and socio-cultural dimensions creates a holistic approach that supports better hypertension control. This model highlights the importance of culturally and spiritually tailored interventions in chronic disease management. Conclusion: Integrating Islamic spiritual, physical, and socio-cultural approaches enhances hypertension management and patient well-being.
Co-Authors Addawiah, Rabiatul Adha, Alfi Kurnia Agung Waluyo Ahmidati, Afiif Ainur & Moch.Achwandi, Ika Alandia, Alandia Allenidekania Allenidekania Amelia Ganefianty Anastania, Yeane Anggri Noorana Zahra Arief Andriyanto Aries Sulaiman Arifiati, Mulida Arisdiani, Triiana Arisdiani, Triiana Armunanto, Anung Widi Astuti Yuni Nursasi Atnawanty, Tia Bambang Budi Siswanto Bambang Wispriyono Chaterina Janes Pratiwi Dahlia, Debie - Debbie Dahlia Dewi Gayatri Dewi Irawaty Dewiyanti Toding Dikha Ayu Kurnia Edianto Edianto Edianto Edianto Edis Mari Eko Edy Soesanto Effita Piscesiana Elly Nurachmah Elysabeth Sinulingga Elysabeth Sinulingga Endria, Vika Enggarwati, Pandan Enny Virda Yuniarti Etty Rekawati Eusabius Separera Niron Fatoni, Mukhamad Firman Firman Fransiska Kurniati Natul Gde Yasa Antarika Handayani, Wita Hasibuan, Riska Eka Fatma Herdiana, Dian Herdiana, Dian Herdiana Herliana , Rini Hesti Rahayu Himmatul Khaira Huda , Khoirul I Gd. Nym Ardi Supartha I Made Kariasa I Putu Adi Suryawan Ikhda Ulya, Ikhda Ina Martiana Isnaeni Nur Khayati Iswanto Iswanto jamilah, mimi Jelang, Destya Wenny Juita, Juita Khumaidi Khumaidi Komang Noviantari Krisna Yetti Kurnianingsih, Neniek Liya Arista Maria Syelvrida Tumina Maria, Riri Maria, Riri Masfuri - Meisa Ndari, Arni Budi Melawati, Wati Meta Agil Ciptaan Muhammad Adam, Muhammad Muhammad Fikri Indra, Muhammad Fikri Mulida Arifiati Mulida Arifiati Mustikasari Mustikasari Nana Rochana, Nana Natul, Fransiska Kurniati Nia Khusniyati Nirwanto K. Rahim Novarita, Maria Devi Nurdahlia Nurdahlia Parman, Dewy Haryanti Prasetyanto, Deny - Rahmat Kurniawan Ratna Aryani Ratna Aryani Ratna Sitorus Regina Situmorang Reptes, Puteri Hirika Riri Maria Rita Ismail Rizal, Imam Kurniawan S., Chiyar Edison Santa Manurung Sari, Mulat Senja Paramita Sidik Awaludin Sitti Shoimatul A Sofa, Ibnu Sri Endah Handayani Sri Wirayuni Ni Luh Putu SUKARMIN Sukarmin Syafa'atun Mirzanah Syafdewiyani Syafdewiyani Syafdewiyani, Syafdewiyani Tia Atnawanty Titi Sulastri Tony Suharsono, Tony Triani Banna Tris Eryando Tris Yonado Tumina, Maria Syelvrida Tuti Herawati Vika Endria Vika Endria Waluyi=o, Agung Wanto Juli Silalahi Wardin, Rany Novia Wirastiningtyas, Shendika Yati Afiyanti Yudi Elyas Yulia Yulia Yuliasih Yuliasih Yunisar Gultom