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All Journal Nurse and Holistic Care
Girsang, Jakasmir
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Health Professions Medicine & Pharmacology Nursing Public Health

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THE ROLE OF SOCIAL SUPPORT AND EDUCATION LEVEL IN ADHERENCE TO ANTI-RETROVIRAL (ARV) DRUGS IN HIV/AIDS PATIENTS: NARATIVE REVIEW Girsang, Jakasmir; Nababan, Tiarnida; Ikhtiari, Refi
Nurse and Holistic Care Vol. 5 No. 2 (2025): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v5i2.7601

Abstract

Background: Adherence to antiretroviral (ARV) therapy is essential for effective HIV/AIDS management. Social support and patients’ education levels have been shown to influence treatment adherence. Objective: To review the role of social support and education in adherence to ARV medication among people living with HIV/AIDS (PLWHA). Methods: This study is a narrative literature review. Articles were retrieved from Google Scholar using predefined inclusion and exclusion criteria. The quality of the selected studies was assessed using the JBI Critical Appraisal Checklist, and findings were synthesized thematically. Results: Ten articles met the inclusion criteria (n = 10). Most studies reported that family support and higher education levels were positively associated with better adherence to ARV therapy. Conclusion: Social support and education are key determinants of ARV adherence. Interventions that emphasize patient education and family involvement are recommended to improve treatment outcomes in PLWHA.
ANALYSIS OF HEALTH WORKER AND PEER SUPPORT GROUP INFLUENCE ON ANTIRETROVIRAL (ARV) ADHERENCE AT DR. DJASAMEN SARAGIH GENERAL HOSPITAL, PEMATANGSIANTAR Girsang, Jakasmir; Nababan, Tiarnida; ikhtiari, Refi
Nurse and Holistic Care Vol. 6 No. 1 (2026): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v6i1.8462

Abstract

Background: The low success of antiretroviral (ARV) therapy at Dr. Djasamen Saragih Regional Hospital is reflected in the small number of People Living with HIV (PLHIV) who achieve viral load suppression. This problem is strongly suspected to be related to the low level of medication adherence. Objective: To analyze the effect of support from health workers and Peer Support Groups (PSGs) on ARV adherence at Dr. Djasamen Saragih Regional Hospital.Methods: This study used a cross-sectional design. The study population was all PLHIV, totaling 229 people, with a sample size of 71 people taken through a purposive sampling method. Data were analyzed bivariate and multivariate to determine the relationship between variables and the odds ratio of patient adherence.Results: Bivariate analysis showed a significant relationship between support from health workers (p=0.000) and peer support (p=0.001) on ARV adherence. The results of the multivariate analysis showed that support from healthcare workers was the dominant factor, where PLHIV who received such support had a 7.830 times greater chance of adherence than those who did not receive support. In addition, peer support increased the chance of adherence by 4.729 times for patients.Conclusion: External support, both from medical personnel and the peer social environment, significantly determined the adherence behavior of PLHIV in undergoing therapy. The management of Dr. Djasamen Saragih Regional General Hospital is advised to improve the communication competency of healthcare workers and strengthen strategic collaboration with peer communities in Pematangsiantar City to optimize patient therapy outcomes.
Co-Authors IKHTIARI, REFI Tiarnida Nababan