RESEARCH PAPER
Nurse’s role as a counselor and adherence to antiretroviral therapy among HIV/AIDS patients: a cross-sectional study in a public health center setting in Indonesia
1
Nursing Student, Faculty of Nursing, Universitas Jember, Indonesia
2
Public Health Center of Soboh District, Banyuwangi, Indonesia
3
Center of Fundamental Nursing Studies, Faculty of Nursing, Universitas Jember, Indonesia
Submission date: 2021-07-23
Final revision date: 2022-04-21
Acceptance date: 2022-04-21
Online publication date: 2024-05-18
Corresponding author
Anisah Ardiana
Center of Fundamental Nursing Studies, Faculty of Nursing, Universitas Jember, Indonesia,
Center of Fundamental Nursing Studies, Faculty of Nursing, Universitas Jember, Indonesia,
HIV & AIDS Review 2024;23(2):162-172
KEYWORDS
TOPICS
ABSTRACT
Introduction:
The role of a counselor is one of the factors affecting human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) patients adherence to antiretroviral (ARV) therapy. The purpose of this study was to analyze the relationship between nurses' role as counselors and adherence of HIV/AIDS patients to antiretroviral therapy.
Material and methods:
This correlational study with a cross-sectional approach included eighty-eight HIV/AIDS patients from nine public health centers (PHC) in Banyuwangi, Indonesia. Patients were selected using purposive sampling technique, and data were obtained using a counselor role assessment questionnaire to assess nurses’ role. Moreover, Morisky medication adherence scale (MMAS-8) questionnaire was applied to assess the level of medication adherence. Data were analyzed with Spearman’s rank correlation.
Results:
This study showed that 62.5% of participants perceived nurses' role as counselors as not good, and more than half of patients had a high level of adherence (68.2%). There was a positive correlation between the nurses' role as counselors and level of adherence (p < 0.001, r = 0.365).
Conclusions:
The better the nurses’ role as counselors, the higher the adherence of HIV/AIDS patients to antiretroviral therapy. It is essential to improve the quality of counseling services, so that patients' adherence remains good and continues to increase.
The role of a counselor is one of the factors affecting human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) patients adherence to antiretroviral (ARV) therapy. The purpose of this study was to analyze the relationship between nurses' role as counselors and adherence of HIV/AIDS patients to antiretroviral therapy.
Material and methods:
This correlational study with a cross-sectional approach included eighty-eight HIV/AIDS patients from nine public health centers (PHC) in Banyuwangi, Indonesia. Patients were selected using purposive sampling technique, and data were obtained using a counselor role assessment questionnaire to assess nurses’ role. Moreover, Morisky medication adherence scale (MMAS-8) questionnaire was applied to assess the level of medication adherence. Data were analyzed with Spearman’s rank correlation.
Results:
This study showed that 62.5% of participants perceived nurses' role as counselors as not good, and more than half of patients had a high level of adherence (68.2%). There was a positive correlation between the nurses' role as counselors and level of adherence (p < 0.001, r = 0.365).
Conclusions:
The better the nurses’ role as counselors, the higher the adherence of HIV/AIDS patients to antiretroviral therapy. It is essential to improve the quality of counseling services, so that patients' adherence remains good and continues to increase.
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