Promosi Kesehatan Nola Pender Berpengaruh Terhadap Pengetahuan dan Kepatuhan ODHA Minum ARV

Tuti Asrianti Utami


The success rate of ARV therapy depends on the adherence of HIV-AIDS patients in ARV treatment. The purpose of this study was to analyze the effect of NolaPender health promotion to improve the knowledge and adherence of PLWHA (People living with HIV-AIDS) with ARV in SintCarolus Health Service (SCHS) and Persahabatan General Hospital (PGH). This study used a Pre-Post test Quasi Eksperimantal Non Equivalent Control Group and a total sample of 90 respondents were recruited through the use of consecutive sampling with inclusion criteria where 45 respondents served as intervention group in SCHS and the remaining as control group in PGH from May-June 2016. The result showed most respondents were in the late adulthood stage (36-55 years old), male, having advanced education, working, exposed to counseling service, having family support as well as peer group support, easy in reaching health service and with health insurance. NolaPender health promotion increased the knowledge of ARV (mean score pre intervention was 5.31 to post intervention 7.04), and improving the adherence of taking ARV from moderate to good adherence as many as 51.1%. There was an effect of Nola Pender health promotion using booklet to respondents’ knowledge (p-value=0.000) from 13.3% to 91.1% and also effect of knowledge improvement of ARV to the adherence of taking ARV, with the support from peer group from 30.2% to 87.2%. The study recommends to continue this program of Nola Pender health promotion for PLWHA taking ARV in a structured and well planned system.


Nola Pender health promotion; knowledge; adherence; people living with HIV-AIDS; ARV

Full Text:



Black J, Hawk. Medical Surgical Nursing. Singapura: Elsevier (Singapura) Pte Ltd; 2014.

Brunner S. Textbook of Medical Surgical Nursing. Philadelphia: Wolters Kluwer, Lippincott Williams & Wilkins; 2014.

Hansana V, Sanchaisuriya P, Durham J, Sychareun V, Chaleunvong K, Boonyaleepun S, et al. Adherence to antiretroviral therapy (ART) among people living with HIV (PLHIV): a cross-sectional survey to measure in Lao PDR. BMC Public Health [Internet]. 2013 Jun 28;13:617. Available from:

Wright S, Boyd MA, Yunihastuti E, Law M, Sirisanthana T, Hoy J, et al. Rates and factors associated with major modifications to first-line combination antiretroviral therapy: results from the Asia-Pacific region. PLoS One [Internet]. 2013;8(6):e64902. Available from:

Anderson LK. A Model of Learning Objectives, A taxonomy for learning, teaching and assessing; A revision of Bloom,s Taxonomy of Educational Objectives. New York, Longman: IOWA State University; 2016.

Ubra RR. Faktor-faktor yang Berhubungan dengan Kepatuhan Pengobatan Minum ARV pada Pasien HIV di Kabupaten Mimika–Provinsi Papua Tahun 2012. Universitas Indonesia; 2012.

Notoatmodjo. Promosi Kesehatan, Teori dan Aplikasi. Jakarta: Rineka Cipta; 2012.

Olowookere SA, Fatiregun AA, Adewole IF. Knowledge and attitudes regarding HIV/AIDS and antiretroviral therapy among patients at a Nigerian treatment clinic. J Infect Dev Ctries [Internet]. 2012 Nov 26;6(11):809–16. Available from:

Latif F, Maria IL, Syafar M. Efek Samping Obat terhadap Kepatuhan Pengobatan Antiretroviral Orang dengan HIV/AIDS. Kesmas Natl Public Heal J [Internet]. 2014 Dec 14;9(2):101. Available from:

Kammerer J, Garry G, Hartigan M, Carter B, Erlich L. Adherence in patients on dialysis: strategies for success. Nephrol Nurs J [Internet]. 2007;34(5):479–86. Available from:

Pender NJ. Health promotion in nursing practice. Boston: Pearson; 2011.

Alligood MR. Nursing Theorist and Their Work. Mosby: Elsevier; 2014.

Polit DF. Nursing Research: Generating And Assesing Evidence For Nursing Practice. Philippines: Lippincott Williams and Wilkins; 2012.

Supardi, Rustika. Metodologi Riset Keperawatan. Jakarta: Trans Info Media; 2013.

Lemeshow, Lwanga. Sample size determination in health studies, A Practical Manual [Internet]. Geneva; 1991 [cited 2016 Feb 6]. Available from:

Susilo HS. Biostatika Lanjut dan Aplikasi Riset. Jakarta: TIM Trans Info Media; 2014.

Martoni W, Arifin H, Raveinal R. Faktor-Faktor Yang Mempengaruhi Kepatuhan Pasien HIV/AIDS di Poliklinik Khusus Rawat Jalan Bagian Penyakit Dalam RSUP dr. M. Djamil Padang Periode Desember 2011-Maret 2012. J Farm Andalas [Internet]. 2013;1(1):48–52. Available from:

Safira N, Lubis R, Rasmaliah. Faktor-Faktor yang Berhubungan dengan Kepatuhan Penderita HIV/AIDS Mengkonsumsi Obat Antiretroviral (ARV) di Klinik Voluntary Counseling and Testing (VCT) RSUP H.Adam Malik Medan tahun 2014. Gizi, Kesehat reproduksi dan Epidemiol [Internet]. 2015;1(4):1–10. Available from:

Chanvilay T, Yoshida Y, Reyer JA, Hamajima N. Factors associated with access to antiretroviral therapy among people living with hiv in vientiane capital, lao pdr. Nagoya J Med Sci [Internet]. 2015 Feb;77(1-2):29–39. Available from:

Chaiyachati KH, Ogbuoji O, Price M, Suthar AB, Negussie EK, Bärnighausen T. Interventions to improve adherence to antiretroviral therapy: a rapid systematic review. AIDS [Internet]. 2014 Mar;28 Suppl 2:S187–204. Available from:

Yuniar Y, Handayani RS, Aryastami NK. Faktor-Faktor Pendukung Kepatuhan Orang dengan HIV/AIDS (ODHA) dalam Minum Obat Antiretroviral di Kota Bandung dan Cimahi. Bul Penelit Kesehat [Internet]. 2013;41(2):72–83. Available from:

Friedman BJ. Buku ajar keperawatan keluarga, riset, teori dan praktik. 5th ed. Jakarta: EGC; 2010.

Parrisbalogun S. Adherence. In: Loue S, editor. Mental Health Practitioner’s Guide to HIV/AIDS. Springer-Verlag New York; 2013. p. 75–6.

Campbell C, Scott K, Madanhire C, Nyamukapa C, Gregson S. A “good hospital”: nurse and patient perceptions of good clinical care for HIV-positive people on antiretroviral treatment in rural Zimbabwe--a mixed-methods qualitative study. Int J Nurs Stud [Internet]. 2011 Feb;48(2):175–83. Available from:

Tucker JD, Bien CH, Easterbrook PJ, Doherty MC, Penazzato M, Vitoria M, et al. Optimal strategies for monitoring response to antiretroviral therapy in HIV-infected adults, adolescents, children and pregnant women: a systematic review. AIDS [Internet]. 2014 Mar;28 Suppl 2:S151–60. Available from:

Peterson SJ, Bredow TS. Middle Range Theories: Application to Nursing Research. 3rd ed. Philadelphia: Wolters Kluwer, Lippincott Williams & Wilkins; 2013. 224-233 p.

Kemenkes RI. Tatalaksana klinis infeksi HIV/AIDS dan terapi Antiretroviral pada orang dewasa. In: Pedoman Nasional, Kementerian kesehatan RI Direktorat Jenderal Pengendalian Penyakit dan Penyehatan Lingkungan. Jakarta: Bakti Husada; 2011.

Aji HS. Faktor-Faktor yang Mempengaruhi Kepatuhan Pasien HIV dan AIDS terhadap terapi Antiretroviral di RSUP dr. Kariadi Semarang. J Promosi Kesehat Indones. 2010;5(1).

Yuswanto TJA, Wahyuni TD, Pitoyo J. Peran Kelompok Dukungan Sebaya(KDS) dan Kepatuhan Minum Obat pada ODHA. J Pendidik Khusus. 2015;4(1):64–9.

Markos E, Worku A, Davey G. Adherence to ART in PLWHA and Yirgalem Hospital, South Ethiopia. Ethiop J Heal Dev [Internet]. 2009 Feb 4;22(2). Available from:



  • There are currently no refbacks.

Jurnal Ners dan Kebidanan Indonesia (JNKI) indexed by:


Lisensi Creative Commons

 JNKI by is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License. View My Stats