Pengaruh Pemberian Edukasi Menggunakan Video dengan Self Stigma dan Kepatuhan Minum Arv Pada ODHA di Klinik VCT Marjorie

Abstract

HIV weakens the immune system. ARV medication is effective if taken consistently, but non-adherence can lead to virus resistance and high transmission risk. This study aims to analyze the impact of video education on self-stigma and ARV medication adherence among people living with HIV (PLHIV). Using a quasi-experimental design with a pre-test and post-test control group, the study involved 68 respondents (34 intervention, 34 control) selected through purposive sampling at the Marjorie VCT Clinic from July to August 2023. The intervention consisted of a 4-week educational video. Most respondents were aged 36-45 years (47.1%), female (52.9%), had secondary education (60.3%), were employed (57.4%), and had been on treatment for 1-5 years (55.9%). The intervention group showed increased adherence and reduced self-stigma. The Wilcoxon test indicated significant differences in adherence and self-stigma after the intervention, with p-values of 0.000 (<0.05). The Mann-Whitney test revealed significant differences between the intervention and control groups in medication adherence and self-stigma, with p-values of 0.007 and 0.023. The Ordinal Logistic Regression test showed no significant effect of age, gender, and education on medication adherence and self-stigma, with p-values of 0.042 and 0.998. The educational video contributed 34.1% to medication adherence and 34.3% to self-stigma reduction. This study recommends using educational videos as an intervention by nurses to enhance medication adherence and reduce self-stigma.