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"HIV menjadi penyebab utama menurunnya sistem imun sekunder, yang lambat laun mengarah pada stadium AIDS. AIDS merupakan masalah epidemik dunia yang memerlukan penanganan serius karena mengancam eksistensi manusia, sehingga perlu dilakukan tindakan pencegahan penularan HIV, khususnya oleh ODHA. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi tindakan pencegahan penularan HIV oleh ODHA. Desain penelitian ini adalah deskriptif analitik dengan pendekatan cross sectional. Jumlah responden yang diperoleh adalah 75 orang. Hasil penelitian ini menunjukkan bahwa faktor yang berhubungan dengan tindakan pencegahan penularan HIV oleh ODHA adalah umur (p=0,040). Faktor-faktor lain yang juga mempengaruhi adalah pengetahuan, tingkat pendidikan dan status perkawinan ( nilai p berturut-turut 0,102; 0,165; 0,165; 0,138). Pada analisis regresi logistik ganda diketahui bahwa umur merupakan faktor yang paling mempengaruhi tindakan pencegahan penularan HIV oleh ODHA (p=0,310 95% CI: 1.169-26.423). Pemberian asuhan keperawatan oleh perawat hendaknya lebih difokuskan pada intervensi yang mengupayakan optimalisasi preventif dan promotif, yaitu penyuluhan bagaimana menghindari perilaku berisiko, penggunaan kondom yang benar dan penggunakan jarum steril oleh IDU baik pada ODHA umur muda maupun tua.

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HIV has become a major causes of secondary immune system decreasing, which is gradually leads to stage of AIDS. AIDS is an epidemic problem that requires serious treatment of the world because it threatens the human existence, so it needs to be taken to prevent the HIV transmission, particularly by PLWHA. The aim of this study was to determine the factors that influence the act of HIV transmission prevention by PLWHA. The study design was cross sectional descriptive approach. The number of respondent who had obtained was 75 people. The result of analysed showed that factors corellated with HIV transmission prevention measures were ages (p=0,040). Other factors which also influence to the act of HIV transmission prevention by PLWHA are knowledge, level of education, and marital status (p-value are respectively 0,102; 0,165; 0,165; & 0,138). In multiple logistic regression analysis was known that ages is the most influence factor of the act of HIV transmission prevention by PLWHA (p=0,310 95% CI: 1.169-26.423). The provision of nursing care by nurse should be more focused on interventions that promote preventive and promotion optimization, that is to teaching how to avoid risk behavior, how to use right condom before any kind of sex and how to use sterile disposable injection by IDU in both older and younger PLWHA."

"Praktik Keperawatan Klinik lanjut di ruang penyakit dalam dan poli UPT Pokdisus HIV AIDS untuk memberikan asuhan keperawatan pada klien gangguan sistem imun menggunakan model teori keperawatan Orem's Self Care Deficit menerapkan praktik keperawatan berdasarkan pembuktian Masalah keperawatan terbanyak akibat penyimpangan self care perkembangan adalah risiko infeksi dan kurang pengetahuan tentang regimen pengobatan Intervensi berdasarkan pembuktian yang diterapkan yaitu pendekatan nurse as coach menggunakan coaching technique Inovasi keperawatan yaitu penatalaksanaan aplikasi short message services sms untuk dukungan terhadap peningkatan kepatuhan terapi antireroviral Perawat menerapkan mode Self Care Deficit Orem menerapkan coaching technique untuk meningkatkan kemandirian klien dalam perawatan dirinya serta melakukan kegiatan inovatif dalam pemberian asuhan keperawatan pada klien dengan gangguan imun Kata kunci Gangguan sistem imun model Orem's self Care Deficit asuhan keperawatan

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Advance clinical practice on client with immune system disorders using model theory of Orem's Self Care Deficit is implementation of nursing practice based on evidence of nursing practice and implementing nursing innovation at the inpatient and outpatient ward setting The most frequent nursing issues occured was risk of infection and lack of knowledge about treatment of medication Nursing intervention based on evidence based practices is the the role of nurse as a coach using a coaching technique that very useful to promoting improving independency of self management Innovation of nusing in this clinical practice was using aplication of mobile phone of short message service SMS to promote the improvement of client adherence to ART Nurses apply the model of Orem's Self care Deficit apply a coaching technique to increase the independence of the client in her his care and conduct innovative activities in the provision of nursing care to clients with impaired immune systems "

"HIV/AIDS mengancam eksistensi manusia, sehingga perlu dilakukan tindakan pencegahan penularannya. Tujuan penelitian adalah mengidentifikasi faktor-faktor yang memengaruhi tindakan pencegahan penularan HIV oleh ODHA. Desain penelitian adalah deskriptif analitik cross sectional. Teknik pengambilan sampel adalah consecutive sampling. Penelitian dilakukan pada dua rumah sakit Pemerintah dan satu Klinik Yayasan Sosial Agustinus di Sorong Papua Barat. Jumlah responden yang diperoleh 75 orang. Hasil penelitian menunjukkan bahwa faktor yang berhubungan dengan tindakan pencegahan penularan HIV adalah umur (p= 0,040; α= 0,05). Pada analisis regresi logistik ganda diketahui bahwa umur merupakan faktor yang paling mempengaruhi tindakan pencegahan penularan HIV (p= 0,031; α= 0,05; 95% CI: 1.169-26.423). Umur muda berisiko menularkan HIV karena cenderung melakukan seks tidak aman. Perawat dalam memberikan asuhan keperawatan harus berfokus pada intervensi konseling bagaimana menghindari perilaku seks tidak aman.

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Age People with HIV AIDS (PLWHA) Precautions in Connection with HIV Infection. HIV/AIDS has threaten the human existence, so it necessary to actions to prevent the HIV transmissions. The aim of this study was to determine the factors that influence the act of HIV transmission prevention by PLWHA. The study design was cross sectional analytic descriptive approach. The sampling technique is consecutive. The study was conducted at two government hospitals and one private clinic in Sorong. The number of respondents is 75 people. The results showed that factors correlated to the prevention of HIV transmission is age (p= 0,040; α= 0,05). In multiple logistic regression analysis it is known that age is a factor that most influences the actions of prevention of HIV transmission (p= 0,031; α= 0,05; 95% CI: 1.169-26.423). The young age due to become infected with HIV were more likely to perform unsafe sex. The provision of nursing care shlould be focused on the interventions counseling how to avoid unsafe sex."