Analysis of Factors Building Self-Efficacy and Adherence to ARV Medication in HIV/AIDS Patientsof Adolescent and Early Adult Age at Umar Wir

Human Immunodeficiency Virus (HIV) remains a health problem, with low adherence to antiretroviral (ARV) therapy in adolescents and young adults. One important factor influencing adherence is self-efficacy, or an individual's belief in their ability to consistently consume ARVs. This study aims to explore the factors that build self-efficacy that influence ARV adherence in HIV/AIDS patients aged 10–34 years at Umar Wirahadikusumah Regional General Hospital, Sumedang. The method used was a qualitative approach with a phenomenological approach and purposive sampling technique on three respondents. The research instrument consisted of questions posed through interviews. The results identified six main themes: medication adherence, enactive mastery experience, vicarious experience, verbal persuasion, emotional arousal, and the source of self-efficacy that most influenced medication adherence. Verbal and emotional support from family and partners emerged as the most dominant source of self-efficacy in maintaining ARV medication adherence. The study concluded that strengthening self-efficacy, particularly through family support and psychosocial support, plays a crucial role in improving ARV medication adherence in adolescents and young adults living with HIV/AIDS. These findings have important implications for nursing practice, particularly in the role of nurses as counselors and companions for HIV/AIDS patients.