The Effectiveness of Nursing Counseling Intervention on The Social Adaptation Among HIVIAIDS Patients In Khartoum Teaching Hospital 2006-2011

Abstract

Abstract This study aims to assess the Effectiveness ofnursing Counseling lntervention on the social adaptation among HIV/AIDS patients in voluntary Counseling Test Center (VCT) at Khartoum Teaching Hospital. The method of the study is interventional programs consist of 24 sessions applied in. intervention group compare with non intervention group. Tools for data collection which involve Self Esteem Scale, Self concept scale, hospital anxiety and depression, social desirability, social function sheet, assessment sheet for patients satisfaction during counseling sessions and assessment sheet to assess the program. Participants are HlV/AIDS patients at VCT Center in KTH. lnclusion criteria are adult HIV /AIDS patients, receiving antiviral and willing to participate. Exclusion criteria are HIV/AIDS patients not receiving antiviral, refused to participate and children. The sample size is 200 HIV/AIDS patients (200 intervention and200 non interventions). Ethical considerations are involved in application; for permission from the Hospital Authority to conduct the study was obtained and verbal informed consent ofparticipants whom are given code numbers \vas attained. The research results are disseminated to the Voluntary Counseling Test Centers, to help HIV/AlDS patient to achieve social adaptation and live positively. The present study reveals that results in non intervention group which received standard nursing care in self esteem scale, which measures attitude towards myself varies between 60-70% in disagree and strongly disagree, this is indication to low self-esteem (table 4-l).However after the implementation of the program in intervention group self-esteem of patients results varies between 70-75% in agree and strongly agree this indicates that the implementation of the program is very effective in enhancing patients self-esteem (table 4 -8). ' Also, the study shows that the results of self concept scales which measure physical self- moral, ethical-self, personal, family and social in non intervention group various between 75-85% in strongly disagree (table 4-2), in spite of experimental group these results between 75-85% in agrees and strongly agree an indication the increase in self-concept (table 4-9). The study reveals that in the assessment of the program and patient satisfaction (tables 4-6/4-7) there is low satisfaction in non intervention group, compare with high satisfaction and responses(tables 4-l3/4-14) in intervention group during counseling sessions. Results of the study indicate marked improvement in patient's communication, interaction, span of attention, socialization and social perfomtance. This is supported by Roy Adaptation theory and Orenr Selfcare theory. Then this study proves the effectiveness ofthe constructed nursing counseling program on the social adaptation of the chronically HIV/AIDS patient's (through a planned therapeutic program) as well as the influence of the nursing role throughout the processes of treating the chronically HIV/AIDS patients. On the light of these study findings, it is recommended that nursing counseling program should be implemented early to patients and their families, nursing counseling program should include self- care, coping strategies, problem solving, communication, decision making and assertiveness skills. A counseling nursing program should be, established to qualify personnel to conduct counseling sessions for the HIV/AIDS patients.