Psychosocial stress and treatment compliance among HIV/AIDS patients in a Nigerian Teaching Hospital

Background: Antiretroviral therapy (ART) has played a crucial role in minimizing the worldwide impact of HIV infection. Numerous HIV patients face challenges in adhering to their treatment due to various physical, social, and psychological factors. This study aimed to explore the correlation between...

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Main Authors: Olayinka Oluseyi Ajao, Olamide Olajumoke Afolalu, Ganiyat Adeniran, Stephen Gbadebo Olawale, Rukayat Agboola-Bello
Format: Article
Language:English
Published: Golestan University of Medical Sciences 2023-04-01
Series:Journal of Research Development in Nursing and Midwifery
Subjects:
Online Access:http://nmj.goums.ac.ir/article-1-1524-en.pdf
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author Olayinka Oluseyi Ajao
Olamide Olajumoke Afolalu
Ganiyat Adeniran
Stephen Gbadebo Olawale
Rukayat Agboola-Bello
author_facet Olayinka Oluseyi Ajao
Olamide Olajumoke Afolalu
Ganiyat Adeniran
Stephen Gbadebo Olawale
Rukayat Agboola-Bello
author_sort Olayinka Oluseyi Ajao
collection DOAJ
description Background: Antiretroviral therapy (ART) has played a crucial role in minimizing the worldwide impact of HIV infection. Numerous HIV patients face challenges in adhering to their treatment due to various physical, social, and psychological factors. This study aimed to explore the correlation between psychosocial stress and treatment adherence among HIV/AIDS patients at a hospital in Nigeria. Methods: In this study, a descriptive analytical design was utilized to select (n=171) HIV-infected clients attending the virology clinic at Uniosun Teaching Hospital (UTH). Convenient sampling was employed to choose participants from a total monthly population of 271 patients who visit the clinic. Data collection was performed using a questionnaire consisting of four sections and 57 items. Descriptive and inferential statistics, such as the Chi-square test and correlation analysis, were employed to present and analyze the data. Results: A significant proportion (61.4%) of the patients experienced a moderate level of stress. The most notable sources of stress reported by patients were the need for HIV status disclosure (71.9%) and rejection from family and friends (66.7%). Rejections by friends and family, stigma and discrimination, social and economic challenges, as well as antiretroviral therapy showed a significant association with HIV-related stress (p < 0.001). Furthermore, a significant inverse correlation was found between psychosocial stress and treatment adherence (r = -0.705, p < 0.001). Conclusion: Individuals living with HIV/AIDS (PLWHA) face significant levels of stress and often encounter rejection and stigma. It is crucial for healthcare professionals to establish comprehensive support services aimed at alleviating the stress experienced by these patients and reducing the obstacles they face. Such measures will ultimately enhance treatment compliance and overall well-being.
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spelling doaj.art-0c931fe7ab3c4df98b280dbc935aac972023-09-30T09:22:42ZengGolestan University of Medical SciencesJournal of Research Development in Nursing and Midwifery2588-30382023-04-012015255Psychosocial stress and treatment compliance among HIV/AIDS patients in a Nigerian Teaching HospitalOlayinka Oluseyi Ajao0Olamide Olajumoke Afolalu1Ganiyat Adeniran2Stephen Gbadebo Olawale3Rukayat Agboola-Bello4 Medical-Surgical Nursing Unit, Department of Nursing Science, Osun State University, Nigeria Mental Health Nursing Unit, Department of Nursing Science, Osun State University, Nigeria Maternal and Child Health Nursing Unit, Department of Nursing Science, Osun State University, Nigeria Community Health Nursing Unit, Department of Nursing Science, Osun State University, Nigeria Maternal and Child Health Nursing Unit, Department of Nursing Science, Osun State University, Nigeria Background: Antiretroviral therapy (ART) has played a crucial role in minimizing the worldwide impact of HIV infection. Numerous HIV patients face challenges in adhering to their treatment due to various physical, social, and psychological factors. This study aimed to explore the correlation between psychosocial stress and treatment adherence among HIV/AIDS patients at a hospital in Nigeria. Methods: In this study, a descriptive analytical design was utilized to select (n=171) HIV-infected clients attending the virology clinic at Uniosun Teaching Hospital (UTH). Convenient sampling was employed to choose participants from a total monthly population of 271 patients who visit the clinic. Data collection was performed using a questionnaire consisting of four sections and 57 items. Descriptive and inferential statistics, such as the Chi-square test and correlation analysis, were employed to present and analyze the data. Results: A significant proportion (61.4%) of the patients experienced a moderate level of stress. The most notable sources of stress reported by patients were the need for HIV status disclosure (71.9%) and rejection from family and friends (66.7%). Rejections by friends and family, stigma and discrimination, social and economic challenges, as well as antiretroviral therapy showed a significant association with HIV-related stress (p < 0.001). Furthermore, a significant inverse correlation was found between psychosocial stress and treatment adherence (r = -0.705, p < 0.001). Conclusion: Individuals living with HIV/AIDS (PLWHA) face significant levels of stress and often encounter rejection and stigma. It is crucial for healthcare professionals to establish comprehensive support services aimed at alleviating the stress experienced by these patients and reducing the obstacles they face. Such measures will ultimately enhance treatment compliance and overall well-being.http://nmj.goums.ac.ir/article-1-1524-en.pdfantiretroviral therapycompliancestresspsychologytreatmentadherence
spellingShingle Olayinka Oluseyi Ajao
Olamide Olajumoke Afolalu
Ganiyat Adeniran
Stephen Gbadebo Olawale
Rukayat Agboola-Bello
Psychosocial stress and treatment compliance among HIV/AIDS patients in a Nigerian Teaching Hospital
Journal of Research Development in Nursing and Midwifery
antiretroviral therapy
compliance
stress
psychology
treatment
adherence
title Psychosocial stress and treatment compliance among HIV/AIDS patients in a Nigerian Teaching Hospital
title_full Psychosocial stress and treatment compliance among HIV/AIDS patients in a Nigerian Teaching Hospital
title_fullStr Psychosocial stress and treatment compliance among HIV/AIDS patients in a Nigerian Teaching Hospital
title_full_unstemmed Psychosocial stress and treatment compliance among HIV/AIDS patients in a Nigerian Teaching Hospital
title_short Psychosocial stress and treatment compliance among HIV/AIDS patients in a Nigerian Teaching Hospital
title_sort psychosocial stress and treatment compliance among hiv aids patients in a nigerian teaching hospital
topic antiretroviral therapy
compliance
stress
psychology
treatment
adherence
url http://nmj.goums.ac.ir/article-1-1524-en.pdf
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