The effect of nurse initiated nutritional counselling with hatha yoga on nutritional status of HIV infected adolescents: Randomized controlled trial

authors:

avatar Rajathi Sakthivel ORCID 1 , * , avatar Shankar Rajendran 2

Head of Child Health Department, Hindu Mission College of Nursing
Department of Research and Education, College of Nursing, Madras Medical College, Affiliated to The Tamil Nadu Dr. M. G. R. Medical University, Chennai, Tamil Nadu, India

how to cite: Sakthivel R, Rajendran S. The effect of nurse initiated nutritional counselling with hatha yoga on nutritional status of HIV infected adolescents: Randomized controlled trial. J Nurs Midwifery Sci. 2022;9(3):e133515. https://doi.org/10.4103/jnms.jnms_94_21.

Abstract

Context: The adolescence is a period of fabulous changes made in growth as physically, emotionally, and socially; because of deprived nutrition, these changes become declined and more complicated for an adolescent diagnosed with HIV.
Aim: The study aims to evaluate the effectiveness of nurse‑initiated nutritional counseling with Hatha yoga on nutritional status of HIV‑infected adolescents.
Setting and Design: This was randomized controlled trial research with a wait-list control group design adopted in selected antiretroviral therapy centers in Chennai, Tamil Nadu.
Materials and Methods: Through simple random technique, a total of 388 HIV‑infected adolescents were divided into experimental (195) and control (193) groups. The data were collected from samples/caregivers through a structured nutritional assessment questionnaire, and anthropometric measurements were also noted. The nutritional counseling was given to experimental group alone and asanas were demonstrated by a researcher. The data were collected from both groups at 0, 3rd, and 6th month intervals.
Statistical Analysis Used: Data were analyzed using descriptive statistics of mean and standard deviation and inferential statistics such as Chi‑square, ANOVA “F”‑test, and Bonferroni t‑test.
Results: According to the “Z” score, the baseline assessment showed that 28% in the experimental and 29% in the control group of HIV-infected adolescents were malnourished, and the remaining percentage was within normal. However, on 6th month evaluation, it reduced to 19% and 28%, respectively. Hence, nutritional gain score was increased to 9.3% in the experimental and 1.5% in the control group with 95% confidence interval.
Conclusion: The motivational counseling along with Hatha yoga has effectiveness to increase nutritional status of HIV‑infected adolescents in the experimental group than in the control group.