Alice T P(Sr Lissa Paul)

235 Pages·2016·0.75 MB·English

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EFFECTIVENESS OF PLANNED INTERVENTION
PROGRAMME ON STRESS, SELF ESTEEM AND
ADJUSTMENT OF ADOLECENT WARDS OF CLIENTS
ATTENDING DEADDICTION CENTERS

Thesis submitted by partial fulfillment for the Award of Degree of
Doctor of Philosophy in Nursing

By
ALICE T.P. (SR.LISSA PAUL)

VINAYAKA MISSIONS UNIVERSITY
SALEM, TAMILNADU, INDIA
MARCH, 2015

VINAYAKA MISSIONS UNIVERSITY
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DECLARATION

I, ALICE T.P , declare that the thesis entitled Effectiveness of Planned
Intervention Programme on Stress, Self esteem and Adjustment of
Adolescent Wards of Clients attending Deaddiction Centers submitted
by me for the Degree of Doctor of Philosophy is the record of work
carried out me during the period from April 2007 to March 2015 under
the guidance of Dr. Sr. Anne Jose and has not formed the basis for the
award of any degree, diploma, associate-ship, fellowship, titles in this or
any other University or other similar institution of higher learning.

Place: Thrissur Signature of the Candidate

Date: Alice T.P.

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VINAYAKA MISSIONS UNIVERSITY
CERTIFICATE BY THE GUIDE

I, Dr. Sr. Anne Jose, certify that the thesis entitled
EFFECTIVENESS OF PLANNED INTERVENTION PROGRAMME
ON STRESS, SELF ESTEEM AND ADJUSTMENT OF
ADOLESCENT WARDS OF CLIENTS ATTENDING DEADDICTION
CENTERS submitted for the Degree of Doctor of Philosophy by
ALICE T.P. is the record of research work carried out by her during
the period from April 2007 to March 2015 under my guidance and
supervision and that this work has not formed the basis for the award
of any degree, diploma, associate-ship, fellowship or other titles in
this University or any other University or institution of higher learning.

Signature of the Supervisor with designation

Place
Date

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ACKNOWLEDGEMENT
“O sing to the lord a new song, for he has done marvelous
things.” (Psalm: 98/1)

The investigator very much thankful to God Almighty for
leading me in the correct path by his boundless guidance and
blessings to complete this research endeavour with its great social
benefit.
While I step-down to submit my thesis, looking back , a group
of people are in front of me, before whom I would like to fold my
hands to say a “ Big Thank You’ and to keep them in my heart for
special remembrance in my prayers.
I express my heartfelt gratitude to my guide Dr. Sr. ANNE
JOSE former Professor, Govt. College of Nursing, Kottayam for
accepting me as research student. Gratefully I acknowledge the
constant support, able guidance, valuable suggestions,
approachability and freedom of work extended to me throughout the
period, and excellent guidance for the successful completion of this
thesis.
The most profound and sincere gratitude to the management of
Vinayaka Missions University for their kind and overwhelming support
to help me successfully to complete my doctoral study.
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My sincere thanks to Dr.V.Rajendran Ph D, Dean, Research
Department, Vinayaka Missions University for his valuable guidance
and support in a number of ways to complete this study.
The investigator owes her sincere gratitude to all the
adolescent wards of clients who were willing to participate in the
study.
At the completion of my thesis Iam deeply indebted to many in
my institution, Jubilee Mission College of Nursing, Thrissur. With a
great sense of gratitude I remember my former Principals, Dr. Tamil
Selvi, and Dr. Saradha Remesh and present Principal Dr. Anglo
Danaduri and vice Principals Dr.Sr. Philoresmi and Sr. Treasa Anto
for their loving support and encouragement. Gratefully I acknowledge
the loving support and encouragement extended to me by my
colleagues and nonteaching staff especially Sr.Dhanya Assist
Proffessor, Mr. Edwin lecturer, Mrs.Remya Assist. Professor,
Mr.Ather lecturer Jubilee Mission College of Nursing, Thrissur, for
their constant moral support, creative guidance, valuable suggestions
and inspirations throughout this venture. I am also grateful to the
librarians of NIMHANS, Bangalore, Manipal, Father Muller’s College
of nursing and Jubilee Mission College of Nursing.
The investigator is deeply indebted to Dr.Sr.Lina C.M.C former
Principal of Vimala College, Thrissur and my own community sister
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for her valuable guidance, constructive suggestions, encouragement
and constant moral support she rendered to me.iv
The researcher expresses her gratitude and thanks to Directors
of Jubilee Mission Medical College and Research Institute, Mochana
De-addiction centre- Nest, Thrissur and Sanjo-Sadan de-addiction
centre Anadapuram for permitting to conduct the study in the
department.
The investigator owes her sincere gratitude to all experts who
validated the tool. The researcher expresses her heartfelt gratitude to
Dr.Tony Abraham, clinical psychologist Jubilee Mission Medical
College Hospital and Research Institute, for his valuable suggestions,
content validity of research programme. Sr.Namitha, Assist professor
in Malayalam, Vimala College Thrissur, for Malayalam translation of
tool and Intervention Programme. I gratefully acknowledge the
valuable help rendered by Sr. Felicita, my former Provincial and
Principal of St. Mary’s college, Thrissur in editing the thesis work.
The investigator is deeply indebted to the Sister in charge and
Staff of three deaddiction centers for their cooperation and
participation for the successful completion of the study.
I owe a debt of gratitude to Dr. Sr.Alice, Principal, Mercy
college Palakkad, Mr. Girish Babu, Asst. Professor and Mrs.Bindu
Assist.Professor, Department of statistics, Govt. Arts and Science
College, Kozhikode for the help rendered in statistical analysis. The
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genuine interest, the loving consideration and deep understanding
from the superiors Sr. Karuna, Sr. Laya and Sr. Anne Maria and
sisters of my community have been a great encouragement for me.
With much gratitude I acknowledge the kind support and
encouragement always extended to me by my provincial superiors Sr.
Nilus, Sr. Dr.Omer and the councillors throughout my research
period.
I want to acknowledge the support of all my friends throughout
this journey; particularly Mrs. Sreedevi J, Mr. Pavithran Rayaroth,
whose friendship during this journey has meant so much.
I know, at the back of all my success in my life, my loving
parents’ incessant prayers which pierce the heavens and their love
and support have a unique role. All my family members were always
there with me to give a constant mental and spiritual support.
Cherishing all the love, care and support from all around me, I bow
my head in thanks and raise my heart in prayer.

Alice T.P.

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ABSTRACT

The present study is aimed to evaluate the effectiveness of planned
intervention programme on stress, self esteem and adjustment of
adolescent wards of clients attending deaddiction centers.
Objectives of the study were:

1. To assess the existing levels of stress, self esteem and adjustment
of adolescent wards of clients attending de-addiction centers.
2. To find out the effectiveness of planned intervention programme on
levels of stress, self esteem and adjustment of adolescent wards
of clients attending de-addiction centers.
3. To find out the association of the selected demographic variables
with the levels of stress, self esteem and adjustment in the
adolescent wards of clients attending de-addiction centers.
4 To find out the relationship between the levels of stress and
adjustment and the levels of self esteem and adjustment in the
adolescent wards of clients attending de-addiction centers.
A quantitative approach with one group pre- test post- test design
was used. Nine hypotheses were formulated and tested. The theoretical
frame work of the study was based on Sr. Calista Roy’s adaptation
model (1984). The dependent variables were stress, self esteem and
adjustment among adolescent wards of clients attending de addiction
centers. The independent variable was the planned intervention
programme.
Four measuring instruments were used in this study to evaluate
the effectiveness of planned intervention programme among adolescent
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wards of clients attending deaddiction centers. These instruments
included the socio-demographic data developed by the investigator
along with three standardized scales, Hari S Stress inventory for
Students, to assess the stress of adolescent wards of clients ( Hari S
Chandran 2005 ), Rosenberg self esteem scale to assess the level of
self esteem among the adolescent wards of clients (Rosenberg 1965)
and Indian Adaptation of Bells adjustment inventory (Lalita Sharma
1988) in order to identify the adjustment of adolescent wards of the
selected clients. The sample for the study consisted of 300 adolescent
wards of clients attending de addiction centers in the district of Thrissur.
A random sampling technique was adopted for the selection of the
sample.
The planned intervention programme was administered with the
help of LCD power point presentations and activities arranged in two
days with the sequence of stress management, self esteem
enhancement, study habits and time management in Malayalam with
necessary instructions. A post- test was administered after fifteen days
to assess the effectiveness of the planned intervention programme. The
collected data were analyzed by computing paired t tests, Chi square,
and Pearson’s coefficient of correlation(r).
The findings of the study were:
1. Among the selected demographic variables significant association
was proved only between the adjustment of the adolescent wards and
their age, father’s occupation and their attachment with the mothers.
2. The mean post test scores were significantly higher than the pre-
test scores with regard to:
(cid:190) Stress, t = 15.09, p<0.05
(299)
(cid:190) Self esteem, t = 36.02, p<0.05
(299)
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(cid:190) Adjustment, t = 24.11, p<0.05
(299)
Emotional Adjustment, t = 16.469, p<0.05
(299)
Family Adjustment t = 19.429, p<0.05
(299)
3. Highly significant negative correlation recorded between stress and
self esteem and stress and adjustment indicated that increasing stress
resulted in decrease in self esteem and adjustment .Increase in self
esteem was found to and lead to profound increase in adjustment as
indicated by the highly significant correlation obtained.

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Summarizing the findings of the present investigation it can be
concluded that the applied planned intervention programme was highly
effective in reducing stress and enhancing self esteem and adjustment
in the adolescent wards of clients.

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