Abstract

Background: Individuals with a high risk of HIV and AIDS who come to the service center VCT (Voluntary Counseling and Testing) feel worried or anxious about contracting HIV and wanting to know about their condition. They are usually worried or anxious about the implications of AIDS itself physically, psychologically, spiritually, and socially (stigma and discrimination). Aim: This study aimed to determine the effect of counseling on changing clients' anxiety levels at high risk of HIV and AIDS. Methods: The design of this study was pre-experiment with one group pre-post-test design approach because before being given treatment, the client first assessed the level of anxiety, then after being given treatment, the level of anxiety was re-examined, whether or not decreased anxiety level. The instrument used is of the HARS questionnaire was purposive sampling with 21 samples. Data analysis used narration, frequency, percentage distribution tables, and bivariate analysis using parametric data analysis techniques. Result: From 21 respondents before and after counseling, they have a difference of 6.19 with a standard deviation of 4.98. The p-value of 0.000 indicates that the value is smaller when comparing the alpha value of 5% (0.05), meaning that there are differences in anxiety before and after counseling, so it can be concluded that there is an influence of spiritual counseling on the level of anxiety in high-risk clients of HIV and AIDS in the area Senggigi medical tourism center. Conclusion: Provision of counseling that has been going well needs to be maintained and enhanced by regularly and continuously holding professional counselors' training.

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