To Estimate Stress Among Single Parented Girls in Shelter for Homeless Girls, Karachi, Pakistan

Sunday, November 1, 2009

Zehra Ali Muhammad Ahmed Parvani, RN, BScN
School Of Nursing, Aga Khan University, Karachi, Pakistan
Hasina Hassan Ali, RN, BScN
Infection control, Aga Khan University Hospital, Karachi, Pakistan
Saima Feroz Ali Virani, RN, BScN
Operation Theater & Recovery, Aga Khan University Hospital, Pakistan, Karachi, Pakistan
Seema Mansoor Ali, RN, BScN
School of Nursing, Aga Khan University School of Nursing Pakistan, Karachi, Pakistan
Azmina Wazir Ali, RN, BScN
Nursing Services, Aga Khan University Hospital Pakistan, Karachi, Pakistan
Saleema A. Gulzar, MScN
School of Nursing, Aga Khan University, Karachi, Sindh, Pakistan

Learning Objective 1: Estimate stress level among homeless children

Learning Objective 2: Determine the effects of interventions on stress management on these children.


Stress is the major cause of physiological and psychological disorders. It is proved that the homeless children are at risk to get stress due to their unmet needs that are essential to meet according to Maslow’s hierarchy. Therefore, a study project is carried out to estimate stress among these children and to promote their mental health.

Objectives/ purpose:

  • To estimate stress level among homeless children.
  • To determine the effects of interventions on stress management on these children.


Questionnaire was administered through universal sampling to 15 homeless children to get data about their stress level at Shelter Home of Karachi, Pakistan during April 14 to May 13, 2008. Data was analyzed through SPSS 16. In order to provide interventions for stress management to these children health education session with relaxation exercises conducted. To see the effects of these interventions on stress management, post evaluation questionnaire was administered to the participants.


Data of the study reveals that the prevalence of stress is 58% among the homeless children in the Shelter Home. Among these children 75% were belong to divorced family or whose parents died. The major signs and symptoms are identified as frequent crying spells 80%, difficulty in controlling emotions 79% and unable to cope constructively 58%. Knowledge regarding managing stress is 15%. As health education session was conducted to enhance knowledge to manage stress, it was found after evaluation that 87% children got knowledge to manage the stress.

Conclusion and recommendation:

To conclude, this study could be implemented at mega scale in Pakistan to promote mental health of these children. It is recommended that Maslow’s hierarchy theory should utilize to understand needs of these children and different ways should propose for their stress management.