Sinhgad e-Journal of Nursing€¦ · Sinhgad e-Journal of Nursing ... Knowledge on collection and storage of cord blood banking Ms. S. Vijayalakshmi. 14 6. Effectiveness of structured

Sinhgad e-Journal of Nursing

Volume III, Issue I, June 2013.

INDEX

Sr. No.

Content Page No.

1. Attitude of Nursing students towards mental illness and mentally ill patients.

Mrs. S. Dumbray. 1

2.

Levels of Depression and Burden among care givers of Patients with chronic

illness.

Mrs. Nanda M. Pardeshi. 4

3.

Relationship of physical health status of mother to the physical health status of

new born.

Mrs. N. Ujwala Premswaroop. 7

4.

Problems encountered during Hospitalization & Coping Strategies adopted by the

Oncology Patients.

Prof. Pravin Dani.

11

5. Knowledge on collection and storage of cord blood banking

Ms. S. Vijayalakshmi. 14

6.

Effectiveness of structured teaching programme on knowledge regarding common

eye injuries and its prevention.

Mr. Mahantesh D. Dashyal. 18

7. Routine oral care versus alcohol based mouth wash.

Ms. Meenakshi K. 22

8. Caregivers Burden of mentally challenged children.

Miss. Arpana Jadhav. 25

9.

Prevalence of vitamin A deficiency among Anganwadi children and Knowledge of

mothers regarding Vitamin A.

Ms. Kavita Thokal 28

10. Effectiveness of slide show on water birth among staff nurses.

Ms. Minerva Devi Maibam 30

11.

Psychological effects and perceived social support of women underwent surgical

interventions.

Ms. Neethu. P. V. 32

12. Home care of bronchial asthma patient. Ms. Prajwala C. Dongardive.

35

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Sinhgad e Journal of Nursing, Vol. III, Issue I, June 2013.

1 © 2013 Sinhgad College of Nursing, Pune. All rights reserved.

Attitude of Nursing students towards

mental illness and mentally ill patients.

Mrs. S. Dumbray

Principal, Tehmi Grant Institute of Nursing Education, Pune.

Introduction:

Today is an age of tremendous growth of

knowledge and rapid social change.

Unfortunately advances in our

understanding of man have lagged far

behind our advances in physical and

biological sciences. We know much about

the atoms and the genes but not nearly

enough about love or the values needed for

achieving a meaningful and fulfilling life,

and for constructing a better world for us

all.

The past two three decades have witnessed

several major shifts in the concepts, care,

and treatment of hospitalized mentally ill

patients. There has been a move towards

‘open’ hospitals, milieu therapy, patient

government and patient work programme.

This newer outlook is based on the general

assumption that wellbeing of mentally ill

patients is at least to some extent

influenced by the social context.

Therefore the study was undertaken to

explore the attitude of Baccalaureate

Nursing students with and without

Psychiatric Nursing Education towards

mental illness and mentally ill patients.

Objectives:

1. To know the attitude of Baccalaureate

Nursing students without Psychiatric

Nursing Education towards mental

illness and mentally ill patients.

2. To know the attitudes of Baccalaureate

Nursing students with Psychiatric

Nursing Education towards mental

illness and mentally ill patients.

3. To find out the relationship between

selected variables and attitudes

towards mental illness and mentally ill

patients.

Assumption:

The attitudes of students with Psychiatric

Nursing Education towards mental illness

and mentally ill patients will be positive as



compare to the attitudes of students with

no such education.

Methodology:

Setting of study: The study was exploratory

in nature and research approach employed

for it was the descriptive survey method. It

was undertaken in a university

Baccalaureate Nursing programme of Smt.

Nathibai Damodar Thackersey, Women’s

University in Mumbai.

Sample size:

Who fulfill the predetermined criteria for

selection of samples.

Tool used:

The tool used for the data collection

consisted of two parts.

Part I consisted of items with regards to

demographic and general information

regarding the subject.

Part II which was OMI Scale consisted of

statements concerning mental illness, its

cause, treatment and prognosis.

The OMI is composed of Likert type items

with responses ranging from strongly

agree to strongly disagree.

These items were later grouped under five

factors such as

Sample Size

90 students

45 had exposure to Psychiatric

Nursing Education

45 had no such exposure

Part I

• demographic data

Part II

• Standardized questionnaire called Opinions about Mental Illness Scale (OMI) designed by Cohen and Struening (1962).

Authoritarianism,

benevolence,

Mental hygiene ideology,

Social restrictiveness,

Interpersonal etiology.



Result & conclusion:

The results of this study reveal the

attitudes of Baccalaureate Nursing

students towards mental illness and

mentally ill patients. By and large both

the groups namely with and without

Psychiatric Nursing Education did not

differ significantly on any of the

attitudinal dimensions statistically.

But on Descriptive analysis majority of

the students from the group with

education showed favorable attitudes

towards mental illness and mentally ill

patients as compared to the group with no

such education.

The findings of the present study

therefore indicate that the Psychiatric

Affiliation programme may be effective

in changing nursing student’s attitudes

about mental illness and mentally ill

patients in favorable directions.

References:

1. Abdellah, F.G. et al, Patient Centered

Approaches for Nursing, 1st Edition,

New York, the Macmillan Co. 1960.

2. Altrocohi, J. &Eisdorfer C. “Changes in

Attitude Towards Mental illness”,

Mental Hygiene, 45, 1961, pp 503-570.

3. Brady, M. M. “Nurses Attitude Towards

a patient who has a psychiatric

history”. Journal of Advance Nursing, 1,

Jan 1976. pp 11-23.

4. Burgess A. W. Psychiatric Nursing in

Hospital and the community 3rded. New

Jersey, Prentice – Hall Inc. Englewood

Cliffs, 1981.

5. Creech. S. K. “Changes in Attitude about

mental Illness among nursing students

following a psychiatric Affiliation”. JPN

& mental Health Services, pp 9 – 10.

10 October 2013

Every year on 10th of October, The World

Health Organization joins in celebrating

the World Mental Health Day.

The theme of World Mental Health Day in

2013 is “Mental health and older adults”.

“For the things we have to learn before we

can do them, we learn by doing them.”

Aristotle

Request to Readers

Dear Readers of Sinhgad e Journal of Nursing.

We would like to hear from you about our

journal. Kindly mail your views about the

journal to the editor on

[email protected]. Selected mails

will be published after editing depending upon

availability of space.

We are looking forward to hear from.

Team Sinhgad e Journal of Nursing



Levels of Depression and Burden

among care givers of Patients with

chronic illness.

Mrs. Nanda M. Pardeshi

INE, Mumbai

Introduction:

Patients with chronic

illness are not the only

ones likely to be

severely depressed in

the aftermath of

hospitalization. Family and friends who

cares for them often suffer emotional and

social hardship too.

Depression among caregivers of

chronically ill patient is widely reported

especially among women and those

younger in age. Other variables shows to

relate to care giver depression are

functional status of the care receiver, the

presence of cognitive impairment in the

care receiver, the location of the care

receiver, the care giver’s burden and

overload.

Care giving for the ill has emerged as a

critically important public health issue.

Because of increases in life expectancy and

the aging of the population, the shift from

acute to chronic diseases and their

associated disabilities, and with advances

in medical technology, care giving has

become commonplace. Caregivers have

often been overlooked during the

treatment of the chronically ill. Thus

caregivers have been described as “hidden

patients” (S.H.Zarit, Zarit J.M. 1985).

Research has mostly been directed

towards the patients and more so often the

research towards the caregivers well being

has always been overlooked.

Objectives:

1. To identify the levels of depression

among care givers of patients with

chronic illness.

2. To assess the levels of burden among

care givers of patients with chronic

illness.

3. To find association among selected

demographical variables with levels of

depression and levels of burden.



Assumption: Depression may arise while

caring for chronically ill patients. Caring

for chronically ill patients would be

perceived as burden.

Methodology:

Setting of study: The study was exploratory

in nature and research approach employed

for it was a survey research design. It was

undertaken at selected Hospital in

Mumbai.

Sample Size

Care-givers of patients with chronic illness,

admitted in selected hospitals at Mumbai

Who fulfill the predetermined criteria for

selection of samples.

Tool used:

The tool used for the data collection

consisted of two parts.

Section A: -This section contained items for

obtaining the information of the givers

such as;

Section B: -Beck's Depression Inventory

consists of 21 items, scored on 0 – 3

spectrum (0 = least, 3 = most) with a score

range of 0 – 63. Interview consists of 22

items, scored on a 5 points scale with (0 =

never, 4 = nearly always) with a score

range of 0 -88. It was interpreted as

follows.

Section A

• Demographic variables

Section B

• Beck's Depression Inventory consisting of

21 items

Section C

• Zarit Burden Interview scale consists of 22 items

Age

Sex

Education

Occupation

Marital Status

Employment

Diagnosis

Duration of Illness

Normal

1 - 10

Mild Depression

11 -16

Border line depression

17 - 20

Moderate depression

21 -30

Severe Depression

31- 40

Extreme Depression

above 40



Section C: -Zarit Burden Interview scale

consists of 22 items, scored on a 5 points

scale with (0 = never, 4 = nearly always)

with a score range of 0 -88

Result & conclusion:

Result suggested that care

givers of chronically ill

patients have mild to

moderate levels of depression

and burden.

The majority care givers were female 39

(65%) who were married aging below 40

years i.e. 41 (68.3%).

The maximum care givers Hindu i.e.

47(78.3%), and 44 (73.3%) belongs to

nuclear family. 15(25%) showing mild

mood disturbances, 13(21.7%) moderate

depression, 10(16.7%) Borderline clinical

depression and 1(1.7%) showing severe to

extreme depression.

Most of caregivers 35(58.3%) having mild

to moderate Burden and 7(11.7%) having

moderate to severe Burden.

References:

1. Sara L et al. Care givers of long term

ventilator patients. Chest. 2003 April;

123(4):1073-1081.

2. Qyinan P. Home Haemodialysis and the

caregivers’ experience: a critical

analysis. CANNT J. 2005 Jan-Mar;

15(1):25-32.

3. Hickman P et al. Impact of chronic

critical illness on the psychological

outcome of family member. AACN

Advanced critical care. 2010 Jan-

Mar;21(1): 80-91.

4. Clay O J et al. Correlates of health-

related quality of life in African,

American and Caucasian stroke

caregivers. RehabilPsy Chol.2013 Feb;

58(1): 28-35.

5. Sunitha T et al. Anxiety and depression

among the caregivers of patients with

end stage renal disease. ISPN.

2012;4(1): 31-32.

6. Joseph E et al. Clinically significant

change in burden and depression

among dementia caregivers following

nursing home admission. BMC

Medicine 2010; 8:85.

7. Jiyeon C et al. Care givers of the

chronically critically ill after discharge

from the ICU : Six months’ experience.

AJCC.2011 Jan; 20(1): 12-23.

0 –21 little or no burden

21 –40 mild to moderate burden

41 –60 moderate to severe burden

61 –88 severe burdens



Relationship of physical health status of

mother to the physical health status

new born.

Mrs. N. UjwalaPremswaroop.

Lecturer, Sinhgad College of Nursing, Pune.

Introduction:

God cannot be present

every moment with this

beautiful creation of

human being so he gave

his precious creation in

hand of mother to rear and care. In all

religion and customs mother is given a

supreme place. The literature of the world

is full of the stories of mother and her

devotion to mankind. In each and every

condition, good or bad, she has given first

priority to her child. And given maximum

care and comfort but if the things are

beyond her reach or approach then she

cannot do anything but today this fact is

well known

and many

helping hands

are

strengthening

her.

Objectives:

1. To assess the physical health status of

the mother.

2. To assess the physical health status of

new born.

3. To assess the correlation the physical

health status of the mother and the new

born.

4. To correlate the physical health status

of the mother with the selected

demographic variables.

Methodology:

This descriptive evaluative study was

conducted in the Bharati Hospital Labor

room, in PNC Ward and Neo-natal ward of

Pune City.

Sample size:

The sample consisted of 60 mothers

admitted in Bharati Hospital, Pune City.

The samples were chosen according to

predetermined criteria and availability.



Tool:

Data collection techniques and tools

As far as the purpose of this Study was to

assess the effect of physical health status of

mother on the physical health status of

newborn it is considered necessary to

drive information first of all directly from

the mother, from her ANC visit card and

case papers. For that a physical

assessment checklist is prepared which

was considered to be the most efficient and

objective method.

Physical Assessment Checklist is quick,

inexpensive means of obtaining data from

the large number of objects. It is one of the

easiest research instrument to test for

reliability and validity.

Development and description of the tool

An extensive review and study of

literature was done before developing the

tool used in this study. The tool consisted

of –

Section I - The demographic data – It

consisted demographic information of the

mother.

Section II - Consisted of Clinical Profile of

the mother like, Height, Risk Factors,

investigations and treatment.

Section III - Consisted of Physical

Assessment of the mother

Section IV - Consisted of Physical

Assessment of the newborn

Result and conclusion:

Demographic description of the sample

by frequency and percentage majority

(23%) mothers are taken education

more than 10 standard and only (3%)

are completed the Graduation

The greater parts of samples were

housewife and (77%) samples were

from the families who earned less than

Rs. 5000/- per month.

Most of the samples were at the normal

child bearing age but below 19 years

are 10% and it is significant number

supported by the age of marriage.

Most of the samples were non

vegetarian. Also, 11.67% mothers have

habit of tobacco consumption and in

that 10% applied in the form of

“mishri”.

The relation of education of mother,

monthly income, geographic area, iron

and calcium supplementation,

compilation and health of the mother

and new born is correlated using the

“P” Test.

The P value is less than 0.01 hence, we

can conclude that there is no significant

difference in mothers and new born

health in rural and urban area.

The health of the mother and the new

born does not correlate with the

education of mother, monthly income,



geographic area and iron and calcium

supplementation compilation.

There is effect of demographic variable

on the general health of mother and

new born but not found in present

study as sample size is small and

pregnancy is natural phenomenon.

Findings show that 24 samples are

primigravida and 31 samples are multi

gravida. It shows there is evidence of

previous pregnancy loss in 5 samples

subsequently in 2nd 3rd and 4thgravida.

82% mothers were having weight more

than 45 Kgs. and 33% mothers were

having height more than 150 cms.

78% of mothers were having

hemoglobin more than 10%. At the

time of delivery, only one mother was

having mild fever. And in 12% samples

cystolic BP was more than 91 mmHg.

Majority of samples (84%) were having

normal vital parameters.

There were 5 samples having Rh factor

negative in that 2 samples were primi

and 1 sample had previous home

delivery and 2 history of MTP. In these

3 samples not received anti-de-

isoimmunization, direct and indirect

coombs test was negative for all 3.

Most (58 of samples) consumed iron

and calcium supplementation during

pregnancy. 2 samples reported that

due to acidity problem non consumed

iron and calcium supplementation.

Most of the samples taken

supplementary diets like mothers

Horlics, vegetables and milk.

Findings related to the physical health

status of the new born reveal that 93%

new born were born after full term and

9% new born are low birth weight.

There were 77% new born having

normal height at birth that is more than

45 cms.

17 new born have more than 34 cm

head circumference. It means 83%

new born have less than less than 34

cm head circumference.

Also the same figures obtained for the

chest circumference and mid arm

circumference. It indicates the

development of lungs are arrested and

baby can prone to chest infection as in

neo-natal period neonates are prone to

have respiratory infection.

At the time of birth the condition of the

baby was quite normal. It evidence by

the Apgar score at 1 minute; 84% new

born were having 8-10 score and at 5

minutes it reached to 9-10 in 74 new

born. Finally at 5 minutes 98% were

above 8-10 score.

More than 50% new born responded

strongly to the reflexes.

5 new born were shifted to NICU for

observation and in that 3 new born

were having meconium stained

stomach contain. And 2 because of low



birth weight. And on 2nd day they

transferred to step down and placed

with their mother.

In all the new born no gross or minor

congenital abnormality found.

Correlation of physical health status of

the mother and new born, reveal that

88.34% mothers are having good

health and 82.77% new born are

having good health. Maximum good

health and very good health status

mothers new born are also having

maximum good and very good health

status.

The mean of the mothers score was

27.4 and SD 2.557342 and mean of new

born score was 26.95 and SD 3.713377.

The correlation is 0.7438 and it is more

than the ‘P’ value 0.01.

The correlation is high, hence we can

conclude that mother’s health and new

born health is strongly associated.

The new born health is strongly

associated with the mother’s health.

References

Books

1. Aldany, “Neo-natal Assessment”, 2nd

Edition, 1996. Delmar Publishers

Page Nos. 13-18

2. Anita Siu, “Paediatrics Physical

Skills”, Editor Pharm D. Earnest

Mario School of Pharmacy Jersey

Shore University Medical Centre

Office, Page Nos. 776 – 4207

3. Adele Pillitteri, “Maternal and Child

Health Nursing”, 2nd Edition,

Publishers J.B. Lippincott Company,

Page Nos. 1351 – 1352

4. Barnhart SL, Czervinski M.P.,

“Perinatal and Pediatric Care” 1995,

W.B. Sounders Company,

Philadelphia, Page Nos. 51 – 52

Journals:

1. Fuloria M. et.al. The Newborn

Examination Part I. Emergencies

and common abnormalities

involving the skin, head, neck, chest,

respiratory and cardio-vascular

system. American Family Physician.

Volume 65 No. 1, January 2002 Page

Nos. 144 – 146

2. Fox Jane. Consuminer pre-

registration Nursing and Midwifery

Curricula, British Journal of

Nursing, April 2003, 12, 6 Page Nos.

378 – 385.



Problem encountered during

Hospitalization & Coping Strategies

adopted by the Oncology Patients.

Prof. PravinDani

Problem Statement:

‘A study to assess the

Problems encountered

during Hospitalization &

Coping Strategies adopted

by the Oncology Patients

admitted in Cancer

Hospital at Miraj.’

This study was carried out by the Medical

Surgical Nursing department of Bharati

Vidyapeeth Deemed University, College of

Nursing, Sangli. Investigators involved in

the study were

Prof. Pravin Dani,

Mr. Mahesh Patidar,

Mr. Rokesh Thorat

Ms. Nikita Londhe.

Objectives:

To assess problems of Oncology

Patients in Cancer Hospital, Miraj.

To assess the Coping Strategies

adopted by the Oncology Patients

To correlate the problem & Coping

Strategies with the selected


Methodology:

• This explorative evaluative study was conducted in the Sidhivinayak Cancer Hospital Miraj.

Setting of Study

• 68 patients Sample Size

• Non-probability convenient sampling technique

Sampling Technique



Tool:

The tool used for data collection consisted

of: -

Result:

Demographic details:

In the study majority of the samples were

between the age group of 35-50 years and

71% were male.

76% were belonging to the nuclear

family.40% of the samples were having

duration of illness up to 2 months.

Assessment of the problems encountered

during hospitalization by the oncology

patients.

45% of the samples were having moderate

physical problems.

24% of the samples were having severe

physical problems.

Almost 65% samples have moderate

psychological problems.

50 % of the samples were having moderate

socio-cultural and financial problems.

Assessment of the coping strategies adapted

by the oncology patients during

hospitalization.

47% of the samples were

having poor coping

strategies score.

This shows that maximum

oncology patients who are

admitted in the hospital

cannot cope up well with physical and

psychological problems they face.

55% of the samples show anger and

irritability to the hospital staff.

Correlation of the problems and coping

strategies adapted by the oncology patients

with selected demographic variables.

Females were having more severe

problems compared to men.

Nuclear families were having more

problems.

There is no difference with age in relation

to the coping strategies.

Coping strategies adapted in male are

much better than female.

There is positive correlation of coping

strategies and duration of illness. With the

duration of illness coping strategies also

improves.

Conclusion:

The present study shows that majority of

the oncology patients who are admitted in

the cancer hospital have more

Section I • Demograhic Variables

Section II

• Likert scale to assess the problems encountered during

hospitalization

Section

III

• Likert scale to assess the coping strategies adapted by the

Clients



psychological problems than physical

problems.

Female patients have more severe

problems compared to male.

Majority of the patients felt communication

by the doctors and nurses was good during

hospitalization.

Nuclear families suffer more during

hospitalization than joint. There is no

difference with age in relation to the

coping strategies. Coping strategies

adapted in male are much better than

female.

There is positive correlation of coping

strategies and duration of illness. With the

duration of illness coping strategies also

improves.

References:

1. Walker MS, Zona DM, Fisher EB:

Depressive symptoms after lung

cancer surgery: Their relation to

coping style and social support. Psycho-

Oncology 2006, 15:684-693.

2. Lode K, Larsen JP, Bru E, Klevan G,

Myhr KM, Nyland H: Patient

information and coping styles in

multiple sclerosis. Multiple Sclerosis

2007, 13:792.

3. Carver CS: You want to measure coping

but your protocol's too long: Consider

the brief COPE. International Journal of

Behavioral Medicine 1997, 4:92-100.

4. Carver CS, Scheier ME: Situational

Coping and Coping Dispositions in a

Stressful Transaction. Journal of

Personality and Social Psychology 2004,

66:184.

5. Coyne JC, Aldwin C, Lazarus RS:

Depression and Coping in Stressful

Episodes. Journal of Abnormal

Psychology 1981, 90:439-447.

6. Peyrot MF, Mcmurry JF: Stress

Buffering and Glycemic Control – the

Role of Coping Styles. Diabetes Care

1992, 15:842-846.

7. Rowe MM, Allen RG: Spirituality as a

means of coping. American J Health

Studies 2004, 19:62-67.

8. www.medscape.com

http://www.medscape.com/



Knowledge on collection and storage of

cord blood banking.

Ms. S. Vijayalakshmi

M. Sc., Nursing, Clinical instructor,

College of nursing, NIMHANS, Bangalore-29.

Introduction:

Cord blood is collected from the

infant’s umbilical cord after delivery.

This method poses no risk to the

mother or infant. Most often the cells

are discarded with the umbilical

cord as biohazard waste. The first

successful cord cell transplant from

umbilical cord blood was accomplished in

1988. Since then the potential use of cord

blood has grown. Umbilical cord blood

contains hematopoietic stem cells that are

very different from other types of cells in

the body. These special stem cells have the

ability to divide and renew themselves for

long periods and have the ability to

differentiate into all the cells of the body

(National institute of health, 2009).

These stem cells can be used to treat

malignant diseases such as acute

lymphocytic leukemia, chronic

myelogenous leukemia, myelodysplastic

syndrome and neuroblastoma.

Cord blood can also be used to treat a

variety of non malignant diseases including

Fanconi’s anemia, hunter syndrome, hurler

syndrome, idiopathic aplastic anemia,

thalassemia, and even osteoporosis. These

hematopoietic progenitor cells have the

potential to develop into a variety of

human cells. (Gluckman2009) Umbilical

cord blood has been shown to have ten

times the amount of hematopoietic stem

cells compared to bone marrow. (Gunning

2005) Not only is it faster and easier to find

a tissue match through cord blood, the risk

of the recipient’s body rejecting the

donation is less than traditional bone

marrow transplant.

The potential benefits of umbilical cord

blood are hindered by the lack of

knowledge among pregnant women.

A study conducted on Knowledge and

attitude of pregnant women with regard to

collection, testing and banking cord blood

stem cells in North America among 443

antenatal mothers.70% of them reported

poor or very poor knowledge about Cord

Blood Banking, 68% wanted to receive

information about Cord Blood Banking



from Health Professionals and 70%wanted

from Prenatal Classes.

Though there are many benefits of cord

blood these fascinating stem cells are

continued to be discarded as a medical

waste even today due to the lack of

Knowledge. It is the responsibility of the

health professionals to create awareness

about Cord Blood Banking and to motivate

its utilization by general public to move

towards this bio health insurance.

Hence the investigator has decided to

undertake this study on antenatal mothers

in order to sensitize them to preserve their

baby’s Cord Blood to ensure the health of

their baby and thereby the health of the

nation.

Objectives:

1. To assess the knowledge of antenatal

mothers regarding collection and storage

of cord blood banking.

2. To find an association between

knowledge score and the selected

demographic variables of antenatal

mothers regarding collection and storage

of cord blood banking.

Materials and methods:

Research Design

An exploratory descriptive research design

was used for the study.

Sample Size The sample consisted of 100

antenatal mothers attending antenatal OPD

at vanivilas hospital in Bangalore.

Sampling Technique

A non probability Purposive sampling

technique was used to select the samples.

Informed consent was obtained from the

participants

Tools and techniques:

The tool consisted of

Section- I which includes

Part-A.

Demographic variables such as age,

religion, obstetric score, place of living,

Type of family

Part-B.

Socioeconomic Status of the antenatal

mothers such as education, occupation,

income, newspaper subscription, magazine

subscription, and membership in any of the

organization.

• Part A • Demographic

variables

Section - I

• Part B • Socioeconomic

Status Section - I

• Knowledge questionnaire

regarding collection and

storage of cord blood

banking

Section - II



Section-II

Consists of knowledge questionnaire

regarding collection and storage of cord

blood banking. Each question caries one

mark the total score was 15. It was

categorized into Poor (1-5), Average (6-10)

and Good (11-15).

Result and Findings:

In this study, most of the antenatal

mothers had poor knowledge score (95%)

regarding collection and storage of cord

blood banking. These findings were

supported by Suen SS, Lao TT, and Chan OK

et.al. (2011) conducted a study on

maternal understanding of commercial

cord blood storage for their offspring. 2000

women were recruited for this study.

78.2% of them had no idea that there was

the chance of using cord blood stem cells.

The results of this study revealed

inadequate knowledge on cord blood

banking and its applications among most of

the pregnant women.

In this study there was a significant

association between the knowledge score

and the selected demographic variables

such as live birth, abortion, death, place of

living, type of family, and membership in

any of the organization. Other variables

such as age, religion, gravid, para,

education, occupation, income, newspaper

subscription and magazine subscription

were not showing any association with the

knowledge score. These findings were

supported by Perlow JH (2006) .He

conducted a study on patients' knowledge

of umbilical cord blood banking. Four

hundred twenty-five patients completed

the survey; 37% had no knowledge of cord

blood banking. Older patients and those

with higher degrees of education were

more aware of cord blood banking, and the

greatest disparity of knowledge was noted

among Native American patients (p <

0.001). So the knowledge is depends on

their age and education.

Conclusion:

Umbilical cord blood was once thought of

as a waste product. Now, years after the

first successful umbilical cord blood

transplant, more families seek information

about whether or not to save their

newborn's cord blood. Childbirth

educators may be one of the main sources

that an expectant family depends on to

gain more knowledge about cord blood

banking in order to make an informed

decision. Preserving umbilical cord blood

in public banks is advisable for any family;

however, it is recommended that expectant

families only consider private cord blood

banking when they have a relative with a

known disorder that is treatable by stem

cell transplants.

Those giving ante and perinatal care need

to offer accurate and scientific counseling

services on this subject to parent who need

to be informed.



References:

1. Fernandez CV, Gordon K, Van den H of

M, Taweel S, Baylis F.(2003) Knowledge

and attitudes of pregnant women with

regard to collection, testing and

banking of cord blood stem cells.CMAJ;

Mar 18; 168(6):695-8.

2. Gluckman, E. (2009, November).

History of cord blood transplantation.

Bone marrow transplantation, 44(10),

616-626.

3. Gunning, J. (2005, September).

Umbilical cord blood banking-

Implications for the future. Toxicology

and applied pharmacology, 207, 538-

543.

4. National institute of health. (2009, April

28). Stemcell information. Retrieved

February 19, 2011, from National

Institute of Health:

http://stemcells.nih.gov/info/basics/b

asics2.asp

5. Perlow JH (2006 Aug). Patients'

knowledge of umbilical cord blood

banking.Journal of reproductive

medicine, 51(8):642-8.

6. Suen SS. et.al. (2011 Sep) Maternal

understanding of commercial cord

blood storage for their offspring - a

survey among pregnant women in

Hong Kong. ACTA Obstetrics

gynecology scotland; 2011 Sep;

90(9):1005-9.

7. Waller-Wise R. (2011)Umbilical cord

blood: information for childbirth

educators. Journal of Perinatal

education; 20(1):54-60.

8. Walker T, Steckler D, Spellman S, Haven

D, Welte K, Boo M. (2012

April).Awareness and acceptance of

public cord blood.



Effectiveness of structured teaching

programme on knowledge regarding

common eye injuries and its prevention.

Mr. Mahantesh D. Dashyal

Introduction:

World Health Organization statistics show

that one million blind children in Asia,

some 40 million people living in China.

Epidemiological findings of ocular injuries

in our country that ocular trauma is the

leading cause of child blindness.

According to statistics, the total number of

child with eye injuries account for about

25% of the blindness rate as high as 60%

to 70%. Ocular injuries in children not only

seriously damage children's eyesight, but

also seriously affect children's physical and

mental health, to family, social cause great

losses. And other diseases that cause visual

disabilities in children are different from

many children's eye injuries can be

prevented, even if the unfortunate

happens, as long as the proper first aid and

also can minimize the damage. So the

necessary knowledge and first-aid skills,

prevention, prevention of eye injuries in

children and reduce their injury has

important significance.

Methodology:

Evaluative approach

Quasi experimental

East West Public School

Rajajinagar, Bangalore



Variables:

Independent variable: Structured teaching

programme on common eye injuries and

its prevention.

Dependent variable: knowledge regarding

common eye injuries and its prevention.

Result and conclusion:

1. The pre test knowledge level of

knowledge on Common Eye injuries and its

prevention among School children. The

result shows that 53.33% of the pre School

children had Moderate knowledge and

46.67% of school children had inadequate

knowledge level in the pre test. Further,

none of the students had adequate

knowledge on Common Eye injuries and its

prevention in the pre test. In post test 60%

of the School children had adequate

knowledge and 40% of School children had

moderate knowledge level in the post test.

Further, none of the School children had

inadequate knowledge level in the post

test. The data suggested for the chi-square

test reveals that the knowledge level from

pre test to post test found significant

among school children on Eye injuries and

prevention .

2. In the pre test knowledge score was

considerably less compared to Post test

performance in all the aspect of knowledge

under study. The finding showed that the

maximum mean score found in aspect of

Knowledge regarding Anatomy and

Physiology of Eye in pre test was 53.29%

and that in Post test was 78.86% with a ‘t’

value of 20.92* . In the aspect of regarding

prevention of Eye injuries the mean score

found in Pre test was 47.60% whereas that

in Post test was 76.90% with a ‘t’ value of

20.56*. The mean score found in the Aspect

of Knowledge regarding Eye injuries in the

Pre test Knowledge was 46.42% that in

Post test was 73.58% with a ‘t’ value of

19.81*. And mean score found in the aspect

of regarding Investigation and

Management was found to be 45.83% in

Pre test and 77.17% in the Post test with ‘t’

value found to be 20.15*. The statistical

paired ‘t’ test value 37.01* reflects the

significant enhancement of mean

knowledge score for all the selected

aspects at 0.05 level of significance which

indicates the effectiveness of Structured

teaching program on knowledge regarding

• Primary school children Sample

• 60 students Sample size

• Probability simple random sampling technique

Sampling tecnique



Common Eye injuries and its prevention

among School students.

3. There is statistical significant association

between the pre test knowledge score with

selected demographic variables such as Age,

Educational status, Residential area, Family

income and Source of information regarding

Eye injuries. Whereas demographic variables

such as Gender, Religion, Type of Family, and

Fear & Anxiety towards eye injuries and

Experience of Eye injuries in the family

member and friends,is found to be Non

significant in Pre test.

Age and knowledge association reveals

that 85.71% belongs in the age group of

11 years who had Inadequate knowledge

level, followed by 51.61% of age group 12

years had Inadequate knowledge level.

Followed by 31.58% of age group 13 years

had Inadequate knowledge level, and Zero

percentage of Inadequate knowledge in age

group 14 years. There is a significance

association between age and knowledge

level of School children noticed (χ 2 =

8.956*) at P < 0.05.

The association between the Class studying

and the knowledge level of the pre test

indicates that 76.92% of School children

studying in the 5th standard had Inadequate

knowledge level, followed by 43.48% of

6thstandard and 33.33% of 5th standard had

Inadequate knowledge level. It is found that

there is a significance association between

educational ststus and knowledge level. (χ2 =

6.590*) at P < 0.05.

The association between the family income

and knowledge level of the pre test indicates

that 62.50% family School children with

monthly income Rs. 1001/- to 5000/- had

inadequate knowledge, followed by 50%

school children with family income Rs.

5001/- to 10,000/- had inadequate

knowledge, and 22.22% school children with

family income Rs. 10,001/- and above had

inadequate knowledge. It is found that there

is a significance association between family

income and knowledge level of students. (χ2

=6.819*) at P < 0.05.

The association between the Source of

information and the knowledge level of the

Pre test depicts that 81.82% School children

got the information from Friends and Parents

had inadequate knowledge level as compared

to 34.78% through Television and Radio,

26.67 from the News paper, journals and

Internet, and 63.64% School children had nil

information regarding Eye injuries. Further, it

is found that there is a significant association

between Source of information and

knowledge level of students (χ 2 = 16.095*) at

P < 0.05.

References:

1. Robert S. Porter, MD, “the merck

manuals online medical library”, Home

edition for patient and caregivers.

http://merckmanuals.com/home/sec2

0/ch227/ch227a.html



2. Montgomery TM. Anatomy Physiology

and Pathology of Human Eye. [Cited

on2009 Nov 25]; Available from: URL:

www.tedmontgomery.com/the-eye/.

3. ApjitKaur and AjaiAgrawal, “Paediatric

ocular trauma”current science, 10 july

2005; vol. 89, no. 1, p:43-46.

4. Lalit Dandona MDMPH, Rakhi Dandona

BOpt, M. Srinivas, Rajesh K. John MSc,

Catherine A McCarty PhDMPH,

Gullapalli N Rao MD, “Clinical &

Experimental Ophthalmology”, Volume

28, Issue 5, pages 350–356, October

2000.

5. Introduction of how to keep healthy,

hot spot prospective; entry was posted

on Tuesday, June 29th, 2010 at 9:25 am

and is filed underDevelopment ladder.

Yishou way.

http://www.ia07.com/2010/06/the-

eyes-of-children-from-the-details-of-

the-accident-prevention-start/

6. Editorial, Medical news today.

Fireworks and Eye Injuries. July 05

2009.

7. Anamika k kelshikar, Chhaya A Shinde.

Review of Penetrating Eye injury

inPediatric age group. Bombay hospital

journal. 2009; 51(1): 1-3.

8. Megan Brophy, Sara A. Sinclair, Sarah

Grim Hostetler and Huiyun Xiang,

”Pediatric Eye Injury–Related

Hospitalizations in the United States”

Pediatrics 2006;117;e1263-e1271,

DOI: 10.1542/peds.2005-1950



Routine oral care versus alcohol based

mouth wash.

Ms. Meenakshi K.

Tehmi Grant Institute of Nursing Education, Pune.

Introduction

Studies have shown that patient’s general

health can be influenced by oral health, and

that inadequate conditions of the oral

cavity also reflect on the systemic health,

interfering in the quality of life, particularly

in the cases of hospitalized patients or

those in the terminal stage. In turn, these

patients find it difficult to maintain their

oral self-care due to their physical

limitations and the impact of

hospitalization, with direct repercussion

on the elderly population.

Objectives

1. To assess the effectiveness of routine

oral care on maintenance of oral

hygiene among patients with self care

deficit.

2. To assess the effectiveness of alcohol

based mouth wash on maintenance of

oral hygiene among patients with self

care deficit.

3. To compare the efficacy of routine oral

care and alcohol based mouth wash on

maintenance of oral hygiene among

patients with self care deficit.

Methodology

Evaluative approach

Quasi experimental

ICU, CCU and HDU of the selected

hospital

Sampling Technique

30 self care

deficit patients

Non Probability convenient sampling



Tool

Section I: Demographic Data Performa

which consisted of personal data of self

care deficit patients, a total of 10 items

were included in this section.

Section II: Modified Oral Assessment Scale

categorized into disciplines of lips, gingiva,

oral mucosa, tongue, teeth, and saliva. The

overall oral hygiene score was graded as

follows:

Oral hygiene score

Result

I. Findings related to Oral Hygiene score

wise distribution of cases in study group

The analysis shows that in Pre test , 14

cases (93.3%) had average oral hygiene

score , 1 case (6.66%) had poor oral

hygiene score in routine oral care group

whereas all 15 cases have average oral

hygiene score in alcohol based mouthwash

group.

In Day 3, 11 cases (73.3%) had average

oral hygiene score, 4 cases (26.66%) had

good oral hygiene score in routine oral

care whereas in alcohol based mouth

wash group , it is vice versa i.e. 11 cases

have good oral hygiene score and 4 cases

had average oral hygiene score. In Day 7,

all 15 cases (100%) had good oral hygiene

score in both routine oral care as well as in

alcohol based mouthwash group.

II. Findings related to effectiveness of

routine oral care on maintenance of oral

hygiene

It is evident that routine oral care has

significant effect on maintenance of oral

hygiene as the mean value in pre

intervention was 14.07 which was

drastically reduced after the intervention

to 11.27 and 8.67 on post intervention day

3&day 7 respectively.

It also shows that there is highly

significant difference between the pre

intervention oral hygiene score and post

day 3, day 7 oral hygiene score in routine

oral care as P < 0.001.

III. Findings related to effectiveness of

alcohol based mouth wash on maintenance

of oral hygiene.

It is evident that alcohol based mouth

wash has significant effect on

maintenance of oral hygiene as the mean

value in pre intervention was 13.6 which

was drastically reduced after the

Excellent oral hygiene: 5

Good oral hygiene:

6-10

Average oral hygiene:

11-15

Poor oral

hygiene:

16-20



intervention to 9.67 and 7.27 on post

intervention day 3&day 7 respectively.

The analysis shows that there is highly

significant difference between the pre

intervention oral hygiene score and post

day 3 , day 7 oral hygiene score in alcohol

based mouth wash as P < 0.001.

IV. Findings related to comparison of the

effectiveness of routine oral care and

alcohol based mouthwash on maintenance

of oral hygiene.

The analysis shows that there is no

significant difference between routine oral

care and alcohol based mouthwash oral

hygiene score in pre intervention

assessment as P > 0.05.

There is highly significant difference

between routine oral care and alcohol

based mouthwash oral hygiene score in

post intervention day 3 and day 7 as P

<0.005 and P < 0.0001 respectively.

V. Findings related to association of oral

hygiene with demographic variables

The study shows that age, Days of

hospitalization, educational status, tobacco

chewing, period of smoking, material

previously used for brushing does not have

significant difference on oral hygiene as the

P value is > 0.05.

The analysis also reveals that gender, self

care deficit and smoking have significant

effect on oral hygiene as the P value is

<0.05.

It also reveals that diet of the participant is

highly significant on oral hygiene as the P

value is < 0.001

Conclusion

The modified oral assessment scale which

includes descriptions like lips, gingiva and

mucous membranes, teeth, tongue, and

saliva, clearly revealed that both methods

of oral care protocols i.e. routine oral care

and alcohol based mouthwash are effective

in maintenance of oral hygiene.

The intervention of alcohol based mouth

wash showed greater effect on

maintenance of oral hygiene.

References: -

1. O’Reilly, M. Oral care of the critically ill:

A review of the literature and

guidelines for practice. Australian

Critical Care, 2003; 16(3), 101-109.

2. John Wiley & Sons; Oral health status

among hospitalized patients. Internal

Journal of Dental Hygiene.2011

Feb;9(1):21-9.

3. Bruno Maestrelli et al ,Adult patients ‘

profile regarding their oral health

conditions and Behavior: International

Journal of Dentistry ; 2010; 9(3) 107-

113;Website:

4. B. C. Manjunath, Kudva Praveen, B.R.

Chandrasekhar, R. M VatchalaRani

,AnindyaBhalla. Periodontal infections:

A risk factor for various systemic

diseases: The National Medical Journal

of India 2010:vol. 24, no. 4, 214-219

http://www.ncbi.nlm.nih.gov/pubmed/21226847

http://www.ncbi.nlm.nih.gov/pubmed/21226847



Caregivers Burden of mentally

challenged children.

Ms. Arpana Jadhav

Lectuer, Tehmi Grant Institute of Nursing Education, Pune.

Introduction:

To a parent, every child is special in his or

her own way. But some children have

special needs that challenge parents to find

ways to best prepare these children for the

future and to handle any problems that

may surface. No family is prepared for the

presence of a mentally handicapped child.

Caregiver of mentally challenged

encounter different problems at different

stages feeling of burden in care giving

leads to stress & it takes many forms,

demands of daily care, lack of leisure time,

emotional disturbances such as worries

frustrations sadness, irritability &

relationship problems between family

members, in addition there is

stigmatization, social embarrassment &

financial implication. Caregiver should be

supported in caring for the mentally


Helping the caregiver to understand their

child developmental problems, strengths

and limitations and to support parents and

their family member through, simple

explanation, support and guidance for

family are particularly necessary.

The primary goal of management of

mentally challenged is that each affected

person reaches his or her optimal

developmental potential and be able to

cope as effectively as possible with the

handicap.

Objectives:

•To assess the burden of caregivers of

mentally challenged children.

•To identify the effectiveness of planned

teaching on burden of caregivers of


•To co-relate the burden of caregivers of

mentally challenged

children with

selected

demographic

variables.



Methodology:

O1- Pretest burden score of Care giver

before administering planned teaching.

O2 -Posttest burden score of Caregiver

after administering planned teaching.

Sampling technique & Sampling Size

Major findings of the study:

•There was significant difference between

pretest burden score and post test burden

score.

•Pretest score of Moderate to Severe

burden was 2(6.6%) which has become 0,

Mild to Moderated score was 15(50%)

reduced to 6(20%) and Minimal burden

was 13(43.33%) which has shifted to

24(80%) after post test and planned

teaching. So it clearly indicates that

planned teaching is effective in reducing

the burden of caretaker.

There was marginally significance in

relation to sex, gender male and female

with post test scores because p value is

0.07 which is >0.05

•There was marginally association in

relation to monthly income of caregivers of

mentally challenged children with posttest

burden score because calculate p-value is

0.089 which is >0.05.

•There was marginally association was

found with burden score and demographic

variable in relation to relation with child of

caregivers of mentally challenged children

with the post test score because p-value is

0.07 which is > 0.05.

•There was no significant co-relation was

found with burden score and socio

demographic variables, like age, education

qualification, occupation, duration of care,

child under gone any treatment, sex of

Quasi Experimental

One group pre - test post test

Research Design

Non-probability convenient

sampling

30 caregivers of mentally challenged

children



child, & age of child as p value is more than

0.05.

Recommendation:

Same study can be conducted by using

large samples size to generate the

findings.

A similar study can be conducted with

control group and large population.

Same study can be conducted with

Illiterate caregivers of mentally

challenged.


caregivers of adolescent and adult

mentally challenged group.


urban and rural caregivers of mentally


Conclusion:

Analysis of data showed that there was

significant difference between pre test and

posttest burden scores. The planned

teaching had significantly brought out their

reduction in burden of care givers of


References:

1. Mental health and substance abuse.

Mental retardation historical

background. (Cited on 18 January

2010).

2. Mugno D, Ruta L, Darrigo VG, Mazzone

L. Impairment of quality of life in

parents of children and adolescents

with pervasive developmental disorder.

3. S E Romans-Clarkson, J E Clarkson, I D

Dittmer, R Flett, C Linsell, P E Mullen,

and B Mullin. Impact of a handicapped

child on mental health of parents.Br

Med J. 1986 November 29; 293(6559):

1395–1397.

4. Byrne EA, Cunningham CC. The effect of

Mentally handicapped children on

families. Journal of child psychology

and Psychiatric. 1985; 26.847-864.



Prevalence of vitamin A defeciency among Anganwadi children and

Knowledge of mothers regarding Vitamin A.

Ms. KavitaThokal


Introduction

Vitamin A is an essential micronutrient,

which cannot be synthesized by the body

and has to be consumed.

Globally between 100 and 140 million

children is vitamin A deficient. An

estimated 250,000 to 500,000 vitamin A

deficient children become blind every year;

half of them die within 12 months of losing

their sight. Each year it is estimated that

330,000 children in India alone die due to

VAD.

Objective

1. To assess the prevalence of Vitamin A

Deficiency among Anganwadi children.

2. To assess the knowledge of their

mothers regarding Vitamin A.

3. To find out the association between

knowledge score of mothers and

baseline variables of the mother.

4. To find association between prevalence

of Vitamin A Deficiency and the

knowledge of their mothers regarding

Vitamin A

Methodology

Each child was examined for VAD by using

torch, and history from mother was

collected. Knowledge of the mother was

assessed by interview schedule. Children

who had abnormal ocular findings were

referred to the ophthalmologist’s.

Result

Out of the 426 children attending

anganwadi, 1.4% were diagnosed to have

Research Design

• Descriptive Survey

Sampling Technique

& Size

• Purposive sampling • 426 children

Setting

• Sarjapura PHC



Bitot’s Spot and 0.7% had

Conjunctivalxerosis. Total prevalence of

vitamin A deficiency by ocular finding was

2.1% were as the prevalence of corneal

ulcer and night blindness were zero. Total

numbers of malnourished were 47.7%, out

of them 2.1% (9) were 3rd degree

malnourished.

Only 5.0% mothers had adequate

knowledge, 50.3% had moderate

knowledge, 44.7% possessed inadequate

knowledge. There was a strong association

between the knowledge score and the age

of mother, income at p< 0.05 and

education, occupation, and religion at

p<0.001 but there was no association

found in knowledge score with diet, family

type and prevalence of VAD.

Conclusion

The major factors leading to VAD are lack

of awareness for consumption of Vitamin A

rich food and frequent infections such as

ARI, Diarrhoea and Measles and PEM.

Vitamin A supplementation is a short-term

approach for prevention of VAD. The long-

term measure is to ensure that the

community at-risk consumes adequate

amount of foods rich in Vitamin A. This

needs concerted efforts to enhance

community awareness and improve the

household food security through increased

production of Vitamin A rich foods. This

will lead to ensure the elimination and

control of VAD.

References

1. A. Kalika, Shilpa D. Child Development

in India and ICDS. ICICI centre for child

health and nutrition. The challenge.

World Health Organization, Global

prevalence of vitamin A deficiency

2009.

2. World Health Organization, Global

prevalence of vitamin A deficiency. The

challenge 2009.

3. Controlling Vitamins and Mineral

Deficiency in India, Meeting the Goal.

Micronutrient Initiative: 2007.

4. National Nutrition Monitoring Beurau.

National Institute of Nutrition:

Hyderabad 2002.



Effectiveness of slide show on water

birth among staff nurses.

Ms. Minerva Devi Maibam

Introduction:

Water birth is a

method of giving

birth which

involves

immersion in warm

water. While water labor is a process

where women stays in the water during

her labor and leaves before the delivery.

Both methods are safe and provides

benefits to the mother and infant

including pain relief and less traumatic

birth experience for baby. It is divided in

to 2 parts, first half is ‘hydro labor’

where warm water is used to reduce

the pain and the actual delivery takes

place in the second half called “hydro

birth”.

All midwives should ensure that they are

competent to care for a woman who

wishes to have a water birth and have a

good understanding of the basic principles

of caring for a woman in labor, and should

make themselves aware of local policies

and guidelines.

Aim:

The main aim of the study is to impart

recent trends of waterbirth among staff

nurses.

Methodology:

Results:

The result of the study reveals that pre test

mean knowledge score was 48.07% is less

• Evaluative approach Approach

• Quasi experimental one group pre test and

post test

Design

• 50 Staff Nurse Sample size

• Simple convenient sampling technique

Sampling technique

• Self Structured Knowledge

Questionnaire Tool



than the post test mean knowledge score

76.73% after the slide show. The paired‘t’

test value was 32.41* which is statistically

significant at 0.05 level in all aspects under

study. There were significant association of

pre test knowledge levels score of Age,

Educational status, Job status, Position,

Year of clinical experience and Year of

experience in maternity ward of the staff

nurses with their selected Socio


Conclusions:

The slide show was significantly effective

in improving the knowledge of the staff

nurses.

References:

1. Basavanthappa BT, “Textbook of

Midwifery and Reproductive Health

Nursing” 1sted. New Delhi: Jaypee

Brother Medical Publishers (P) Ltd;

2006. Pg 153

2. Lilaroja, “Pregnancy”. htt ://en

wikepedia.org/wiki/pregnancy

3. D.C. Dutta, “Text Book Of Obstetric”, 6th

edCulcutta: New Central Book Agency

(P) Ltd; 2004 Pg 46.



Psychological effects and perceived

social support of women aftersurgical

intervention.

Ms. Neethu P.V.


Introduction:

Worldwide, reproductive health of women

is considered an issue of vital importance

and one that has widespread implications

on health, well being and development of

the entire population1. Professional and lay

approaches towards surgical intervention

patients often focus on describing ways in

which women may respond and adjust the

post-surgical situations in a different level,

may be with psychological and social

effects in their life.

The aim of the study is to find out the

psychological effects and perceived social

support of women who had undergone

surgical intervention.

Objectives of the study:

1. To determine the psychological effects

of women after surgical interventions.

2. To determine the perceived social

support of women after surgical

interventions.


psychological effects and selected



perceived social support and selected


5. To find out the relationship between

psychological effects and perceived

social support.



Methodology:

Data was collected using General Health

Questionnaire and Multidimensional

perceived social support scale.

Results:

Assessment of psychological effects of

women after the surgical interventions

reveals that 43.33% had higher

distress, 43.33% had Moderate

distress, and 13.33% stands in normal.

Assessment of Perceived social support

of the women after surgical

intervention reveals that 70% had

Good social support, 28.33% had

Average social support, and 1.66%

stands in Poor.

Association between psychological

effects and selected demographic

variables shows that Surgical

indications(P =0.016), Type of surgery(

P=0.001),Previous history of

surgery(P=0.021), Age

(P=0.036),occupation(0.000)were

significant at 0.05 levels.

Association between perceived social

support and selected demographic

variables shows that there was no any

association between perceived social

support and demographic variables.

Relationship between Psychological

effects and Perceived social support

showed that there was a negative

correlation between psychological

effects and perceived social support

and it is statistically significant.

Conclusion:

The result showed that majority (45%) of

the sample had the indication of fibroid

uterus. Highest percentage (75%) of



sample were in the surgery of

hysterectomy. Age distribution shows that

the highest percentage (65%) were in the

above 35 years. Highest percentage (75%)

of samples were belongs to rural

community. Assessment of psychological

effects of women after the surgical

interventions reveals that, 45% had

moderate distress and Perceived social

support of the women after surgical

intervention reveals that 70% had good

social support. There was significant

relationship between psychological effects

and perceived social support. Therefore, it

is concluded that that if social support is

increased the psychological effects of the

women were reduced.

References:

1. Backman GA, Moeller TP, Bernett J.

Childhood abuse and the psychosocial

problems and mental health of women

in reproductive age. WHQ/FHE/MNH

1993 Apr; 93(1):23751.

2. C.N Shankar Rao,S .Principle of

Sociology with an introduction to social

thought. 6thed.Chand and company

limited; 2009

3. Flory N, Bissonette F, Binik YM.

Psychosocial effects of hysterectomy:

literature review.

4. J Psychosom Res. 2005 Sep; 59(3):117-

29(5).

5. Jamison KR, Wellisch DK, Pasnau RO.

Psychosocial aspects of mastectomy:

the women's perspective. Am J

Psychiatry. 1978; 135: 432-436.

6. Burns N, Grove SK. Understanding

nursing research. 2nd ed. Philadelphia:

Saunders; 2004.



Home care of Bronchial asthma:A need

for self care.

Ms. Prajwala C. Dongardive

Sinhgad College of Nursing , Pune.

Introduction:

As the seasonal changes occur in the

environment the normal person’s body

adapts to changes but the person who is

having respiratory tract problems like

asthma, copd, tuberculosis and pneumonia

takes time adapt to this environmental

changes. Asthma is the condition marked

with recurrent attacks of paroxysmal

dyspnea with wheezing due to spasmodic

contraction of bronchi. Once the client is

exposed to stimulus, chemical mediators

are immediately release within minutes of

exposure and the client experiences

dyspnea, wheezing, cough, increased

mucus production and bronchospasm.The

Indian journal of chest diseases & allied

sciencesestimates in a population of over

100 crores, about 2.38 crores individuals

are likely to sufferfrom asthma. Bronchial

asthma is one of the disease which is rising

globally.

Objectives:

1. To assess the knowledge before and

after use of information booklet.

2. To compare the effect of information

booklet on the knowledge among the

group.

3. To correlate the result of the study with

the selected demographic variables

among the group.

Assumption:

The study assume that

1. The patients have some awareness

about home care of bronchial asthma.

2. The information booklet will provide

knowledge regarding home care.

De-limitatations:

1. The sample is limited to patients

suffering from bronchial asthma with

grade I, II, III.

2. The study will be limited to patients

attending the selected hospitals.

3. Persons who are willing to participate

in the study.



Methodology

Criteria for selection of samples

Eligibility criteria are the characteristics

that delimit the population of interest.

Inclusion criteria:

Patient between the ages of 20-60

years

People who are willing to participate.

People who can read write and

understand English and Marathi.

Exclusion criteria:

Grade in bronchial asthma IV.

Patient who are hospitalized.

Patients who have other associated

medical problems.

Tool

Result:

Demographic data:-

Demographic data presentation for control

group

10(40%) of the samples were from age

group 51-60 years, 8(32%) of them

were from age group 20-39 years,

Tool I • Demographic Data

Tool II • Questionnaires on

bronchial asthma



4(16%) of them were from age group

31-40 years and remaining 3(12%) of

them were from age group 41-50 years.

14(56%) of them were males and

remaining 11(44%) of them were

females.

12(48%) of them had completed

secondary education, 5(20%) of them

graduates, 4(16%) of them were

primary educated, 3(12%) of them

were secondary educated and

remaining 1(4%) of them was

postgraduate.

16(64%) of them were unemployed,

8(32%) of them were working in

private sector and remaining 1(4%) of

them were doing business.

20(80%) of them had previous

knowledge about asthma and

remaining 5(20%) of them did not had

it.18(72%) of them had acquired

knowledge from doctor, 1(4%) each

from bank and hospital

Demographic data presentation for

experimental group

10(40%) of them from age group 51-60

years, 6(24%) of them were from age

group 20-30 years, 5(20%) of them

were from age group 41-50 years and

4(16%) of them were from age group

31-40 years.

13(52%) of them were males and

12(48%) of them were females.

11(44%) of them were primary

educated, 2(8%) of them were

secondary educated, 5(20%) of them

were higher secondary educated and

remaining 7(28%) of them were

graduates.

9(36%) of them were unemployed,

8(32%) of them from private sector,

7(28%) of them were in government

service .

22(88%) of them had previous

information about asthma and

remaining 3(12%) of them did not have

information about asthma. Among

those 22 having previous knowledge,

they have acquired it from doctor.

Questionnaires on bronchial asthma

Distribution of overall knowledge score in

frequency and percentage obtained by the

experimental group

In pre -test of study group 56% of the

people were having poor knowledge

score (0-10).

44% of people in pre-test of study

group were having average knowledge

score (11-20).and not a single person

with good knowledge score (21-30)

Whereas in post-test majority 64% of

them had good knowledge score (21-

30).

36 % of them in post-test of study

group were having average knowledge

score (11-20).



The knowledge scores of the samples

shows a marked increase as seen in the

post-test score of the study group, which

indicates that the information booklet is

effective in increasing the knowledge of the

samples regarding home care of patients

diagnosed with bronchial asthma.

Conclusion

The knowledge scores of the

samples shows a marked increase as seen

in the post-test score of the study group,

which indicates that the information

booklet is effective in increasing the

knowledge of the samples regarding home

care of patients diagnosed with bronchial

asthma.

References

Books

1. Abdella F. G., better patient care

through nursing research, 2nd edition,

1979, published by new york,

macmillain company: 208-209

2. Alligood. M., tomeya.m, nursing theory

utilization and application,

2006,published by st.louis, mosby,pg

210-212

3. B. T. Basavanthappa (2005), medical –

surgical nursing, 1st edition: jaypee

brother’s medical

publishers;newdelhi;page no.169-171

Journals

1. A.n. Aggarwal et al (2006),asthma

prevalence in India ,the Indian journal

of chest diseases & allied science, vol.

48

2. Aggarwal an, chaudhry k et.al (2006),

prevalence and risk factors for

bronchial asthma in Indian adults: a

multicentre study, Indian journal of

chest diseases and allied sciences. Jan-

mar; 48(1):13-22.

3. Agrawal . A. N, Chaudhary k, Chabbra et

.al (2006), prevalence and risk factors

for bronchial asthma in Indian adult,

Indian journal of chest disease, volume

48: 13-22

Websites:-

1. Evaluation of self-care manual in

bronchial asthma, [email protected].

2. Evaluation of self-care manual in

bronchial asthma, www. Medind.nic.in

3. Prevalence and risk factors for

bronchial asthma in Indian adult,

medind.nic.in.

mailto:[email protected]

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Sinhgad e-Journal of Nursing€¦ · Sinhgad e-Journal of Nursing ... Knowledge on collection and storage of cord blood banking Ms. S. Vijayalakshmi. 14 6. Effectiveness of structured