Priyadarshini, R (2013) Effectiveness of Tulsi Leaves Powder upon Blood Glucose Level in Diabetic Patients. Masters thesis, Apollo College of Nursing, Chennai.
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Abstract
A Quasi Experimental Study to Assess the Effectiveness of Tulsi Leaves (Ocimum Sanctum) Powder Upon Blood Glucose Level in Diabetic Patients at Selected Wards of Thiruverkadu Township, Chennai. OBJECTIVES: 1. To assess the blood glucose level before and after administration of tulsi leaves powder in control and experimental group of diabetic patients 2. To determine the effectiveness of tulsi leaves powder upon blood glucose level by comparing the blood glucose level before and after administration of tulsi leaves powder in control and experimental group of diabetic patients. 3. To determine the level of satisfaction regarding tulsi leaves powder administration among experimental group of diabetic patients. 4. To find out the association between the selected demographic variables and blood glucose level before and after administration of tulsi leaves powder in control and experimental group of diabetic patients. 5. To find out the association between the selected clinical variables and blood glucose level before and after administration of tulsi leaves powder in control and experimental group of diabetic patients. A quasi experimental design was adopted for this study. Purposive sampling technique was used to select 30 in control group from keelayanambakkam and 30 in experimental group from 14th ward of Thiruverkadu Township. The blood glucose assessment chart and rating scale for level of satisfaction on administration of tulsi leaves powder were the tools used to collect data, after establishing validity and reliability. The main data collection was done after determining the feasibility and practicability through pilot study. The diabetic patients were identified through door to door enumeration. The blood glucose level was checked for both control and experimental group before and after administration of tulsi leaves powder. Tulsi leaves were freshly plucked from the plants, washed, dried under the shadow and powdered in a mixer. 2.5g of this powder is mixed with 10ml of plain water and was administered every day orally on empty stomach for four weeks and their level of satisfaction on tulsi leaves powder was assessed. The data was tabulated and analyzed by using descriptive and inferential statistics. MAJOR FINDINGS OF THE STUDY: • Significant percentage of diabetic patients were in age group between 41 to 50 (43.3%, 33.4%), female (53.4.7%,46.6%), Hindus (50%, 53.4%), had High school education (30%, 33.4%), occupation as home makers (53.4%, 46.7%), and majority were married (90%, 93.2%), with monthly income between 5001 to 10,000 (66.7%, 76.6%), nonvegetarians (100%, 100%), non smokers (66.6%, 80%) and non alcoholics (70%, 76.6%) in control and experimental group respectively. • Most of the diabetic patients had no family history of diabetes (56.6%, 73.4%), not on diabetic diet (40%, 66.6%), with height 156 to 160 cm (46.6, 70%), significant percentage of the diabetic patients had been suffering from diabetes mellitus for a duration between 1 to 2 yrs (36.6%, 53.4%), with BMI between 22.6 to 29.9 (50%, 50%), had body weight between 51-60 kg (46.6%, 43.4.7%), and majority of the patients was on oral hypoglycemic agents (100%, 100%), absence of comorbidities (63.4%, 73.4%), not performing regular exercise (66.6%, 73.4%) and not on other alternative or complementary therapy (100%, 100%). • Majority of the diabetic patients in the control and experimental group had mild level of fasting blood glucose (86.67%, 90%) and most of them had moderate level of postprandial blood glucose (73.4%, 80%) before tulsi leaves powder administration. But there was a significant difference in the experimental group, as all the diabetic patients had mild level of fasting blood glucose (100%) and majority of them had mild level of postprandial blood glucose (93.3%) after tulsi leaves powder administration. Whereas in control group most of the diabetic patients had mild level of fasting blood glucose (83.3%) and moderate level of postprandial blood glucose (83.3%) in the post assessment. This could be attributed to the effectiveness of tulsi leaves powder administration. • In control group there was no significant difference in the mean and standard deviation of fasting blood glucose (M=164.7, 169.9 & SD=11.77, 11.24) and postprandial blood glucose (M=231.7, 244.1 & SD=25.40, 23.24) before and after tulsi leaves powder administration. Whereas experimental group showed a significant difference (p<0.001) in the mean and standard deviation of fasting blood glucose (M=169.4, 117 & SD=7.90, 3.91) and postprandial blood glucose (M=239.8, 166.8 & SD=24.34, 19.93) before and after administration of tulsi leaves powder and it can be attributed to the effectiveness of tulsi leaves powder administration. Hence the null hypothesis Ho1 was rejected. • All of the diabetic patients in the experimental group were highly satisfied (100%) with regard to researcher, with regard to the method of tulsi leaves powder administration (100%), with regard to the effectiveness of tulsi leaves powder administration (100%) respectively. And most of the diabetic patients were highly satisfied with the nature of tulsi leaves powder (96.67%). • There was a significant association between the selected demographic variables of age (χ2 = 7.45, df= 2), (p<0.05) and fasting blood glucose levels of diabetic patients before in pre test in control group, but there was no significant association with other demographic variables. Hence the null hypothesis Ho2 was rejected with regard to age. • There was a significant association between the selected demographic variables of age (χ2 = 6.039, df= 2), (p<0.05) years and post prandial blood glucose levels, occupational status (χ2 = 6.868, df= 2), (p<0.05) and post prandial blood glucose levels of diabetic patients in post test in control group and experimental group, but the association with other demographic variables were not significant. Hence the null hypothesis Ho2 was rejected with regard to age in years and occupational status. • There was a significant association between the selected clinical variables of height (χ2 = 7.339, df= 2), (p<0.05) and post prandial blood glucose levels of diabetic patients in pre test and post test in control group, but there was no significant association with other clinical variables. Hence the null hypothesis Ho3 was rejected with regard to height. • There was a significant association between the selected clinical variable duration of known period of diabetes (χ2 = 7.92, df= 2), (p < 0.05) and post prandial blood glucose levels of diabetic patients after administration of tulsi leaves powder in experimental group, but there was no significant association with other clinical variables. Hence the null hypothesis Ho3 was rejected with regard to duration of known period of diabetes. RECOMMENDATIONS: The researcher recommends the following studies in the field of nursing research: 1. The same study could be conducted on larger samples for better generalization. 2. The same study could be conducted for patients with impaired blood glucose levels. 3. The study could be replicated in different settings. 4. A study could be conducted to assess the level of knowledge among nurses regarding the administration of tulsi leaves powder for the management of the patients with type 2 diabetes mellitus. 5. A similar study can be conducted with other traditional and herbal medicines.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 30116632 |
| Uncontrolled Keywords: | Effectiveness ; Tulsi Leaves Powder ; Blood Glucose Level ; Diabetic Patients. |
| Subjects: | NURSING > Community Health Nursing |
| Depositing User: | Subramani R |
| Date Deposited: | 02 Jan 2019 03:21 |
| Last Modified: | 02 Jan 2019 14:26 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/10317 |
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