Chandra, K (2018) An experimental study to assess the effectiveness of molidrain bag Vs bottle drain upon nursing competency of naso-gastric aspiration among post abdominal surgery patients at selected hospital in Chennai. Masters thesis, Apollo College of Nursing, Chennai.
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Abstract
STATEMENT OF THE PROBLEM: An Experimental Study to Assess the Effectiveness of Molidrain Bag Vs Bottle Drain upon Nursing Competency of Naso-gastric Aspiration among Post Abdominal Surgery Patients at Selected Hospital in Chennai. OBJECTIVES: The objectives of the study were 1. To assess the level of nursing competency of nasogastric aspiration among post abdominal surgery patients with molidrain bag and bottle drain. 2. To determine the effectiveness of molidrain bag vs bottle drain for naso gastric aspiration by comparing the nursing competency scores of nasogastric aspiration among post abdominal surgery patients. 3. To assess the level of acceptability of nursing competency of nasogastric aspiration among post abdominal surgery patients with molidrain bag and bottle drain. 4. To determine the association between the level of nursing competency of naso-gastric aspiration and the selected demographic variables of post abdominal surgery patients in molidrain bag group and bottle drain group. 5. To determine the association between the level of nursing competency of naso-gastric aspiration and the selected clinical variables variables of post abdominal surgery patients in molidrain bag group and bottle drain group. The conceptual framework for this study is based on Modified Ottawa Model of Research (Logan & Graham, 1998). A true experimental post test only study design was used. The study included 60 patients selected by probability systematic random sampling technique. The present study was conducted in Apollo speciality hospital, Teynampet, Chennai. The dependent variables of the study were the molidrain bag and bottle drain and the independent variable was nursing competency for naso-gastric aspiration among post abdominal surgery patients. An extensive review of literature and guidance by experts laid foundation to the development of demographic variable and clinical variable proforma of post abdominal surgery patients and the structured observation checklist to assess the nursing competency, structured rating scale to assess the level of acceptability regarding molidrain and bottle drain for nasogastric aspiration. The data collection tools were validated and reliability was established. After two weeks of pilot study, then data collection for main study was conducted. After obtaining ethical committee clearance and setting permission 60 samples were selected by systematic random technique i.e. 30 in molidrain and 30 in bottle drain group. All the odd numbered samples were included in the molidrain group and even numbered samples were included in the bottle drain group. A molidrain was designed by the investigator and the design was approved by the experts. After obtaining individual participant consent the data regarding demographic variables and clinical variables of the post abdominal surgery patients were collected. Then the level of nursing competency on using molidrain bag and bottle drain for nasogastric aspiration was assessed by structured observation checklist. The level of acceptability regarding molidrain bag and bottle drain was assessed using structured rating scale. The data obtained was analysed using descriptive and inferential statistics. MAJOR FINDINGS OF THE STUDY: Half of the post abdominal surgery patients in molidrain group and majority of the post abdominal surgery patients in bottle drain group were belonging to the age group of > 50 years (50% and 83.3%) respectively. Majority of them in molidrain group were females (63.3%), while most of them in bottle drain were males (83.3%), more than half of them in molidrain group were from joint family (53.3%) but all of them in bottle drain group were belonging to nuclear family (100), most of them in molidrain group and more than half of them in bottle drain group were non smokers (90% and 56.7%), most of them in molidrain group and majority of them in bottle drain group were non alcoholics (96.7% and 73.3%) less than half of them in molidrain group were self employed (46.7%), while most of them were working in government sector in bottle drain group (96.7), majority of them in molidrain group were from urban area (76.7%) and most of them in bottle drain group were residing in semi urban area (90%) respectively. • Most of the post abdominal surgery patients had BMI of 18.5 – 25 in both molidrain group and bottle drain group (93.3%). Majority of patients in molidrain group had no history of hypertension (70%) and all of the post abdominal surgery patients in bottle drain group had co- morbidity of hypertension (100%), most of the patients in the molidrain group had no history of diabêtes mellitus (76.3%) but, majority of the patients in bottle drain group had history of diabetes mellitus (90%), none of them had renal disorders in both the groups, most of them in moildrain group and majority of them in bottle drain group had cancer (96.7% and 60%) respectively. Majority of them were maintained with head end elevation of ≤ 30˚(60%) in both the groups, and majority of them had history of previous surgery (96.7% and 93.3%) in both the groups. More than half of them in moildrain group and all of the post abdominal surgery patients in bottle drain group were ambulated within 3rd post operative day (56.7% and 100%) respectively. • Most of the nurses demonstrated non competency with bottle drain for nasogastric aspiration (70%) among post abdominal surgery patients where as all the nurses demonstrated high competency with the molidrain bag for the nasogastric aspiration among post abdominal surgery patients (100%). • There was a statistically significant difference in nursing competency between the molidrain group (M=41.86, SD=4.33) and bottle drain group (M=10, SD=1.38) with t value of 37.05 at
| Item Type: | Thesis (Masters) |
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| Additional Information: | Reg.No.301610951 |
| Uncontrolled Keywords: | molidrain bag, bottle drain, nursing competency, naso-gastric aspiration, post abdominal surgery patients,selected hospital, Chennai. |
| Subjects: | NURSING > Medical Surgical Nursing |
| Depositing User: | Subramani R |
| Date Deposited: | 06 Oct 2019 17:35 |
| Last Modified: | 06 Oct 2019 17:35 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/11709 |
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