Jeya Chandra, K (2017) A study to evaluate the effectiveness of structured teaching programme regarding prevention of selected complications among immobilized orthopaedic patients in Rajiv Gandhi Government General Hospital, Chennai. Masters thesis, College of Nursing, Madras Medical College, Chennai.
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Abstract
ABSTRACT "FOCUS ON THE ABILITY AND NOT ON THE DISABILITY" Study title: "A study to evaluate the effectiveness of structured teaching programme regarding prevention of selected complications among immobilized orthopaedic patients in Rajiv Gandhi Government General Hospital, Chennai". Lengthy periods of immobilization are emotionally stressful for patients. When the complications due to immobilization are prevented it helps an individual to be physically, emotionally, and psychologically sound. These complications can be prevented through simple basic patient care like skincare, active- passive exercises, changing position and deep breathing exercises. Nurses have a key role in prevention of these complications by educating the patients. Need for the study. The investigator happened to see of 60% patients in the orthopaedic wards were long term immobilized and they developed complications like pressure sores, constipation and hypostatic pneumonia. Based on this the investigator strongly felt the need to explore the knowledge of clients with orthopaedic condition in preventing selected complications, by enhancing their knowledge through structured teaching programme and improving the client's quality of life. The selected complications for the study purpose were pressure sore, hypostatic pneumonia and constipation. OBJECTIVES: 1. To assess the knowledge regarding prevention of selected complications among immobilized orthopaedic patients. 2. To evaluate the effectiveness of the structured teaching programme regarding prevention of selected complications among immobilized orthopaedic patients. 3. To determine the association between post-test knowledge score and selected demographic variables. RESEARCH METHODOLOGY: Research approach: Quantitative approach. Duration of the study: Four weeks (from 21/11/2016 to 18/12/2016.) Study setting: The study was conducted in the orthopaedic wards of Rajiv Gandhi Government General hospital, Chennai-03. Research Design: Pre experimental one group pre-test and post-test design. Study population Immobilized orthopaedic clients. Sample size: Sixty immobilized orthopaedic patients. Sampling technique: Convenient sampling Data collection procedure. The study will be undertaken after approval from institutional ethics committee. Those who are willing to participate were enrolled and informed and their consent will be obtained. The immobilized orthopaedic patients who fulfill the inclusion criteria are selected in the groups. Approximately three to five samples were selected every day and pre-test questionnaire was given to them and collected after its completion. STP was given to the patients for 45 minutes, post-test was conducted, after I week to assess the knowledge of immobilized orthopaedic patients regarding prevention of selected complications. DATA ANALYSIS: The data were tabulated and analyzed using descriptive statistics like mean, standard deviation, frequency distribution and percentage. Inferential statistics like paired t- test, Mc-Nemar test and chi-square test were also used. The collected data was presented in the form of tables and figures. RESULTS: The findings of the study revealed that the Structured Teaching Programme had improved the knowledge of immobilized orthopaedic patients regarding prevention of selected complications with paired t-test (p value is 0.001). There is statistical significance in knowledge attainment on prevention of selected complications,which shows the effectiveness of the Structured Teaching Programme. DISCUSSION: Hypothesis was proved by the great statistically significance occurs, after Structured Teaching Programme. The chi square test shows that there is association between the post-test level of knowledge with selected variables among immobilized orthopaedic patients. RECOMMENDATIONS: O An experimental study can be undertaken with a control group for effective comparison of the result. ® A comparative study can be conducted between rural and urban settings or between rich and poor socio economic status people or between men and woman. CONCLUSION: The results of the study shows that Structured Teaching Programme was effective in improving knowledge of immobilized orthopaedic patients regarding prevention of selected complications.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Hypostatic pneumonia, constipation, pressure ulcer, STP. Immobilization, orthopaedic patients. |
| Subjects: | NURSING > Medical Surgical Nursing |
| Depositing User: | Subramani R |
| Date Deposited: | 26 Mar 2020 14:42 |
| Last Modified: | 26 Mar 2020 15:16 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/12470 |
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