Effectiveness of intake of dates with amla on anaemic status among adolescent girls with anaemia in a selected residential school at Madurai

Sangeetha, M (2012) Effectiveness of intake of dates with amla on anaemic status among adolescent girls with anaemia in a selected residential school at Madurai. Masters thesis, Sacred Heart Nursing College, Madurai.

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Abstract

The study was undertaken to evaluate the effectiveness of intake of dates with amla on anaemic status among adolescent girls with anaemia in a selected residential school at Madurai. The following objectives were set for the study. • To assess the level of anaemic status before and after the administration of amla and dates among the experimental group of adolescent girls with anaemia. • To assess the pre-test and post-test level of anaemic status among the control group of adolescent girls with anaemia • To evaluate the effectiveness of intake of dates with amla on the anaemic status among adolescent girls with anaemia. • To find out the association between the post-test anaemic status of adolescent girls with anaemia and selected demographic variables such as age, education, type of diet, income of family and parental education. 93 The following hypotheses were set for the study. All hypotheses were tested at 0.05 level of significance: 1. The mean post-test anaemic status of adolescent girls who had dates with amla will be significantly higher than their mean pre-test anaemic status of adolescent girls. 2. The mean post-test anaemic status of adolescent girls in the experimental group who had dates with amla will be significantly higher than the mean post-test anaemic status of adolescent girls in the control group. 3. There will be significant association between anaemic status of adolescent girls and selected variables such as age, education, type of diet, income of family, and parental education. The conceptual framework of this research was based upon J.W.Kenny’s open system model. Pre-test-post-test non-equivalent control group quasi experimental design was used for this study. Independent variable : Administration of dates with amla Dependent variable : Improving the anaemic status among adolescent girls with anaemia The tools used for data collection was checklist on anaemic status and cynmet haemoglobin method of haemoglobin estimation. The content validity of the tool was established by giving to seven experts in the field of paediatrics, medicine, nursing, nutrition and dietetics. A purposive sampling method was used to select the samples for the study. A total of 100 samples were selected for identifying anaemia and out of 100 samples 60 94 with haemoglobin below 12mg / dl were selected and classified into the experimental and the control groups with 30 samples on random basis. Descriptive statistics (percentage, mean and standard deviation) and inferential statistics (chi-square and paired, independent t test) were used to analyse and to test the hypothesis. MAJOR FINDINGS OF THE STUDY 1. The mean anaemic status based on signs and symptoms scores after administration of amla with dates (5.7) was lower than the mean anaemic status based on signs and symptoms scores before administration of amla with dates (10.76) in the adolescent girls. The obtained‘t’ value 10.8 at df 29 was significant at 0.05 level. This indicates that the difference between the means (5.06) was a true difference and has not occurred by chance. 2. The mean pre-test anaemic status based on signs and symptoms scores (10.5) was higher than the mean post-test anaemic status based on signs and symptoms scores (9.3) of the adolescent girls of the control group. The obtained‘t’ value is 0.4 at df 29 was not significant at 0.05 level. This indicates that the difference between the means (1.2) was a true difference and has not occurred by chance. 3. The mean anaemic status based on haemoglobin score after administration of amla with dates (10.87) was higher than the mean anaemic status based on haemoglobin score before administration of amla with dates (9.94) in the adolescent girls. The obtained‘t’ value 11.03 at df 29 was significant at 0.05 level. This indicates that the difference between the means (0.93) was a true difference and has not occurred by chance. 4. The mean pre-test anaemic status based on haemoglobin score (9.20) was higher than the mean post-test anaemic status based on haemoglobin score (9.51) in the 95 adolescent girls of the control group. The obtained ‘t’ value 1.9 at df 29 was not significant at 0.05 level. This indicates that the difference between the means (0.3) was a true difference and has not occurred by chance. 5. The mean fatigue score after administration of amla with dates (0.16) was lower than the mean fatigue score before administration of amla with dates (0.80) in the adolescent girls. The obtained‘t’ value 7.2 at df 29 was significant at 0.05 level. This indicates that the difference between the means (0.64) was a true difference and has not occurred by chance. 6. The mean Lack of concentration score after administration of amla with dates (0.4) was lower than the mean Lack of concentration score before administration of amla with dates (0.76) in the adolescent girls. The obtained ‘t’ value 4.2 at df 29 was significant at 0.05 level. This indicates that the difference between the means (0.36) was a true difference and has not occurred by chance. 7. The mean pica score after administration of amla with dates (0.23) was lower than the mean pica score before administration of amla with dates (0.56) in the adolescent girls. The obtained‘t’ value 3.83 at df 29 was significant at 0.05 level. This indicates that the difference between the means (0.33) was a true difference and has not occurred by chance. 8. The mean post-test fatigue score of the experimental group (0.16) after administration of amla with dates was lesser than the mean post-test fatigue score of the control group (0.76). The obtained ‘t’ value 4.69 at df 29 was significant at 0.05 level. This indicates that the difference between the means (0.6) was a true difference and has not occurred by chance. 96 9. The mean post-test lack of concentration score of the experimental group (0.4) after administration of amla with dates was less than the mean post-test lack of concentration score of the control group (0.6). The obtained‘t’ value 2.6 at df 29 was significant at 0.05 level. This indicates that the difference between the means (0.2) was a true difference and has not occurred by chance. 10. The mean post-test pica score of the experimental group (0.23) after administration of amla with dates was less than the mean post-test pica score of the control group (0.7). The obtained‘t’ value 2.55 at df 29 was significant at 0.05 level. This indicates that the difference between the means (0.47) was a true difference and has not occurred by chance. 11. The mean post-test anaemic status based on signs and symptoms scores of the experimental group (5.7) after administration of amla with dates was less than the mean post-test anaemic status based on signs and symptoms scores of the control group (9.3). The obtained‘t’ value 5.955 at df 29 was significant at 0.05 level. This indicates that the difference between the means (3.6) was a true difference and has not occurred by chance. 12. The mean post-test anaemic status based on haemoglobin score of the experimental group (10.87) after administration of amla with dates was higher than the mean post-test anaemic status based on haemoglobin score of the control group (9.51). The obtained ‘t’ value 6.72 at df 29 was significant at 0.05 level. This indicates that the difference between the means (1.36) was a true difference and has not occurred by chance. 13. In order to find out the association between the anaemic statuses based on haemoglobin score and selected variables λ2 was computed. While testing the association between the anaemic status based on haemoglobin score and the age of 97 the girls, the obtained λ2 value 6.72 at df (1) was significant. While testing the association between the anaemic status based on haemoglobin score and the income of the family, the obtained λ2 value 6.37 at df (2) was significant. While testing the association between the anaemic status based on haemoglobin score and the literacy status of the mother, the obtained λ2 value is 0.135 at df (1) was not significant. While testing the association between the anaemic status based on haemoglobin score and the literacy status of the father, the obtained λ2 value 3.731 at df (4) was not significant. While testing the association between the anaemic statuses based on haemoglobin score and the type of diet, the obtained λ2 value 1.5 at df (2) was not significant. CONCLUSIONS The following conclusions were drawn from this study 1. Iron deficiency anaemia is very common among adolescent girls (13-16 years) especially those who attained menarche. In that 74 adolescent girls had anaemia. Out of 60, 36 girls had mild anaemia, 23 girls had moderate anaemia and one girl had severe anaemia. Most of the adolescent girls had the signs and symptoms of fatigue, lack of concentration, getting irritated often and palpebral conjunctiva. 2. The mean anaemic status based on signs and symptoms score among adolescent girls after administration of amla with dates was lower than the mean anaemic status based on signs and symptoms score before administration of amla with dates. 3. The mean anaemic status based on haemoglobin score among adolescent girls after administration of amla with dates was higher than the mean anaemic status based on haemoglobin score before administration of amla with dates. 98 4. The mean fatigue score after administration of amla with dates was lower than the mean fatigue score before administration of amla with dates in the adolescent girls. 5. The mean Lack of concentration score after administration of amla with dates was lower than the mean Lack of concentration score before administration of amla with dates in the adolescent girls. 6. The mean pica score after administration of amla with dates was lower than the mean pica score before administration of amla with dates in the adolescent girls. 7. Dates with amla were effective in improving the anaemic status among adolescent girls with anaemia. 8. There was no association between anaemic statuses based on haemoglobin score and selected demographic variables such as literacy of father, literacy of mother, type of diet. There was association between anaemic statuses based on haemoglobin score and selected variables such as age and income of the family.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Effectiveness, intake of dates, amla, anaemic status, adolescent girls, anaemia, selected residential school, Madurai.
Subjects: NURSING > Paediatric Nursing
Depositing User: Subramani R
Date Deposited: 18 Aug 2020 16:35
Last Modified: 18 Aug 2020 16:35
URI: http://repository-tnmgrmu.ac.in/id/eprint/12860

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