Effectiveness of Selected Nursing Interventions in Reducing the Level of Post Traumatic Stress Disorder among Patients Met With Motor Vehicle Accidents

Ragee, Rajeevan (2011) Effectiveness of Selected Nursing Interventions in Reducing the Level of Post Traumatic Stress Disorder among Patients Met With Motor Vehicle Accidents. Masters thesis, Sacred Heart Nursing College, Madurai.

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Abstract

The study was a quasi experimental study to assess the effectiveness of selected nursing interventions in reducing Post Traumatic Stress Disorder among patients met with motor vehicle accidents from Madurai Institute of Orthopedics and Traumatology Hospitals, Madurai. OBJECTIVES: 1. To find out the level of post traumatic stress disorder before and after selected nursing interventions in experimental group. 2. To find out the level of post traumatic stress disorder before and after routine treatment in control group. 3. To evaluate the effectiveness of selected nursing interventions in terms of reduction in level of post traumatic stress disorder in experimental group. 4. To compare the post test level of post traumatic stress disorder between experimental group and control group. 5. To determine the association between post test level of Post Traumatic Stress Disorder in experimental group and selected demographic variables (age, educational status, occupational status, marital status, nature of accident, loss of body part, loss of family member). Based on the objectives the following hypotheses were set and were tested at 0.05 level of significance. ❖ The mean post test level of post traumatic stress disorder in experimental group who had selected nursing interventions will be significantly lesser than mean pre test level of post traumatic stress disorder. ❖ The mean post test level of post traumatic stress disorder in experimental group who had selected nursing interventions will be significantly lesser than mean post test level of post traumatic stress disorder in control group. ❖ There will be significant association between post test level of post traumatic stress disorder in experimental group and with selected demographic variables (age, educational status, occupational status, marital status, nature of accident, loss of body part, loss of family member). The study was based on Sister Callista Roy’s Adaptation Model. Experimental approach was selected for the study. Quasi experimental design with pretest post test control group design was used for assessing Post Traumatic Stress Disorder. Variables in the study were, Independent variables: Psychoeducation, Progressive Muscle Relaxation Training Dependent variable : Post traumatic Stress Disorder Purposive sampling technique was used to select 60 samples (30 for experimental and 30 for control group). Data collection tool consisted of DSM IV Criteria, Structured interview schedule and PTSD civilian version. The tools were given to seven experts for content validity. Data were analyzed using descriptive and inferential statistics MAJOR FINDINGS OF THE STUDY: DEMOGRAPHIC DATA: ❖ With regard to distribution of age, 12 (40.0%) of experimental group and 14 (46.7%) of control group were between 21-30 years,4 (13.3%) were between 51-60 years in both experimental group and control group ❖ With regard to educational status, majority 26 (86.7%) in both experimental group and control group was literate. ❖With regard to occupational status, majority 14 (46.6%) in both experimental group and 14 (46.6%) in control group were students.12 (40%) in both experimental group and control group were working. ❖ With regard to marital status, majority 12 (40%) in experimental group and 13 (43.3%) in control group were unmarried. 12(40%) in experimental group and 9 (30%) in control group were married. ❖ With regard to nature of accident, majority 17 (56.7%) in experimental group and 16 (53.3%) in control group had two wheeler accident. ❖ With regard to loss of body part, 5 (16.6%) in experimental group and 3 (10%) in control group had lost body part. ❖ With regard to loss of family member, 11 (36.7%) in experimental group and 8(26.7%) in control group had lost their family member. Level of Post Traumatic Stress Disorder of samples: ❖ There was a significant reduction of Post Traumatic Stress Disorder among experimental group. In pre test 15(50%) had moderate level of Post Traumatic Stress Disorder, where as in post test, only 2(6.7%) had moderate level of Post Traumatic Stress Disorder after the selected nursing interventions. ❖ There was increase in the level of Post Traumatic Stress Disorder among control group. In pre test 11(36.7%) had moderate level of Post Traumatic Stress Disorder where as in post test 12 (40%) had moderate level of Post Traumatic Stress Disorder. ❖ According to the extreme response of Post Traumatic Stress Disorder, among experimental group was found to be feeling very upset 26 (86%) in pre test and 10 (33.3%) in post test. ❖ The mean post test Post Traumatic Stress Disorder level of experimental group (35) was lesser than the mean post test Post Traumatic Stress Disorder score of control group (44.4). ❖ The mean post test Post Traumatic Stress Disorder level of experimental group who had selected nursing interventions (35) was lesser than the mean pre test Post Traumatic Stress Disorder score(47.5) in the experimental group. ❖ There was a significant association between post test Post Traumatic Stress Disorder score and demographic variables such as age (x2-7.81, df-3, p<0.05), marital status (x2-7.81.df-3, p<0.05) and loss of body part (x2-22.5, df-3, p<0.05). CONCLUSIONS: The following conclusions were drawn from the study. 1. The samples who had selected nursing interventions such as psycho education and progressive muscle relaxation training, the level of post traumatic stress disorder was reduced significantly than samples who did not had selected nursing interventions. 2. The selected nursing interventions such as psycho education and progressive muscle relaxation training were found to be very effective in reducing post traumatic stress disorder. 3. There was significant association between post traumatic stress disorder and demographic variables such as age, marital status and loss of body part. 4. There was no association between level of post traumatic stress disorder and other demographic variables such as education, occupation, nature of accident and loss of family member.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Effectiveness, Nursing Interventions, Reducing the Level, Post Traumatic Stress Disorder, Patients, Motor Vehicle Accidents.
Subjects: NURSING > Psychiatric Nursing
Depositing User: Subramani R
Date Deposited: 29 Aug 2020 13:56
Last Modified: 29 Aug 2020 13:56
URI: http://repository-tnmgrmu.ac.in/id/eprint/13055

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