Ralph Raja, D (2014) A study to assess the effectiveness of structured teaching programme regarding lifestyle modification among hypertensive patients at Government Head Quarters Hospital, Erode. Masters thesis, Nandha College of Nursing, Erode.
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Abstract
“A STUDY TO ASSESS THE EFFECTIVENESS OF STRUCTURED TEACHING PROGRAMME REGARDING LIFESTYLE MODIFICATION AMONG HYPERTENSIVE PATIENTS AT GOVERNMENT HEAD QUARTERS HOSPITAL, ERODE.” OBJECTIVES OF THE STUDY : 1. To assess the level of knowledge and practice regarding life style modification among hypertensive patients before and after the structured teaching programme. 2. To implement and evaluate the effectiveness of structured teaching programme on the knowledge and practice regarding lifestyle modification among hypertensive patients. 3. To find out the relationship between knowledge and practice regarding life style modification among hypertensive patients. 4. To find out the association between knowledge and practice among hypertensive patients with selected demographic variables such as age, gender, marital status etc,. HYPOTHESIS ; H1 – There will be significant enhancement in the level of knowledge and practice regarding lifestyle modification among hypertensive patients after structured teaching programme. H2 – There will be significant relationship between knowledge and practice regarding lifestyle modification among hypertensive patients. H3 – There will be significant association between the level of knowledge and practice regarding lifestyle modification with selected demographic variables like age, gender, religion, marital status, education status, type of occupation, monthly income, type of family, dietary pattern, personal habits, residential area, family history of hypertension, when hypertension was diagnosed, and Body Mass Index. METHODOLOGY : The research approach used for this study was Quantitative educative and evaluative approach and the research design was Quasi experimental - Non equalent control group before-after design. 60 patients who are recently diagnosed with hypertension were selected for this study by using purposive sampling technique. Data were collected with the help of self structured questionnaire for assessing knowledge and practice. Descriptive statistics ( frequency , percentage, mean and standard deviation ) and inferential statistics ( chi-square, paired ‘t’ test, unpaired ‘t’ test and correlation coefficient) were used to analyze the data and to test hypothesis. RESULT AND INTERPRETATION : As per the demographic characteristics in control group 17 (57%) were in the age group between 46 -60 years, 17 (57%) were female, majority of 25 (83%) were Hindus, majority of 28 (93%) were married, 15 (50%) had no formal education, 13 (43%) were unemployed, 11 (37%) were receiving the family income between 2,501 – 5,000 rupees, majority of 21 (70%) were residing in urban area, majority of 22 (73%) had no family history of hypertension, majority of 25 (83%) were non-vegetarian, 18 (60%) were not having any bad habit, majority of 25 (84%) has no associated illness, 17 (57%) were diagnosed as hypertensives after appearance of signs and symptoms and 16 (53%) were having normal B.M.I. In experimental group 15 (50%) of clients were between the age group of 46 – 60 years, both male and female contributes 50%, majority of 24 (80%) were Hindus, 27 (90%) were married, 20 (67%) were educated up to primary level, 17 (57%) were moderately heavy workers, 9 (30%) receives a family income between 2,501 – 5,000 rupees, 9 (30%) receives a family income between Rs.5001 – 10,000, majority of 28 (93%) lives in urban area, 15 (50%) of clients had the family history of hypertension and other 15 (50%) had no history of hypertension, majority of 25 (83%) were non-vegetarian, 17 (57%) had no bad habits, 27 (90%) doesn’t had any associated illness, 17 (57%) were diagnosed with hypertension after appearance of signs and symptoms, and 19 (63%) had normal B.M.I. • The frequency and percentage of pre-test and post-test level of knowledge regarding lifestyle modification for hypertension in experimental group. In pre – test majority of 90% of clients had inadequate knowledge and 10% moderately adequate knowledge, whereas in post – test majority of 90% of clients had moderately adequate knowledge and 10% adequate knowledge. • The frequency and percentage of pre-test and post-test level of practice regarding lifestyle modification for hypertension in experimental group. In pre – test 53% of clients had poor practice, 43% had moderate practice and 4% had good practice. In post – test 50% had moderate practice and 50% had good practice. • The comparison of pre – test and post – test scores of knowledge in experimental group. The mean pre – test score is 9.33 and mean post – test score is 19.5. the Paired “t” test value was 18.09 when compared to table value (1.69) is high. It seems that structured teaching programme makes significant difference between pre – test and post – test scores of knowledge in experimental group. • That the comparison of pre – test and post – test scores of practice in experimental group. The mean pre – test score is 18.73 and mean post – test score is 29.43. the Paired “t” test value was 12.47 when compared to table value (1.69) is high. It seems that structured teaching programme makes significant difference between pre – test and post – test scores of practice in experimental group. • Analysis of the difference between the mean post-test score of knowledge in control and experimental group. The mean post-test value of control group was 10.7 which is lesser than the post-test value 19.5 of experimental group. The Unpaired t value was *7.27 when compared to table value (2) is high. The findings show there is significant increase in the level of knowledge in experimental group than control group. It indicates the effectiveness of structured teaching programme in increasing knowledge level regarding life style modification • Analysis of the difference between the mean post-test score of practice in control and experimental group. The mean post-test value of control group was 18.6 which is lesser than the post-test value 29.43 of experimental group. The Unpaired t value was *3.35 when compared to table value (2) is high. The findings show there is significant increase in the level of practice in experimental group than control group. It indicates the effectiveness of structured teaching programme in increasing practice level regarding life style modification. • The relationship between the mean post-test knowledge score and mean post- test practice score of experimental group, the correlation co-efficient was obtained. The post-test mean knowledge value 19.5 was higher than the pre-test mean value 10.7 and the post-test mean practice value 29.43 was higher than the pre-test mean value 9.33. The obtained r value 0.45 was significant at 0.05 level. The findings shows when the post-test knowledge score was increased along with that the post-test practice score. It indicates there was a positive relationship between post-test score of knowledge and practice in experimental group. • There was significant association between the post-test score of knowledge in control group and marital status. (p<0.05) • There was a significant association between the post-test score of knowledge in experimental group and B.M.I. (P< 0.05) CONCLUSION : This study proved to be very essential as structured teaching programme play an important role in enhancing knowledge and practice regarding lifestyle modification among hypertensive patients.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Structured teaching programme ; lifestyle modification ; hypertension ; hypertensive patients. |
| Subjects: | NURSING > Medical Surgical Nursing |
| Depositing User: | Ramakrishnan J |
| Date Deposited: | 11 Jul 2017 05:25 |
| Last Modified: | 11 Feb 2018 11:27 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/1324 |
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