Mintu, Kuriakose (2014) Effectiveness of virtual labour process upon knowledge and anxiety level regarding labour process among primigravid mothers. Masters thesis, Apollo College of Nursing, Chennai.
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Abstract
An Experimental Study to Assess the Effectiveness of Virtual Labour Process upon Knowledge and Anxiety level among Primigravid Mothers within 35 – 40 Weeks of Gestation at Selected Hospital, Chennai. OBJECTIVES: 1. To assess the level of knowledge and anxiety before and after Virtual Labour Process among Control and Experimental group of Primigravid mothers within 35 - 40 weeks of gestation. 2. To determine the effectiveness of Virtual Labour Process by comparing the level of knowledge and anxiety before and after the Virtual Labour Process among Experimental and Control group of Primigravid mothers within 35 - 40 weeks of gestation. 3. To find the association between the selected Demographic variable and the level of knowledge and anxiety before and after the Virtual Labour Process among Control and Experimental group of Primigravid mothers within 35 - 40 weeks of gestation. 4. To find the association between the selected Obstetric variables and the level of knowledge and anxiety before and after the Virtual Labour Process among Control and Experimental group of Primigravid mothers within 35 - 40 weeks of gestation. 5. To determine the level of satisfaction among Experimental group of Primigravid mothers regarding administration of Virtual Labour Process. The conceptual framework set up for this study is based on “King’s Goal Attainment Model” (1981). This model addresses process of action, reaction, interaction whereby nurses and clients share information about their perception. The variables of the study were Virtual Labour Process, knowledge and anxiety regarding labour. Null hypothesis were formulated. An extensive review of literature was made based on the opinions of the experts. An Experimental study of pre-test and post-test design was used. The study included 60 Primigravid mothers within 35 – 40 weeks of gestation who were selected by simple random sampling. The study was conducted at Andhra Mahila Sabha Hospital, Chennai. Selected Demographic variable Proforma, Selected Obstetric variable proforma, Structured Interview Schedule, Anxiety scale which and Rating scale on satisfaction on Virtual Labour Process prepared by the researcher were the various tools used by the researcher. The validity was obtained from various experts and reliability was established. The main study was conducted after the pilot study. The level of knowledge and anxiety regarding labour process were assessed for the Control and Experimental group of Primigravid mothers. The Virtual Labour Process of ten minutes duration was provided for the Experimental group. Then the level of knowledge and anxiety regarding labour process were assessed again after 7 days for both the groups. The level of satisfaction on Virtual Labour Process among the Experimental group of Primigravid mothers were assessed after one week from intervention. The data obtained were analyzed using Descriptive and Inferential statistics. MAJOR FINDINGS OF THE STUDY: 1. The majority of the Primigravid mothers were between the age group of 18 – 21 years (80%, 37%) and 22 – 25 years (17%, 53%), a significant percentage of them are qualified with secondary education (23%, 63%) and graduation courses (67%, 20%), majority of them were from nuclear families (70%, 70%), most of them reside in urban area (80%, 83%), majority of the mothers were unemployed (83%, 87%) and most of them had a family monthly income within Rs. 7001 – 9000 (43%, 70%), a large percentage of them were Hindus (86%, 77%). 2. Majority of Primigravid mothers had undergone more than 5 antenatal visits (83%, 83%), most of them gained about 8 -10 kg (13%, 70%) and 10 – 12 kg (83%, 13%) weight during pregnancy, a significant percentage of them had gestational age within 38 – 40 weeks of gestation (77%, 60%) and a majority of them had height 146 – 155 cm (30%, 73%) and more than 155 cm (70%, 27%). 3. Majority of the Primigravid mothers had moderately adequate knowledge (80%, 53%) before intervention in the Control and Experimental group respectively and all of them gained adequate knowledge (100%) after intervention in the Experimental group. 4. The mean knowledge level was slightly high after intervention (M=9.4, SD=2.06) compared to before intervention (M=9.7, SD=3.3) in the Control group where as the mean level of knowledge was very high after intervention (M=24.5, SD=0.7) compared to before intervention (M=9, SD=2.5) in the Experimental group. 5. Majority of mothers had severe level of anxiety (63%, 67%) in the Control and Experimental group before intervention and a few mothers in the Control and Experimental group had moderate level of anxiety (37%, 33%) before intervention. After the intervention the level of anxiety in the Experimental group reduced to a mild level of anxiety (100%). There was a severe level of anxiety in a significant percentage (63%) of them in the Control group after intervention. 6. The mean level of anxiety in the Experimental group was low after intervention (M=1.2, SD=1.69) in comparison with before intervention (M=8.1, SD=1.7). Whereas in the Control group there is only a slight decrease in the level of anxiety (M=7.2, SD=1.12) after intervention in comparison with before intervention (M=7.8, SD=1.23). 7. All of the participants in the Experimental group were highly satisfied (100%) with the Virtual Labour Process and none of them (0%) reported unsatisfaction towards the intervention. 8. There was no significant association between age, educational status, type of family and type of employment with knowledge regarding labour process among the Control group of Primigravid mothers. Hence the null hypothesis H02 was retained. 9. There was significant association between age and educational status with knowledge regarding labour process among the Experimental group of Primigravid mothers but there was no significant association with type of family and type of employment. Hence the null hypothesis H02 was rejected. 10. There was no significant association between age, type of employment, type of family and educational status with anxiety regarding labour process among the Control group of Primigravid mothers. Hence the null hypothesis H02 was retained. 11. There was no significant association between age, type of employment, type of family and educational status with anxiety regarding labour process among the Experimental group of Primigravid mothers. Hence the null hypothesis H02 was retained. 12. There was no significant association between number of antenatal check-up and gestational age in weeks with knowledge regarding labour process among the Control group of Primigravid mothers also there is no significant association between number of antenatal check-up and gestational age in weeks with knowledge regarding labour process among the Experimental group of Primigravid mothers. Hence the null hypothesis H03 was retained. 13. In the Control group of Primigravid mothers there was no significant association between number of antenatal check-up and gestational age in weeks with anxiety regarding labour process. Hence null hypothesis H03 was retained. 14. There was significant association found between the number of antenatal check-up with anxiety regarding labour process and no significant association between the gestational age in weeks with anxiety regarding labour process among the Experimental group of Primigravid mothers. Hence the null hypothesis H03 was rejected. The study concluded that the Virtual Labour Process was effective in terms of reduction in anxiety and improvement in knowledge regarding labour process. CONCLUSION: This study shows that Virtual Labour Process was effective in increasing the level of knowledge and reducing the level of anxiety. The Experimental group of Primigravid Mothers who received Virtual Labour Process had increased level of knowledge and decreased level of anxiety related to labour process and was highly satisfied with the Virtual Labour Process. The Virtual Labour Process is an interesting animated movie of 10 minutes which increases knowledge and reduces anxiety related to labour process in the Primigravid Mothers and hence the midwives could be encouraged to use this.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Effectiveness ; virtual labour process ; knowledge ; anxiety level ; labour process ; primigravid mothers. |
| Subjects: | MEDICAL > General Medicine |
| Depositing User: | Punitha K |
| Date Deposited: | 17 Jan 2018 12:03 |
| Last Modified: | 22 Dec 2018 14:14 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/5485 |
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