Roshny Reeba, Mathew (2010) A quasi experimental study to assess the effectiveness of dyadic support on pre-operative anxiety and post operative pain among primi cesarean mothers at sahrudaya hospital Alleppey, Kerala. Masters thesis, Annai J.K.K. Sampoorani Ammal College of Nursing, Komarapalayam.
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Abstract
A quasi experimental study to assess the effectiveness of dyadic support on pre-operative anxiety and post operative pain among primi cesarean mothers at Sahrudaya hospital Alleppey, Kerala. OBJECTIVES 1. To assess the pre-operative anxiety among primi cesarean mothers before and after dyadic support in experimental group. 2. To compare the mean difference in pre-operative anxiety among primi cesarean mothers in experimental and control group. 3. To compare the post operative pain among primi cesarean mothers in experimental and control group. 4. To correlate between the mean difference of pre operative anxiety and post operative pain in experimental and control group. 5. To test the association between the mean difference in pre operative anxiety and selected factors among primi cesarean mothers in experimental group. 6. To test the association between postoperative pain and selected factors among primi cesarean mothers in experimental group. HYPOTHESES H1 : There will be a significant difference between the preoperative anxiety before and after dyadic support among primi caesarean mothers in experimental group. H2 There will be a significant difference in the mean difference of pre-operative anxiety among primi cesarean mothers in experimental and control group. H3 There will be a significant difference in post operative pain among primi cesarean mothers in experimental and control group. H4 There will be a significant correlation between the mean difference in pre-operative anxiety and post operative pain among primi cesarean mothers in experimental and control group. H5 There will be a significant association between the mean difference in pre-operative anxiety and selected factors among primi cesarean mothers in experimental group. H6 There will be a significant association between the post operative pain and the selected factors among primi cesarean mothers in experimental group. OPERATIONAL DEFINITIONS 1. Effectiveness: refers to the difference in the preoperative anxiety and post operative pain among primi cesarean mothers. It was measured in terms of reduction in post operative pain and preoperative anxiety. 2. Dyadic support: refers to the help, counsel, verbal support, interaction given by the 5th day post operative mother in a continued relationship to the preoperative mother with an aim to reduce the preoperative anxiety. The dyadic support envisaged the areas such as admission, hospital stay, nursing care, doctor’s care, success of surgery, hospital policies, visitor’s time, care to the baby and advices received. 3. Pre-operative anxiety: refers to the emotional reaction to the perception of danger, real or imagined that is experienced physiologically or behaviorally as measured by the questionnaire. it was measured in terms of pre-operative anxiety scores. 4. Post operative pain: refers to the subjective physical or psychological unpleasant sensation experienced and reported by the mothers after cesarean surgery as measured by visual analogue scale (VAS). Post operative pain was measured in terms post operative pain scores. 5. Primi cesarean mothers: refers to the first time pregnant mothers who were awaiting for elective cesarean section. 6. Selected factors: refers to those factors and issues which influence the pre-operative anxiety or post operative pain. The variables selected for the purpose of the study includes; age, level of education, family income, previous hospitalization, previous surgeries, nature of demands in your job, cared for post operative patients, nature of sleep for the past one month, your ability to tolerate pain, health problem during antenatal period, Was your husband present with you, which of the following is relevant to you, time of conception after marriage, members present with you to help you, hours of sleep per day, time elapsed for after the decision for L.S.C.S, number of antenatal visits to this hospital. ASSUMPTIONS 1. The permission for the study will be granted by the authorities. 2. The patients will co-operate with the investigator and were willing to participate effectively in the dyadic interaction session. 3. The items included in the tool were adequate to measure the anxiety level and pain perception. 4. The 5th day postoperative mothers’ will co-operate to offer dyadic support. DELIMITATIONS The study was limited to 1. Pre-operative anxiety and post operative pain 2. Anxiety measured by Modified Amsterdam Preoperative Anxiety and Information scale 3. Primi mothers who are admitted in Sahrudaya hospital at Alleppey for elective cesarean section. 4. Primi mother allotted by non random method.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Quasi Experimental Study; Dyadic Support; Pre-Operative Anxiety; Post Operative Pain; Primi Cesarean Mothers; Kerala. |
| Subjects: | NURSING > Obstetrics and Gynaecology Nursing |
| Depositing User: | Ramakrishnan J |
| Date Deposited: | 31 Jan 2018 10:49 |
| Last Modified: | 31 Jan 2018 10:49 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/5570 |
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