Lakshmi, A (2014) Effectiveness of the Chronic Obstructive Pulmonary Disease Prevention Program on the Knowledge, Attitude, Practice among Adult Males in Selected Rural Community, Thiruvallur District, Chennai. Doctoral thesis, The Tamilnadu Dr. M.G.R. Medical University, Chennai.
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Abstract
INTRODUCTION: COPD is a chronic, non-communicable disease which poses a continuous burden on health care infrastructure without any sudden increase in the “incidence rate”. It is not limited to a shorter time period. Also, it does not present with an acute threat to life in large numbers. Yet it is classified as an “epidemic” largely because the burden which it poses is huge and widespread. Moreover, the burden became noticeable relatively recently leading to a huge burden of disease-attributable economic losses, disease morbidity and premature mortality. The prevalence rates of COPD in India were from 2 to 22% in men and from 1.2 to 19% in women. It is distinctly more common amongst men and smokers. Since tobacco smoking is the most known and established risk factor for COPD. To curtail and prevent COPD there demands a comprehensive health system consisting of a trained workforce with appropriate skills, affordable technologies, reliable supply of medicines, referral systems and empowerment of people for self-care, all over a sustained period of time. Considering the above stated factors the investigator perceived the need for assessing the knowledge, attitude, practice, pulmonary function and aimed to determine the effectiveness of Chronic Obstructive Pulmonary Disease Prevention program. These evidences will be utilized to frame primary and secondary level of health care practices for effective COPD management. OBJECTIVES: 1. To assess and compare the pretest and post test level of knowledge, attitude, practice and pulmonary function among adult males in experimental group and control group. 2. To evaluate the effectiveness of chronic obstructive pulmonary disease prevention program on the knowledge, attitude, practice and pulmonary function among adult males in experimental group and control group. 3. To correlate the knowledge, attitude, practice and pulmonary function among adult males in the experimental group and control group. 4. To associate cumulative mean differed knowledge, attitude, practice, pulmonary function and selected variables of male adults in the experimental group and control group. The Null hypotheses formulated for the study were: NH1: There is no difference in the pretest and posttest level of knowledge, attitude, practice and pulmonary function among adult males within and between experimental group and control group at p<0.05 level of significance. NH2: There is no co-relation between knowledge, attitude, practice and pulmonary function among adult males in experimental group and control group at p<0.05 level of significance. NH3: There is no association between mean differed level of knowledge, attitude, practice, pulmonary function and selected variables of adult males in the experimental group and control group at p<0.05 level of significance. The research process for this study was guided by the conceptual framework based on an Integrated model of Betty Neuman’s Systems Model and Transtheoretical model of change. METHODOLOGY: A true experimental research design was undertaken for the study. The independent variable for the study was Chronic Obstructive pulmonary Disease Prevention Program and the dependent variables were the knowledge, attitude, practice, pulmonary function of the adult males. The study was conducted at adopted villages of Omayal Achi community Health Centre. The samples for the study were the adult males and the sample size initially for the study were 230(115 each for experimental and control group). However due to attrition (irregular follow-up), at the completion of data collection, there were 110 adult males each in experimental and control group. Multi stage random sampling technique was utilized to select the samples and computer generated randomization method was done to allocate samples to the experimental and control group. The data collection instrument were structured knowledge questionnaire, rating scale, fagerstorm questionnaire, spirometry to assess the knowledge, attitude, practice and pulmonary function respectively. The combination of nursing interventions included health Education, behavioral strategies, referral for NRT, breathing exercise, counselling on smoking cessation were implemented by the investigator for a period of 12 weeks. The collected data were entered into Excel sheet and analyzed through Statistical Package for Social Science / PC+ Ver.17. RESULTS & DISCUSSION: The analysis revealed that the experimental group overall knowledge mean gain score was 15.59 % in experimental group and 8.23 % in control group, attitude mean gain score was 74.93% in experimental group and 52.55 % in control group, practice (nicotine dependence) mean score reduced by 1.15 % in experimental group and still it was high as 2.25 % in the control group. There was a mean improvement in the pulmonary function (FEV1) in the experimental group and there was no improvement in the control group. There was a moderate positive correlation observed between knowledge vs. attitude, moderate negative correlation between knowledge vs. practice, knowledge vs. pulmonary function, attitude vs. pulmonary function, a fair negative correlation exists between attitude vs practice, also a fair positive correlation was observed between practice vs. pulmonary function in the experimental group. Also in the experimental group there was a significant association observed for knowledge with age, marital status, chronicity of abuse, for attitude with age, education, income, for practice with marital status, education, number of cigarette smoked per day, for pulmonary function with age, marital status, chronicity of abuse at p<0.05 level . Hence the null hypothesis earlier framed was rejected by the investigator. Thus the Health Education, behavioral strategies, breathing exercise, counselling on smoking cessation, as interventions in the Chronic Obstructive Pulmonary Disease Prevention Program had a significant impact on the on knowledge, attitude, practice and pulmonary function among adult males in the experimental group, thereby concluding that the Chronic Obstructive Pulmonary Disease Prevention Program was effective in improving the knowledge, attitude, practice and pulmonary function among adult males. CONCLUSION: The study concluded that the Chronic Obstructive Pulmonary Disease Prevention Program had a significant impact on the knowledge, attitude, practice and pulmonary function among adult males. Hence, the study recommended the utilization of Chronic Obstructive pulmonary Disease Prevention program among Nurse Educators, Nurse Administrators, Nurse Researchers and Health care professionals to prevent Chronic Obstructive pulmonary Disease at all levels among adult males.
| Item Type: | Thesis (Doctoral) |
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| Uncontrolled Keywords: | Effectiveness, Chronic Obstructive Pulmonary Disease, Prevention, Program, Knowledge, Attitude; Practice, Adult Males, Selected Rural Community, Thiruvallur District, Chennai. |
| Subjects: | NURSING > Community Health Nursing |
| Depositing User: | Subramani R |
| Date Deposited: | 18 Jun 2017 06:30 |
| Last Modified: | 20 Nov 2022 03:08 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/75 |
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