Asian Journal of Nursing Education and Research

B. Preethi Jazna ¹, Reeta Jebakumari ², Nalini Jeyavantha Santha ¹

Affiliations
1 Sacred Heart Nursing College, Madurai, IN
2 OBG Department, Sacred Heart Nursing College, Madurai, IN

Abstract

Background of the study: PIH is one of the major causes of maternal mortality and can lead to a number of complications when not treated .The aim of this study was to evaluate the effectiveness of Benson relaxation therapy on blood pressure and stress among women with PIH in selected hospitals, Madurai. Materials and methods: The design adopted was quasi experimental pretest posttest control group design. The sample consisted of 60 mothers, 30 in experimental group and 30 in control group. The convenient sampling technique was used to select the samples. The tools used for data collection procedure was sphygmomanometer and modified Cohen's perceived stress scale. Benson relaxation therapy was administered to those in the experimental group for one week. Result: All the participants both in the experimental group and the control group had systolic BP between 140- 159 mm Hg and diastolic BP between 90- 110 mm Hg BP in pretest. After Benson relaxation therapy in the experimental group almost everyone ie., 96.67% had systolic BP < 140 mm Hg and 83.33% had diastolic BP < 90 mm Hg whereas in the control group only 13.33% had systolic blood pressure of < 140 mmHg and only 3.33% had diastolic BP of < 90 mm Hg. There was a significant reduction in mean posttest systolic BP ( MD=14., t=21.03., p<0.05) and diastolic blood pressure( MD=9., t=12.41 ., p<0.05). The mean post test systolic BP score (130.6) in experimental group was lesser than that of the control group (141.75) (MD=11.5., t=9.52., p<0.05). The mean post test diastolic BP score (84) was lesser than that of the control group (92.1) (MD=8.1., t=8.11 ., p<0.05). In pretest most of the women 80% in the experimental group had moderate level of stress and in the control group 30 % of them had high level of stress. After Benson relaxation therapy it was surprising that 66.67% had low level of stress in the experimental group and 70% had moderate level stress in the control group. There was a significant reduction in mean posttest stress level( MD=9., t=24.65 ., p<0.05) of the experimental group. The mean posttest stress score in the experimental group was 12.9, lesser than that of the control group 21.7 (MD=8.8., t=8.14 ., p<0.05). There was a significant positive relationship between pretest systolic BP and stress in the experimental group (r= 0.69., p < 0.05). Conclusion: The study concluded that Benson relaxation therapy is an effective non- pharmacological intervention in the treatment of BP and stress.

Keywords

Effectiveness, Benson Relaxation Therapy, Blood Pressure, Stress, Pregnancy Induced Hypertension.

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Reeta Jebakumari ¹, Nalini Jayavanth Santha ²

Affiliations
1 Thasiah College of Nursing, Marthandam, IN
2 Sacred Heart Nursing College, Madurai, IN

Abstract

Background of the study: Adolescence is a period of transition between childhood and adulthood. As the adolescents grow, their problems also increase due to failure in understanding the anatomical, developmental and psychological changes. Some react to this with excitement and some others experience shame, anxiety and guilt which lead to many sex related issues. Equipping them with adequate sexual information give them confidence and help them to know how to act in sexual difficult situations. Nurses play a pivotal role in creating sexual awareness and sexual assertiveness in adolescents. Aim: The aim of the study is to assess the effectiveness of sexual assertiveness training program on sexual awareness and sexual assertiveness among adolescents attending selected schools in Madurai. Methodology: Quasi experimental non equivalent pre test, post test and control group design was used for the study. The study was conducted in Amutham Higher Secondary school and CSI higher secondary school, Madurai. The setting of the study was selected using simple random sampling technique. A total of 250 school going adolescents were selected using inclusion and exclusion criteria, out of which 125 were in experimental group and control group each. The conceptual framework for the study was based on Ernestine Wiedenbach’s “The helping art of clinical nursing theory” (1964). Tools used were questionnaire on sexual awareness, 5 point likert scale on sexual assertiveness and situational questionnaire on sexual assertiveness. The sexual assertiveness training programme was administered over 2 hours in a week for 5 consecutive weeks. Data was analyzed using descriptive and inferential statistics. Results: The sexual assertiveness training programme was effective in improving school going adolescents sexual awareness (pre test, post test comparison t = 7.157, P < 0.001, Post test comparison t = 3.286, P < 0.001) sexual assertiveness (pre test, Post test comparison t = 13.397, P < 0.001, Post test comparison t = 6.749, P < 0.001) sexual assertiveness according to situational questions (Pre test comparison t = 8.839, P < 0.001, Post test comparison t = 5.38, P < 0.001). There was a significant positive relationship found between sexual awareness and sexual assertiveness (r = 0.41). Conclusion: Sexual awareness and sexual assertiveness of school going adolescents were not adequate to protect themselves. Study findings conclude that sexual assertiveness training programme was effective in improve sexual awareness and sexual assertiveness among school going adolescents.

Keywords

Adolescents, Sexual Assertiveness, Sexual Awareness, Sexual Assertiveness Training Program).

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