International Journal of Advances in Nursing Management

Elsamol Francis ¹, Fima Steephan ¹, Gency George ¹, Gifna Inasu ¹, Sneha Antony ¹, Sowmya C Philip ¹, Twinkle Joseph P ¹, Vismaya K V ¹, Chinju Raj ², Dhanya CHF ³, Angela Gnanadurai ⁴

Affiliations
1 Fourth Year B.Sc Nursing, Students, Jubilee Mission College of Nursing, Kachery, Thrissur., IN
2 Asst.Professor, Jubilee Mission College of Nursing, Kachery, Thrissur., IN
3 Associate Professor, Jubilee Mission College of Nursing, Kachery, Thrissur., IN
4 Professor, Jubilee Mission College of Nursing, Kachery, Thrissur., IN

Abstract

Introduction: In a developing nation like India, the children serve as the true backup for the growth of the country. Many of the children residing at home with their parents but another large group of children live in orphanages. There is a great difference in the mental health among these two group of children, and it will help to assess the strength and difficulties among school going girls residing at home and orphanage. Objectives: To assess the strength and difficulties among the school going girls residing at home and orphanage. To compare thestrength and difficulties of the school going girls residing at home and orphanage. To find the association between scores of strength and difficulties of the school going girls residing at home and orphanage with selected socio-demographic and clinical variables. Research Methodology: Quantitative research approach was used to assess and compare the strength and difficulties among school going girls residing at home and selected orphanage at Thrissur. Non experimental descriptive research design was adopted for the study. The study was conducted among 60 samples, 30 school going girls residing at home from St. Sebastian Convent girls high school and 30 from Rehoboth Orphanage Thrissur. (Between the age group 12 to 14) Samples were selected by nonprobability convenient sampling. The tool has two section, section A and B Socio demographic section and strength and difficulty questionnaire by Robert N Goodman respectively. Result: The data was analysed and association was calculated using chisquare and anova test. It shows that there were significant increase (P=0.004) in difficulty among girls from orphanage compared to girls from home. There was significant association of strength with age (p=0.014) among school going girls from home.

Keywords

Strength, Difficulties, Prosocial, Emotional problems, Conduct problem, Hyperactivity problem, Peer problem, School going girls, Home, Orphanage.

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Deleena A. J. ¹, Delna Mary George ¹, Delsey Joseph ¹, Dona M. Rajan ¹, Jisna Joy ¹, Josmy Joseph ¹, Lakshmi Ajayakumar ¹, Mariya Johny Johny ¹, Phiyona Johny ¹, Ambily Ulahannan ², Seeja Jacob ³, Angela Gnanadurai ⁴

Affiliations
1 Fourth Year B.Sc Nursing, Students, Jubilee Mission College of Nursing, Kachery, Thrissur., IN
2 Lecturer, Jubilee Mission College of Nursing, Kachery, Thrissur., IN
3 Asst. Professor, Jubilee Mission College of Nursing, Kachery, Thrissur., IN
4 Professor, Jubilee Mission College of Nursing, Kachery, Thrissur., IN

Abstract

A study to assess the effectiveness of structured teaching programme on level of knowledge and practice of domestic chlorination of well among home makers of the selected urban community in Kachery, Thrissur. Objectives: To assess the level of knowledge and practice on domestic chlorination of well among homemakers of the selected urban community in Kachery, Thrissur, before and after intervention. To compare the level of knowledge and practice on domestic chlorination of well among homemakers of the selected urban community in Kachery, Thrissur. To correlate the knowledge and practice on domestic chlorination of well among homemakers of the selected urban community in Kachery, Thrissur. after. Methodology: A Pre experimental one group - pretest - post test design is adopted to the present study. We selected 40 samples through non probability Purposive Sampling Technique. Domestic chlorination awareness questionnaire was administered by interview method for assessing pretest level of knowledge. After the pretest, a structured teaching programme was given to the subjects and post test was conducted on the 4th day with same questionnaire. The data collected was analyzed by using descriptive and inferential statistics. Results: the demographic data contain frequency andpercentage distribution of samples showed that with regard to age, majority of the samples 22 (55%) were the group of 46-55 years age, most of the samples 21 (52.50%) had ≤4 members and 6 (7.50%) had only six members. Regarding the religion, most of them were 35 (87.50%) Christian and only 5 (12.50%) belongs to Hindu religion. Majority 34 (85%) of samples were unemployed. With regard to education, 15(37.50%) of samples were primary educated and 14 (35%) were secondary educated and only11 927.50%) were graduated. In the post test checklist, 100% had adequate knowledge regarding the steps of chlorination. There is highlypositive correlation between post test knowledge and practice Discussion: At the end of the study, investigation team found that the level of knowledge of homemakers on domestic chlorination of well were inadequate before the administration of structured teaching programme. The structured teaching programme was able to provide more knowledge about domestic chlorination of well, which was evident in the post test knowledge score.

Keywords

Domestic chlorination, well, home makers, urban community, Knowledge, demonstration.

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Jeril Joji ¹, Jinumol Jose ¹, Josna Augustine ¹, Mariya Johny ¹, Sandra Joseph ¹, Seeja Jacob ², Angela Gnanadurai ³

Affiliations
1 IVth Year BSC(N) Students*, Jubilee Mission College of Nursing, Thrissur., IN
2 Asst. Professor, Jubilee Mission College of Nursing, Thrissur., IN
3 Professor, Jubilee Mission College of Nursing, Thrissur., IN

Abstract

Title of study: A study to assess the impact of COVID-19 pandemic on physical, psychological, economical and social status among general population in selected areas of kachery, Thrissur. Introduction: COVID-19 has caused serious impact on every society globally. The COVID-19 caused physical, psychological, economical and social impact on general population. Objectives: To assess impact of COVID-19 pandemic on physical, psychological, economical and social status among general population in selected areas of Kachery, Thrissur. To associate the impact of COVID-19 pandemic on physical, psychological, economical and social status with selected socio demographic variables. Methodology: The study was conducted among 100 samples from selected areas of Kachery, Thrissur. The research design of the study is descriptive design and sample was collected by convenient sampling method. Tool: The tool consists of 2 sections. Section A: Socio-demographic and clinical data profile. Section B: Self developed checklist to assess the impact of covid-19 on physical, psychological, economical and social status. Results: The findings shows that, in socio-demographic and clinical data profile, 54(54%) are below 50 years of age while 46(46%) are above 50 years of age. Most of the samples 60(60%) are females and 40(40%) are males. Among 100 samples, about 31(31%) have hypertension, 49(49%) have diabetes mellitus and 20(20%) are suffering from other type of diseases. About 68(68%) of the samples belong to APL and 32(32%) belong BPL. Overall 22(22%) sample is having moderate impact on COVID-19 pandemic, 78(78%) sample is having low impact on COVID-19 pandemic and no sample is having high impact on COVID-19 pandemic. 1(1%) of sample have high psychological impact. 3(3%) of sample have moderate physical impact, 25(25%) have moderate psychological impact and 29(29%) sample have moderate economic impact and 30(30%) sample have moderate social impact. 97(97%) of sample is having low physical impact, 74(74%) of sample is having low psychological impact, 71(71%) of sample have low economic impact and 70(70%) sample have low social impact. There is significant association of co-morbid conditions of sample with impact of COVID-19. Discussion: At the end of the study investigator found that there is significant association of comorbid conditions of sample with impact of COVID-19 pandemic at p<0.05. Comorbid condition increases the impact of COVID-19 pandemic. There is no significant association of age, gender, occupation,residential place during the pandemic with impact of COVID-19 pandemic.

Keywords

Assessment of impact of COVID-19, physical, psychological, economical, social status, general population.

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Jeril Joji ¹, Jolitta Joy ¹, Mariya Johny ¹, Mary Hamlet ¹, Rini P. S ¹, Siya Saji ¹, Sukanya V ¹, Titty Scaria ¹, Sona Anto ², Anila James ², Sr. Philo Resmi ³, Angela Gnanadurai ³

Affiliations
1 III Year BSc(N) Students, Jubilee Mission College of Nursing, Thrissur., IN
2 Lecturer, Jubilee Mission College of Nursing, Thrissur., IN
3 Professor, Jubilee Mission College of Nursing, Thrissur., IN

Abstract

A study to assess the effect of structured teaching program on the level of knowledge and practice on administration of insulin among diabetic patients and their care givers in selected wards of JMMC&RI, Thrissur. Objectives: to assess the level of knowledge and practice on administration of insulin among diabetic patients and their care givers before and after intervention, to compare the level of knowledge and practice on administration of insulin among diabetic patients and their caregivers before and after intervention and to associate the pre-test level of knowledge and practice in administration of insulin among diabetes patients andtheir care givers with selected socio demographic and clinical data variables. Methodology: The study was conducted among 30 diabetes patients on insulin therapy using pre-experimental one group pre-test post-test design. Samples were selected by purposive sampling technique. The tool used for the study had 3 sections: Section A - Socio demographic and clinical data variables where the items include age, gender, marital status, educational status, occupation, monthly income, family history of diabetes mellitus, duration of illness, duration of insulin treatment, person administering insulin, any prior teachings on insulin administration and its source;Section B - Structured knowledge questionnaire; Section C - Structured practice checklist. Result: On data analysis it reveals that 14(46.7%) belongs to the age group of 61-80 years, 19(63.3%) are male, 29(96.7%) are married, 11(36.7%) have high school education, 18(60%) were unemployed‚ 14(46.7%) samples have family history of diabetes mellitus, 13(43.3%) have diabetes for less than 5 years and 4(13.3%) have duration of 11-15 years, 13(43.3%) take insulin for less than 1 year, 14(46.7%) administered insulin by themselves, 23(76.7%) had prior knowledge on insulin administration. The mean post-test knowledge score (19.46) of diabetic patients was higher than the mean pre-test knowledge score (10.2). The computed ‘t’ value (-19.631 ) showed a significant difference between the pre- test and posttest knowledge scores. The mean post-test practice score (19.60) of 30 diabetic patients was found to be significantly higher than their pre-test practice scores. There was a statistically significant relationship between the knowledge and practice level after structured teaching program (P<0.001). There was no significant association between knowledge and practice with selected socio demographic and clinical data variables. The teaching program was accepted by all subjects and showed their interest to learn theadministration of insulin.

Keywords

: Diabetic mellitus, insulin, knowledge and practice on insulin administration, diabetic patients and caregivers.

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Anagha P S ¹, Anagha Sudheesh ¹, Anjali P J ¹, Femy Paul ¹, Haritha T V ¹, Helna Jose ¹, Jomol K J ¹, Libitha Thomas ¹, Anila James ², Sr. Philo Reshmi ³, Angela Gnanadurai ⁴

Affiliations
1 IIIrd Year BSc (N) Students, Jubilee Mission College of Nursing, Thrissur., IN
2 Asst. Professor, Jubilee Mission College of Nursing, Thrissur., IN
3 Professor, Jubilee Mission College of Nursing, Thrissur., IN
4 Professor, Jubilee Mission College of Nursing, Thrissur, IN

Abstract

A study to assess the effect of structured teaching progamme on level of knowledge on selected aspects of home care management of patients undergoing hemodialysis in selected wards of Jubilee Mission Medical College and Research Institute. The Objectives: Of the study were to assess the level of knowledge of patients undergoing hemodialysis, to compare the level of knowledge on selected aspects of home care management among patients undergoing hemodialysis before and after structured teaching program and to find the association between the level of knowledge on selected aspects of home care management with selected socio demographic clinical data variables. Research Methodology: The study was conducted among 30 patients undergoing hemodialysis. The research design was pre-experimental one group pretest posttest design and sample was selected by purposive sampling techniques. The tool used for the study had 2 section: Section A-Socio demographic and clinical data variables; Section B-Structured knowledge questionnaire on selected aspects of home care management of patients undergoing haemodialysis. Data analysis was done using differential and inferential statistics. Results: On data analysis it reveals that 11(36.7%) belongs to the age group of 61-70 years. 23(76.6%) samples are males, 29(96.66%) samples are married, 16(53.3%) sample have only primary education, 7(23.3%) subjects have secondary education, 19(63.3%) are self employed, 7(23.3%) of subjects go for daily wage, 22(73.3%) of subjects have income less than 5000,18(60%) subjects have central venous catheter, 12(40%) subjects have AV fistula for dialysis. Most of the subjects 19(63.3%) are under treatment since 1 year ago and 22(73.3%) subjects have illness since 3 year ago. 26(86.67%) subjects does not have family history of renal disease and 16(53.3%) subjects have self knowledge about disease. In pretest about 15(50%) of samples have inadequate knowledge, 11(36.6%) have moderate knowledge and 4(13.33%) have adequate knowledge. In posttest 27(90%) of samples have adequate knowledge and 3(30%) have moderate knowledge. On comparison of pretest and post testknowledge it reveals that mean post test knowledge score 8(28.13%) was higher than mean pretest knowledge score 4(14.23%). Effectiveness of the health education was tested by t test, which revealed that it was effective at p<0.01. There was no significant association between pretest level of knowledge and selected socio demographic and clinical data variables.

Keywords

Hemodialysis, chronic renal failure, structured teaching progamme, home care management.

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