A Study to Assess the Effectiveness of Self Instructional Module on Knowledge Regarding Stress Management among the Relatives of Patient who got Admitted in Selected ICUS in Mehsana City

Background- Although patients in intensive care units (ICUs) receive care for a large variety of disease states, the leading causes of death in the ICU are multi organ failure, cardiovascular failure, and sepsis. Multi organ failure has a mortality rate of 11% to 18%. Sepsis, the second leading cause of death in non coronary ICUs, carries a mortality rate of 25% to 30%. Of patients who are diagnosed with sepsis, up to 51% will develop acute renal failure, up to 18% will have acute respiratory failure, and up to 80% will develop a myopathy or polyneuropathy. Overall mortality rates in patients admitted to adult ICUs average 10% to 29%.Recent studies have shown that the pediatric mortality rate associated with sepsis is 13.5%, whereas the overall mortality rate for pediatric ICU patients ranges from 2% to 6%. A mortality rate of 6.04% has been reported in ICUs with intensivist staffing compared with 14.4% when a non-intensivist attending provides care. 

Aims and Objective- To assess the existing knowledge regarding stress management among the patient who got admitted in ICUs. To assess the effectiveness of self instructional module. To associate the post test knowledge score with selected demographic variables.

Material and Methods: Non probability purposive sampling. Data collection is the gathering of information from the sampling unit that is Deep ICU, Mehsana. The investigator collected the data from the 30 relatives of ICU patient. A structured questionnaire (closed ended) was used as a method of data collection. A quasi experimental study was undertaken to assess the effectiveness of SIM on knowledge regarding Stress management among relatives of ICUs patient. Data were collected from 30 relatives by purposive sampling technique and close ended structured questionnaire used to collect data; the data were analyzed by descriptive and inferential statistics.

Result: Finding revealed that the highest percentage (33.33%) were in the age group of 26-33 years ,(73.33%)relatives were Hindu,(36.66%) of the relatives had secondary education level,(73.33%) were married,(26.66%) relationship with patient had their father,(56.66%)relatives belongs to nuclear family,(56.66%)of the relatives has family income 5000-10000Rs.,(93.33%)relatives were not performed exercises daily,(76.66%) relatives had not previous knowledge about stress management. Findings revealed that the pre test level of knowledge score was (9.4 2.31) which is 47%whereas in the post test score was (14.5±1.9) which is (72.5%).The effectiveness was found (25.5%). The paired test value shows the significant difference between the pre test and post test level of knowledge score and chi square value were calculate to find out the association between the post test level of knowledge and selected demographic variables of the relatives. Finding reveals that there was significant association between the types of family with post test knowledge score. Hence the stated hypothesis was accepted.