Informatics Publishing Limited

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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