Volume 4, Issue 4, April – 2019 International Journal of Innovative Science and Research Technology

ISSN No:-2456-2165

A Study to Assess the Effectiveness of the Structured

Teaching Programme on Knowledge Regarding
Prevention and Management of Neonates with
Hyperbilirubinemia among Mother of Newborn
Admitted in HSK Hospital of Bagalkot
1 2
Daneshwari. Hiremath Dr. Deelip S. Natekar
Associate professor Child Health Nursing Department Principal and H.O.D, Community Health Nursing
B V V S Sajjalashree Institute of Nursing Sciences Department, B V V S Sajjalashree Institute of Nursing
Navanagar, Bagalkot-587102 Sciences, Navanagar, Bagalkot-587102
3 4
Dr. Praveen. Patil Jayashree .A
Associate Professor, Community Health Nursing Department Associate Professor, Department of obstetrical and
B V V S Sajjalashree Institute of Nursing Sciences Gynecology Nursing Department
Navanagar, Bagalkot-587102 B V V S Sajjalashree Institute of Nursing Sciences
Navanagar, Bagalkot-587102
5
Shravankumar.B. Lachyan
Corresponding Author

Abstract:- questionnaire which has two sections. Section-A

provides about socio-demographic data and Section-B
 Introduction deals with the knowledge regarding prevention and
Becoming the mother is very happy movement management of neonates with hyperbilirubinemia
for the woman . The mother should maintain her among mother of newborn. Collected data was
health during the pregnancy to get a healthy baby . The analyzed by using descriptive and inferential statistics
gift which a mother can give to her baby is health . The in terms of frequencies, percentage, mean, standard
structure teaching program was carried out to assess deviation, chi-square values, correlation co-efficient
knowledge regarding prevention and management of and ‘t’ test.
NEONATES with HYPERBILIRUBINEMIA among
mother admitted in selected hospital of BAGALKOT  Results
the study was conducted by our researchers. The The higher percent of respondents (36.6%) found
neonatal jaundice effects one In two infants globally in the age group of below 20 years, 73.3% were Hindu,
the jaundice is result of accumulation of bilirubin as 53.3% were from nuclear family, 70% were having
fetal hemoglobin is metabolized by the immature liver. urban residence 40% of them were having secondary
school education and 66.67% of them were housewife’s.
 Objectives During pre-test (80%) majority of the mother’s of
To assess the knowledge of mother’s regarding newborn were having poor level. In the post-test, all the
prevention and management of hyperbilirubinemia. mothers showed improvement in their knowledge
Evaluate the structured teaching programme on regarding prevention and management of neonates
prevention and management of hyperbilirubinemia with hyperbilirubinemia among mother of newborn,
among mother’s admitted at HSK hospital. To identify 56.67% were having very good level of knowledge,
the associate post test knowledge of mother with 3.37% of them were having average level of knowledge
selected socio-demographic areas among mother’s and 40% of them having good knowledge and none of
admitted in HSK hospital Bagalkot. them were possessing very poor level of knowledge.
This shows that the structured teaching programme
 Methods was effective in improving the knowledge regarding
The research design adopted for the study was prevention and management of neonates with
pre-experimental research design method. The research hyperbilirubinemia among mother of newborn. This
approach selected for the study was one group pre-test chi-square value of the post-test level of knowledge
research approach. Non probability convenient were significant association between ages, religion, type
sampling was used for the study. 30 mothers of of family, residence, educational status and
newborns were selected for the study. The tool used for occupational status of the mother. The findings of the
the data collection was structured knowledge study concluded that mothers of newborns had

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Volume 4, Issue 4, April – 2019 International Journal of Innovative Science and Research Technology
ISSN No:-2456-2165
inadequate level of knowledge regarding prevention II. RESEARCH METHODOLOGY
and management of neonates with hyperbilirubinemia
among mother of newborn. The structured teaching The study is aimed to evaluate the effectiveness of
programme was effective in improving the knowledge structured teaching program on knowledge regarding
of the mothers. prevention and management of neonates with
hyperbilirubinemia among mother of newborn admitted in
 Interpretation and Conclusion HSK hospital of Bagalkot .
The findings of the study concluded that mothers
of newborns had inadequate knowledge there regarding  Research Approach
prevention and management of neonates with As evaluative approach using pre-test (O1) and post-
hyperbilirubinemia among mother of newborn. STP test (O2) without a control group was adopted for this
was highly effective in improving the knowledge of study in order to accomplish the objectives study is the
mothers of newborn regarding prevention and mothers who are admitted in HSK hospital bagalkot .
management of neonates with hyperbilirubinemia
among mother of newborn.  Sample
The same for the present study composed of 30
Keywords:- Mothers, Prevention And Management, mothers who are admitted in HSK hospital bagalkot .
Neonates, Hyperbilirubinemia, Newborn Effectiveness,
Structured Teaching Programme.  Sampling Technique
Sampling defines the process of selecting the group
I. INTRODUCTION of people or other elements with which to conduct the
study. Convievent technique method was adopted to select
“When my daughter was born she had jaundice, she was the samples for the present study based on inclusion
small, round and yellow. We called her Melony.” criteria.
-Milton Jones
 Development and Description of the Tool:
New born babies contributes the foundation of a The data collections technique was structured
nation. Healthy babies are like to evolve as physically and knowledge questionnaire keeping in this mind structured
mentally strong adults with enhanced quality of human knowledge questionnaire was selected and developed on
resource development. Almost one in every three babies in prevention and management of hyperbilirubenimia . The
the world dies before they are four weeks of life. Fifty tool was prepared on the bases of objective of the study.
percent of neonatal deaths occur within first one week of
life and majority of them within the first twenty four  Reliability of the Tool
hours1. In India 26 million children born each year; among This is done by critically evaluating questions based
12 million children die during the first four weeks. on difficulty index and discriminative index. The reliability
Neonatal jaundice is one of the most common neonatal index was r= 0.89 r: Reliability co-efficient of the half
problems. Nearly 65-70% of neonates have visible test.
jaundice in the first few days of life. The word jaundice is
derived from the French word jaundice meaning yellow  Data Collection
when it is said a baby is jaundiced, it simply means that the After obtaining the prior permission from the
color of skin appears yellow, which is often seen in the principal of Sajjalashree institute of nursing sciences and
first few days after birth. The yellow color is due to the formal permission from Dean of HSK hospital Navanagar
bilirubin that is produced when red bloods cells get old and Bagalkot Karnataka the main study was conducted. The
are broken down by the body. When there is excessive red main study was conducted. The investigator given self
blood cell breakdown, the bilirubin level in the blood goes introduction explained the purpose of the study, subject’s
up and it also gets deposited in the tissues imparting a willingness to participate in the study was ascertained. The
yellow color to the skin2. Jaundice is the commonest subjects are assured anonymity and confidentiality of the
abnormal physical finding during first week of life. In all information provided by them and written informed
newborn babies red blood cells are breaking down at consent was obtained
relatively high rate. One of the by-products of this process
is bilirubin. Since all babies experience high levels of III. RESULTS
amounts of bilirubin can cross the blood brain barrier,
where it may cause neurological damage, hearing loss and “BE VOICE, NOT AN ECHO” ALBERT EINSTEIN
even seizure and death3. Incidence of jaundice varies with
ethnicity, geography and sex. The purpose of analysis is to reduce the data to
intelligible and interpretable forms so that the relation of
problems can be studied and tested. The interpretation of
tabulated data can bring to light these real meaning of the
finding of the study, analysis and interpretation of data for
present study is based on data collected from 30 mothers of
newborns.

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Volume 4, Issue 4, April – 2019 International Journal of Innovative Science and Research Technology
ISSN No:-2456-2165
 Objectives
 Assess the knowledge of mother’s regarding prevention
and management of hyperbilirubinemia.
 Evaluate the structured teaching programme on
prevention and management of hyperbilirubinemia
among mother’s admitted at HSK hospital.
 To identify the association of post test knowledge of
mother with selected socio-demographic areas among
mother’s admitted in HSK hospital Bagalkot.

 Organization of Findings
In this study the data was organized, tabulated,
analyzed and interpreted by means of statistical tables and
graphs and is organized under the following headings.

Section I: description of socio demographic

characteristics of the sample. The demographic data will
be analyzed using frequency and percentage.
Fig 2:- Percentage wise distribution of study subject
Section II: Assessment of knowledge of mother regarding according to religion
prevention and management of hyperbilirubinemia.
Percentage wise distribution of study subject
Section III: evaluation of the structured teaching according to age reveals that majority (36.64%) of sample
programme among mother’s regarding prevention and was below 20 yrs, least above 30 years (0.1%) and rest of
management of hyperbilirubinemia in newborn. the samples were between 21-25 years and 26-30 years
percentage distribution is (30%) and (33.43%) respectively
Section IV: association between post test knowledge of (figure 1)
mother with selected socio-demographic areas among
mother’s regarding prevention and management of Percentage wise distribution of study subject
hyperbilirubinemia among newborns. according to religion reveals that majority (73.3%) of
sample was Hindu, least Christian (3.3%) and rest of the
The section distributed the sample as follows: samples were Muslims (23.3%) (Figure 2).
 Distribution is knowledge scores of sample regarding
prevention and management of hyperbilirubinemia
among newborns.

SECTION I: Description of socio demographic

characteristics of the sample.

Fig 3:- Percentage wise distribution study subjects

according to family

Fig 1:- Percentage Wise Distribution of Study Subject

According to Age

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Volume 4, Issue 4, April – 2019 International Journal of Innovative Science and Research Technology
ISSN No:-2456-2165

Fig 4:- Percentage wise distribution of study subjects

according to residence Fig 6:- Percentage wise distribution of study subjects
according to occupational status
Percentage wise distribution of study subject
according to type of family reveals that majority (53.33%) Percentage wise distribution of study subject
of sample were belongs to nuclear family, least were according to educational status reveals that majority (40%)
extended family (20%) and rest of the samples were of sample were Housewife, least self employee (0%) and
belongs to joint family (26.67%) (Figure 3).Percentage rest of the samples were private employee, government
wise distribution of study subject according to residence employee and daily wage workers is (20%),(10%),(3,33%)
reveals that majority (70%) of sample were belongs to respectively. (figure 6).
Urban and rest of the samples were belongs to Rural (30%)
(Figure 4)

Fig 7:- percentage wise distribution of study subject related

to sources of information reveals that majority (70%) of
Fig 5:- Percentage wise distribution of study samples
sample were have no any information, least from family
according to educational status
members (5%) and rest of the samples from mass media
(10%) and health professionals (10%) respectively (figure
5.7)

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ISSN No:-2456-2165
SECTION II: Assessment of knowledge of mother Part I: Percentage wise distribution of study subject
regarding prevention and management of according to the level of knowledge in pretest.
hyperbilirubinemia

Test Levels Of Number Percentage(%)

Knowledge
Pre-Test Very good 0 0%
Good 0 0%
Average 0 0%
Poor 6 20%
Very Poor 24 80%
Table 1:- Percentage wise distribution of study subject according to the level of knowledge in pretest.

Table 1 depicts that pre test knowledge score mothers

regarding prevention and management of neonates with PART II: Comparison of knowledge score of mothers
hyperbilirubinemia. In this study majority of the mothers regarding prevention and management of
24(80%) had very poor level of knowledge and 6(20%) of hyperbilirubinemia before and after STP.
them had poor level of knowledge regarding prevention
and management of neonates with hyperbilirubinemia

Level of Pre Test Post Test

Knowledge No of Percentage No of Respodent Percentage
Respondent
VERY GOOD 0 0 17 56.66
GOOD 0 0 12 40
AVERAGE 0 0 1 3.34
POOR 6 20 0 0
VERY POOR 24 80 0 0
TOTAL 30 100 30 100
Table 2:- Comparison of knowledge score of mothers regarding prevention and management of hyperbilirubinemia before and
after STP.

Table 2 reveals that pre test knowledge score mothers SECTION III: Evaluate the effectiveness of STP on
regarding prevention and management of neonates with knowledge regarding prevention and management of
hyperbilirubinemia. In this study majority of the mothers hyperbilirubinemia in newborns.
24(80%) had very poor level of knowledge and 6(20%) of
them had poor level of knowledge regarding prevention SECTION IV: Association between post test knowledge
and management of neonates with hyperbilirubinemia. score and selected socio-demographic variables.
After STP subjects had very good knowledge followed by H2-There will be significant association between the
56.66%, had good knowledge 40%, had average knowledge and selected demographic variables among
knowledge 3.34% knowledge regarding prevention and mothers of newborns.
management of neonates with hyperbilirubinemia.

S.I. NO Socio DF Chi square T value Level of Association

Demographic Significant
Variable
1 Age 1 0.889 3.84 0.05 N
2 Religion 1 0.001 3.84 0.05 N
3 Type of 1 3.229 3.84 0.05 N
Family
4 Residence 1 0.233 3.84 0.05 N
5 Educational 1 2.143 3.84 0.05 N
Status
6 Occupational 1 0.312 3.84 0.05 N
Status
Table 3:- Association between post test knowledge score and selected socio-demographic variables.

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 Volume 4, Issue 4, April – 2019 International Journal of Innovative Science and Research Technology
ISSN No:-2456-2165
Table 3: summarize that the finding presented in the
table reveals that there was no significant association
between knowledge and selected demographic variables of
mothers of newborns like age, religion, type of family,
residence, educational status, occupational status.

IV. CONCLUSION

The study was conducted on the mother’s who are

admitted in HSK hospital BAGALKOT and the knowledge
regarding the care of HYPERBILIRUBINEMIA by the
mother’s after the structure teaching program the
knowledge level in the mother we improved and soo we
come to the conclusion that the study was effective in the
hospital and according to the acalculation also the study
was positive so this education can be implemented in all
hospital and reduce the rate of HYPERBILIRUBINEMIA
among the NEONATES

SUMMARY

This chapter deals with the analysis and interpretation

of findings of the study. The data gathered were
summarized in master sheet and both descriptive and
inferential statistics were used for analysis. Findings
reveals that the post test mean 24.13 was higher than
pretest knowledge score 5.36.T test was used to analysis
the effectiveness, which showed that the gain in
knowledge.

REFERENCES

[1]. Post graduate medicine “Neonatal jaundice “

106Nevember 1999.
[2]. shetty asha P “Hyperbilirubinemia and effect of
phototherapy among full term newborn” Nursing
journel of india july 2003.
[3]. www.kelliway.com “jaundice in newborn “
[4]. www.medicinenet.com
[5]. www.nhs.uk
[6]. www.ncbi.nlm.nih.gov>pubmed
[7]. Bhutani k vinod “ kernicterus a never event : A
newborn safety “? Indian journel of paediatrics
volume 702, January,2005
[8]. Wiley Catherine C “nursery practices and detecteion
of jaundice after newborn discharge” Indian pedirics
volume 108,july2000.
[9]. petro Anna, Mehta Rajeev et al “management of
neonatal hyperbilirubinemia : pediatrician and
educational needs “ BMC pediatrics volume 6 2006.
[10]. Hartle Martin , Doxon koren < Shedien Susuan,”An
honest approach to patient enganement’ Usa today
December 2006.
[11]. www.Med india.com
[12]. www.informaticsjournals.com

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