"A STUDY TO ASSESS THE KNOWLEDGE REGARDING MYOCARDIAL

INFARCTION AND IT’S RISK FACTORS AMONG 2nd YEAR GNM STUDENTS AT
SELECTED NURSING COLLEGES BANGALORE WITH A VIEW TO PREPARE
AN INFORMATIONAL GUIDESHEET"

By
Mr. A.
Aravinth Ms.
Kirthana .N Ms.
G. Sharmila
Ms. R. Easther praveena

Dissertation Submitted to the

Bethel medical institute of Nursing Sciences, Bangalore, Karnataka

In partial fulfillment of the requirements for the degree of

BACHELOR OF SCIENCE IN NURSING

Under the guidance of

PROF. MRS.SHAMPALATHA, M.SC
(N) PRINCIPAL
BETHEL MEDICAL INSTITUTE OF NURSING SCIENCES
LAGGERE, BANGALORE
2019-2023

i
 CERTIFICATE BY THE GUIDE

This is to certify that the dissertation entitled "A STUDY TO ASSESS THE
KNOWLEDGE REGARDING MYOCARDIAL INFARCTION AND IT’S RISK
FACTORS AMONG 2nd YEAR GNM STUDENTS AT SELECTED NURSING
COLLEGES BANGALORE WITH A VIEW TO PREPARE AN INFORMATIONAL
GUIDESHEET" is a bonfide research work done by Mr. A. Aravinth , Ms. kirthana.N ,
Ms.G.Sharmila, Ms. R. Easther praveena a partial fulfilllment of the requirement for the
degree of Bachelor of science in nursing.

Signature of guide
Prof. Mrs. Shampalatha ,M.Sc(N)
Principal,
Department of Community Health Nursing,
Date: Bethel Medical Institute of Nursing Sciences,
Place: Bangalore Bangalore.
.

ii
 ENDORSEMENT BY THE HOD,PRINCIPAL/HEAD OF THE
INSTITUTION

This is to certify that the dissertation entitled "A STUDY TO ASSESS THE
KNOWLEDGE REGARDING MYOCARDIAL INFARCTION AND IT’S RISK
FACTORS AMONG 2nd YEAR GNM STUDENTS AT SELECTED NURSING
COLLEGES BANGALURU WITH A VIEW TO PREPARE AN INFORMATIONAL
GUIDESHEET"is a bonafide research work done by, in partial fulfillment of the
requirement for the degree of Bachelor of Nursing science in Bangalore.

Seal &Signature of the principal

Prof. Mrs. Shampalatha MSC (N)
Date: Principal

Place: Bangalore Bethel Medical Institute of Nursing Sciences,

Bangalore.

iii
 ACKNOWLEDGEMENT
“ EVERYTHING IS POSSIBLE WITH THE GRACE OF THE GOD”

I praise and thank God Almighty for his abundant grace and blessings showered
upon me thorough out the study.

The investigator owes a deep sense of gratitude and appreciation to all those who
have contributed to the successful completion of this endeavor. I am deeply grateful to Prof.
Dr. Sunny Daniel, Bethel Medical Institute of Nursing Sciences, Bangalore for their
encouragement and support and rendering me an opportunity to do the UG programmers in
their esteemed institution. As the investigator for this study, I owe my sincere thanks and
gratitude to all those who have contributed towards the successful completion of this
endeavor.

I would like to express my gratitude to Prof Dr. Suvarna.B.Talwar, Dean, Bethel

Medical Institute of Nursing Sciences, for her guidance, constructive suggestions and
encouragement which has made this study a successful one.

I would like to express my gratitude to Prof. Mrs. Shampalatha, Principal, Bethel

Medical Institute of Nursing Sciences, for her guidance, constructive suggestions and
encouragement which has made this study a successful one.

This study has been undertaken and completed under the inspiring guidance of Prof.
Mrs.Sudha, Department of Obstetrics and gynecology, Bethel Medical Institute of Nursing
Sciences, Bangalore. I express my sincere gratitude to my mentor for her inspiring guidance,
suggestions, and constant encouragement, which have made this study a fruitful and enriching
learning experience.

It’s our privilege to convey our sincere thanks to our Asst. Prof. Mrs. Laiji,
Department of Obstetrics and gynecology, for her support and guidance with her valuable
suggestions and corrections.

My sincere thanks are due to Prof. Mrs. Pavin Jehoshba P.V, Statistician, for his
expert guidance.

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 It is my privilege to convey my sincere thanks to the Experts who have
validated the research tool and have guided me with their valuable suggestions and
corrections. I thank all the participants who had extended their kind co-operation and
participation in this study.

Thanks to all the staff of library, Bethel Medical Institute of Nursing Sciences,
for providing all the facilities for the completion of this study.

My sincere Thanks and gratitude to all my classmates and friends who have
helped me in the successful completion of this study.

Above all I bow my head in reverence to god almighty for guide me to reach
the steps and complete my study. Has omnipresence has been my anchor through the
fluctuating hard times and makes it all possible.

Date: Signature of candidates

Place: Mr.Aravinth
Ms.Kirthana
Ms.G.Sharmila
Ms.R.Easther Praveena

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 LIST OF ABBREVIATIONS

1. MI : Myocardial Infraction
2. AMI : Acute myocardial Infraction
3. CVD : Cardio Vascular Disease
4. STEMI : ST-segment Evaluation Myocardial Infraction
5. NSTEMI : Non ST-segment Evaluation Myocardial Infraction
6. WHO : World Health Organization
7. CHD : Congenital Heart Disease
8. CAD : Coronary Artery Disease
9. SD : Standard Deviation
10. DF : Degree of Freedom
11. X2 : Chi square

vi
 ABSTRACT

Statement of the problem:

“A study to assess the knowledge regarding myocardial infarction

and it’s risk factors among 2nd year GNM students at selected nursing colleges
Bangalore with a view to prepare an informational guide sheet .

BACKGROUND OF THE STUDY

Acute Myocardial infraction (AMI) are the number one cause of

mortality. According to the World Health Organization (WHO), it is estimated
that 7.4 million deaths were due to coronary heart disease in 2015. Eighty-two
percent of deaths in low- and middle- income countries are accountable for (MI).
the age- standardized estimate of mortality by Myocardial infraction and diabetes
per 100,000 people. It is estimated that 23.6 million people will die from (AMI)
by 2030. These are projected to remain the leading cause of mortality.

The present study was conducted to find out the knowledge of MI

and its risk factors among2nd year GNM students at selected nursing colleges
Bangalore.

THE OBJECTIVES OF THE STUDY

The objectives of the study to:

1. To assess the level of knowledge regarding myocardial infarction and it’s

risk factors among 2nd year GNM students.

2. To determine the association between the knowledge level of myocardial

infarction and its risk factors with selected demographic variables.

vii
Hypothesis:

H1: There will be any significant association between knowledge level of myocardial
infarction and its risk factors and demographic variables such as age, sex, religion type
of family, family income, etc.

Research design:

The research design used in my study was non-experimental exploratory design.

Research approach:

A quantitative exploratory survey approach was adopted for the study.

Research setting:

The study was conducted in selected nursing college, Bangalore.

Population:

The population of the study consisted of 2nd year GNM students in selected
nursing colleges.

Sample and sampling technique:

The samples were thirty 2nd year GNM student who are receiving knowledge of
myocardial infarction and it’s risk factors at selected nursing colleges Bangalore with a
view to prepare an informational guide sheet. Non probability purposive sampling
technique was chosen for the study.

Tool:
The tool used for the collection of data was structured interview schedule. It

Consisted two sections:

Section 1: Consisted of items on demographic perform.

Section 2: Consisted of thirty knowledge assessment items on myocardial infarction and

its risk factors.

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 Data collection method:
A formal written permission was obtained from the director of selected college of
nursing in Bangalore. The main study data collection was done from 1 st of Jan to 30th to
Jan 2023.The total sample of the main study consists of thirty 2nd year GNM students from
selected nursing colleges Bangalore with a view to prepare an informational guide sheet.
Data was collected from the sample by administering knowledge regarding schedule
before and after the knowledge regarding. Each day around 3 to 4 students were
interviewed and each session lasted for about 35 to 40 minutes and it took 25 to 30 days
to complete the study.

Data analysis:
The data was planned to analyze on the basis of objective and hypothesis of the
study, The obtained data was analyzed using descriptive and inferential statistics and
interpreted in terms of objective and hypothesis of the study

RESULT

Major findings of the study

Section-1: Distribution of 2nd year GNM students according to socio demographic

variables.

Age: Most of the participants, 8.3% were falling in the age group of 19-20 years and
10%, were distributed in the 21-22 years and 7% were distributed in the 23-24 years.

Sex: Most of the participants, 14%were distributed in male and 86% were distributed in
female.

Religion: Most of the participants, 80% were distributed in Hindus, 16% were distributed
in Muslims, and 4% were distributed in Christi

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Types of Family: Most of the participants, 16% were distributed in nuclear family &
84%, were distributed in Joint family.

Family Income: 76% were distributed in Rs.10,000per month and 13% were distributed
in Rs.20,000 per month and 11% were distributed in Rs.30,000 per month.

Family history of MI: Most of the participants, 34% family have history of MI, 66%
family not have history of MI.

Sources of Information: Most of the participants, 86% were distributed in family &
friends & 10% ware distributed in personal and 4% were distributed in Printed media.

Any family member in the medical or paramedical field: Most of the participants,
70% were distributed in the family member in the medical field and 30% distributed in
the paramedical field.

Section-2: Analysis and interpretation of score of knowledge on myocardial

infraction.

The mean knowledge score obtained by 2nd year GNM students who is
receiving myocardial infraction mean percentage was (15.2), medium percentage was
(15.38) with standard deviation(5.5).

In the area wise analysis, the participants had 40.9% on basic concept on MI. In
those areas they had very poor knowledge 27.7% regarding drug regimen and adherence of
art.

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Section-3: Association of knowledge on MI with the selected demographic variable.

There is no significant association between knowledge on myocardial

infraction and demographic variable such as age (X 2-4.28), religion (X2-0.013), sex
(X2-5.86), type of family (X2-8.89), family income (X2-1.9),history of myocardial
infraction (X2-0.47), source of information (X2-3.84), any family member medical or
paramedical field (X2-3.21).

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 TABLE OF CONTENTS

SL NO TITLE PAGE NO

1. Introduction

2. Objectives

3. Review of literature

4. Methodology

5. Results

6. Conclusion

7. Summary

8. Bibliography

9. Annexures

xii
 LIST OF TABLES

SL NO TABLE PAGES

Distribution of 2nd year GNM students according to their

1.
age

Distribution of 2nd year GNM students according to their

2.
religion

Distribution of 2nd year GNM students according to their

3.
sex

Distribution of 2nd year GNM students according to their

4.
type of family

Distribution of 2nd year GNM students according to their

5.
family income in rupees

Distribution of 2nd year GNM students according to

6.
their family of history of MI

Distribution of 2nd year GNM students according to

7.
their source if information

Distribution of 2nd year GNM students according to

8. their any family member in the medical or paramedical
field

9. Frequency distribution of socio demographic variables of

samples

xiii
10. Frequency and percentage distribution of knowledge

score of students risk factors of myocardial infraction

11. Association between knowledge score of myocardial

infraction

12. Mean and standard deviation, mean difference t value

of pre-test knowledge score

Association of pre-test knowledge score with their selected

13.
demographic variables of 2nd year GNM students

xiv
 LIST OF FIGURES

SL NO FIGURES PAGE
NO
1. Modified conceptual framework based
on Hildegard.E.Peplau interpersonal
theory
2. Schematic representation of research design

3. Bar diagram showing the distribution of age

4. Pie diagram showing the distribution of religion

5. Cone diagram showing the distribution of sex

6. Column diagram showing the distribution of type of

family
7. Pie diagram showing the distribution of family
income in rupees
8. Pie diagram showing the distribution of family
history of MI
9. Doughnut diagram showing the distribution of based
on source of information
10. Cone diagram showing the distribution of any family
member in the medical or paramedical
11. A bar diagram showing the percentage distribution of
pre-test knowledge score of myocardial infraction

12. Percentage distribution of knowledge score regarding risk

factor of myocardial infraction
13. A bar diagram shows the mean value of pre-test
knowledge score

xv