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Krupa Dissertation

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133 views

Krupa Dissertation

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amit
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Dissertation presentation

A STUDY TO ASSESS THE EFFECTIVENESS OF


PLANNED TEACHING PROGRAMME ON
KNOWLEDGE REGARDING CARDIOVASCULAR
DISEASE AMONG HIGH-RISK PATIENTS IN
SELECTED HOSPITAL OF SABARKANTHA DISTRICT

Presented By Guide Name


S.Y M.Sc. Nursing Student
Medical surgical Nursing
INTRODUCTION
BACKGROUND OF THE STUDY

Cardiovascular disease (CVD) is the leading cause of death not only in

industrialized and developed countries but also in developing societies (WHO, 2021).

Changes in lifestyle of the population living in developing countries, which is due to the

socioeconomic and cultural transition, are important reasons for increasing the rate of

CVD. This observation has led to extensive research on prevention. Diagnosis the risk

factors and predictors of CVD can help us detect high risk patients and prevent the

disease, effectively. Nowadays with a rapid progress in medical technology and

diagnostic tools, more predictors are being added to the previous list of CVD risk factors.

Therefore, we need to design updated risk assessment methods to screen high risk

individuals early in their life span.


Con……

Cardiovascular disease should now be considered an


important public health problem due to epidemiological
transition characterized by changing lifestyles and a problem
related to interplay of factors with regards to their existence,
casualty and attributes. (Bedi HS, 2018; Ahmad N, Bhopal
R, 2018; Wannammethee GS, 2019) The epidemiological
factors like ageing and changing lifestyles, which culminate
in an epidemic of non-communicable disease is rapidly
occurring in the developing countries. (Bedi HS, 2005;
Gupta R, et al., 2023)
NEED OF THE STUDY

•In today’s world, most deaths are attributable to non-communicable


diseases, 32 million and just over half of these, 16.7 million are as a result of
CHD. More than one third of these deaths occur in middle aged adults. In
developed countries heart disease is the first cause of death for adult men and
women. (WHO Report, 2023)
•
•Dr.V.K Bahl (AIIMS, Delhi) says, “It is estimated by the year 2020, India
will have the largest cardiovascular burden in the world” and among Indians
coronary heart diseases tend to occur earlier in life than in any other ethnic
group.(Ghaffar A, Reddy KS, Singhi M, 2019).
•
Con……
•In a study conducted on HDL- a molecule with a multi-faceted role in coronary artery
disease, High density lipoprotein cholesterol (HDL-C) is popularly known as "good cholesterol"
due to its ability to protect against atherosclerosis. High Density Lipoprotein (HDL) is best
known as a key player to promote efflux of cholesterol from cells and promote reverse
cholesterol transport (RCT) which decreases the accumulation of foam cells in arterial walls.
Several roles of HDL discovered recently include anti-oxidant effect, anti-inflammatory role,
anti-thrombotic role, all of which potentiate the athero-protective role of HDL. Besides reverse

• cholesterol transport, the antioxidant and anti-inflammatory properties of HDL may also play a

major role in protection against development of atherosclerosis. Two different scales define the

athero-protective effects of HDL- quantity of HDL-C (measured in mg/deciliter or mmol/L) is

inversely correlated with cardiovascular risk, the other is the quality or 'functionality' of HDL.(

Arora S, Patra SK, Saini R, 2019)


REVIEW OF LITRATURE

 The Review of Literature in this Study is Organized Under the


Following Headings

Studies related to risk factors and prevention of


CVD

Studies related to knowledge on CVD

Studies related to Planned teaching programme on


prevention of CVD
OBJECTIVES OF THE STUDY
1. To assess the pretest and posttest level of knowledge regarding
cardiovascular disease among high-risk patients in selected
hospital of sabarkantha district.

2. To assess effectiveness of planned teaching programme regarding


cardiovascular disease among high-risk patients in selected
hospital of sabarkantha district.

3. To associate the posttest level of knowledge and practice regarding


cardiovascular disease among high-risk patients with their selected
demographic variables.
HYPOTHESIS

• H1: There may be a significant improvement in the post test level of


knowledge regarding cardiovascular disease among high-risk patients.

• H2: There will be a significant relationship between posttest knowledge


score regarding cardiovascular disease among high-risk patients.
• H3: There will be significant association of posttest of knowledge scores
regarding prevention of cardiovascular disease among high-risk patients and
their selected demographic variables.
• Assess
OPERATIONAL DEFINITION
It is an organized, systematic and continuous process of collecting data from h i g h -
r i s k patients regarding CVD with regard to its risk factors and prevention.

• Effectiveness

Effectiveness in this study refers to the extent to which the power point presentation has
achieved the desired effect as measured by subjects gain in knowledge scores on cardiovascular
disease among high-risk patients in selected hospital of sabarkantha district..
• Planned Teaching Programme (PTP)

In this study, planned teaching programme refers to systematically planned teaching


programme designed for patients to understand logically the related anatomy and physiology of
heart, meaning of coronary artery disease, risk factors, signs and symptoms, diagnosis, treatment,
management and steps for prevention of cardiovascular disease.

• Knowledge
In this study knowledge refers to patient’s awareness regarding cardiovascular disease
and its prevention.
CON……..

• Prevention of Cardiovascular Disease

•Cardiovascular disease (CVD) defined as acute or chronic form of cardiac


disability arising from imbalance between myocardial supply and demand for
oxygenated blood. Prevention of CVD can be done by modification of risk
factors in healthy way.
•
•
• High risk Patients

•Patients admitted who are having a higher-than-average risk of having


CVD.
ASSUMPTIONS

1. Patients may have some knowledge regarding cardiovascular disease among


high-risk patients in selected hospital of sabarkantha district.

2. The planned teaching programme on cardiovascular disease among high-risk


patients its prevention can bring about desired changes in the lifestyle of
patients with modifiable risk factors of CVD.
RESEARCH METHODOLOGY

 Research approach:-Quantitative approach.


Research design: pre experimental – one group pre test post test design.
Setting:-The study will be conducted in selected hospital
• Target Population
• High risk Patients with risk factors of cardiovascular disease.
• Accessible Population
All the patients with risk factors of cardiovascular disease in selected hospital
• SAMPLE
• The patients who satisfied the inclusion criteria were the samples of the study.
• SAMPLE SIZE
It consisted of 30 patients. Samples were selected from selected hospital
• SAMPLING TECHNIQUE
• 30 patients were selected by non-probability purposive sampling technique
from selected hospital
CON……..

 Sampling criteria:-
• Inclusion Criteria
1. Patients admitted with high-risk CVD in a selected
hospital.
2. Patients who were willing to participate.
3. Patients who were willing to comeback on posttest day in
case of discharge.
• Exclusion Criteria
• 1. Patients who do not know to read and write in
Gujarati.
CON……..
Tool:-
Section-I-Demographic variables questionnaire
Section-II-Structured knowledge questionnaire to assess the knowledge regarding
prevention of cardiovascular disease.
Research Variables:-
Dependent variables:- The dependent variables in this study are knowledge

Independent variables:- The independent variable in this study is planned teaching


programme on prevention of cardiovascular disease.

Extraneous Variable :- The extraneous variables are age, sex, educational status,
occupation, known case of hypertension, known case of diabetes and family history
of heart disease

• Pilot study:- Pilot study will be conducted on minimum 10% of total sample.
VALIDITY & RELIABILITY

• Validity of the tool


• The content of the tool will be established in consultation with guide
and 5 experts in the field of medical surgical nursing.
• Reliability of the tool
• The test Test retest method will be used to established reliability of
the tool.
ANALYSIS AND INTERPRETATION
OF THE DATA
CON……..
• Distribution of Statistical Value of Pretest and PostTest
Knowledge on prevention of cardiovascular disease among
patients with modifiable risk factors of cvd.

Sr.No. Knowledge Mean SD ‘t’value

1. Pretest
36.30 4.16

t = 9.775
p = 0.000, S
2. Posttest
45.93 4.71
CON……..

Distribution of Statistical Value of Pretest and PostTest Practice on


Healthy Habits Among School Children

Sr.No. Practice Mean SD ‘t’value

t = 7.301
1. Pretest p = 0.000, S
11.86 3.30

t = 7.301
2. Posttest p = 0.000, S
17.56 2.50
Conclusion

The present study assessed the effectiveness of planned


teaching programme on knowledge regarding prevention of
coronary artery disease among patients with modifiable risk
factors. The results revealed that planned teaching
programme is very effective in increasing the level of
knowledge and practice at p< 0.0level. From the findings of
the study, the investigator concluded that planned teaching
programme has an important role in increasing the level of
knowledge and practice regarding prevention of
cardiovascular disease among high-risk patients. The
researcher insisted the patients with multiple modifiable risk
factors of CVD should seek medical advice and follow up
care.
REFERENCE

 Black M Joyce. (2009). Luckmann and Sorenson’s “Medical Surgical Nursing– Psycho physiologic
Approach” Philadelphia: W B Saunders Company (1627- 1645).

 Lois White and Gena Duncan (2012). “Medical Surgical Nursing an Integrated Approach” 2nd edition
Texas: Delmar Cengage Learning(438-456).

 Janice L. Hinkle and Kerry H. Cheever (2013) “Text Book of Medical- Surgical Nursing”. 12th
edition volume1 Newdelhi wolters kluwer(india)Publications (756-770).

 Basavanthappa.(2003) “Medical Surgical Nursing”1stedition New Delhi: Jaypee Brothers Medical


publishers (344-347)

 Lewis L. Sharon., et al. (2007). “Medical Surgical Nursing–Assessment and Management of Clinical
Problems”. 1st edition St.Louis: Mosby Company (786- 810)

 Davidson Stanley (2006) “Principles and practice of medicine” 20th edition New York: Churchill
livingstone publishers (581-590)

 Prabhakaran G.N (2006) “Introduction to Biostatistics” 1st edition, New Delhi: Jaypee brothers and
medical publishers (39-53)
CON……..

 Barbara Hazad (2005). “Statistical methods for health care research”.


Philadelphia
 Lippincott Williams & Wilkins Publications.
 Basavanthappa (2007). “Nursing Research”. 2nd edition, New Delhi: Jaypee
Brothers Medical publishers.
 Betty J Ackley., et al. (2008). “Evidence Based Nursing Care Guidelines”
Medical Surgical Interventions. USA: Evolve Elsevier publication.
 Betty M Johnson and Pamela B webber (2005) “An Introduction to Theory
and Reasoning in nursing”:. USA: Evolve Elsevier publication.
 Chinn L. Peggy (2004). “Nursing Research Methodology: Issues
and Implementation”. USA: Aspen publishers.
 Fain A. James (2009) “Reading, Understanding and Applying Nursing
Research”.
 New Delhi: Jaypee publishers.
 Fawcett Jacqueline (2005). “Analysis and Evaluation of Nursing”
Theories.
 Philadelphia: F.A Davis Company publishers.
THANK YOU

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