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300322916victoria Mary
300322916victoria Mary
OCTOBER 2017
A STUDY TO ASSESS THE EFFECTIVENESS OF STRUCTURED
TEACHING PROGRAMME ON KNOWLEDGE REGARDING
ANTENATAL CARE AMONG PRIMIGRAVIDA MOTHERS
AT THE SELECTED PRIMARY HEALTH CENTRE AT
ALAMARATHUPATTI DINDIGUL.
OCTOBER 2017
CERTIFICATE
Place:
Date:
A STUDY TO ASSESS THE EFFECTIVENESS OF STRUCTURED
TEACHING PROGRAMME ON KNOWLEDGE REGARDING
ANTENATAL CARE AMONG PRIMIGRAVIDA MOTHERS
AT THE SELECTED PRIMARY HEALTH CENTRE AT
ALAMARATHUPATTI DINDIGUL.
OCTOBER 2017
ACKNOWLEDGEMENT
First and foremost I thank and praise the almighty god for giving me all
the wisdom, knowledge, strength and guidance to complete this study
successfully.
“Things do not turn up in this world until somebody turns them up”
I extend my thanks to our most honoured personality
Prof.K.THILAGAVATHI, Ph.D., Principal, Jainee College of Nursing for
the acceptance and approval of the study.
TABLE
TITLE PAGE NO.
NO.
TABLE
TITLE PAGE NO.
NO.
APPENDIX
TITLE
NO.
2. List of Experts
4. Questionnaire (English)
5. Questionnaire (Tamil)
6. Tamil Tool
ABSTRACT
INTRODUCTION
SWAMI VIVEKANANDA
Pregnancy and Child birth are special events in women`s lives and indeed in
the lives of their families. This can be a time of great hope and joyful anticipation.
The primary aim of antenatal care is to achieve, at the end of pregnancy, a healthy
mother and healthy baby. The quality of care is more important than the quantity.
Pregnancy requires specialized care generally agreed to preventive activity.
Promotion of maternal and child health has been one of the most important
components of the family Welfare Programme of the Government of India and the
National Population Policy – 2000, one of the most important component of antenatal
care is to offer information and advice to women about pregnancy related
1
complication and possible curative measures for early detection and management of
complications. Antenatal care can also play a critical role in preparing a woman and
her family for birth by establishing confidence between the woman and her health
care provider and by individualizing promotional health messages. Antenatal care is
considered essential for health of both the mother and the child, it is important to
analyze the possible factors contributing to its utilization.
The lest of any civilization is the measure of consideration and care, which it
gives to its weaker sections. In any community, women are especially vulnerable
during pregnancy. The maternal mortality ratio (MMR) in India is very high. The data
given by the registrar general of India for 1998 estimate that MMR to be around 407
per 100,000 live births. (WHO 2005)
Reducing MMR to less than 100 per 100,000 live birth is a commitment
enshrined in the national population 2000. India is committed to reducing MMR to
less than 100 per 100,000 by the year 2010 from the current 407 / 100,000 live births
(SRS, RGI,1998)
Maternal care includes care during pregnancy and should begin from the early
stages of pregnancy. Women can success antenatal care service either by visiting a
health center where such services are available or from health workers during their
domiciliary visits. One of the most important components of antenatal care is to offer
information and advice to women about pregnancy related complication and possible
curative measures for early detection and management of complication. Antenatal
care can also play a critical role in preparing a woman and her family for birth by
establishing confidence between the woman and her health care provider and by
individualizing promotional health messages.
Effective antenatal care can improve the health of the mother and give her a
chance to deliver a healthy baby. Regular monitoring during pregnancy can help
detect the complication at an early stage before they become life – threatening
emergency. However, one must realize that even the most effective scanning tools
currently available, one cannot predict which will develop pregnancy related
complication. Hence, every pregnant women needs special care.
2
Described that pregnancy links mother and fetus together and is the basis for
regenerating the generation. Most pregnancies end with birth of a live baby to a
healthy mother. For some however childbirth is not the joyous event, but a time of
pain, fear, suffering and even death.
Explained that every year more than 200 million women become pregnant
(WHO 1997). Pregnancy is considered to be a normal psychological state as per the
scientific view. To a layperson it is a common phenomenon occurring in a women
after marriage. According to genetics it is the process of procreation. But above all for
women it is a state of joy and satisfaction.
Antenatal care refers to the care that is given to an expectant mother from the
time the conception is confirmed until the beginning of labour in addition to
monitoring the progress of the pregnancy. The main aim of antenatal care is to
maintain with physiology of pregnancy and to prevent or to detect at the earliest and
to treat and untoward complication that may arise. The promotion of health and
maintenance of healthy lifestyles have become objectives of utmost importance to
health care profession. Empowering populations to become educated heath care
consumers and to adopt a wellness perspective is a goal of health care reform.
3
NEED OF STUDY
Maternal health is a nation’s wealth. Women are the primary care takers, first
educators, bearers and nurtures of the next generation. They are the nucleus of our
society. Our destiny lies with the well being of women’s health. Pregnancy is the
period when women need more attention and care. Worldwide, an estimated 515,000
women die of causes related to pregnancy and child birth each year, and their deaths
leave one million children motherless.2 Over 99% of these deaths occur in developing
countries. In India, in every five minutes one woman dies from complications related
to pregnancy and childbirth. This means more than 1, 00,000 women die each year
due to pregnancy related causes.
The investigator with her experience and observation analyzed that many
mothers came to the hospital, when they had some complications like loss of fetal
movements, gross anemia or with signs of infection. It was difficult to save the
4
mother and the baby in such condition. The cause was mainly due to mother’s
ignorance and lack of information regarding proper antenatal care. In view of this it
was felt that an antenatal care education should be made available to primi gravida
women. A SIM will be very useful for the primi gravid women to gain knowledge
regarding antenatal care
Thus the investigator felt the needs to explore this area and to assess the
knowledge and practice of mothers regarding antenatal care. The aim of the
investigator is to find out any association between knowledge and practice of pregnant
women regarding antenatal care in selected demographic variables (age, family
income, types of family, education status.)
5
The knowledge of pregnant women regarding antenatal care and their
compliance to it is of paramount importance in preventing maternal and infant
mortality rate and morbidity. The Indian society is made of large number of socio–
culturally diverse groups. Their views of antenatal care and the health care system in
general, may be different. The disparity of their knowledge and practice has to be
assessed for improving the delivery of such services to these groups.
A study can also help us to compare the levels of knowledge and practice of
primigravida and multiparas. This helps us to assess the stress given to preventive
obstetric care with in the health care system as well as the dissemination of
knowledge in the community. Such a study could also potentially help us find the
source of knowledge of those who have it and to intensify the use propaganda through
such media.
6
belonging to high Socio-economic class attending nearly nursing home clinic were
studied and classified into 3 groups based on risk. Two third were classified as low
risk, 5% as hybrisk and the rest as moderate risk.
Thus the investigator felt the needs to explore this area and to assess the
knowledge and practice of mothers regarding antenatal care. The aim of the
investigator is to find out any association between knowledge and practice of pregnant
women regarding antenatal care in selected demographic variables (age, family
income, types of family, education status.)
7
received the new approach to antenatal care, while the control group received routine
antenatal care. The findings showed that improvement of knowledge in the
intervention group is significant particularly in the knowledge about healthy
pregnancy (p=0.012), pregnancy complications (p=-.01), safe birth (p=0.01) and
taking care of the new born (p=0.012).The improvement of knowledge was
significantly influenced by the respondent’s educational back ground (p=0.002) and
socio-economic status (p=0.027). This study recommended that the new approach to
antenatal care be considered to educate pregnant women regarding safe birth and is
considered as one of the strategies that may be adopted to reduce maternal mortality.
A community based study was conducted to determine the antenatal care and
estimate the incidence of low birth weight in rural community of Haryana, India. Data
were collected from 339 mothers and 339 newborns by interviewing and weighing
respectively. The study findings revealed that incidence of low birth weight was
24.3%. During pregnancy 33.1% had pallor, birth interval was less than 2 years in
45.1%, 14% were multipara, 23% did not take any rest, 98% received tetanus
immunization. The study concluded that complete antenatal check ups should be
intensified in education of mothers.
8
STATEMENT OF THE PROBLEM
To compare the knowledge score on antenatal care before and after STP.
HYPOTHESIS
OPERATIONAL DEFINITION
Assess: It refers to the method of estimating the level of knowledge.In this study level
of knowledge was assessed by knowledge stool.
9
Primi Antenatal mothers: A mother who got pregnant first time .In this study first
and second trimester.Antenatal mothers were choosen as sample.
Primary health center: PHC is the basic structural and functional unit of public
health services in developing countries.
Antenatal care: Antenatal care comprises of the systemic, regular and periodic
supervision of the pregnant women from the commencement of pregnancy until the
onset of labour.
ASSUMPTIONS
Antenatal mothers will gain adequate knowledge regarding antenatal care after
the STP.
Antenatal care promotes a healthy life of the mother
Education will improve the knowledge of antenatal mothers regarding
antenatal care during pregnancy.
DELIMITATIONS
PROJECTED OUTCOMES
The study aims at determining the effectiveness of structured teaching
programme on antenatal care among primi gravida mothers to improve our
knowledge.
Health teaching can help to create awareness among the people regarding the
antenatal care.
The findings of this study will help the nursing personnel to take steps to improve the
knowledge of mothers and provide the Nursing care.
10
exä|xã Éy Ä|àxÜtàâÜx
CHPTER-II
REVIEW OF LITRATURE
Nahla A (2010)
Susila. C (2010)
N.Gerein, S. , (2010)
11
upon existing family and community support systems and develop partnerships
beyond the health service. Policy and program changes are required in professional
mandates for ANC provides oraganisation of ANC services, service protocols,
training programs policy towards TBAs, referral care and service support system.
R.J.Yadav (2011)
C.S.Metgud, (2011)
12
study and who became pregnant during the study.Most of the pregnant women
(92.31%) were registered for antenatal care, but only 30.00% of them were registered
in the 1st trimester of pregnancy. As regards to TT immunisation70.77% of the
pregnant women as received two doses or one booster dose iron and folical acid
supplementation was taken by 59.68% of the pregnant women. Nearly 39.52% of the
pregnant women were provided with full antenatal care. The main antenatal care
provided for the pregnant women was doctor (64.52%). The study shows early and
wide spread of the antenatal care, but it also reveals that the antenatal visits of occur
late in pregnancy.
S. Kiwawa (2012)
Conducted a study about the use of antenatal care maternity services for the
pregnant women in Lewero Dist in Uganda. A sample size of 769 women in the
viewed, among that 417 visiting initially, during second trimester 242, during third
trimester 266. About the use of antenatal services most the woman delivered in health
centers (28.7%), (26.4%) delivered from home, (18.2%) in private maternity homes
and (13.8%) in hospital. About maternity service utilization approximately (59.2%)
gave birth with a skilled attendant present others delivered other by themselves or
with help of at relatives, friends and traditional birth attenders.
13
in pregnancy and recognition of nutritional demands of pregnancy are better
understood by women utilizing antenatal care facilities.
Gunilla (2012)
B.Moller, (2013)
14
MadukaW.E. (2013)
PRISM ’S (2013)
Stated that a good well balanced diet is required in pregnancy to meet the need
of fetus and to maintain the mothers health and prepare for lactation. A high
proportion of woman in both industrialized and developing countries become anaemic
during pregnancy. Estimates from the WHO reports that from 35% to 75% (56% on
average) of pregnant women in developing and 18% of women from industrialized
countries are anaemic. In India over 54% of pregnant women are anaemic and for
every 1,00,000 live birth there are 301 maternal death in India. This can be reduced by
registering the pregnancy in hospital or centre and mainly should counselled to come
for follow up visit till the baby is born safely.
15
The investigator during the work experience in the hospital observed that the
antenatal mothers had inadequate knowledge about particular aspects like antenatal
visit diet, exercise, and hygiene. By considering the above factors, the investigator
developed a genuine interest and felt the need for conducting the study on particular
aspects of antenatal care.
HUNGLER (2013)
ROY,ET.AL (2013)
PALANIAPPAN (2013)
ALAM,ET.AL2014)
Conducted comparative study on knowledge, attitude and practices among
antenatal care facilities utilizing and non- utilizing women and concluded that lesser
16
prevalence of anaemia and better tetanus toxoid coverage was seen among attending
antenatal care facilities, identification of danger signals in pregnancy, recognition of
nutritional demand are better understood by women utilization antenatal care
facilities.
CHANDRASEKAR (2014)
Study revealed that there is a clear association between infant mortality rate
and lack of antenatal care. He analyzed the factors which determine the utilization of
antenatal care and show the association between quality of antenatal care and
maternal literacy, occupation, age and parity. Factors which are also significantly
associated are socio-economic status, religion and those who do not receive any
antenatal care are poor, illiterates, multi para, unskilled mothers over 30 years of age
and who live far away from a Medical facility.
BAUL.(2014)
KAMINI(2014)
17
lower than Kerala. The severity of nutritional anaemia continuous to remain a public
health issue of great magnitude, suggesting that particularly in fertility, women
education, nutrition status occupation, availability of antenatal service and iron folate
tablets as possible factors responsible for difference in prevalence of anaemia.
TEMA (2014)
AMUDHA (2014)
18
CONCEPTUAL FRAMWORK
Input evaluation
In this study it refers to care givers, structured teaching program has been
taken using power point presentation among Primigravida mothers.
Process evaluation
Product evaluation
In this study it refers to knowledge before and after the structured teaching
programme. There is significant increase in knowledge and considered effective.
19
FEED BACK
20
`xà{ÉwÉÄÉzç
CHAPTER- III
METHODOLOGY
RESEARCH APPROCH
Quantitative research approach was used for the presend study. Acording to polit
and beck (2010) A Quzi experimental research design refers to a design for on inter
vention study in which subjects are non randamy assigned to treatment condition,also
called anon randamised rail, or a controlled traile without randomization.The present
studyis aimed at evaluat the effectiveness of structural teaching programe on
knowledge regarding antenatal care among primi gravid mothers.
RESEARCH DESIGN
One group pretest post test experimental study design will be adopted for this
study.The research design helps the researcher in the selection of subjects,
manipulation of experimental variables, testing the research hypothesis, procedure of
data collection and the types of statistical analysis to beused to interpret the data. One
group pretest posttest experimental study design will be adopted for the present STP.
O X O
1 2
Assessing the Assessing the
pretest knowledge posttest knowledge
on selected aspects Structured on selected aspects
of antenatal care teaching of antenatal care
among primi programme among primi
mothers mothers
21
VARIABLE
The study was conducted among the primi gravida mothers at Selected PHC,
Alamarathupatti at Dindigal.
SAMPLE SIZE
The selection of sample was on the availability of primi gravida mothers. The
sample size was be 60.
POPULATION
The Target accessible of the study includes the primi mothers who attended
antenatal visit at Selected PHC and who met the criteria that the researcher
established for a study.
SAMPLING TECHNIQUE
The primi gravida mothers (60) who fulfilling the inclusion criteria was
selected by non- probability convenient sampling technique.
SAMPLING CRITERIA
In sampling criteria the researcher specifies the character the population under
the study by detailing the inclusion and exclusion criteria.The inclusion criteria
characterizes that each sample element must possess to be include in the
sample.Exclusion criteria the characteristics that could confirm the result of the study;
Therefore such participants and the excluded fore the study.
22
INCLUSIVE CRITERIA
EXCLUSIVE CRITERIA
DEVELAPMENT OF TOOL
23
VALIDITY OF THE TOOL
The entire tool was validated by medical experts and nursing experts .Exeperts
was requested to judge of the tool for its clarity ,relatedness,sequency meaning
fullness and content.Few modifications were made as per suggestions given by the
experts.The tool was developed in english and it was translated into
tamil.Retranslation was done and language validity was established.
RELIABILITY
Data analaysis were done with the help of quasiexperimental design and
inferendal statistics
Based on pilot study sample size was calculated and 60 samples were taken
for the main study.
24
DATA COLLECTION PROCEDURE
The purpose of the study was explaind to every sample,so as to get their full
co-operation.Adequate privacy was provided.Pre test has been done with the help of
interview schedule.A class has been taken as a intervention with the help of power
point. Finaly post test has been done.
In the present study the data collected were grouped and analysed,using
SPSS,version 16 software.The level of signifigance was 0.05 level.
The data was analyzed by using descriptive & inferential , The effectiveness
of was evaluated by using paired ‘t’ test & chi-square test, to find out the association
between the knowledge regarding antenatal care among primi gravida women and
selected demographic variables.
Only the questionnaires were distributed before & after the introduction of STP.
Has ethical clearance been obtained from your institution in case of the above
question?
ETHICAL CONSIDERATIONS
Does study require any investigation or intervention to be conducted? Has
ethical clearance been obtained from college authorities in case study investigation
applied? yes Consent was taken from the respondents and the concerned authorities of
the college. Has ethical clearance being obtained from your institution.Yes consent
was obtainted from the mothers by orally.The mothers had the freedom to leave the
study at her will without any reason.
25
FIG ; 2 SCHEMATIC OUTLINE OF RESEARCH DESIGN
DESING
One group pre test and post test quasi experimental design
SAMPLE TECHNIQUE
Convenience sampling
STUDY SAMPLE
60 primi gravida women
VARIABLES
ANALYSIS
26
Wtàt tÇtÄçá|á
CHAPTER-IV
Analysis and interpretation of data of this study was done by description and
inferential statistics. Analysis was done by using SPSS, version 20. A probability
value of less than 0.05 was considered to be significant.
Section III : Data on association between the post-test knowledge score and
factors among primigravida mothers.
27
SECTION I
DATA ON BACKGROUND FACTORS OF PRIMIGRAVIDA MOTHERS
TABLE – 1
FREQUENCY AND PERCENTAGE DISTRIBUTION OF
PRIMI MOTHERS REGARDING BACKGOUND FACTORS
N=60
S.NO. BACKGROUND FACTORS FREQUENCY PERCENTAGE (%)
1. AGE
a) 18-20 years 13 21.7%
b) 21-25 years 35 58.3%
c) 25-30 years 12 20%
2. GESTATIONAL WEEKS
a) 1-3 months 6 10%
b) 3-5 months 30 50%
c) 5-7 months 24 40%
3. EDUCATION OF SPOUSE
a) Illiterate 10 16.7%
b) Primary School 12 20%
c) Secondary School 38 63.3%
4. INCOME
a) Above 50,000 8 13.3%
b) Below 50,000 36 16%
c) Poor 16 26.7%
5. TYPE OF FAMILY
a) Joint Family 27 45%
b) Nuclear Family 33 33%
BREAD WINNER OF
6.
FAMILY
a) Father in law 19 31.7%
b) Husband 41 68.3%
7. PREVIOUS INFERMATION
a) Any media 5 8.3%
b) VHN 19 31.7%
c) Relation 36 60%
28
Table- I shows that frequency and percentage distribution on demographic
variables among primigravida mothers.
29
Figure 3: Frequency and percentage distribution of age
Reveals the frequency and percentage distribution of age regarding age 18-20years
13[21.75%], 21-25years, 35[58.3%], and 25-30years 12[20%].Inference drawn from
the table majority was [58.3%] of 21-25 years.
30
Figure 4: Frequency and percentage distribution of gestational weeks
31
Figure 5: Frequency and percentage distribution of education
32
Figure 6 : Frequency and percentage distribution of income
33
Figure 7 : Frequency and percentage distribution of type of family
34
Figure 8: Frequency and percentage distribution of source of previous
information
35
Section II :Data on knowledge pre test and post test after the structured teaching
program among Primi mothers.
For the purpose of this study the following null hypothesis was stated.
TABLE – 2
MEAN, SD, MEAN DIFFERENCE AND “t” VALUE ON PRE TEST AND
OVERALL POST TEST ON KNOWLEDGE AMONG PRIMIGRAVIDA
MOTHERS.
N=30
KNOWLEDGE
STANDARD TABLE
SCORE ON MEAN
MEAN DEVIATION VALUE P(>0.05)
ANTENATAL DIFFERENCE
(SD) “T”
CARE
The obtained overall post test mean 27.96 (SD=1.517) was greater than the pre
test mean 9.38 (SD=3.289)
The obtained mean difference was 18.583 and “t” value t=41.132 (P=0.00)
was significant.
36
SECTION III: DATA ON ASSOCIATION BETWEEN THE MEAN
DIFFERENCE OF POST TEST KNOWLEDGE ON ANTENATAL CARE OF
BACKGROUND FACTORS AMONG PRIMIGRAVIDA MOTHERS
For the purpose of this study the following reasearch hypothesis was stated.
TABLE – 3
STANDARDIZED
(BETA)
37
edu occu qualifi exper
age weeks family leader income
cation pation cation ience
Chi-Square 16.900a 15.600a 24.400a 5.700a .600b 8.067b 17.200a 20.800a 24.100a
df 2 2 2 2 1 1 2 2 2
Asymp.
.000 .000 .000 .058 .439 .005 .000 .000 .000
Sig.
a. 0 cells (.0%) have expected frequencies less than 5. The minimum expected cell
frequency is 20.0.
Table-III, revealed the standardized co-efficient and “t” value regarding mean
difference of post test knowledge on antenatal care and background factors among
primigravida mothers based on linear regression.
The obtained “t” values t=0.361 (0.719), t=1.541 (0.130), t=1.463 (0.150),
t=2.116 (0.039), t=0.136 (0.892), t=0.381 (0.705), t=1.310 (0.196), t-0296 (0.768),
t=1.103 (0.275) reported for Age, gestational weeks, education, occupation, type of
family, bread winner of the family, spouse education, income, source of information
respectively were not significant in relation to structured teaching program.
It inferred that there was greatest influence on mean difference in post test
knowledge on Antenatal care and background variables among primigravida mothers,
structured teaching program was independently effective to increase the knowledge
on Antenatal care of primigravida mothers.
38
W|ávâáá|ÉÇ
CHAPTER-V
DISCUSSION
This chapter deal with the discussion of the study with appropriate literature,
statistical analysis and the findings of the study based on the study objectives.
The aim of the study was to assess the knowledge on antenatal care among
primigravida mothers who were attending the antenatal clinic in Antenatal care during
primary health center Alamarathupatty at Dindigul.
HYPOTHESIS
The first objective of the study was to assess the level of knowledge of Antenatal
care among primigravida mothers who were attending the antenatal clinic in
Antenatal care in Primary Health Center, Alamarathupatty, Dindigul.
Table II: shows that mean, SD, mean difference “t” value on pre test score
and over all post test score on knowledge among primi mothers. The obtained overall
post test mean 9.38 (SD=3.289) was less than the pre test mean 27.96 (SD=1.517).
The obtained mean difference was 18.583 and “t” value t=41.132 (P=0.00) was
significant.
Table III: reveals the standardized co-efficient and “t” value regarding mean
difference of post test knowledge on antenatal care and selected background factors
among primimothers based on linear regression. The obtained “t” values
t=0.361(0.054), t=1.541(0.228), t=1.463(0.235), t=2.116(0.304), t=0.136(0.021),
t=0.38(0.057), t=1.310(0.209), t=0.296(0.044), t=1.103(0.151) reported for age,
gestational weeks, education, occupation, type of family, bread winner of the family,
spouse education, income, source of education respectively were not significant in
relation to structured teaching program.
40
VÉÇvÄâá|ÉÇ
CHAPTER-VI
The essence of any research project was based on study findings, limitations,
interpretation of the result and recommendations that incorporate the study
implication. It also gave meaning to the results obtained in this study.
SUMMARY
The prime aim of the study was to assess the effectiveness of structured
teaching program on Antenatal care among primigravida mothers in Primary Health
Center, Alamarathupatty, Dindigul.
H1: There will be significant difference between the before and after the
structured.
H2: There will be the significant difference between the post test knowledge score
and the selected demographic variables among primigravida mothers.
The major assumption of the study include the mothers would co-operate with
the investigator and every month was unique.
41
The review of literature helped the investigator to develop the conceptual
frame work, and develope intervention of structure teaching program. Literature
review was done for the present study and presented in the following heading.
Studies related to Antenatal care, studies related to Antenatal mother, studies related
to family planning.
The conceptual frame work adopted for the present study was based on input
through In-put output model.
The research approach for the study was evaluated in nature. The present
study was one group pre test post test design. Independent variable in this study was
structured teaching program. Dependent variables for this study were primi mothers.
Associative variables for this study were age, gestational weeks, education,
occupation, type of family, bread winner of the family, spouse education, income and
source of information.
The tool developed and used for data collection was an interview schedule to
assess the knowledge on Antenatal care among primigravida mothers. The structured
teaching program was developed on the basis of related literature. The content
validity was found reliable and feasible. The reliability of the tool was established by
inter rater reliability, correlation was found high, r=0.79. The pilot study was
conducted at Primary Health Center in Alamarathupatty Dindigul and study was
found feasible.
42
The intervention on structured teaching program was administered; post test
was done to assess the knowledge on antenatal care among primigravida mothers. The
data gathered were analyzed using SPSS (version 20) software at the level of
significance based on the study objectives.
MAJOR FINDINGS
The findings of the study are presented under the following headings based on
the objective of the study.
There was a significant increase in mean post test score after the structured
teaching program among primigravida mothers t=41.132 (P=0.05).
Objective 2 : To find out the association between the post test knowledge score and
selected demographic variables among primimothers.
The obtained “t” values regarding post test score and selected factors such as
age, gestational weeks, education, occupation, type of family, bread winner of the
family, spouse education, income and source of information (P>0.05) were not
significant.
The obtained t=0.361 regarding post test score and age of primigravida mother
was significant age made significant difference in mean difference knowledge among
primigravida mothers.
43
IMPLICATIONS
The study had implications, guidelines and suggestions for nursing practice,
nursing education and nursing research.
NURSING EDUCATION
NURSING RESEARCH
RECOMMENDATIONS
44
CONCLUSION
45
U|uÄ|ÉzÜtÑ{ç
BIBLIOGRAPHY
LIST OF REFERENCES
Textbooks
Mayer (2003). “Text book for Midwifery” (11th edition) London: Bailliese
tindall.
46
MUDALIAR & MANAN ’S (2000). “Clinical Obstetrics” (9th edition). Chennai:
Oriens longman Ltd.
47
JOURNALS
State ministry of health and family welfare. (2011) current evaluation I. Janani
Shishu Suraksha Yojana.pp. 35-50.
48
Basavanthappa BT (2009) Nursing Research. New Delhi: Jaypee
brothers.pp.125145.
George JB. Nursing theories. The base for professional nursing practice. 5 th
edition. New Jersey: Pearson education Inc; 2002.
Polit DF, Hungler BD. (1999). Nursing research: Principles and methods.
Philadelphia: J. B. Lippincot company.pp.139-185.
George JB. Nursing theories. The base for professional nursing practice.
5thedition. New Jersey: Pearson education Inc
49
Net Referance
www.google.com
www.pubmed.com
www.opera mini.com
50
TÑÑxÇw|å
APPENDIX – I
PERMISSION LETTER
FROM
301523051
Msc.N II Year
Jainee college of Nursing
Dindigul.
TO
The Principal
Jainee college of Nursing
Dindigal.
Respected Madam,
Sub: Seeking permission to conduct the research study-regarding
I am Mrs.victoria mary II year M.sc N student of jainee college of nursing
dindigal,under the Tamil Nadu Dr.M.G.R Medical University, Chennai .As a partial
full fillment of University requirement for the Award of Master of Science in Nursing
Degree,I would like to a research on conduct “A STUDY TO ASSESS THE
EFFECTIVENESS OF STRUCTURED TEACHING PROGRAMME ON
KNOLEDGE REGARDING ANTENATAL CARE AMONG PRIMIGRAVIDA
MOTHER AT SELECTED PHC, ALAMARATHUPATTI DINDIGAL ‘’ Which
is a upgraded primary health center almarathupatti, in dindigal.Please grand me
permission for the same
Thanking you
Yours sincerely
Place:
Date: (Mrs. Victoria mary)
APPENDIX – II
List of Experts
This is to certify that the tool prepared by Mrs.D.Victoria Mary, M.Sc., (N) II
year student of Jainee College of Nursing for the conduction of the research study on
“A study to assess the effectiveness of structured teaching programme on knowledge
regarding antenatal care among primigravida mothers at selected PHC, Alamarathupatti
Dindigul is valid. She can proceed in conducting study with a data collection.
Signature of Validator
Date :
CERTIFICATE OF CONTENT VALIDITY
This is to certify that the tool prepared by Mrs.D.Victoria Mary, M.Sc., (N) II
year student of Jainee College of Nursing for the conduction of the research study on
“A study to assess the effectiveness of structured teaching programme on knowledge
regarding antenatal care among primigravida mothers at selected PHC, Alamarathupatti
Dindigul is valid. She can proceed in conducting study with a data collection.
Signature of Validator
Date :
APPENDIX-IV
Instruction
I request you to kindly read and understand questions properly and give the
correct answer
I. BACK GROUND DATAS
1. Age
a) 18- 20 Yrs
b) 21- 25 Yrs
c) 25- 30 Yrs
2. Gestational weeks
a) 1 – 4 Months
b) 5 – 7 Months
c) 7 – 9 Months
3. Education
a) Illiterate
b) Primary School
c) Higher secondary School
d) Any degree
4. Occupation
a) House wife
b) Cooly
c) Office work
5. Type of family
a) Nuclear
b) Joint
6. Bread winner of the family
a) Father in law
b) Husband
c) Wife
7. Education of spouse
a) Illiterate
b) Primary School
c) Higher secondary school
d) Any degree
8. Income
a) 75000/Month
b) 6000 – 10000 /Month
c) 10000 above /Month
QUESTIONS :
2) f®¥gfhy taJ
m) 1-3 khj§fŸ
M) 3-5 khj§fŸ
Ï) 5-7 khj§fŸ
3) fšé¤jFÂ
m) go¥ò m¿Î Ïšyhjt®fŸ
M) bjhl¡f¥gŸë fšé
Ï) ca®ãiy¥gŸë fšé
<) g£ljhç
4) ntiy¤jFÂ
m) Å£L kidé
M) Tè
Ï) mYtyf¥ gâahs®
5) v›tif FL«g«
m) T£L¡FL«g«
M) jå FL«g«
6) FL«g¤jiyt®
m) khkdh®
M) fzt®
Ï) kidé
7) fztç‹ fšé¤jFÂ
m) go¥ò m¿Î Ïšyhjt®fŸ
M) bjhl¡f¥gŸë¡ fšé
Ï) ca®ãiy¥gŸë¡ fšé
<) g£ljhç
tiuaiw:
F¿¡nfhŸ:
3. r_f tuyhW:
òuj czÎfŸ:
ÏU«ò¢ r¤J:
it£lä‹fŸ:
f®¥Ãâ jhŒ¥ghš
f®¥Ãâ
mšyhj bfhL¡F« czÎfŸ
bg©fŸ
bg©fŸ bg©fŸ
òuj r¤J, bfhG¥ò,
r¡Â ».fnyhç 2200 k.cal 2500 k.cal 2600 k.cal
fh®nghiA£nu£
òuj« 50 »uh« 60 »uh« 65 »uh« f¿, Û‹, gU¥ò tiffŸ
ÏU«ò¢r¤J 18 »uh« 40 »uh« 30 »uh« f¿, K£il
fhšÁa« 500 ä.» 1000 ä.» 1500 ä.» ghš, vY«ò¡f¿
f¿, K£il, gU¥ò
Á§ 12 ä.» 15 ä.» 19 ä.»
tiffŸ
mnaho‹ ãiwªj c¥ò
mnaho‹ 150 μg 175 μg 200 μg gU¥ò tiffŸ, Ñiu
tiffŸ
fhŒf¿fŸ, <uš,
é£lä‹-A 50001.u 60001.u 80001.u
gH§fŸ
mid¤J« f¿, gU¥ò tiffŸ,
é£lä‹-D 1.1 mg 1.5 mg f®¥Ãâ gH§fŸ, j¡fhë, Ñiu
bg©fë‹ tiffŸ, fhŒf¿fŸ
iunghÃnyhé‹ 1.1 mg 1.6 mg
ã¡nfho¡ MÁ£ 15 mg 17 mg
m°fh®Ã¡ MÁ£ 60 mg 70 mg Ïiw¢Á tiffŸ
nghè¡ MÁ£ 200 μg 400 μg
é£lä‹ B12 2 μg 2.2 μg
gaz«:
j‹ R¤j« ngQjš:
clš cwÎ:
cl‰gæ‰ÁfŸ:
1. eilgæ‰Á
2. Ú¢rš
3. nahfhrd«
4. _¢R¥gæ‰Á
Ú¢rš:
nahfhrd«:
Rthr¥ gæ‰Á:
ÏL¥ò¥gF cl‰gæ‰Á:
jhÎjš
í«eh°o¡
Til gªJ
Ah¡»
FÂiu rthç
ir¡»Ÿ X£Ljš
g¢Ás§FHªijæ‹ guhkç¥ò: