Effectiveness of Poshan Modakam in Increasing HB % among Anaemic Students of, Selected. College of Nursing, Jagdalpur, C.G. (2016).

 

Mrs. Smita Jha^*, Mrs. Anju Bodalkar, Ms. Eashwari Thakur, Ms. Harsh Priya,

Ms. Indu, Ms. Divya Sahu, Ms. Shashikala

 Govt. College of Nursing, Jagdalpur, Bastar, C.G.

 

ABSTRACT:

Background of study: - 75% Nursing Students are Anemic in Govt. College of Nursing, Jagdalpur, C.G. Anemia is route cause of poor reproductive health of women. Objectives of the study are 1. Assess the hb% among nursing students of experimental and control group before and after the intervention. 2. To assess the effectiveness of poshan modakam laddu. Methodology: Research Approach: Quantitative evaluator research approach, Research Design:-true experimental design- pretest -posttest only, Population: b.sc. Nursing students, Setting- govt .college of nursing, jagdalpur Sample: -anemic students HB% less than 11 %gm), Sampling Technique: probability purposive simple random sampling, Sample Size: 80 anemic students of G.C.O.N., Jagdalpur. Tool: in vitro bio physiological method (evaluation of HB% through the in vitro bio physiological method, Variables: dependent variables- HB% level, independent variables: - modakam laddu, (each laddu 45 gm , 1 bd, 30 days, ingrediance are- kala til, gegurry, soyabean , wheat, ground nut, flex, coconut oil, vidhari kand, and dry ginger)  Data Analysis: descriptive and inferential statistics were calculated (percentage, frequency, “t” test and chi square). Result: the maximum level ranged age 20 to 22 years (46.25%), weight 46 to 50 kg (35%), dietary pattern non vegetarian (73.7%), and education b.sc. Nursing second year (32.5%) and regular menstrual cycle (77.7%). In experimental group, pre test and post test mean of hb% are 9.49gm % and 13.58gm%. In control group, pre test and post test mean of HB % are 10.31 and10.02. Experimental group levels of anemia before intervention are normal 15% mild anemia 50%, moderate anemia 35% and severe anemia is 0%. After the intervention level of anemia normal is   65% mild anemia 30%, moderate anemia 5% and severe anemia is 0%. Control group level of anemia normal HB % is   15% mild anemia 50%, moderate anemia 35% and severe anemia is 0%. After one month without intervention level of anemia normal is 65% mild anemia 30%, moderate anemia 5% and severe anemia is 0%. At 0.05 level with DF (79) calculated “t” value is 19.8 and tabled value is 2.00, it is highly significant. Hence research hypothesis is accepted and null hypothesis is rejected. Conclusion: - administration of modokam laddu is highly effective to increase HB % and management of anemia.

 

 

 

INTRODUCTION:

Anemia is the main cause of all disease. In year 2015 Mrs. Smita Jha, associate Prof., Govt. College of nursing, Jagdalpur, was conducted study on “prevalence of anaemia among nursing students of govt. College of nursing Jagdalpur, C.G., in vitro bio physiological method use were 243 samples descriptive analytic resulted that total 90% students was anaemic, out of that mild anaemia (65%), moderate anaemia (23%), severe anaemia (2%) and normal Hb% (10 %).

 

Prevalence Rate of Anaemia:

World (48.8%), India (90%), Chhattisgarh (48% severe, 40% moderate), Jagdalpur (71.1). In govt. College of nursing Jagdalpur 2015 all student were mild anaemic (65%), moderate (23%), severe (2%) and normal (10%).

 

Normal Hb%:

Male is 13.5gm/dl – 18 gm/dl, Female it is 12gm/dl – 16 gm/dL, Children 11gm/dl -16 gm/Dl.Mild anemia 9gm/dl-10.9gm/dl, moderate anemia 7.0gm/dl - 8.9gm/dl, severe anemia – below 6.9 gm/dl Anemia is the medical term for the condition of decreased haemoglobin percentage. It means the reduced oxygen carrying capacity of the blood. In the ancient Ayurvedic text books, anaemia has been regarded as “PAANDU ROGA”. A very peculiar sign of the chronic anaemia has been mentioned poetically as “KETAKI-DHULI-SANNIBHAH” i.e. patient’s body looks like the pollengrains of KETAKI.  “पाण्डुतावक्ष्यमाण हरितादिवर्णेभ्यः प्रधानेन वर्णनोपलक्षितो रोगः पाण्डुरोगः” – (चरक संहिता, चिकित्सा स्थान, अध्याय 16, चक्रपाणिदत्त टीका.  People usually understand this condition as ‘reduced blood’. Anamia can be solved at home level by modification in life style and food habits.

 

Wholesome diet and habits:

Barley, wheat, red rice, flesh of the desert animals, green gram, red spinach, milk, buttermilk, brinjal, guava, inflorescence of banana, leaves of drumstick, sugarcane juice, dry grapes, well ripened banana, pome granate, gooseberry, ghee, lemon etc. Poshan modakam is nutritious food to prevent malnutrition.  Preparation of supplementary food i.e. poshan modakam would be composed of following food material- roasted seeds of sesame, roasted flour of flex seed, roasted flour of soy, roasted peanuts, roasted flour of wheat, and flour of Indian kudju( vidhari kand or patal kumhada), coconut oil, and jaggary.

 

BACK GROUND OF THE STUDY:

90% nursing students are anaemic in Govt. College of Nursing, Jagdalpur, 2015.

 

OBJECTIVES:

1. Assess the HB% among nursing students of experimental and control group before and after the intervention.

2. To evaluate the effectiveness of poshan modakam laddu in increasing HB% among control and experimental groups.

 

HYPOTHESIS:

The hypothesis was being tested at 0.05 level of significance.

 

H₁ : There will be significance difference in post interventional HB% score of nursing students.

 

METHODOLOGY:

Research approach:

Quantitative evaluator research approach,

 

Research Design:

True experimental design- pretest -posttest only,

 

Population:

Students of Govt. College of  Nursing, Jagdalpur,

 

Sample:

B.Sc. Nursing Anemic Students,

 

Sampling Technique:-

Probability purposive simple random sampling,

 

Sample size:

80 anemic students of G.C.O.N., JDP,

 

Tool:

In vitro Bio physiological method (Evaluation of HB% through the In vitro Bio physiological method),

 

Variables:

Dependent variables- HB% level, Independent variables: - Modakam laddu,

 

Data Analysis:

Descriptive and Inferential statistics were calculated (percentage, Frequency,‘t’ test and chi square,

 

Setting:

Govt .college of nursing, jagdalpur.),

 

Ethical consideration:

Written permission from participant,

 

Budget:

Participant willing to pay. RS. 200 / Month for 3 kg modakam laddu,

 

Administration:

All the ingredients were purchased from the local market of jagdalpur and passed by Dr. K. K. Mishra after identification of Indian kudju and ginger of good quality. The recipe used in this trial was prescribed and formulated by Ayurvedic expert. The Modakam were prepared according to the “MODAK-KALPANA” as mentioned in the Ayurvedic treatises and under the supervision of Dr. K. K. Mishra medical officer ayurveda, maharani hospital Jagdalpur.

 

DOSE:

Modakam laddu 90 gm /day for Thirty days.

Research Design:-

NOTE: E1- Experimental Group, C1- Control Group

 

Research Data Analysis: -

1. Descriptive Statistics

Section I – Table no-1. : Frequency and percentage distribution of socio demographic variables. N=80

 

SECTION II – Description and Comparison of HB %

 

Cylendrikal fig -1.  Percentage distribution of level of anemia on base of Hb% among B.Sc. Nursing, Students of experimental group before and after the intervention.

 

Table no.2. Comparison of mean and mean percentage of experimental group between pretest and posttest score of Hb%. N=40

S. No.	HB%	Mean	Mean Percentage (%)
1.	Pre test	9.49	23.72
2.	Post test	13.58	33.95

 

Table No. 3. Comparison of mean and mean percentage of control group between pretest and posttest score of Hb%. N =40

 

Table No. 3.-Depict that control group pre test and post test mean of HB% are 10.31 and 10.02. Mean percentage of pre test and post test are 25.77 and 25.05.So post test mean value is more than pre test value.

 

Cylendrikal Fig.no.2. Percentage distribution of level of anemia on base of Hb% among B.Sc. Nursing, Students of control group before and after the intervention

SECTION-III - Inferential Statistics: To assess the effectiveness of Poshak Modakam

Table no-4. Evaluation of effectiveness between experimental and control group. Unpaired t-test used to analysis effectiveness of modakkam laddu Hb% with post test result of both group. N=80

Table value ‘t’ (79) =2.00, p<0.05

 

Present in the table 4 shows that‘t’ value computed between two group is statistically significant. This shows that poshan modakam laddu was effective in increasing HB% of anemic students. Hence Research hypothesis is accepted and null hypothesis is rejected.

 

SECTION-III:

TABLE -5.Shows the association between selected demographical variables and posttest HB% score. N=80

S. No.	Socio Demography	Normal	Mild	Moderat	Severe	Chi Square	DF	Critica-l Valve	Inference
1.	AGE a. 17 – 19 b. 20 – 22 c. 23 – 25 d. 26 – 28	9 13 5 0	12 19 7 1	6 5 3 0	0 0 0 0	6.74	12	21.03	Non significant
2.	WEGHT 36 – 40 41 – 45 46 – 50 51 – 55	5 7 11 5	8 16 12 2	5 2 5 1	0 0 0 0	2.84	12	21.03	Non significant
3.	DIETARY PATTERN VEG NON VEG	9 20	9 27	3 12	0 0	2.03	4	9.49	Non significant
4.	EDUCATION 1st  year 2nd year 3rd year 4th year	8 8 4 9	8 14 10 11	4 4 3 4	0 0 0 0	8.73	12	21.03	Non significant
5.	Menstruation cycle Regular Irregular	22 5	27 11	13 2	0 0	2.56	4	9.49	Non significant

Table value x^{2 (}12) =6.74, x2(12) = 2.84, x²(4) =2.03, x2⁽12) = 8.73, x2 (4) =2.56, p<0.05, *=significance

 

The data presented in the table no. 5 despite that there is no association between post test HB% score and selected demographic variables. Thus it is interpreted that post test Hb% score of b.sc nursing students is not influenced by any of the selected demographical variables. 

 

RECOMMENDATIONS:

1. A similar study can be replicated with more than 80 sample size (anaemic patient) and in various other health care setting.

2. A similar study may be conducted with RCM, quasi experimental research design study among all anaemic nursing students.

3. A similar study among anganwadi, Traditional Girls College, girls school, girls hostel and community.

 

CONCLUSION:

Poshan modakam is effective in increasing HB% among anaemic nursing students of Govt. College of nursing, Jagdalpur, C.G.

 

REFERENCE:

1.        WWW.EJCANCER.COM/ARTICLE/S0959-8049 (04)00511-8ABSTRACT

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3.        World Health Organization growth references data for 5- 19 years, WHO references 2007. Available from: www. Who.int/ growthref/en/.

4.        http://pubmed.com.

5.        Www. Anaemia in adolescent girls. In

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8.        Means RT. Iron deficiency anaemia. Haematology 2013; 18; 305.

9.        Nayar PD, Mehta R (2007) text book of prevention and social medicine 2^nd edition,  new Delhi CBS publishers and distributor 428.

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Received on 09.12.2016          Modified on 13.01.2016

Accepted on 30.01.2017         © A&V Publications all right reserved