A Study to Assess the effectiveness of self Instructional Module on the Knowledge and Practice of the Mothers of School age Children with Juvenile Diabetes in the Selected community area of Ahmedabad City of Gujarat State
Binal D Joshi
Nursing Tutor, Manikaka Topawala Institute of Nursing Charusat, Changa
*Corresponding Author E-mail: bhavishapatelrp@yahoo.com
ABSTRACT:
A study to assess the effectiveness of self instructional module on the Knowledge and practice of the mothers of school age Children with Juvenile diabetes in the selected Community area of Ahmadabad City of Gujarat state. The objectives of the study was (1) To assess the pretest and post test level of Knowledge and practice among the mother of the school age children with juvenile diabetes of control and experimental group.(2)To assess the post test level of Knowledge and practice of control group and experimental group among the mother of the school age children with juvenile diabetes.(3)To assess the effectiveness of the self instructional module by comparing pre and post test score of control and experimental group.(4)To associate with pretest knowledge and practice of the mother with selected demographic variables .The conceptual frame work is based on System theory model. A quasi experimental approach was used for research study; one group pre post design with control group was used for research study. A pre-post interventional study was performed on mothers of school age children of Ahmadabad city of Gujarat State. Purposive sampling was used to select samples. Data collection includes demographic data, knowledge on juvenile diabetes of mothers with help of structured knowledge questionnaires, Practice of juvenile diabetes of mothers with help of structured observation rating scale. Self instructional module was introduced in terms of knowledge and Practice performing by mothers on juvenile diabetes. The main area of knowledge and Practice include - Introduction, Types, causes, chief signs and symptoms, treatment and home management of juvenile diabetes. For the knowledge it is reveals the comparison between pre-test and post-test knowledge score obtained by the Samples. The mean pre test score is 9.26 and the mean post test score is 19.75. The table also shows that the Standard Deviation of pre test knowledge score is 1.76 and that of the post test is 1.74. The calculated‘t’ is 28.17 and the tabulated’ is 1.693 at 0.05 level of significance. For practice of the samples it is reveals the comparison between pre-test and post-test practice score obtained by the Samples The mean pre test score is 18.73 and the mean post test score is 36.39. The table also shows that the Standard Deviation of pre test practice score is 7.08 and that of the post test is 6.43. The calculated’ is 16.5 and the tabulated’ is 1.693 at 0.05 level of significance There was significant difference between pretest mean score and posttest mean score for knowledge and practice of samples regarding juvenile diabetes. After administration of a self instructional module, there was improvement in samples’ Knowledge and Practice. So it was concluded that a self instructional module on juvenile diabetes increased the knowledge and practice of mothers of Ahmadabad city of Gujarat state.
KEYWORDS: Diabetes mellitus, Knowledge, Practice, Self instructional Module.
INTRODUCTION:
Brunner and suddarth. (2010) diabetes mellitus is a group of metabolic diseases characterized by increased levels of glucose in the blood (hyperglycemia) resulting from defects in insulin amount of glucose presents in the blood.
Juvenile diabetes research foundation. (2011) juvenile diabetes is Type 1 category developing in individuals of young age. To survive the patient needs external complement of insulin.
Me India, health facts. (2010) India is the diabetes capital of the world. It is estimated that currently there are 40 million people with diabetes in India and by 2025 this number will swell to 70 million. This would mean every fifth diabetic in the world would be an Indian. Diabetes causes 6 deaths every minute and one in 20 deaths in the world is due to the condition. Every year it is estimated that 3.2 million people in the world die due to the diabetes.
Juvenile diabetes research foundation. (2011) there are about 1 million juvenile diabetics in India. Every year 27 thousand diabetic children (2 to 14 years of age) around the world die of the disease. 45 percent of them, more than 12 thousand in figure, die in India itself. There is no count of how many die undiagnosed. Among those who are diagnosed with juvenile diabetes, 70 percent come from poor families.
Express India. (Jan 2012) India has been designated as the "Global Capital of Diabetes" having the highest 35 million diabetic patients. Worldwide, 3.2 million deaths are attributed to diabetes every year and at least one in ten deaths among adults between 35 to 64 years old is attributed to diabetes.
Dr. Bansi Saboo. Ahmedabad. (2009) there are about 70,000 children, develop juvenile type 1 diabetes each year and one in seven adult deaths is due to diabetes and its complications. These figures are quite grave and one needs to take the disease seriously. Emerging metros like Ahmadabad are at a greater risk of life-style diseases and we must keep this deadly condition at bay by making people fully aware of this hazard.
JDRF. (2010) to stay alive, people with type 1 diabetes must take multiple insulin injections daily or continually infuse insulin through a pump. They must also test their blood sugar by pricking their fingers for blood six or more times a day.
While trying to balance insulin doses with their food intake and daily activities, people with this form of diabetes still must always be prepared for serious hypoglycemic (low blood sugar) and hyperglycemic (high blood sugar) reactions, both of which can be life-limiting and life threatening.
There is an increasing amount of evident to suggest that patient’s education for people with a chronic disease is an essential component of effective disease management. As such, there is a need to investigate the knowledge and practice of diabetic patients and parents to aid in future development of programme and techniques for effective health education. Increasing knowledge and improving practice of the mother of child with juvenile diabetes reduces mortality and risk of complications in child. This preliminary study will provide insight for the eventual lifestyle intervention study.
OBJECTIVE OF THE STUDY:
1. To assess the pretest level of Knowledge and practice among the mother of the school age children with juvenile diabetes of control and experimental group.
2. To assess the post test level of Knowledge and practice of control group and experimental group among the mother of the school age children with juvenile diabetes
3. To assess the effectiveness of the self instructional module by comparing pre and post test score of control and experimental group.
4. To associate with pretest knowledge and practice of the mother with selected demographic variables
MATERIAL AND METHODS:
Research Design:
The quasi experimental research design without randomization.
Setting:
The study was conducted in selected community area of Ahmedabad city.
Population:
Accessible population for this study includes mothers of the school age children with Juvenile diabetes mellitus from selected community area of Ahmedabad city.
Sample:
Selected 30 samples from experimental group and 30 samples from control group.
Sampling Technique:
The samples were selected for this study by non-probability purposive sampling techniques.
Data analysis:
The demographic variables were organized by using descriptive measures (frequency and percentage). The data from the structured knowledge questionnaire and structured observational rating scale before and after administration of self instructional module will be analyzed using mean, standard deviation (SD) and “t” test. The association between the level of knowledge and practice and the selected demographic variables were assessed by Chi-square test.
FINDINGS:
Findings Related to the demographic Data
In my research 24(80%) of the samples are in the age group of 21-30 years, 24(80%) are married, 21(70%) were hindu,17(56.66%)were educated at high school or above, 22(73.33%) were unemployed, 16(53.33%)from family income of 10000 and above having 16(53.33%) information source as health personnel, 13(43.33%) having illness duration less than 3 years and 12(40 % are newly diagnosed having diabetes 13(43.33% )in other area and 9(30 % ) in grand parents in experimental group.
Findings Related to the Knowledge:
The mean post test knowledge score is higher than mean pre test knowledge score with the mean difference of 9.74 which is statistically proved that the Self instructional module on juvenile diabetes is effective in terms of knowledge among the samples in experimental group.
The calculated’ (28.17) is significantly greater than the tabulated‘t’ (1.693) so there is significant increase in the knowledge of samples after the administration of the Self instructional module on juvenile diabetes. Which is statistically proved and so the null hypothesis Ho1 is rejected and research hypothesis H1 is accepted.
Findings Related to the Practice:
The mean post test practice score is higher than mean pre test practice score with the mean difference of 17.66 which is statistically proved that the Self instructional module on juvenile diabetes is effective in terms of practice among the samples in experimental group.
The calculated’ (16.5) is significantly greater than the tabulated ‘t’ (1.693) so there is significant increase in the practice of samples after The administration of the Self instructional module on juvenile diabetes which is statistically proved and so the null hypothesis Ho2 is rejected and research hypothesis H2 is accepted.
CONCLUSIONS:
From all the above mentioned findings, it can be concluded that the administration of a Self instructional module on juvenile diabetes was definite increase in both Knowledge and Practice of mothers. This clearly indicates that a Self instructional module on juvenile diabetes was effective in improving the Knowledge and Practice of the Samples.
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Received on 19.09.2017 Modified on 18.11.2017
Accepted on 20.12.2017 © A&V Publications all right reserved
Int. J. Nur. Edu. and Research. 2018; 6(3): 223-225.
DOI: 10.5958/2454-2660.2018.00051.0