A Study to Assess the Effectiveness of Planned Teaching Programme on Knowledge regarding Hormonal Replacement Therapy among women in the Age Group of 40-45 years in selected Urban Areas of Mehsana District

Ganesh Lal Patidar

Asst. Professor, Joitiba College of Nursing, Bhandu, Tal - Visnagar, Dist - Mehsana (Gujarat).

*Corresponding Author E-mail: ganeshpatidar91@gmail.com

ABSTRACT:

Objective: 1. To assess the knowledge regarding hormonal replacement therapy among women in the age group of 40-45 years. 2. To evaluate the effectiveness of planned teaching programme on knowledge regarding hormonal replacement therapy among women in the age group of 40-45 years.3. To associate the post test level of knowledge of the women women in the age group of 40-45 years with their selected demographic variables. Method: A pre-experimental study pre-test post-test one group design with under taken in Mehsana city. Data collection was there 60 women in the age group of 40-45 years. Result: In this study overall highest percentage in the demographic data including the age group highest percentages (65%), Education 46.66%of (graduation), Occupation 53.33% (house wife), 45% of family income (15000-20000), Religion 85% (Hindu), Source of knowledge 11.66 %(Television). Pre test knowledge score is poor 0(0.00%), average 20(33.33%) and good 40(66.67%). And post test knowledge score was poor 0(0.00%), average 0(0.00%) and good 100 (100.00%). Overall pre test mean score which is (12.93%) which shoes mother had poor knowledge whereas in post-test mean score (18.78%) which is indicates the mothers had effectiveness of planned teaching. there is a no significant association found between post test and demographic variable like. Age (chi square = 0.219), Education (chi square = 0.052), Occupation (chi square = 2.239), Family income (chi square = 0.016), Duration of marriage (chi square = 5.476), Religion (chi square =2.738), Source of Knowledge (chi square = 0.90). To found that planned teaching programme was effective in increasing the knowledge of women in the age group of 40-45 years regarding hormonal replacement therapy.

KEYWORDS: Assess, Effectiveness, Structured Teaching Programme, Knowledge, hormonal replacement.

INTRODUCTION:

Health of the woman should be cared for, in order to prevent the occurrence of many diseases. The women who attain menopause may have hormonal changes and they also experience physical effects of aging, mood disturbances. Every menopausal women is at the highest risk of getting cardiovascular diseases, osteoporosis. All women should know how to cope up with this change and maintain a good reproductive health.¹Hormonal replacement therapy (HRT) in menopausal women have been shown to exert a protective effect against atherosclerosis, osteoporosis and degenerative process of the skin and the brain, urogenital atrophy and other diseases associated with aging. Some studies have demonstrated that estrogens have an antioxidant effect both in vitro and in vivo by acting as free radical scavengers. However, the data concerning the antioxidant properties of estrogens remain controversial².

MATERIAL AND METHODS:

Data was collected from 60 sample with structured questionnaire to assess the Knowledge Regarding hormonal replacement Among women in the age group of 40-45 years. Quantitative research approach was used for present study. And u sed quantitative experimental one group pretest posttest group design. Non-probability convenient sampling technique was used to select the samples based on inclusive and exclusive criteria. The tool was developed based on the1. Literature review 2. Discussion with the expert.

The instrument consists of three sections:

Section A:

Structured questionnaire to elicit background information or demographic data of the women of 40-45 years

Section-B:

30 items of multiple-choice question type to assess the knowledge regarding HRT among women of 40-45 years. The subject responds by choosing 1 correct option from the given four options. After establishing the validity of the tools to be used for study the final tool was made and reliability of tool was established the area selected for testing the reliability was selected hospital Mehsana.

Pilot study was conducted before the actual conduct of the study to know the feasibility of the entire study, to test the goodness, sequencing, wording etc of the questionnaire which was prepared after in depth discussion with teachers of this field.

The data was collected through a structured knowledge questionnaire and using non probability convenient sampling technique. The study was found to be feasible.

RESULT:

In this study overall highest percentage in the demographic data including the age group highest percentages (65%), Education 46.66%of (graduation), Occupation 53.33% (house wife), 45% of family income (15000-20000), Religion 85% (Hindu), Source of knowledge 11.66 %(Television). Pre test knowledge score is poor 0(0.00%), average 20(33.33%) and good 40(66.67%). And post test knowledge score was poor 0(0.00%), average 0(0.00%) and good 100 (100.00%). Overall pre test mean score which is (12.93%) which shoes mother had poor knowledge whereas in post-test mean score (18.78%) which is indicates the mothers had effectiveness of planned teaching. There is a no significant association found between post test and demographic variable like. Age (chi square = 0.219), Education (chi square = 0.052), Occupation (chi square = 2.239), Family income (chi square = 0.016), Duration of marriage (chi square = 5.476), Religion (chi square =2.738), Source of Knowledge (chi square = 0.90). To found that planned teaching programme was effective in increasing the knowledge of women in the age group of 40-45 years regarding hormonal replacement therapy.

Level of knowledge	Knowledge score
	Pre test		Post test
	F	P	F	P
Poor	00	00%	00	0%
Average	20	33.33%	00	0%
Good	40	66.67%	60	100%
Total	60	100%	30	100%

DISCUSSION:

he findings of this study have been discussed with reference to the objectives and hypothesis. The pre testing of women 40-45 years the group on knowledge regarding hormonal replacement therapy show that the women have average knowledge about hormonal replacement therapy. The knowledge score of women regarding hormonal replacement therapy as revealed in the pre-test average knowledge score. where as in post-test the knowledge scores of the sample show marked increase, which indicates that the planned health teaching is effective in increasing the knowledge of the samples regarding hormonal replacement therapy. Also calculated 't' value (20.55) was greater than the table value at level of significance. hypothesis H1 was accepted hence it can be inferred that the planned health teaching was effective in increasing the knowledge of women regarding hormonal replacement therapy. The clearly indicates that the level of knowledge in experimental group in the post test phase is higher than in the pre-test phase. this shows that planned health teaching was proved effective in increasing the knowledge level of the samples regarding hormonal replacement therapy. From all the above finding it can be concluded that most of the women had average knowledge regarding hormonal replacement therapy. after administration of planned health teaching knowledge of majority of women considerably increased to a higher score in post test scores remained approximately low.

CONCLUSION:

This clearly indicates that the level of knowledge in experimental group in the post-test phase is higher than in the pre-test phase. This show that planned teaching programme was proved effective in increasing the knowledge level of sample regarding hormonal therapy among women in the age group of 40-45 year.

REFERENCE:

1. Lewis, The Text book of Medical Surgical Nursing 9th edition, Philadelphia Jaypee Publishers, 2005, page no.871-892

2. Sedlak Hormonal replacement therapy Educational Programme , Journal of Public Health Nursing in India, 2000, page no.79

Received on 07.10.2021 Modified on 14.12.2021

Int. J. Nur. Edu. and Research. 2022; 10(4):341-342.

DOI: 10.52711/2454-2660.2022.00078