A Study to Assess the
Effectiveness of Planned Teaching Programme on
Management of Dysmenorrhoea in Terms of Knowledge and
Attitude among Adolescent Girls Studying in selected Schools of Gujarat State.
Mansuri Asma K.
Assistant Professor, Mother Terrasa
College of Nursing, Near Telephone Exchange,
Visnagar Ta., Gothava Po., Mehsana Dist. North Gujarat-384315
*Corresponding Author Email: asmamansuri06@gmail.com
ABSTRACT:
The study was conducted to assess the knowledge and
attitude regarding management of dysmenorrhoea among
adolescent girls.
The study was conducted in six selected schools at
Gujarat. Total samples were 60 and equally (10) collected from each school.
Multistage lottery method without replacement sampling technique was used .The
research tool was developed in English after an extensive of literature and
experts opinion it was translated in to Gujarati by language experts .the structured
questionnaire was used as an instrument to measure the level of knowledge and 5
point likert scale was used to assess the attitude
regarding management of dysmenorrhoea among
adolescent girls in selected schools at Gujarat.
The study revealed that the mean Pre test Knowledge
score is 8.05 and the mean Post test Knowledge score is 19.55. The mean
difference between Pre test and Post test Knowledge score is 11.5 and also
revealed that 06 (10%) of the samples are favorable attitude and 54 (90%) of
the samples are unfavorable attitude in Pre test while 54 (90%) of the samples
are favorable attitude in Post test where as only 6 (10%) of the samples are
unfavorable attitude in Post test regarding Management of Dysmenorrhoea.
Chi-square test was calculated to find out the
association between the demographic variables and the level of knowledge and
attitude regarding management of dysmenorrhoea among
adolescent girls in selected schools at Gujarat and it resulted there is association between the Pre test and
Post-test level of Knowledge and Attitude scores and the selected Demographic
variables i.e. Age, Standard of Study, Age of menarche, History of Dysmenorrhoea in family, History of Dysmenorrhoea,
Performing Daily Exercises on adolescent girls studying in selected girls
schools at Gujarat
KEYWORDS: Dysmenorrhoea, Knowledge,
Attitude, Management.
INTRODUCTION:
India has one of the fastest growing youth populations
in the world, with an estimated 190 million adolescents. Girls below 19 years
of age comprise one quarter of India’s rapidly growing population. According to WHO adolescent is the period of
life that extends from 10 -19 years. One of the major physiological
changes that take place in adolescent girls is onset of menarche which is
usually associated with a number of problems among which dysmenorhoea
is the most common.1
A
recent review of menstrual disorders in developing countries in journal
revealed high rates of menstrual morbidity in population-based studies.
By late adolescence, 75% of girls experience some problem associated with
menstruation. Delayed, irregular, painful, and heavy menstrual bleeding are
leading reasons for physician office visits by adolescents, and dysmenorrhoea is the leading reason for school absenteeism
among girls.2
The management of dysmenorrhoea is multifaceted and depends on the severity
of the problem and the individual women’s response. In addition to drug
therapy, the other management includes nutritional supplement, acupressure,
acupuncture, warm application, massage, yoga and aerobic exercise. Significant
home care treatment help to reduce the pain of dysmenorrhea. These measures are
very effective than medication and gives pain relief benefit.3
NEED
FOR THE STUDY:
Adolescent girls constitute one fifth of the female
population in the world. Generally this group is considered healthy and has not
been given adequate attention in health programmes.
The reason is age specific mortality is comparatively low in this age group as
compared to others. In countries like India, adolescent girls face serious
health problem due to socio-economic, environmental conditions and gender
discrimination. These factors make them more vulnerable to health risks.4
Dysmenorrhoea occurs mostly among Adolescents. Due to
lack of Knowledge, some of the Adolescent Girls believed that a nutritious diet
could positively affect menstrual period pain. So this could also increase the
chance of developing certain infections as well as increase the discomfort
associated with secondary dysmenorrhoea. Therefore,
the researcher felt the need to study the effectiveness of Planned Teaching Programme on Dysmenorrhoea and
its Management which would help to impact Knowledge and positive Attitude
towards Dysmenorrhoea. The health care is moving
towards complementary and alternative therapy in managing of many problems,
which also improve the lifestyle and decrease the absenteeism of the adolescent
girls.5
OBJECTIVE
OF THE STUDY:
·
To assess the Knowledge of Adolescent Girls
regarding Management of Dysmenorrhoea before and
after administration of Planned Teaching Programme in
selected Schools of Gujarat state.
·
To assess the Attitude of Adolescent Girls
regarding Management of Dysmenorrhoea before and
after administration of Planned Teaching Programme in
selected Schools of Gujarat state.
·
To find out Co-Relation between Knowledge and
Attitude of Adolescent Girls regarding Management of Dysmenorrhoea
in selected Schools of Gujarat state.
·
To find out association of Pre test Knowledge and
Pre test Attitude regarding Management of Dysmenorrhoea
with selected Demographic variables of Adolescent Girls in selected Schools of
Gujarat state.
MATERIAL AND METHODS:
Research Design: The Quasi Experimental One Group Pre-test Post-test
design was chosen for this study.
Setting: The study was conducted in selected schools at Gujarat.
Population: Target population for this study includes all the
adolescent girls studying in selected schools of Gujarat.
Sample: Selected 60 samples from 6 schools.
Sampling Technique: The samples were selected for this study by
multistage lottery method without replacement sampling technique
Data analysis: The demographic variables were organized by using
descriptive measures (frequency and percentage).The association between the
level of knowledge and attitude and the selected demographic variables were assessed
by Chi-square test.
FINDINGS:
·
The
study revealed that 17 (28.33%) samples were in the age group of 15 year and
only 08 (13.33%) samples belong to the age group of 19 years. As regard to
Standard of Study, 26 (43.33%) samples were in standard 10th, and 15
(25%) samples were in standard 12th. According to Age of Menarche,
maximum samples 26 (43.33 %) were having menarche at age 13 year and minimum 7
(11.67 %) samples were having menarche age 15 year. Regarding to History of Dysmenorrhoea in Family, 42 samples (70%) were no history
of dysmenorrhoea in family and 18 samples (30 %) were
having history of Dysmenorrhoea in family. With
regard to History of Dysmenorrhoea, 37 (61.67%)
samples were not having dysmenorrhoea, 23 (38.33%)
samples were having dysmenorrhoea. According to
Dietary Pattern, maximum samples 44 (73.33%) were having vegetable dietary
pattern and rest of 16 samples (26.67%) were having non-vegetarian dietary
pattern. Regard to Performing Daily Exercise, maximum samples 32 (53.33%) were
performing daily exercises and 28 (46.67%) samples did not performing daily
exercises. The study revealed that the samples were belongs to age group 15
year 17 (28.33%), 26 (43.33%) samples were from standard 10th, 26
(43.33 %) samples were having menarche at age 13 year, 42 samples (70%) were no
history of dysmenorrhoea in family, 37 (61.67%)
samples were not having dysmenorrhoea, 44 (73.33%)
samples were having vegetable dietary pattern, 32 (53.33%) samples were
performing daily exercises.
·
The study revealed that the mean Pre test Knowledge
score is 8.05 and the mean Post test Knowledge score is 19.55. The mean difference between Pre test and
Post test Knowledge score is 11.5.
·
The study revealed that 06 (10%) of the samples are
favorable attitude and 54 (90%) of the samples are unfavorable attitude in Pre
test while 54 (90%) of the samples are favorable attitude in Post test where as
only 6 (10%) of the samples are unfavorable attitude in Post test regarding
Management of Dysmenorrhoea.
·
The study revealed that there were association between the demographic
variables and the level of knowledge and attitude regarding management of dysmenorrhoea among adolescent girls in selected schools at
Gujarat and it resulted there is
association between the Pre test and Post-test level of Knowledge and Attitude
scores and the selected Demographic variables i.e. Age, Standard of Study, Age
of menarche, History of Dysmenorrhoea in family.
CONCLUSION:
This study concluded that Adolescent
Girls Studying in Selected Schools of Gujarat state has maximum poor or average knowledge and unfavorable
attitude on Management of Dysmenorrhoea.
After administration of a
Planned Teaching Programme Knowledge and Attitude of
samples increased and resulted in a higher knowledge and favorable Attitude
score. This clearly indicates that the Planned Teaching Programme
was effective in improving the knowledge and Attitude of the Samples.
REFERENCES:
1. Abdul Razzaq K K.
Influence of dietary Intake of dairy products on dysmenorrhoea.
J Obstet Gynaecol Res. 2010
April; 36(2): 327-83
2. Bhalera A. Gynaecological Manual on Adolescent Girls and Young Women.1st
edition. New Delhi: Jaypee Federation of Gynaecology Societies of
India; 2009.
3. Down CS. Textbook of Gynaecology, Contraception
& Demography. 14th edition. Kolkata: Dawn Books;2003,
4. Dutta D.C. Textbook of Gynaecology. 5th
edition. Kolkata: New Central Book Agency (P) Ltd; 2008.
5. Shamsunder S. Manual of
Gynecology. Delhi: CBS Publisher; 2007.
Received on 27.11.2015 Modified on 08.12.2015
Accepted on 25.12.2015 ©
A&V Publication all right reserved
Int.
J. Nur. Edu. and Research.2016;
4(2):116-118.
DOI: 10.5958/2454-2660.2016.00026.0