A Study to assess the effectiveness of Self-Instructional module on Knowledge about practice regarding management of patient with chest tube drainage among Nurses working in selected hospitals of North Gujarat
Dr. Dayalal Patidar1, Mr. Kaushal Patidar2, Ms. Arazu Patel3
1Principal, Joitiba College of Nursing, Bhandu, Dist.: Mehsana.
2Associate Professor, Joitiba College of Nursing, Bhandu, Dist.: Mehsana.
3 Final Year M.Sc. Nursing Student, Joitiba College of Nursing, Bhandu, Dist.: Mehsana.
*Corresponding Author E-mail: kaush776@gmail.com, patelarazu25296@gmail.com
ABSTRACT:
Introduction: A chest tube insertion is surgical procedure in which a hollow, flexible drainage tube is inserted through the side of the chest into the plural space in order to drain the plural cavity air, blood, pus or lymph. The water seal container connected to the chest tube allows one way movement of air and fluid from the plural cavity. Chest tube can be inserted in the emergency department (ED), at the patient’s bedside, or in the operating room (OR), depending in the situation. In the OR the chest tube is inserted via the thoracotomy incision. When chest tube is inserted they must be connected to a sealed drainage system or one way valve that allows air and fluid to be removed from the chest cavity. Design: Pre experimental one group pre-test post-test design. Participation: 100 staff nurses were selected using non probability convenient sampling technique. Tool: Self-structured Questionnaire was used to assess the level of knowledge among nurses. Result: The data were analyzed and interpreted in the light of objective and hypothesis using descriptive and inferential statistical in terms of mean, standard deviation, ‘t’ test and chi-square test value. In this study overall the highest percentage in the demographic data including the age group majority 47% belong to age group between 20-30 year. Regarding gender majority 76% were male. Regarding professional qualification 67% respondent were GNM. Regarding total year of experience 35% had 1 to 5 year of experience. Regarding area of working 55% respondent work in ward. Regarding attended workshop and seminar related chest tube drainage 66% respondent have not attended. Regarding perform chest tube drainage 92% respondent have not performed chest tube drainage. During pre-test the mean level was 8.9 the standard deviation was 3.33. During post-test, the mean was 20.05 and the standard deviation was 4.47. The mean difference was 11.15 and the obtained ‘t’ value was 20.003, which significant at 0.05 level. Hence, the stated hypothesis was accepted. Conclusion: Self-instructional module had increase level of knowledge about practice regarding management of patient with chest tube drainage, and thus self-instructional module was proved to be effective.
KEYWORDS: knowledge, chest tube drainage.
INTRODUCTION:
BACKGROUND OF THE STUDY:
The common indication of chest tube drainage are Pneumothorax (accumulation of air in the pleural space), plural effusion (accumulation of fluid in the plural space), chylothorax (collection of lymphatic fluid in the plural space), and emphysema (a pyogenic infection of the pleural space), Hemothorax (accumulation of serous fluid in the pleural space). In addition to these cardiothoracic surgeries and chest trauma are common indications of chest tube insertion.1
Spontaneous pneumothorax is a disease with an estimated incidence of 4 to 9 out of 100,000 patients per year and 5:1 male prominence. Mortality rate as high as 16% have been reported. Here full lung expansion must be achieved and may require additional chest tube.1
The other indications that may need to be treated by chest drainage therapy include pyopneumothorax and spontaneous pneumothorax that causes more than a 25% collapse of lung. Cancer that causes excessive secretions, hydrothorax, and lung or heart surgery are also the indications for chest tube drainage.2
The four main pleural complication of traumatic Hemothorax or the retention of clotted blood in the pleural space, increase the incidence of subsequent emphysema, pleural effusion and fibro thorax.3
A study conducted on management of patient with chest tube drainage stated that chest tube Drainage or under water seal drainage is a routine part for thoracic trauma, surgery and pulmonary infection. Many aspects of the management of patient with chest drain come in the nursing domain, yet practices are inconsistent and many nurses lack confidence in caring for patient with chest tube drain due to lack of knowledge.4
PROBLEM STATEMENT:
“A study to assess the effectiveness of the self-instructional module on knowledge about practice regarding management of patient with chest tube drainage among nurses working in selected hospital of North Gujarat”
OBJECTIVES:
1. To assess knowledge about practice regarding management of patient with chest tube drainage among staff nurses.
2. To evaluate the effectiveness of self-instructional module on knowledge about practice regarding management of patient with chest tube drainage among staff nurses.
3. To find out the association of knowledge about practice with their selected demographic variable.
HYPOTHESIS:
H0: There will be no significant different between pre-test and post-test knowledge regarding management of patient with chest tube drainage among staff nurses at 0.05 level of significance.
H1: There will be significant different between pre-test and post-test knowledge regarding management pf patient with chest tube drainage among staff nurses at 0.05 level of significance.
RESULTS:
The data were analyzed and interpreted in the light of objective and hypothesis using descriptive and inferential statistical in terms of mean, standard deviation, ‘t’ test and chi-square test value. In this study overall the highest percentage in the demographic data including the age group majority 47% belong to age group between 20-30 year. Regarding gender majority 76% were male. Regarding professional qualification 67% respondent were GNM. Regarding total year of experience 35% had 1 to 5 year of experience. Regarding area of working 55% respondent work in ward. Regarding attended workshop and seminar related chest tube drainage 66% respondent have not attended. Regarding perform chest tube drainage 92% respondent have not performed chest tube drainage. During pre-test the mean level was 8.9 the standard deviation was 3.33. During post-test, the mean was 20.05 and the standard deviation was 4.47. The mean difference was 11.15 and the obtained ‘t’ value was 20.003, which significant at 0.05 level. Hence, the stated hypothesis was accepted.
|
No. |
Group |
Mean |
Mean difference |
Standard deviation |
t-value |
|
1. |
Pre test |
8.9 |
11.15 |
3.33 |
20.003 |
|
2. |
Post test |
20.05 |
4.47 |
Findings related to association between posttest knowledge score of nurses with selected demographic variables:
These findings demonstrated that there was no significant association between post-test knowledge score with their selected demographic variables.
CONCLUSION:
The main conclusion from this present study is that most of the nurses had poor knowledge regarding management of patient with chest tube drainage in pre-test and had improved to get extent after intervention which was revealed in post-test. This shows the Self-instructional module had increase level of knowledge about practice regarding management of patient with chest tube drainage, and thus self-instructional module was proved to be effective.
REFERENCES:
1. Lewis, Heitkemper, Dirksen. Medical surgical nursing. sixth edition. Mosby publishers 2007; Pg-622 to 624
2. Waugh Anne, Grant Allison Anatomy and Physiology in health and illness 3rd ed. USA : Elsevier 2006. Pg 251-252
3. Vinsant GO, Brunner RG, Role of antibiotics using in patient with an isolated chest injury, chest surgery clinic in North American J 1990:30:1148-1153.
4. Hiley C, Godden J. Managing the patient with chest tube drainage: a review Nursing standard Journal 1992; 12(32): 35-39.
5. www.google.com
Received on 16.10.2020 Modified on 14.11.2020
Accepted on 03.12.2020 © AandV Publications all right reserved
Int. J. Nur. Edu. and Research. 2021; 9(1):67-68.
DOI: 10.5958/2454-2660.2021.00016.8