A Study to evaluate the effectiveness of Video Assisted Teaching on new Horizons of Ozone Therapy on Knowledge Level among Staff Nurses at Selected Hospitals in Bangalore

 

Mr. Glydin George1*, Dr. Senthil Kavitha. R2, Ms. Sherin. K Varghese3

1ESIC College of Nursing, Gulbarga.

2Professor, ESIC College of Nursing, Gulbarga.

3Lecturer, Garden City College of Nursing, Bangalore

*Corresponding Author Email: senthil.kavitha3@gmail.com

 

ABSTRACT:

The aim of the present study is to assess the effectiveness of video assisted teaching on new horizons of ozone therapy among staff nurses. Objectives; 1) Assess the pre-test knowledge level among staff nurses regarding ozone therapy. 2) Evaluate the effectiveness of video assisted teaching on ozone therapy in experimental group among staff nurses at selected hospital Bangalore. 3) Associate the back ground variables of age, educational qualification, years of working experience, job title, area of work, overseas experience, previous knowledge with their knowledge level on ozone therapy. One group pre-test post-test design was selected for the study. The participants were 30 staff nurses from Bangalore Hospital, Bangalore. Convenience sampling method was used to select the sample for study. A structured questionnaire was used to collect data from the subjects. The obtained data was analyzed using descriptive and inferential statistics and interpreted in terms of objectives and hypothesis of the study. The level of significance was set at 0.05 levels. In experimental group, pre-test mean was 7.26 (SD=2.52) and post-test mean was 16.87 (SD=3.70), with the t value of 9.99. The obtained t-value is greater than the table value at 0.05 level of significance. Therefore, VAT was effective in improving knowledge on ozone therapy of staff nurses. CONCLUSION: In the pretest 80% of the subjects had low level of knowledge, 17% of the subjects had very low level of knowledge and 3% of of the subjects had average level of knowledge where as in the post test 63% of the subjects had good level of knowledge, 20% of the subjects had average level of knowledge and 17% of the subjects had excellent level of knowledge. The study findings indicate that ozone therapy was effective for improving knowledge level among staff nurses.

 

KEYWORDS: Effectiveness, Video Assisted Teaching, Ozone therapy, Knowledge level, Staff nurses.

 

 

INTRODUCTION:

BACKGROUND AND PURPOSE OF THE STUDY:

The various forms of oxygen and ozone therapy have been in use since the late nineteenth century. Ozone could be used to maintain health while one is not suffering from any ailment. Ozone is one chemical form or "allotrope" of Oxygen. Molecular Oxygen consists of two atoms of Oxygen (O+O) forming one di-atomic molecule of Oxygen (O2). Ozone consists of three atoms of Oxygen, which form the tri-atomic molecule of Ozone (O3). While it is true that Ozone can be toxic, it is also just as true that Ozone is essential for life on earth. The high altitude Ozone layer, scientifically called the Ozonosphere, actually protects us from the toxic effects of cancer causing high energy ultraviolet light from the sun. In modern society this layer is being seriously depleted due to environmental air pollution, with a resultant increase in the incidence of skin cancers, cataracts, lung diseases and immune deficiency-dysregulation diseases. The higher energy Ultraviolet sunlight passing through the now defective high altitude Ozonosphere causes atmospheric oxygen to react with man-made nitric oxides from fossil fuels and this leads to the production of toxic levels of Ozone in the air we breathe. Thus, the amount of Ozone in our air is actually a measure of the overall degree of other pollutants, but not really a cause of pollution in itself1.

 

Medical Ozone directly stimulates oxidative metabolism within cells and organelles inside the cells. It directly increases the production of energy by increasing cellular ATP production by up to 40%. It also directly enhances anti-oxidant defenses, stimulates oxidative de carboxylation, improves blood lipid (cholesterol) levels, increases blood oxygen levels, improves tissue oxygen extraction, oxygen utilization and enhances oxidative detoxification of biological and chemical pollutants. Clinically Medical Ozone therapy has also been shown to improve cytokine production by immune cells, disinfect and sterilize infected wounds and gangrene, improved tissue oxygenation due to the increase in 2, 3 DPG (diphosphglycerate) in red cells shifting the oxygen-hemoglobin, improve cancer immune surveillance and help with cancer therapy, improve bone density in osteoporosis, stimulate cellular immune function, modulate excessive humoral activity in rheumatic and inflammatory diseases, kill the HIV and other viruses, provide important ant-inflammatory activity, improve wound healing2,3,4.

 

Ozone therapy is a revolutionary medical treatment producing far reaching results in human health care has now become a reality and is being practiced in the world today. Ozone therapy was discovered in Germany well over one hundred years ago but did not come in common use till recently. It is now becoming more popular in various parts of the world. It is given as complementary or supportive therapy. Medical Ozone, when properly and responsibly handled for the correct indication, is safe, practical, effective and economic. Medical ozone is always a mixture of purest ozone and purest oxygen5.

 

"Ozone could be used to maintain health while one is not suffering from any ailment. We are all oxygen starved while humans have adapted beautifully to 17% oxygen in breathing air from the initial 30% when we started as oxygen dependent creatures. At present we are all in jeopardy, oxygen concentrate is going down from 17% to 14% with increased pollution. We will need protection against this. Ozone is ideal to overcome the shortage. It compensates for the pollution and provides us with extra oxygen. It is being a good idea to have ozone treatments periodically, like ozone bath and rectal ozone infusions. This practice will help maintain one's health"6 In Ozone therapy, pure ozone is introduced into the human body. It will help to increase oxygen delivery to the tissues and organs of the body, to increase blood circulation, to detoxify the body's systems, and to boost the immune system. Ozone has anti-bacterial, and anti-viral properties. Ozone has a detoxifying effect on our body. This then stimulates basic metabolism. Medical ozone can positively influence or even heal a large number of diseases. Ozone gives more oxygen to Red Blood Cells and increases their glucose uptake, it makes tissue cell membranes more elastic, pliable and healthy, it helps cells to intake nutrients efficiently and throw out waste products quickly, it relaxes blood vessels capillaries and increases circulation, it primes White Blood Cells and make Immune System more efficient, it destroys viruses, bacteria, fungi and other germs thus controlling infections, it helps diseases cells to get rid of toxins and harmful free radicals and it helps increase energy level in body and has antigenic effect.

 

Ozone (O3) is activated oxygen (O2), and in a short period of time the O3 molecule will revert back to oxygen. During this short half life cycle, the O3 molecule can therefore be utilized for sanitation and sterilization purposes. Because of its short half-life and its tremendous oxidizing capabilities, it can be used in situations where residual chemicals are undesirable. Ozone will work 3000 times quicker and is 2.5 times stronger than chlorine7.

 

Nurses are health care providers; they are delivering care to the patient according to their knowledge level. Ozone therapy is one of the new trends of medical treatment. Most of the people are not aware of this new treatment modality. “There is nothing as sacred as knowledge in this world”. Awareness will give regarding ozone therapy will improve the therapeutic use of ozone therapy in person’s health. Today, health care providers and people should know about ozone therapy and its importance because, it doesn’t have any complications or side effects if properly administered. The contraindications are less and no age related risks. It doesn’t need any special skills to administer most of the procedures, except proper training and understanding of the concept. It is cheap and very effective.

 

So this ozone therapy is less cost effective and non-invasive. It is useful for poor patients. Video assisted teaching regarding benefits of ozone therapy will help to know more about ozone therapy. It helps to get awareness about the use of this for treatment for many diseases such as cancer, diabetes, pain, AIDS etc. Also it helps to implement the various techniques of ozone therapy in our daily living to improve healthy life style.

 

OBJECTIVES OF THE STUDY:

1         Assess the pre-test knowledge level among staff nurses regarding ozone therapy.

2         Evaluate the effectiveness of video assisted teaching on ozone therapy in experimental group among staff nurses at a selected hospital, Bangalore.

3         Associate the back ground variables of age, educational qualification, working experience, job title, area of work, overseas experience and previous knowledge with their knowledge level on ozone therapy.

 

HYPOTHESES:

H1: There will be a difference in pre and post-test knowledge level after video assisted teaching on ozone therapy.

 

H2: There will be an association between background variables with the knowledge scores among the staff nurses.

 

MATERIALS AND METHODS:

One group pre and post-test design was adopted. The study was conducted at Bangalore Hospital, Bangalore. Convenience sampling method was used for the study. The sample size for the present study was 30 staff nurses. The conceptual frame work adopted for the study, based on Ludwig Von Bertalanffy’s (1968) General System Theory. A Structured Questionnaire was used to assess the pre and post-test knowledge level of staff nurses and it was also developed for the study to collect the demographic data. The content validity of the tool was established based on the experts’ opinion. Reliability of the tool was found to be feasible with the reliability co-efficient of 0.90 by test re-test method. Permission was obtained from the Bangalore Hospital, Bangalore. Consent of each subject was obtained before starting the data collection. Assurance was given to them that the anonymity of each individual would be maintained. Data was collected from samples and it was analyzed by descriptive and inferential statistics.

 

SCORING AND INTERPRETATION FOR GRADING OF KNOWLEDGE:

SCORES               DESCRIPTION

0-5                          Very low

6-10                        Low

11-15                     Average

16-20                     High

21-25                     Excellent

ORGANISATION OF STUDY FINDINGS:

 

 

Fig 1: 3-D Line Diagram showing the knowledge level Distribution of staff nurses.

 

In the present study it was observed that in pre-test 5 (17%) of the staffs had very low level of knowledge, 24 (80%) of the staffs had low level of knowledge, 1 (3%) of the staffs had average level of knowledge, and none (0%) of them had good and excellent level of knowledge before administering VAT.

 

The same figure also implies that in post-test major subjects 19 (63%) had good level of knowledge, 6 (20%) had average level of knowledge, 5 (17%) had excellent level of knowledge and none of them were in low and very low level of knowledge score after administering VAT.

 

 

Fig.2: Clustered Cone Diagram showing the Mean and SD of pre and post test scores of staff nurses.

 

From the above figure 2 we can observe that, in experimental group, pre-test mean was 7.26 (SD=2.52) and post-test mean was 16.87 (SD=3.70), with the t value of 9.99*for pre and post-test respectively. The obtained t-value was greater than the table value at 0.05 level of significance. Therefore, VAT was effective in improving knowledge on ozone therapy of staff nurses.

 

 

Table 1: Association between demographic variables with post-test level of knowledge.

Age

LEVEL OF KNOWLEDGE

0-5

6-10

11-15

16-20

21-25

2and DF

22-24

0

0

2

6

1

 

2.05NS

6

24-26

0

0

3

9

2

26-28

0

0

1

3

2

28-30

0

0

0

1

0

22-24

0

0

2

6

1

EDUCATIONAL QUALIFICATION

GNM

0

0

3

13

3

 

1.68NS

4

Pc Bsc

0

0

0

0

0

Bsc(N)

0

0

3

5

2

Msc(N)

0

0

0

1

0

WORK EXPERIENCE

0-1

0

0

3

10

2

 

 5.91NS

6

1-2

0

0

3

5

1

2-5

0

0

0

2

2

>5

0

0

0

2

0

JOB TITLE

Staff nurse

0

0

5

18

5

 

1.38NS

2

Ward In charge

0

0

0

0

0

Supervisor

0

0

1

1

0

AREA OF WORK

Emergency

0

0

1

1

0

 

2.99NS

6

ICU

0

0

0

2

1

OT

0

0

0

1

0

General ward

0

0

5

15

4

OVERSEAS EXPERIENCE

Yes

0

0

2

1

0

4.66NS

2

No

0

0

4

18

5

PREVIOUS KNOWLEDGE

Yes

0

0

0

0

0

39.4*

5

No

0

0

6

19

5

 

 

From the above table 1, in post-test all the variables of age, educational qualification, work experience, job title, area of work and overseas experience except previous knowledge did not have significant association through statistics, so the research hypothesis (H2) was not accepted for these variables. These results indicated the effectiveness of video assisted teaching on ozone therapy.

 

CONCLUSION:

The results shows that the mean value of the post test is more than the pretest knowledge level. The calculated‘t’ value is 9.99*. This result shows that there is a significant difference between the knowledge levels on ozone therapy. This highlights the importance of video assisted teaching about ozone therapy to enhance the staff nurses knowledge to deliver the safe patient care. The trend of ozone therapy is gradually increasing in the medical field. Acquiring knowledge on ozone therapy helps to take care of health care provider’s health as well as it gives public’s awareness.

 

 REFERENCES:

1         Dr. Edwards. MedicalOzone/Oxygen Therapy.

2         Available from: www.biohealthcenter.com/ozonerx.html

3         Bocci V and Paulson L. Studies on the Biological Effects of Ozone: Induction of Interferon a on Human Leukocytes. Haematological. 1990; 75:510-515.

4         Bocci V, Paulson L, Luzzi E. Studies on the Biological Effects of Ozone: Induction of Tumour Necrosis Factor (TNF-a) on Human Leukocytes. Lymphokine and Cytokine Research. 1991; 10:409-412.

5         Bocci V. Ozonation of Blood for the Therapy of Viral Diseases and Immunodeficiencies. Medical Hypothesis. 1992; 39:30-34.

6         Dr. Faridaa Khan, fit an fine, ozone health care centre.

7         Available from: www.fit nfine.net/ozone.htm

8         Ozone Therapy, Available from: www.healthyheart.in/ozonetherapy.htm

9         Benefits of ozone steam sauna therapy. Available from: www.salvagente.co.za/ozonetherapy/

  

 

 

Received on 15.03.2018          Modified on 28.03.2018

Accepted on 08.04.2018      ©AandV Publications All right reserved

Asian J. Nursing Education and Research. 2018; 8(3):395-398

DOI: 10.5958/2349-2996.2018.00081.2