A Study to Assess the Effectiveness of Structured Teaching Programme on Knowledge regarding Umbilical Cord Stem Cell Banking among Antenatal Mothers in selected Hospital, at Rajkot

Mrs. Seema Chapadiya¹, Mrs. Ponmani. P.², Mr. Jeenath Justin Doss. K.³

¹(II Year M.Sc. Nursing, OBG), Shri Anand Institute of Nursing, Opp. Ghanteshwar Park,

B/h Sainik society, Jamnagar Road, Rajkot-360006.

²Guide, Shri Anand Institute of Nursing, Opp. Ghanteshwar Park,

B/h Sainik society, Jamnagar Road, Rajkot-360006.

³Principal, Shri Anand Institute of Nursing, Opp. Ghanteshwar Park,

B/h Sainik Society, Jamnagar Road, Rajkot-360006.

*Corresponding Author Email: sjarsaniya35@gmail.com

ABSTRACT:

A pre-experimental study to assess the effectiveness of structured teaching programme (STP) on knowledge regarding umbilical cord stem cell banking among antenatal mothers at selected hospital, Rajkot. The objectives of the study were (1) To assess existing level of knowledge regarding umbilical cord stem cell banking among antenatal mothers. (2) To assess effectiveness of Structured teaching programme on knowledge regarding umbilical cord stem cell banking among antenatal mothers. (3) To find out association between level of knowledge regarding umbilical cord stem cell banking among antenatal mothers with their selected demographic variables. The research approach selected for the study was quantitative research approach and pre-experimental research – one group pre-test post-test design. The study was conducted at selected hospital at Rajkot. Total 60 samples were selected from antenatal mothers in Gynec hospital based on non-probability purposive sampling. The researcher used structured interview schedule and structured questionnaire for data collection regarding demographic variables and pre-test. As a part of intervention structured teaching programme on umbilical cord stem cell banking carried out among antenatal mothers in selected gynec hospital, The post-test score was measured with the same questionnaires after 7 days. The collected data were analyzed by using inferential statistical method. t- test was used to evaluate the effectiveness of STP on the level of knowledge regarding umbilical cord stem cell banking among antenatal mothers. It revealed that the mean score of pretest was 14.35 and post test was 24.96, The Mean difference was 10.61, The obtained ‘t’ value 28.71. Hence it was highly significant p<0.05 level. Hence their findings of the study revealed that the Structured Teaching Programme was effective in improving knowledge regarding umbilical cord stem cell banking among antenatal mothers and improving the critically ill children’s life.

KEYWORDS: Assess, effectiveness, Structured teaching programme (STP), Umbilical cord stem cell, Umbilical cord stem cell banking, Antenatal mothers.

INTRODUCTION:

Your unconditional love and your child’s cord blood stem cell a potential lifeline for the future.

An umbilical cord is the lifeline between the mother and the child. It feeds the unborn baby while it is still in the womb it is attached to the baby at the location that is later called the belly button. It is attached the mothers placenta during the time of pregnancy. After a baby is born and the umbilical cord is cut, some blood remains in the blood vessels of the placenta and the portion of the umbilical cord that remains attached to it. After birth, the baby no longer needs this extra blood. This blood is called placental blood or umbilical cord blood: "cord blood" for short Cord blood contains all the normal elements of blood - red blood cells, white blood cells, platelets and plasma. But it is also rich in hematopoietic (blood-forming) stem cells, similar to those found in bone marrow. This is why cord blood can be used for transplantation as an alternative to bone marrow.¹

Imagine a world where, instead of ingesting pills when your body needs help, you can go to the local stem cell bank for an injection of fresh, customized, pluripotent cells for cancer, cocktail of bone marrow cells can be helpful, capable of giving birth to an army of cytotoxic cells highly trained to eradicate your tumor for Injured spine. An injection of neural stem cells will have you walking again in no time. Stem cell rejuvenation is a desirable alternative to organ transplants, as the risk of rejection is greatly reduced.²

Cord blood has become a very common source of stem cells to be used for transplants. The umbilical cord blood is rich and abundant source of hematopoietic (related to blood) stem cells and has very naïve immune cells (lymphocytes). So it has the potential to be used for the reconstitution of the hematopoietic process in recipients. Cord blood also contains mesenchymal stem cells, which are being developed to treat bone, tendon and ligament injuries and diseases. Permanent cures are possible for some diseases using stem cell therapies. Stem cell therapy can be used for treating various diseases such as heart ailments, diabetes mellitus, skin trauma and certain cancers like leukemia and breast cancer and blood disorders like thalassemia major.³

NEED FOR THE STUDY:

Cord stem cell preservation is still a new concept in India and a lot of people are unaware about this concept. Due to unawareness many people lose once in a lifetime opportunity to bio-insure their child’s future.⁴

The Indian Council of Medical Research has estimated that some 50 million patients with heart disease, 5 million with Parkinson’s disease and 5 million with Alzheimer’s disease in India are ‘potential beneficiaries’ of stem cell therapy.⁵

Stem cells can be used from the bone marrow or blood of matched siblings or appropriately matched unrelated volunteers, but many patients do not have a suitably matched donor. Umbilical cord blood has been successfully used as an alternative stem cell source. It has the advantage of tolerance for a degree of human leukocyte antigen incompatibility not possible with adult bone marrow, resulting in greater likelihood of finding an appropriate match.⁶

Cord blood stem cell is being researched now for regenerative medicine where stem cells may help induce healing or regenerate cells to repair tissues. This exciting new area of medicine has led to clinical trials using cord blood in experimental therapies to treat cerebral palsy, brain injury, and juvenile diabetes.⁷

OBJECTIVES:

(1) To assess existing level of knowledge regarding umbilical cord stem cell banking among antenatal mothers.

(2) To assess effectiveness of Structured teaching programme on knowledge regarding umbilical cord stem cell banking among antenatal mothers.

(3) To find out association between level of knowledge regarding umbilical cord stem cell banking among antenatal mothers with their selected demographic variables

HYPOTHESES:

H1 There will be a significant higher level of knowledge in post test score than pre test on knowledge regarding umbilical cord stem cell banking among antenatal mothers in selected hospital Rajkot.

H2 There will be a significant association between post test knowledge regarding umbilical cord stem cell banking among antenatal mothers with their selected demographic variables.

MATERIAL AND METHODOLOGY:

Research approach:

Quantitative research approach.

Research design:

Pre- experimental, one group pre-test post-test design.

Setting:

The study was conducted in vachhani Hospital at Rajkot.

Population:

Target population:

All antenatal mothers.

Accessible population:

Antenatal mothers who are available in vachhani hospital Rajkot.

Sample:

Sample consist of 60 Antenatal mothers.

Sampling technique:

The research study was conducted by non-probability purposive sampling technique.

Data analysis plan:

The collected data was analyzed using both descriptive and inferential statistics.

RESULTS:

Major study findings includes

A. Findings related to demographic variables of the study:

1 The majority of 31 (51.7%) sample’s age is between 23-27years.

2 The majority of 27 (45%) sample’s educational status is graduate.

3 The majority of 24 (40%) the sample’s is primi gravida.

4 The majority of 29 (48.3%) samples are public sector employee.

5 The majority of 42 (70%) the sample’s have nuclear family.

6 The majority of 19 (31.7%) samples are three members in family.

7 The majority of 51 (85 %) sample’s religion is Hindu.

With regard to effectiveness of STP on knowledge regarding umbilical cord stem cell banking among antenatal mothers, The obtained t-test for the level of knowledge of umbilical cord stem cell banking was 28.71 that was very highly significant at p<0.001 level.

With regard to association between the level of knowledge with their selected demographic variables such as Educational status, and gravida had significant association found. The study shows that the calculated Chi-square value is more than the tabulated value at the level of 0.05 for these demographic variables. This shows there is a significant association between the effectiveness of STP and knowledge regarding umbilical cord stem cell banking and selected demographic variables.

CONCLUSION:

From this study the researcher found that the antenatal mothers have gained knowledge regarding umbilical cord stem cell banking and this study was done to assess the effectiveness of structured teaching programme on knowledge regarding umbilical cord stem blood banking among antenatal mothers.

REFERENCES:

1. Elizabeth .B. Hurlock. child growth and development.5^th edition, Tata mc. Graw Hill publication on: 2006. 1- 17.

2. Gluckman E. History of cord blood transplantation Bone Marrow Transplantation. Epub 2009 Nov; 44(10): 621-26.

3. Warwick R Armitage S. Cord blood banking. Clinical Obstetrics and Gynaecology. 2004 Dec; 18(6): 995-1011.

4. Umbilical Cord Blood Banking. The Journal of Obstetrics and Gynecology of India. 2005 November/December; 55(6): 502-504 .

5. National guidelines for stem cell research and therapy. Indian Council for Medical Research (2007). Available from (onlone) : http://www.icmr.nic.in/.

6. O'Brien TA, Tiedemann K, Vowels MR . No longer a biological waste product: umbilical cord blood.2006 Apr 17; 184(8): 407-10.

7. Nietfeld JJ, Pasquini MC, Logan BR, Verter F, Horowitz MM. Lifetime probabilities of hematopoietic stem cell transplantation in the U.S. Biological Blood Marrow Transplant. 2008March; 14(3): 316-322.

Received on 14.10.2019 Modified on 10.11.2019

Asian J. Nursing Education and Research. 2020; 10(1):60-62.

DOI: 10.5958/2349-2996.2020.00014.2