A Study to assess the Effectiveness of Structured teaching program on knowledge regarding Preconceptional care among newly married women in upera village of Mehsana District
Mrs. A. Jessiean Geldayna1, Ms. Krishna Patel2
1HOD of Obstetrics and Gynecological Nursing, Nootan College of Nursing, Visnagar District: Mehsana.
22nd Year M.sc Nursing Student, Nootan College of Nursing, Visnagar, Dist: Mehsana.
*Corresponding Author Email: krishnapatel021994@gmail.com
ABSTRACT:
Introduction: Pregnancy is a common event which occurs in women’s life. Healthy mother and children are real wealth of the society. In India, women of childbearing age constitute 19% of total population. The aim of preconceptional care is to ensure that the women is in optimal state of physical and emotional health at the onset of pregnancy. Preconceptional phase is the time to identify any risk factors that could potentially affect the prenatal outcome adversely. Preconceptional care helps the mother to have a healthy baby. Initially care before conception is the most effective strategy to improve obstetric and fetal outcome. The main goal of preconceptional care is to improve the health of women so that baby can be born healthier in the future. Design: A quantitative approach using pre experimental one group pre-test post-test design. Participants: 60 newly married women were selected by using Non-Probability Convenient sampling technique in upera village of Mehsana District. Interventions: Structured teaching programme was given to the newly married women. Tool: Self Structured Questionnaire was used to assess the level of Knowledge regarding preconceptional care among newly married women. Results: In this study overall the highest percentage in the demographic data including the age group (38%), (26<30) years, Hindu (76%), higher secondary education (33%), occupation (36%), health personnel (55%), married since (2-5year) (35%) The post test mean score (10.1) was higher than the mean pre-test knowledge score (7.3). The calculated “T” value (10.56) was greater than the table value (2.000) at 0.05 level of significance. The Structured Teaching programme was effective in increasing the Knowledge regarding preconceptional care among newly married women. chi-square test to associate with the level of knowledge and selected demographic variable. Conclusion: The findings of the study indicate that Structured Teaching Programme is effective in increase knowledge regarding preconceptional care among newly married women.
KEYWORDS: Assess, effectiveness, Structured Teaching Programme, Knowledge.
INTRODUCTION:
The first few weeks of pregnancy are vital one for the baby’s development and there is a plenty of research to indicate that the state of health of women at the time of conception has far reaching implications to a child’s future development.
The aim is to reduce the risk of harm to the baby, and to reduce the risk of pregnancy complications. According to WHO women mean a woman who has a husband living and not divorced; a female covert.1
Health care providers involved in preconceptional care enter into a newly married woman, enabling them to examine their own health and its influence on the health of their baby. The healthcare provider's role is to provide accurate information; translate and communicate this information in a clear and precise way; support the women’s decision-making process; and offer and refer them to relevant services when appropriate. The information provided and techniques used to encourage effective discussion and communication will allow the woman to make an informed decision about having a baby.2
NEED OF THE STUDY:
Now a day it is very difficult to achieve a healthy pregnancy and child birth. To have a baby is a dream for every Newly married woman. Having a baby is not easy as we think. Lot of complications is associated with pregnancy and child birth. Sometimes it may risk to both mother and fetus.3
In the majority of cases, women do not think about having a baby who has any kind of problem. Most women do not know how their own medical history could pose risks to a developing fetus. Likewise, they may not understand that pregnancy carries a certain number of risks as well. When family history risks and pregnancy risks are considered together, it may point to potential problems for that particular woman, or to her unborn baby once she becomes pregnant.4
The World Health Organization recommends preconception care, including folic acid supplementation for primary prevention of birth defect in developing and developed countries. Epidemiological studies published over the last fifteen years document that prenatal supplementation with folic acid reduces the risk of neural tube defects, such as spina bifida and anencephaly.5
STATEMENT OF THE PROBLEM:
“A study to assess the effectiveness of structured teaching program on knowledge regarding preconception care among newly married women in Upera Village of Mehsana District”
OBJECTIVE OF THE STUDY:
1. To assess the existing knowledge of Newly married women on preconceptional care among Newly married women in upera village of Mehsana district.
2. To assess the effectiveness of structured teaching program regarding preconceptional care.
3. To find out association between the post knowledge and the selected socio-demographic variables.
RESEARCH HYPOTHESIS:
H0: There will be no significant association between pre-test and post-test of knowledge on preconception care of newly married women.
H1: There will be a significant association between demographic variables and knowledge of Newly Married women regarding preconceptional care.
H2: There will be a significant difference between pretest and posttest knowledge score of Newly Married women regarding preconceptional care.
MATERIAL AND METHODS:
Pre experimental one group Pretest /Post-test research design and Quantitative Approach. Effectiveness of Structured Teaching Program knowledge regarding preconceptional care among newly married women in upera Villages of Mehsana district. The data were collected from 60 newly married women. “Non-Probability Convenient” sampling technique were used. A structured questionnaire was selected to assess the knowledge regarding preconceptional care.
RESULTS:
Demographic data was analyzed using frequency and percentage. Frequencies, percentage, mean, mean percentage and standard deviation was used to determine the knowledge score. The ‘t’ value was computed to show the effectiveness of Structured Teaching Programmeand chi- square test was done to determine the association between the post-test knowledge of newly married women with selected demographicvariables.
Finding related to demographic data:
In this study overall the highest percentage in demographic variable Age group (38%) (26< 30) years, Hindu (76%), higher secondary education (33%), occupation (36%), health personnel (55), married since (2-5 year) (35%). (Table-1).
Table 1: Analysis and interpretation of the data collected on structured questionnaire of the sample.
|
Level of Knowledge |
Pre test |
Post test |
||
|
Frequency |
Percentage |
Frequency |
Percentage |
|
|
Poor (0 -7 score) |
38 |
58% |
09 |
15% |
|
Average (08 -14score) |
24 |
40% |
41 |
68.33% |
|
Good (15 -20 score) |
00 |
00% |
10 |
16.67% |
|
TOTAL |
60 |
100% |
60 |
100% |
Table 2: Mean, mean difference, standard deviation (SD)and ‘t’test value of the pre-test and post-test knowledge score of the sample.
|
Knowledge test |
Mean score |
Mean Difference |
SD |
Calculated ‘t’ value |
Table ‘t’ value |
df |
Level of significance |
|
Pre-test |
7.3 |
2.8 |
2.58 |
10.56 |
2.000 |
59 |
0.05 |
|
Post-test |
10.1 |
3.51 |
|
Pre-test, 38 (58%) of newly married women had Poor level (0-7 score) of knowledge on preconceptional care, 24 (40%) of newly married women had average (8-14 score) level of knowledge on preconception care and no one had good knowledge (15-20) on preconception care.
During Post-test, 09 (15%) of newly married women had Poor level (0-7 score) of knowledge on preconception care, 41 (68.33%) of newly married women had average (8-14 score) level of knowledge on preconception care and 10 (16.67%) had good knowledge (15-20) on preconception care.
It was inferred from the above table that the Structured Teaching Programme was effective in improving knowledge on preconception care among newly married women.
Finding related to effectiveness of structured teaching programme:
Distribution of subject on paired ‘t’ test between pretest and posttest knowledge score regarding preconception care among newly married women. (Table-2).
Finding related to association between posttest knowledge score of newly married women with selected demographic variables:
Table show that the association between the Post-test level of Knowledge and socio demographic Variable. Based on the Third objectives used to chi –square test to associate the level of knowledge of preconceptional care and selected demographic variable. The chi square value show that there is significant in Age, religion, Educational status, Occupation, Source of information married since. The calculated Chi- square was less than the table value at the 0.05 level ofsignificance.
CONCLUSION:
The present study aims to evaluate the effectiveness of Structured Teaching Programme on preconceptional care. The study was conducted by using Pre experimental one group pre-test post-test research design. Upera village of Mehsana district was selected for conducting the study. The sample size was 60 newly married women by using non probability convenient sampling method
REFERENCES:
1. Adele Pillitteri. Maternal Child Health Nursing. 2nd edition J.B. Lippincott Company. Philadelphia. 1995. Pp: 222
2. Annamma Jacob. A Comprehensive Text Book of Midwifery and Gynecological Nursing. Jaypee Brothers Medical Publishers (P) Ltd. 3rd Edition. 2012. Pp: 563.
3. Asha Krishna Kumar. Public health-unsafe motherhood. Volume 21– issue 16. July 31– August 13, 2004. India’s National Magazine. From the Publishers of the Hindu.
4. Baby Center. (2017, March). Preconception checkup: Why you need one and what to expect. (B. M. Board, Editor) Retrieved 2017, from www.babycenter.com: https://www.babycenter.com
5. Chen G. et.al. Preconception of NTDs with preconceptional multivitamin supplementation containing folic acid. August 2008: 82(8): Pp: 592-6.
Received on 01.09.2020 Modified on 23.10.2020
Accepted on 03.12.2020 ©A&V Publications All right reserved
Asian J. Nursing Education and Research. 2021; 11(1):120-122.
DOI: 10.5958/2349-2996.2021.00031.8