Mrs. Daxaben Patel1, Ms. Khushbu Patel2
1HOD of Medical Surgical Department, Nootan College of Nursing, Visnagar, Dist: Mehsana.
22nd Year M.SC Nursing Student, Nootan College of Nursing, Visnagar, Dist: Mehsana.
*Corresponding Author Email: Email: kbp1702@gmail.com
ABSTRACT:
Introduction: Tuberculosis is one of the most prominent mycobacterium diseases known to humankind. Increasing cases world-wide led to the World Health Organization (WHO) declaring a global Emergency in April 1993. Despite the availability of „tools‟ for controlling TB, programs have been unable to sustain high cure rate. As a consequence of this, and the increasing problems of drug resistance, the International community, through the WHO, has developed and launched the Directly Observed Treatment Short Course (DOTS) strategy. Directly Observed Treatment, Short course chemotherapy is a strategy to ensure cure by providing the most effective medicine and confirming that it is taken. It is the only strategy which has been documented to be effective Worldwide on a program basis. Design: A quantitative approach using pre-experimental pre-test post-test design with one group. Participants: 50 Staff Nurses were selected using Non-Probability purposive sampling technique in Mehsana District. Interventions: Structured teaching was given to the Staff Nurses. Tool: Self Structured Questionnaire was used to assess the level of Knowledge regarding tuberculosis and dots therapy among staff nurses. Results: The research study shows that in pre test (20%) of sample had a poor knowledge (score 1-10) regarding knowledge about tuberculosis and dots therapy, while average knowledge (score 11-20) was observed in 46% of the sample and (34%) of sample having good (20-41) knowledge score. And in the post test (0%) of sample had a poor knowledge (score 1-10) regarding knowledge about tuberculosis and dots therapy, while average knowledge (score 11-20) was observed in (18%) of the sample and (82%) of sample having good (20-41) knowledge score. And the comparison between pre test and post test observation score regarding knowledge of tuberculosis and dots therapy. The mean pre test observation score was 16.4 and the mean post test score was the 23, and the Standard Deviation was 5.64 in pre test and 7.67 in post test score, also the calculated “t”value was 4.20 was greater than the table value at 0.05 level of significance. The structured teaching was effective in increasing the Knowledge regarding tuberculosis and dots therapy among staff nurses. Chi-square test to associate 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 tuberculosis and dots therapy among staff nurses.
KEYWORDS: Assess effectiveness, structured teaching programme, knowledge, Tuberculosis, Dots Therapy.
INTRODUCTION:
Be solution focused, not problem focused:
Tuberculosis is an ancient disease. On March 24, 1882, Robert Koch announced the discovery of tubercle bacillus. He would have least expected that the world would be fighting hard to control TB, an easily curable disease, even after 125 years. Tuberculosis is a disease caused by a bacterium called Mycobacterium tuberculosis. The bacteria usually attack the lungs, but TB bacteria can attack any part of the body such as the kidney, spine, and brain. If not treated properly, TB disease can be fatal.
DOTS Therapy is the strategy to ensure cure by providing the most effective medicine and confirming that it is taken. It is only strategy, which has been documented to be effective worldwide on the program basis. In DOTS therapy, during the intensive phase of treatment a health worker or other trained person observe in his presence patient sallow‟s the drugs in presence. During continuation phase, the patient is issued the medicine for one week in a multiblister combipack, of which the first dose id swallowed by the patient in presence of health worker or trained person. The consumption of the medicine in the continuation phase is also checked by health worker by return of empty multiblister combipack, when the patient comes to collect the medicine for next week. The drugs also provided in patients wise boxes with sufficient shelf life. In the program alternate-day treatment is used. The cases are divided into three types of categories- category 1, 2, and category 3. In the end it may be stated that the main problem of chemotherapy today is not needed to introduce new regimens or more potent drugs, but to apply the existing ones successfully.
In 2018, TB caused an estimated 1.3 million deaths (range, 1.2–1.4 million) among HIV-negative people and there were an additional 300 000 deaths from TB (range, 266 000–335000) among HIV-positive people. Globally, the best estimate is that 10.0 million people (range, 9.0–11.1 million) developed TB disease in 2017: 5.8 million men, 3.2 million women and 1.0 million children.
Worldwide in 2018, 6.4 million new cases of TB were officially notified to national authorities and then reported to WHO. This number has been increasing since 2013; following 4 years (2009–2012) in which 5.7–5.8 million new cases were reported annually, mainly due to increased reporting of detected cases by the private sector in India and, in 2017.
ACCORDING TO THE GUJARAT TB REPORT:
As March 24 is World Tuberculosis Day, the Gujarat figures show a need for introspection, as the state reported a 57% increase in TB cases in four years. Gujarat, Which had 93,074 cases of TB in 2014, reported 1,46,004 in 2017, including 39,592 cases reported at private hospital. According to the figures from the state health department, 47.3 lakh people in high-risk groups were screened and a further 1,862 cases were discovered in a house-to-house survey conducted in 2017.
A Study To Assess The Effectiveness Of Structured Teaching Programme On Knowledge Regarding Tuberculosis And Dots Therapy Among Staff Nurses Working At Selected Hospital Of Visnagar City
1. To assess the level of knowledge regarding tuberculosis and DOTS Therapy among Staff Nurses working at selected hospital of Visnagar city.
2. To evaluated the effectiveness of the Structure Teaching Program on tuberculosis and DOTS therapy among Staff Nurses.
3. To determine the association between the pre-test knowledge score of Staff Nurses regarding Tuberculosis and DOTS therapy with selected socio demographic variables.
H1: The mean post test knowledge score regarding Tuberculosis and DOTS therapy is significantly higher, then the mean pre test knowledge.
H2: There will be a significantly association between the mean pre test knowledge score with selected socio demographic variables.
Quasi experimental one group Pretest/Post test research design and Quantitative Approach. Effectiveness of structured teaching program on knowledge regarding Tuberculosis and Dots therapy among staff nurses working at selected hospitals of Visnagar city. The data were collected from 50 staff nurses. “Non-Probability Purposive” sampling technique were used. A structured questionnaire was selected to assess the knowledge regarding Tuberculosis and Dots therapy.
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 teaching programme and chi-square test was done to determine the association between the pretest knowledge of staff nurses with selected demographic variables.
In this study Finding related to socio- demographic variables of Staff nurses the Highest percentage of Staff Nurse were in the age group of 26-30 year (56%), Highest percentage of Staff Nurse belong to the GNM (60%), Highest percentage of Staff Nurse were belong to Hindu (88%), Highest percentage of Staff Nurse were Unmarried (56%), Highest percentage of Staff Nurses were in Female category (90%).
|
Score |
Pre-Test |
Post-Test |
||
|
Frequency |
% |
Frequency |
% |
|
|
1-10 (Poor) |
10 |
20% |
00 |
00% |
|
11-20 (Average) |
23 |
46% |
09 |
18% |
|
21-41 (Good) |
17 |
34% |
41 |
82% |
Pre-test:
In pre test (20%) of sample had a poor knowledge (score 1-10) regarding knowledge about tuberculosis and dots therapy, while average knowledge (score 11-20) was observed in 46% of the sample and (34%) of sample having good (20-41) knowledge score.
Post test:
In the post test (0%) of sample had a poor knowledge (score 1-10) regarding knowledge about tuberculosis and dots therapy, while average knowledge (score 11-20) was observed in (18%) of the sample and (82%) of sample having good (20-41) knowledge score.
Distribution of subject on paired‘t’ test between pretest and post test knowledge score regarding Prevention of lung cancer among Industrial worker.
|
Observation |
Mean |
Standard Deviation |
Mean Difference |
“t” value |
|
Pre Test |
16.4 |
5.64 |
6.6 |
4.20 |
|
Post Test |
23 |
7.67 |
Table show that the association between the Pre 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 staff nurses regarding tuberculosis and dots therapy with selected demographic variable. The chi square value show that there is No significant association with demographic variables.. The calculated Chi-square was less than the table value at the 0.05 level of significance.
The present study aims to evaluate the effectiveness of structured Teaching Programme on tuberculosis and dots therapy. The study was conducted by using Pre experimental one group pre-test post-test research design. Visnagar city was selected for conducting the study. The sample size was 50 staff nurses using non probability purposive sampling Method.
1. Habibullah N Saiyed, Rajnarayan R Tiwari. Review Article, Occupational Health Research in India Industrial Health. 2004[cited on 2011 Nov 28]; 42: 141–148. Available from URL: http://www.jniosh.go.jp/en/indu_hel/pdf/42-2-7.pdf.
2. Suzanna C Smeltzer, Brenda Bare. Text book of medical surgical nursing .10thed. published by Lippincott Williams and Wilkins. 2004; 554.
3. E. Neil Shachter. Respiratory effects and other disease patterns in the textile industry (serial online). Feb [cited on 2011 Nov 28]; Available from URL:http://www.ilo.org/safework_bookshelf/english?contentandnd=857171066 Meaning of Eco- health. Available from URL:http:// www.ecohealth101.org.
4. Chatti S, Maoua M, Rhif H, Dahmoul M, Abbassi A, Mlaouah AJ, et al. Occupational asthma in the Tunisian central region: etiologies and professional status. Rev Pneumol Clin (serial online). 2011 Oct [cited on 2011 Nov 28]; 67(5):281-8. Epub 2010 Dec 3. Available from URL: http://www.ncbi.nlm.nih.gov/ pubmed/ 22017947.
Received on 08.10.2020 Modified on 31.12.2020
Accepted on 15.03.2021 ©AandV Publications All right reserved
Asian J. Nursing Education and Research. 2021; 11(3):358-360.
DOI: 10.52711/2349-2996.2021.00086