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    Infants are very susceptible to get ill, mostly with infectious disease.

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    Effectiveness of Planned Teaching Programme on Knowledge Regarding Identification of Danger Signs in Neonates Among Post-Natal Mothers

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    Infants are very susceptible to get ill, mostly with infectious disease.

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    74 views4 pages

    Effectiveness of Planned Teaching Programme On Knowledge Regarding Identification of Danger Signs in Neonates Among Post-Natal Mothers

    Uploaded by

    International Journal of Innovative Science and Research Technology
    Infants are very susceptible to get ill, mostly with infectious disease.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 4

    Volume 6, Issue 7, July – 2021 International Journal of Innovative Science and Research Technology

    ISSN No:-2456-2165

    Effectiveness of Planned Teaching Programme on


    Knowledge Regarding Identification of Danger Signs
    in Neonates among Post-Natal Mothers
    Gamit Meghana Mahendrabhai
    Sudheendra Mutalikadesai1
    Address for correspondence: Sudheendra Mutalikadesai, Professor,SVBCON, Silvassa,
    Dadra and Nagar haveli, India

    Abstract:- care not only in the sub-Centre or PHCs, but also in the home
    Introduction: Infants are very susceptible to get ill, mostly itself. But most important part is early identification of the
    with infectious disease. Most of these illnesses can be illness after understanding the clinical feature of the disease.
    managed by primary health care not only in the sub- Children are vital to the nation’s present and future. Healthy
    Centre or PHCs, but also in the home itself. But most children are more likely to become healthy adults. Promotion
    important part is early identification of the illness after of health today requires consideration of the hence the care of
    understanding the clinical feature of the disease. Aim: children at birth plays a vital role. Early identification of new
    The aim of the study was to determine the effectiveness of born danger signs by caregivers with prompt and appropriate
    planned teaching programme on knowledge regarding referral serves as backbone of the programs aiming at
    neonatal danger sings. Method: A pre-experimental reduction in neonatal mortality. The danger signs recognized
    design was used for the study and 60 Postnatal mothers by WHO could indicate a severe disease or a local infection.
    were selected by purposive sampling technique. Result: Early identification of a sick new born is the key to successful
    Findings of the study revealed that the overall posttest management and improving neonatal outcome. The research
    mean score was 18.88 with standard deviation 3.147 and investigator will look to the following danger sign in
    the responded knowledge were significantly higher than neonates: hyperthermia/hypothermia, diarrhea, poor feeding
    the overall mean pretest knowledge scores 11.20 with and vomiting, breathing difficulty, convulsion, jaundice,
    standard deviation 3.172. Conclusion: The present study neonatal infection and lethargy. Apart from the all above
    findings indicate that planned teaching programme was a factors, the investigator’s personal experience during clinical
    suitable and effective method of enhancing the knowledge. postings made to select the study on the identification of
    There was a significant difference between the Pre and danger signs in neonates. This study may strengthen on
    Post test score categories of Knowledge. Therefore, we importance of the knowledge regarding the above said
    can say that the intervention was very effective. problem and to prevent morbidity and mortality concerned to
    the same.
    Keywords:- Knowledge, Postnatal Mothers, Neonates,
    Planned Teaching Programme (PTP). II.METHODS AND MATERIALS

    I.INTRODUCTION Method
    In this study, a quantitative research approach was
    The birth of an infant is one of the most awe-inspiring adopted. A pre-experimental one group pre-test -post-test
    and emotional events than can occur in one’s lifetime. After 9 designed was used. In this study group was given planned
    months of anticipation and preparation, the neonate arrives teaching programme (prepared by the investigator) about
    amid a flurry of excitement. The new human beings affect the danger signs in neonates. For this 60 sample (postnatal primi
    lives of the parents and the other family members. Some mothers) were selected from shri vinoba bhave civil hospital.
    parents and families adjust easily to the necessary changes in All selected have fulfilled the inclusion criteria and were the
    their lifestyle, whereas others find it difficult to cope with selected by non-probability purposive sampling technique.
    these changes and feel varying degrees of turmoil and
    anxiety. This is especially true if the neonate is not the robust, Material
    healthy, lovable infants who was expected. Neonatal periods A self-structured questionnaire consists of 30 items
    from birth to 28 day of life. First week of life (<7 days or used to assess the knowledge regarding identification of
    <168 hours) is known as early neonatal period. Late neonatal danger signs in neonates among postnatal primi mothers
    period extends from 7th to <28th day. The most determinant admitted in post-natal ward at shri vinoba bhave civil hospital
    time for a neonate survival period is 28th days of life. It’s Silvassa.
    continuing to accelerate the reduction in under five mortality,
    focusing on neonate should be a primarily concern.4Infants
    are very susceptible to get ill, mostly with infectious disease.
    Most of these illnesses can be managed by primary health

    IJISRT21JUL708 www.ijisrt.com 756


    Volume 6, Issue 7, July – 2021 International Journal of Innovative Science and Research Technology
    ISSN No:-2456-2165
    Section Topic Item Max. Sr. No Level of knowledge Score Percentage (%)
    score 1 Poor 0-15 <50
    1 Information regarding neonates 4 4 2 Average 16-22 50-75
    2 Hyperthermia/hypothermia 5 5 3 Good 23-30 >75
    3 Diarrhea 4 4 Table :2 Scoring according to level of knowledge
    4 Breathing difficulties 3 3
    5 Poor feeding 4 4 Ethical Consideration
    6 Convulsion 3 3 Ethical clearance was obtained from the institutional
    7 Jaundice 2 2 ethical committee of Shri Vinoba Bhave College of Nursing,
    8 Neonatal infection 3 3 Silvassa. Administrative permission was taken from the
    9 Lethargy 2 2 director, Medical and Health Services, Dadra And Nagar
    Total 30 30 Haveli and Informed written consent was taken from the
    study participants.
    Table:1 description of knowledge questionnaire
    III.FINDINGS OF THE STUDY
    Scoring
    Tool consists of total 30 items. Each question has only
    Data was analyzed by using descriptive and inferential
    one correct response. Each correct response given one mark
    statistics.
    and for wrong response given zero mark. Total minimum
    score is zero and maximum score is 30.
    Findings of Respondent on Pretest and Post-Test
    Knowledge Level on Identification of Danger Signs in
    Neonates.

    Sr. No. Knowledge aspect Statement Max score Respondents knowledge


    Mean Mean (%) SD
    1 General information on neonates 4 4 2.17 54.24 1.011
    2 Knowledge on hyper/hypothermia 5 5 1.68 33.6 1.066
    3 Knowledge on diarrhea 4 4 1.25 31.25 0.932
    4 Knowledge on feeding problems 3 3 1.07 35.66 1.071
    5 Knowledge on breathing difficulties 4 4 1.03 25.75 0.843
    6 Knowledge on convulsion 3 3 0.77 25.66 0.789
    7 Knowledge on jaundice 2 2 1.43 71.5 0.563
    8 Knowledge on neonatal infection 3 3 1.13 37.66 0.724
    9 Knowledge on lethargy 2 2 .67 33.5 0.655
    10 Combined 30 30 11.16 37.2 7.654
    Table:3 Area wise and overall Mean, Mean Percentage and SD, regarding postnatal mothers on identification of danger
    signs in neonates.
    n=60

    The table 3 displays that area wise and overall pretest on neonates (54.24%), neonatal infection (37.66%), feeding
    mean, mean% and SD regarding identification of neonatal problems (35.66%), hyper/hypothermia and lethargy (33.6%
    danger signs. It shows majority of postnatal mothers (71.5 %) & 33.5%), diarrhea (31.25%), and minimum (25.66%) on
    had knowledge on jaundice, followed by general information breathing difficulties and on convulsion (25.75 %).

    Sr. No. Knowledge aspect Statement Max score Respondents knowledge


    Mean Mean (%) SD
    1 General information on neonates 4 4 3.57 89.25 .593
    2 Knowledge on hyper/hypo thermia 5 5 3.02 60.4 1.127
    3 Knowledge on diarrhea 4 4 2.25 56.25 0.950
    4 Knowledge on feeding problems 3 3 2.13 71 1.171
    5 Knowledge on breathing difficulties 4 4 1.50 37.5 0.873
    6 Knowledge on convulsion 3 3 1.80 60 0.898
    7 Knowledge on jaundice 2 2 1.62 81 0.490
    8 Knowledge on neonatal infection 3 3 1.95 65 0.769
    9 Knowledge on lethargy 2 2 1.05 52.5 0.723
    10 Combined 30 30 18.89 62.96 6.721
    Table :4 Area wise and overall Mean, Mean Percentage and SD of post-test regarding postnatal mothers on identification
    of danger signs in neonates
    n=60

    IJISRT21JUL708 www.ijisrt.com 757


    Volume 6, Issue 7, July – 2021 International Journal of Innovative Science and Research Technology
    ISSN No:-2456-2165
    Table:4 shows the majority (89.25%) of the mothers neonatal infection (65%), hyper/hypo thermia and convulsion
    had knowledge regarding general information on neonates (60%), diarrhea (56.25%), lethargy (52.5%) and lowest
    followed by jaundice (81%), feeding problems (71%), knowledge on breathing difficulties (37.5%).

    Score category Mean Mean % SD z-value p-value df Level of significance


    Pre test 11.20 37.33 3.172 -6.959 0.001 59 0.05
    Post test 18.88 62.93 3.147
    Table:5 Mean, Mean %, SD and z-value of pretest and post-test knowledge score regarding postnatal mothers on
    identification of danger signs in neonates
    n=60
    Note: significance at the level of 0.05

    The above table depicts that obtained z is (Z (59,0.05=- test level of knowledge on danger sings in neonate among
    6.959<0.001). Therefore, p- value is found to be higher than postnatal mothers accepted. This supports that the PTP was
    the calculated value. Hence the research hypothesis stated effective in increasing the knowledge level of women
    that there will be significant difference between pre and post- regarding danger signs in neonates

    Sr. No Baseline characteristics Poor Average Chi Square value p-value df Significance
    1 Age
    <21 10 1
    21-24 22 3 2.837 .585 4 NS
    25-28 12 1
    29-32 4 1
    33-36 4 2
    Education
    Professional 1 1
    Graduate 1 2
    Post graduate 7 0 14.357 .026 6 S
    2 Diploma 2 0
    High school 10 3
    Middle school 13 0
    Primary school 18 2
    Illiterate 0 0
    Occupation
    Technicians 1 1
    Clerk 1 0 5.781 .566 7 NS
    Skilled worker 2 0
    3 Agriculture 2 0
    Craft 1 1
    Plant 1 0
    Elementary 1 0
    Unemployed 43 6
    Type of family
    4 Joint 16 3 .145 .703 1 NS
    Nuclear 36 5
    Extended 0 0
    Family income
    39,033-78062 1 0 7.541 .183 5 NS
    29200-39032 2 2
    5 19516-29199 5 2
    11708-19515 18 2
    3908-11707 22 2
    <3907 4 0
    Residence
    6 Urban 6 5 12.027 .001 1 S
    Rural 46 3
    Religion
    7 Hindu 39 7 1.224 .542 2 NS
    Christian 7 0

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    Volume 6, Issue 7, July – 2021 International Journal of Innovative Science and Research Technology
    ISSN No:-2456-2165
    Muslim 6 1
    8 Delivery type
    Normal 23 3 .128 .721 1 NS
    LSCS 29 5
    Previous knowledge
    9. Yes 9 4 4.366 .037 1 S
    No 43 4
    Table :6 Association of pretest knowledge score of mothers with selected socio demographic variables
    n=60
    NOTE: - p≤0.05, S- Significance, NS-Non significant

    Table:6 displays age, occupation type of family, family


    income, religion and delivery samples does not have any
    significant association with their pretest level of knowledge
    about danger sings in neonates whereas the education of
    mothers, residence and previous knowledge had a significant
    association with the pretest level of knowledge of the study
    sample.

    IV.CONCLUSION

    Planned teaching programme can enhance the


    Knowledge of mothers regarding identification of danger
    signs in neonate.

    REFERENCES

    [1]. Marlow’s textbook of “Pediatric Nursing”. South Asian


    edition; Elsevier 2013: Kundli, Haryana. pp. (261, 425)
    [2]. Wong’s and Heisley. Maternal-child nursing care,
    optimizing outcomes for mothers, children &
    families.1st Ed:2010. Jaypee brothers’ medical
    publishers (p) ltd. Sanat printer. Pp 564.
    [3]. Ghai “Essential pediatrics”, eight editions. CBS
    publishers & distributors Pvt.Ltd,India; 2013. Pp.124.
    [4]. UNICEF. Committing to child survival; Promise
    renewed, 2014. Http//www.apromiserewed.org.
    [5]. Sharma S. Essentials of pediatric nursing. 1st ed: Jaypee
    brother’s publishers(p) ltd.2013 Haryana. Pp.71
    [6]. IGNOU, ‘Newborn and Child Health Care’. BNS- 042
    the people’s university 2017.dariyaganj. pp. 20
    [7]. WHO recommendations on postnatal care of the mother
    and new-born. 2013
    [8]. 8.Shankar Prinja, Pankaj Bahuguna and et al. IMNCI
    Program in district Faridabad
    India.DOI:10.1371/journal.pone.0145043
    January4,2016
    [9]. UNICEF data, Under five mortality. 2019 September.
    https// data.unicef.org>child survival>under five
    mortality.

    IJISRT21JUL708 www.ijisrt.com 759

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