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Abstract

STATEMENT OF PROBLEM- EVALUATE THE EFFECTIVENESS OF STRUCTURE TEACHING PROGRAM ON KNOWLEDGE REGARDING MANAGEMENT & PREVENTION OF CVA AMONG ADULT PATIENTS ADMITTED IN HOSPITAL

Pawan Joshi*, Khush Kumar Soni and Jim Samuel

Abstract

Introduction: The brain constitutes about one -fiftieth of the body weight and lies within the cranial cavity. The parts of brain are cerebrum, mid-brain, pons, medulla oblongata and cerebellum. Arterial blood supply to brain includes circulus areteriosus and its contributing arteries. It plays a vital role in maintaining a constant supply of oxygen and glucose to brain. Brain receives about 15% of the cardiac output, approximately 750 ml of blood per minutes.[1] In adult, brain represents only 2% of total body weight, but consumes about 20% of the oxygen and glucose used even at rest. Typically an interruption in blood flow for 1 or 2 minutes impairs neuronal function and total deprivation of oxygen for about 4 minutes causes permanent injury. If blood entering the brain has low level of glucose, mental confusion, dizziness, convulsion and loss of consciousness may occur. The most common brain disorder is a cerebrovascular accident, also called a stroke or brain attack.[2] Objectives: 1. To assess pre-test knowledge score on prevention of stroke among adult patients. 2. To administer structured teaching program on management &prevention of stroke among adult patients. 3. To assess post test knowledge score on management &prevention of stroke among adult patients. 4. To assess effectiveness of structured teaching program by comparing pre test knowledge score to post test score. 5. To find out association between pre test knowledge score with selected socio demographic variables. Materials and Methods: In this study evaluative approach with one group pre test post test research design was adopted for this study. Sample under study were 120 who were selected by purposive sampling technique. A structured knowledge questionnaire to assess the knowledge were developed by investigator to explicit information from adult. The content validity of the tool was determined by 5 experts. The value of reliability coefficient was (0.87), which suggested that the tool is found to be reliable. The pilot study done on 12 samples at Udaipur. Thus the feasibility of the study was established. The main study was conducted in Pacific Institute Of Medical Science and American International Institute Of Medical Science, Udaipur. Prior to data collection formal permission was obtained from authorities of college. Based on the objectives and hypotheses the collected data was analyzed by using descriptive and inferential statistics. Data were analyzed for frequency, percentage, mean, mean % standard deviation and association of knowledge and practice with socio-demographic variables. Results: Socio demographic data revealed that Majority of respondents (98.44%) were from the age group of 61-65 years of age, Majority (69.16%) of respondents were male. Majority (47.05 %) of respondents was senior secondary, Majority (66.66 %) of respondents was from history of hypertension, for majority (50.83 %) of respondents was Family history of stroke. Mean Pre-test knowledge mean was found 10.75with SD 3.93and mean % 35.83whereas in the post-test mean was found 24.03with SD 3.58and mean % was 80.11.Mean post –test knowledge scores was greater than the mean pre-test knowledge scores (P < 0.001). No significant association was found between pretest knowledge scores and selected socio demographic variable. Significant association was found between pretest practice scores and gender of respondents and no significant association was found between pretest practice scores and age, religion, area of residence and source of information. The finding of the study concluded that STP regarding prevention and management of stroke was an effective strategy to improve the knowledge of adult patients.

Keywords: Stroke, thrombosis, knowledge, atrial fibrillation, Adult.


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