A Study to Assess The Effectivness of Structured Teaching Programme on Knowledge regarding Prevention and Management of selected Breast complication among LSCS mother in selected hospital at Vyara
Mahimakumari Gamit, Rajshree, Jeenath Justin Doss. K.
(II Year MSc. Nursing, OBG) Shri Anand Institute of Nursing, Opp. Ghanteshwar Park,
B/h Sainik Society, Jamnagar Road, Rajkot - 360006.
*Corresponding Author E-mail: gamitmahima2508@gmail.com
ABSTRACT:
A Pre-experimental study to assess the effectiveness of the structured teaching programme on knowledge regarding prevention and management of selected breast complication among LSCS mother in selected hospital at Vyara. The objectives of the study were (a) To assess the existing knowledge of LSCS mother regarding prevention and management of selected breast complication among LSCS mothers. (b) To assess the effectiveness of the structured teaching programme on knowledge regarding prevention and management of selected breast complication among LSCS mother in selected hospital at Vyara. (c) To find out the association between Pre-test level knowledge score and selected demographic variables among LSCS mother in selected hospital at Vyara. 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 Vyara. Total 60 samples were selected from postnatal ward based on Convenience nonprobability sampling technique. The researcher used structured questionnaire for data collection regarding demographic variables and pre-test. As part of intervention structured teaching programme on management and prevention of selected breast complication among LSCS mothers admitted in Hospital. The Post test score was measured with same questionnaire. The collected data were analyzed by using inferential statistical method.t-test was used to evaluate the structured teaching programme on knowledge regarding prevention and management of selected breast complication among LSCS mother in selected hospital at Vyara. It revelead that the mean score of pretest was 10.35 and posttest was 20.5. The mean difference was 10.15. The obtained ‘t’ value 17.407. Hence it was highly significant p<0.05 level. Hence their findings of the study reveled that the structured teaching programme was effective in improving knowledge regarding prevention and management of selected breast complication and it will improve the quality of health regarding breast complication.
KEYWORDS: Structured teaching programme.
INTRODUCTION:
Breastfeeding is considered as one of the most natural and intimate of all human interaction. As a mother, one of the best things a woman can do for her infant is breastfeeding.
However, some problems that develop in the early postpartum period affect breastfeeding negatively in this period. Therefore, the rapid detection and resolution of breastfeeding problem encountered in the postpartum period is essential for material and infant health.1
Incorrect techniques infrequent breast feeding and breast feeding on scheduled times, pacifiers and food suppliers are important risk factors that can predispose to lactation problems. The adequate management of those conditions is fundamental, as if not treated they frequently lead to early weaning. These problems can be prevented if the mother empties her breast effectively.2
Several common problems that may arise during the breast-feeding period, such as breast engorgement, plugged milk duct, breast infection and insufficient milk supply, originate from conditions that lead the mother to inadequately empty the breasts. Incorrect techniques infrequent breast feeding and breast feeding on scheduled times, pacifiers and food suppliers are important risk factors that can predispose to lactation problems. The adequate management of those conditions is fundamental, as if not treated they frequently lead to early weaning. These problems can be prevented if the mother empties her breast effectively. If they occur, they should be carefully and adequately approached, thus avoiding the early weaning resultant from painful and stressing situations the mother may face.3
NEED FOR THE STUDY:
Breast feeding is most important thing for all the mothers and newborn babies. It is unique experience to be cherished. All the neonates are absolutely dependent on their mother’s milk for survival. In fact, by the end of the 19th century, virtually 100% non-breast-fed babies were doomed to die because of infection. The rapid introduction of bottle feeding has been associated with huge increase of infant malnutrition during the 20th century.
It is highly observed that primigravida mothers usually have many doubts and fears about proper breast feeding and they have huge concerns about the optimum care that has to be given to their newborn babies. For this, they need to be adequately educated and helped in preventing further breast-feeding problems.4
Breast engorgement occurs in 72% to 82% of lactating women. Engorgement usually starts on the third day when colostrum is changed to mature milk then gradually subsides with time. However, it may persist to end of second week of postpartum period as a result of delayed, irregular or disrupted removal of milk from the breast (Priyanka et al, 2016).5
It is highly observed that primigravida mothers usually have many doubts and fears about proper breast feeding and they have huge concerns about the optimum care that has to be given to their newborn babies. For this, they need to be adequately educated and helped in preventing further breast-feeding problems.
Breast feeding problems is the major issue among postnatal mothers. Due to some breast-feeding problems like engorgement, inverted nipple, mastitis, sore nipple, and low milk supply mothers are psychologically affected. So, the researcher felt the necessity to impart knowledge for postnatal mother regarding management of breast-feeding problems.6
OBJECTIVES:
1) To assess the existing knowledge of LSCS mother regarding prevention and management of selected breast complication among LSCS mothers.
2) To assess the effectiveness of the structured teaching programme on knowledge regarding prevention and management of selected breast complication among LSCS mother in selected hospital at Vyara.
3) To find out the association between Pre-test level knowledge score and selected demographic variables among LSCS mother in selected hospital at Vyara.
HYPOTHESES:
H1: There will be a significant difference between the mean pre-test knowledge score and post-test knowledge score related to prevention and management of selected breast complication as evidenced by the structured knowledge questionnaire at a 0.05 level of significance.
H2: There will be a significant association between pretest knowledge score and selected demographic variable at a 0.05 level of significance.
Research appeoach:
Quantitative research approach.
RESEARCH DESIGN:
Pre-experimental, one group pre-test and post-test design.
Population:
Target population:
LSCS Postnatal mother admitted in hospital of Vyara.
Accessible population:
LSCS Postnatal mother admitted in selected hospital of Vyara
Sample:
LSCS Postnatal mother admitted in hospital of Vyara
Sample size: 60
Technique of Sample Selection:
Convenience nonprobability sampling technique.
Data Analysis Plan:
The collected data was analyzed using both descriptive and inferential statistics.
RESULTS:
Major study findings includes.
Findings related to demographic variables of the study
1. The majority of 29 (48%) the samples age is between 21-25years.
2. The majority of 24 (40%) the samples are belonged to education level is higher secondary.
3. The majority of 38 (63%) the samples are belonged from nuclear family.
4. The majority of 48 (80%) the samples are Rural.
5. The majority of 47 (78.33%) the samples are Hindu.
6. The majority of 55 (91.67%) the samples are antenatal checkup to the health care at monthly.
7. The majority of 35 (58.33%) the samples had pregnancy conceive by IVF.
The effectiveness of structured teaching programme on knowledge regarding prevention and management of selected breast complication was revealed in the post-test that there was significance improvement in knowledge with administration of structured teaching programmme. The obtained “t-test” value for the level of knowledge on prevention and management of selected breast complication 17.60 that was highly significance at p<0.05 level the hypothesis was accepted.
With regard to association between the level of knowledge with their selected demographic variables such education status, type of family, religion, and area of residence, has obtained X2 value below the level of tabulated value at level of 0.05. Other demographical variables such as age, antenatal checkup to the health care facility and type of conception has obtained X2 value above the level of tabulation at the level of 0.05. thus, hypothesis H2 is accepted. So, it is inferred that there is association between the pre-test level of knowledge with their selected demographic variables.
CONCLUSION:
The main conclusion from this present study is that the most of the breast complication LSCS postnatal mother’s admitted in selected hospital had inadequate and moderate level of knowledge in pre-test and adequate and moderate knowledge in post-test. Postnatal LSCS mothers shown improved knowledge after structured teaching programme on knowledge regarding prevention and management of selected breast complication and it will improve the quality of health regarding breast complication.
REFERENCES:
1. Diane M. Frazer, Margaret A. Cooper. Myles Textbook for Midwives: Churchill Livingstone. 2003. 762-63. 7.
2. Jeremy Oats, Suzanne Abraham. Fundamental of Obstetrics and Gynaecology: London: Elsevier Mosby. 2005: 94-95.
3. N. Jayne Klossner. Introductory Maternity Nursing: Philadelphia; Lipincotte Williams and Wilkins. 2006: 326-27.
4. Sabaratnam Arulkumaran, V. Sivanesratnam, Alokendu Chatterjee, Pratap Kumar. Essential of Obstetrics: New Delhi: Jaypee Brothers medical Publisher (P) Ltd. 2004: 378-79.
5. D.C Dutta. Textbook of Obstetrics. New Central Book Agency (P) Ltd: Calcutta; 2004: 438-40.
6. Curtis C. Breast feeding on line 2003, Available from URL. http//www.breast feeding.com.
Received on 29.02.2024 Modified on 15.03.2024
Accepted on 25.03.2024 ©A&V Publications All right reserved
A and V Pub J. of Nursing and Medical Res. 2024; 3(2):43-45.
DOI: 10.52711/jnmr.2024.09