A study to evaluate the effectiveness of planned teaching programme on knowledge regarding polycystic ovarian syndrome among Nursing students

 

Frank J.C

Principal, Bee Enn College of Nursing, Chak Bhalwal, Jammu.

*Corresponding Author E-mail:

 

ABSTRACT:

Poly cystic ovarian syndrome is one of the leading endocrine disorder among women. It affects one in 15 women in worldwide. The incidence of PCOS among adolescents is increasing significantly due to life style changes, endocrine diseases etc. The study aimed to evaluate the effectivess of structured teaching program on PCOS among Nursing students.  A Pre experimental research design, one shot case method was adopted for this study. The sample size was 50 and the samples were selected by using purposive sampling technique. Self-structured questionnaire was used to assess the knowledge regarding polycystic ovarian syndrome. The pretest result showed that out of 50, 2(4%) had adequate knowledge, 25(50%) had moderate knowledge and 46% had inadequate knowledge. A planned teaching program on PCOS was administered to B.Sc Nursing 1st Year students and was evaluated. The post test findings showed that 14 (28%) had adequate knowledge, 31(62%) had moderate knowledge and 5(10%) had inadequate knowledge regarding polycystic ovarian syndrome. The t-test score was 5.66 (p<0.05). The researcher found that there was significant association between the posttest level of knowledge regarding PCOS and selected demographic variables like Age, Religion, Diet and Area of Residence.

 

KEYWORDS: PCOS, Poly cystic ovarian syndrome, Nursing students, structured teaching program.

 

 


INTRODUCTION:

Poly cystic ovarian syndrome is a set of symptoms due to elevated androgens in women(9). Signs and symptoms of PCOS include irregular or no menstrual periods, heavy periods, excess body and facial hair, acne, pelvic pain, pregnancy issues, obesity etc(6). The term Polycystic ovarian disease was first described by Irving stein and Micheal Leventhal as a triad of amenorrhoea, obesity and hirsutism in 1935. It is hence also known as “Stein- Leventhal syndrome” or “Hyper androgenic anovulation”.

 

According to a study conducted by PCOS Society(9), One in every 10 women in India has poly cystic ovarian syndrome (PCOS), a common endocrinal disorder among women of reproductive age group and out of every 10 women diagnosed with PCOS, six of them are teenage girls. The lack of awareness and negative lifestyle habits increase the incidence of polycystic ovarian syndrome among reproductive age group women(4). The researcher believed that if Nursing students are educated about PCOS, they will play vital role in health awareness and lifestyle modification programs regarding polycystic ovarian syndrome among reproductive age group females in future.

 

MATERIALS AND METHODS:

Statement of problem:

“A Pre experimental study to evaluate the effectiveness of planned teaching programme on Knowledge regarding polycystic ovarian syndrome among B.Sc Nursing students in Bee Enn College of Nursing, Jammu”.

 

The Objectives of the study were:

·       To assess the pretest knowledge regarding Polycystic ovarian syndrome among B.Sc Nursing first year students.

·       To evaluate the level of effectiveness of planned teaching programme on knowledge regarding Polycystic ovarian syndrome among B.Sc Nursing first year students.

·       To find out the association between post test levels of knowledge regarding PCOS among B.Sc Nursing first year students with selected demographic variables.

 

Hypothesis:

H0: There will be no significant difference between pre test and post test level of knowledge score regarding PCOS among nursing students.

 

H1: There will be   significant difference between pre test and post test level of knowledge score regarding PCOS among nursing students.

 

H2: There will be a significant association between post test level of knowledge regarding PCOS among nursing students with selected demographic variables.

 

Projected outcome:

·       The findings of the study will help to know the effectiveness of planned teaching program on polycystic ovarian syndrome in terms of fostering knowledge among B.Sc Nursing students.

·       The planned teaching program will enable the nursing students to guide the clients in such a way to provide holistic nursing care in the clinical and community setup.

 

The literature was reviewed and organized under the following headings:

1.     Studies related to assess the prevalence of Polycystic Ovarian Syndrome.

2.     Studies related to the knowledge regarding Polycystic Ovarian Syndrome among females.

3.     Studies related to assess the effectiveness of planned teaching program regarding Polycystic Ovarian Syndrome among Adolescent girls.

 

METHODOLOGY:

Research approach: Quantitative approach was adopted:

Research design:

In Pre experimental research design, One group pre test and post test method had been used(7). 

 

Setting of the study:

The study was conducted in Bee Enn College of Nursing, Chak Bhalwal, Jammu, J&K.

 

Variables under the study:

Independent Variable: Planned teaching program on Poly Cystic Ovarian Syndrome.

 

Dependent Variable:  

level of knowledge regarding poly cystic ovarian syndrome among the B.Sc Nursing students.

 

Target population: B.Sc Nursing students.

Accessible population:

Accessible population selected for this present study included first year B.Sc Nursing female students who are studying in Bee Enn College of Nursing, Jammu.

 

Sample size:

50 female students from First year B.Sc Nursing.

 

Sampling technique:

Non probability, purposive sampling technique was used to select the samples. The list of first year B.Sc Nursing students was obtained from the class coordinator. Based on inclusion and exclusion criteria 50 samples were chosen by the researcher.

 

Criteria for sample selection:

Inclusion criteria:

·       Students who were studying in first year B.Sc Nursing in Bee Enn College of Nursing.

·       Students who were available at the time of data collection.

·       Students who were willing to participate in this study.

 

Exclusion criteria:

·       Students who were already diagnosed and  under treatment of Poly cystic ovarian syndrome.

 

Data collection technique:

 

Development of an instrument:

The structured multiple choice questionnaire was developed to assess the level of knowledge regarding Polycystic Ovarian Syndrome.

 

Description of tool:

The researcher prepared a structured knowledge questionnaire. It has three parts. They are as follows

 

Section-a

It contains data related to demographic variables of nursing students such as Age in years, Religion, Dietary pattern, Type of family, Area of residence, Educational status of parents, Socio economic status and Source of information.

Section – b

It consists of data regarding menstrual history like age of menarche, frequency of menstruation and any history of menstrual disorder.

 

Section – c

It consists of structured multiple choice knowledge questionnaire to assess the level of knowledge regarding Polycystic Ovarian syndrome among Nursing students. It includes 25 multiple choice questions regarding anatomy and physiology of female reproductive system, definition of PCOS, risk factors, signs and symptoms, diagnosis, management, prevention and complication of polycystic ovarian syndrome.

 

Scoring procedure:

Each structured multiple choice question has four choices out of which one was correct answer and remaining three were wrong answers. A score of “one” allotted for each right answer and every wrong answer was given the score of “zero”. The maximum attainable score in the knowledge questionnaire was “25”.

 

The level of knowledge was graded based on percentage of scores obtained

76-100 % (19-25) – Adequate Knowledge

51-75 % (13-18) – Moderate Knowledge

0-50 % (<13) – Inadequate Knowledge

 

Planned teaching programme:

The content in the planned teaching programme on Polycystic Ovarian Syndrome included introduction, definition of PCOS, Review of female reproductive system, etiology, sign and symptoms, diagnostic evaluation, preventive measures and complications of PCOS. The planned teaching programme was prepared with appropriate pictures in power point presentation by investigator. The average time taken for administering planned teaching programme was around 40 Min.  The experts validated the planned teaching programme content and teaching materials.

 

Pilot study:

In order to find out feasibility and practicability, a pilot study was conducted at Rajiv Gandhi College of Nursing, Seri Pandita, Jammu through google forms (online mode) for a period of 1 week among ten B.Sc Nursing first year students. The study was found feasible to conduct.

 

Data collection procedure:

The data collection was carried out in the month of February, 2021. Data was collected from 50 B.Sc Nursing first year students, Bee Enn College of Nursing, Jammu. Purposive sampling technique was used to select sample. A written permission was taken from Principal, Bee Enn College of Nursing, Chak Bhalwal, Jammu. Data was collected by using self structured questionnaire.

 

Protection of human rights:

Research proposal was approved by the Bee Enn College of Nursing Research screening committee. The pilot and main study permission was sought from the Director, Bee Enn College of Nursing, Chak Bhalwal, Jammu. A formal oral consent was obtained from the respondents before administering questionnaire.

 

Plan for data analysis:

Descriptive statistical analysis was used for categorical data; Paired “t” test was used to evaluate the effectiveness of planned teaching program. Chi square test of significance was used to find out the association between the post test level of knowledge regarding Polycystic Ovarian Syndrome with selected demographic variables.

 

RESULTS:

In data collection, majority i.e. 33 (66%) of the students belonged to the age group 17-19 years, regarding religion majority, 25 (50%) were Muslims. Regarding diet, majority of them 33 (66%) were non vegetarian. Regarding type of family, most of the participants 39 (78%) belonged to nuclear family. Regarding area of residence, participants 26 (52%) were from urban area. Regarding socioeconomic status, 32(64%) of the participants were upper middle class. Regarding source of information, 13(26%) was informed by other sources.

 

Figure I: Distribution of Pre Test and Post Test Level of Knowledge Regarding Poly Cystic Ovarian Syndrome Among B.Sc Nursing 1st Year Students (N=50)

 

Fig. 1 reveals that 46% had inadequate knowledge, , 50% had moderate knowledge in pre test and 4% had adequate knowledge regarding Polycystic Ovarian Syndrome in pre test. After Planned teaching program, 10% had inadequate knowledge, 62% had moderate knowledge and 28% had adequate knowledge in post test.

 

Table 1: Pre Test and Post Test Level of Knowledge Regarding Polycystic Ovarian Syndrome Among B.Sc (N) 1st Year Students. (N=50)

Group

Mean

S.D

t- test Value

Pre test

12.9

3.220

5.66

Post test

16.3

2.934

*Significance at 0.05 level

 

The above table reveals that t – test value found to be significant at the level of p<0.05. It is inferred that the knowledge regarding PCOS among B.Sc Nursing 1st year students of Bee Enn College of Nursing have improved after the planned teaching programme.

 

Regarding the association between the post test levels of knowledge regarding PCOS with selected demographic variables, there was a significant association between their post test knowledge with selected demographic variables like age, religion, diet and area of residence.

 

DISCUSSION:

The first objective of the study was to assess the pre test level of knowledge regarding Polycystic Ovarian Syndrome among B.Sc Nursing 1st Year students.

 

In pre test level of knowledge regarding polycystic ovarian syndrome among B.Sc Nursing 1st year students, majority of them (50%) had moderate knowledge. The Pre test knowledge mean value=12.9 and S.D= 3.220. The investigator felt that the existing knowledge regarding PCOS among Nursing students was moderately adequate.

 

These study findings were supported by a study conducted by Nancy Chandra priya and Shweta M.N (5).  In the descriptive study, majority of the young female adults in Bangaluru (48.3%) had moderate knowledge and 13.3% of the participants had inadequate knowledge regarding PCOS.

 

The second objective of study was to evaluate the effectiveness of planned teaching program on knowledge regarding PCOS by comparing pre test and post test knowledge score of B.Sc Nursing students.

After Planned teaching program, the researcher found that 5(10%) had inadequate knowledge, 31(62%) had moderate knowledge and 14(28%) had adequate knowledge in post test. The obtained post test mean value was 16.3 and standard deviation value was 2.934.  The t test value was 5.66 and it revealed that the planned teaching program was effective. Hence, H1 was accepted and H0 was rejected.

 

These study findings were supported by a study conducted by Santhi priya et al(1) . The researcher conducted a pre experimental study on PCOS among PU students in Managalore. Thirty five samples had been selected by convenience sampling technique. The researcher found that after planned teaching program, 71.4% of the participants had average knowledge, 17.14% had poor knowledge and 11.4% had good knowledge regarding PCOS.

 

The third objective of the study was to find out the association between post test level of knowledge regarding PCOS among B.Sc Nursing first year students with their selected demographic variables.

The researcher found that there was a significant association between post test knowledge regarding polycystic ovarian syndrome with selected demographic variables like Age, Religion, Diet and Area of Residence.

 

These findings were supported by a study conducted by Khushboo Brar et al (3). the researcher conducted a descriptive study on knowledge regarding PCOS among teenage girls in Mohali, Punjab. The adolescent girls (200) were selected by convenient sampling technique.  There was a significant association between knowledge score and selected demographic variables like Age, Religion, type of family and monthly income.

 

CONCLUSION:

The study concludes that the existing level of knowledge regarding polycystic ovarian syndrome among B.Sc Nursing 1st year students was moderately adequate. After planned teaching programme, the researcher found that there was significant improvement in knowledge regarding Polycystic Ovarian Syndrome among B.Sc Nursing 1st year students.

 

CONFLICT OF INTEREST:

Nil.

 

REFERENCE:

1.      Santhipriya Monterio, Anusree G, Anusree. K. T, Arya Prasad N. T, RojaTom, Leethu David, Rasheeda Gopal, Neethu K, Vijila Vinu, Stany K. E, Jancy Johnson, Sneha Devasya. A Study to assess the effectiveness of Structured Teaching Programme regarding knowledge on Polycystic ovarian syndrome among the adolescents of selected PU College in Mangaluru. Asian J. Nursing Education and Research. 2021; 11(2):213-216. doi: 10.5958/2349-2996.2021.00051.3

2.      Sheela Williams, Lissa J, Saraswathi. K. N. A Study to assess the Effectiveness of Structured Teaching Programme on Knowledge Regarding Polycystic Ovarian Disease among Adolescent Girls in Selected Colleges in Mysuru. Asian J. Nur. Edu. and Research.2017; 7(3): 371-375. doi: 10.5958/2349-2996.2017.00074.X

3.      Khushboo Brar, Tarundeep Kaur, P. Vadivukarrasi Ramanadin . Knowledge regarding Poly Cystic Ovarian Syndrome (PCOS) among the Teenage Girls. Int. J. Nur. Edu. and Research.2016; 4(2):136-140. doi: 10.5958/2454-2660.2016.00031.4

4.      Anitharajendrababu, Mini Abraham. Effectiveness of Planned Teaching Programme regarding Polycystic Ovarian Disease among Adolescent Girls. Int. J. Adv. Nur. Management. 2017; 5(2):143-145. doi: 10.5958/2454-2652.2017.00030.0

5.      Nancychandra Priya P., Shwetha M. N.. Knowledge regarding Polycystic Ovarian Syndrome among Young Female Adults. Asian J. Nursing Education and Research. 2019; 9(1):84-86. doi: 10.5958/2349-2996.2019.00016.8

6.      Annamma Jacob, A textbook of midwifery and gynaecological nursing, 4th edition, Page. No. 831-833.

7.      Pareek Bharat, Kalia Raman, Textbook of Nursing Research and Biostatistics, 1st edition, Vision publications, Page. No: 78.

8.      Deepa G Ashalatha PR, Textbook of Anatomy and Physiology for Nurses, 4th edition, Jaypee publications, Page No. 469-497.

9.      https://www.pcosindia.org/

 

 

 

Received on 26.10.2022         Modified on 10.11.2022

Accepted on 23.11.2022       ©A&V Publications All right reserved

A and V Pub J. of Nursing and Medical Res. 2022; 1(1):8-12.

DOI: 10.52711/jnmr.2022.03