A Study to Assess the Effectiveness of Structured Teaching Programme on Knowledge regarding Genital Tuberculosis among the Adolescent Girls in a selected College at Rajkot

 

  Vilas Vadhel, Jeenath Justin Doss K.

Shri Anand Institute of Nursing, Opp. Ghanteshwar Park, B/h Shainik Society, Jamnagar Road, Rajkot – 360006.

*Corresponding Author E-mail: vickyvadher13@gmail.com

 

ABSTRACT:

The improvement of knowledge regarding genital tuberculosis among adolescent girls of selected college has an important role in enabling the effectiveness of structured teaching programme as an independence nursing intervention. The objective of the study is to assess the effectiveness of STP on knowledge regarding genital tuberculosis among adolescent girls of selected College at Rajkot. The research design adopted was One Group Pre-test and Post-test design. The study had been conducted in selected College, Rajkot. Simple random sampling technique had been adopted to select the desired samples. The sample size was 40. As a part of intervention, a structured teaching programme on knowledge regarding genital tuberculosis was provided to adolescent girls for 45minutes and the data was collected by structured interview with set of questionnaires that was administered to assess the level of knowledge regarding genital tuberculosis among adolescent girls of selected College at Rajkot. The data were analyzed by using both descriptive and inferential statistical method paired “t” test was used to evaluate the effectiveness of structured teaching programme on knowledge regarding genital tuberculosis. The obtained value (t = 11.15) was higher than the table value (p = 2.05) at the level of 0.05. Thus, researcher accepted the hypotheses H1. There was a significant association between demographic variables such as educational status and previous knowledge with pretest level of knowledge on genital tuberculosis. Thus, researcher accepted the hypotheses H2. The study concluded that the structured teaching programme was effective in improving of knowledge regarding genital tuberculosis.

 

KEYWORDS: Assess, effectiveness, Genital tuberculosis, Adolescent girls of selected College.

 

 

INTRODUCTION:

Puberty is the period of several years in which rapid physical growth and psychological changes occur, culminating in sexual maturity. The most important fact about adolescence is that it is a period of transition from childhood to adulthood. Transition from one period to another is always associated with some problems. During late adolescence they are usually referred to as “young women” or even “youths”.

 

In this age group they may be prone to many of the diseases which may have hazardous effect on the later   years of life.1

 

Tuberculosis (TB) is a potentially fatal contagious disease that can affect almost any part of the body but is mainly  an infection of the lungs. It is caused         by  a bacterial microorganism, the tubercle bacillus or Mycobacterium tuberculosis. Although TB can be treated, cured, and can be prevented if persons at risk take certain drugs, scientists have never come close to wiping it out. The tuberculous involvement of pelvic organs varies greatly geographically, ethnically and according to the type of patient. Most clinical studies indicate that it is the relatively young females in the reproductive age- group (under 30 years) who are predominantly the victims.1

 

Adolescence has been described as ‘the period of storm and stress of human life’ by Stanley Hall. The word ‘adolescence’ comes from the Latin word ‘adolescence’ which means ‘to grow’. The essence of the word adolescence is growth. In this sense adolescence represents a period of intensive growth and change in all aspects of a child’s physical, mental, social and emotional life. It    is a very crucial period of one’s life which covers from 12-19 years. The most   important fact about adolescence is that it is a period of transition from childhood to adulthood. Transition from one period to another always is associated with some problems.1 Adolescence is the milestone of women hood. Because a child is not born as woman, she becomes woman with the attainment of reproductive maturity which starts with puberty or the beginning of adolescent. It is a time marked by dramatic physical, psychosocial and cognitive changes. An adolescent is a transitional stage of physical and mental human development generally occurring between puberty and adulthood.2

 

NEED FOR THE STUDY:

Genital tuberculosis is the type of extra pulmonary tuberculosis which      affects genital organs. The incidence of genital tuberculosis varies widely with   the socioeconomic status of the patients and their environment. The incidence is high amongst the patient with infertility. With the prevalence of HIV infections, the incidence is increasing. In developing country like India, the incidence (18%) is more compared to the developed countries (1%)3

 

Female genital TB (GTB) was first reported by Morgagni in 1744 on the autopsy of a young woman who died of TB peritonitis. The incidence of GTB, a type of extrapulmonary TB (EPTB) is increasing in young women globally. The GTB causes menstrual dysfunction and infertility in women The most common form of extra pulmonary TB is genitourinary disease, accounting for 27% (range, 14 to 41%)4

 

In India the incidence of genital tuberculosis is nearly about 18% among women aged between 17-40 years. Study findings revealed that in Karnataka, women with a reported history of genital tuberculosis were about 3%. In females the genital organs commonly affected are as follows: fallopian tube (95-100%), endometrium (50-60%), ovaries (20-30%), cervix (5-15%), myometrium (2.5%) and vulva/vagina (1%)5

 

World Health Organization (WHO) in a drastic step declared TB a global emergency in 1993 and promoted a new effective TB control called Directly   Observed Treatment Short-course (DOTS) strategy with 70% case detection rate and 85% successfully treatment rates. The Revised National Tuberculosis Control Programme (RNTCP) of India in corporating DOTS strategy has achieved 100% geographical coverage with 71% case detection rate and 87% treatment success rate with a sevenfold decrease in death rate (from 29 to 4%) in the year of   2010.5

 

The incidence of GTB varies in different countries from 1% in infertility clinics of USA, 6.15 – 21.1% in South Africa and 1–19% in various parts of India. In infertility patients, incidence of GTB   varies from 3 to 16% in India with higher incidence being from apex institutes like All India Institute of Medical Sciences (AIIMS), New Delhi, where prevalence of GTB in women of infertility was 26% and incidence of   infertility in GTB to be 42.5 %, which may be due to referral of difficult and intractable cases to this apex hospital from all over India, especially from   states like Bihar where prevalence of TB is very high. Similarly, incidence of GTB is also very high in women seeking assisted reproduction being 24.5% overall but as high as 48.5% with tubal factor infertility  

 

OBJECTIVES OF THE STUDY:

1.    To determine the existing knowledge score of adolescent girls regarding genital tuberculosis using a structured knowledge questionnaire.

2.    To evaluate the effectiveness of structured teaching programme on knowledge regarding genital tuberculosis among the adolescent girl in selected college at Rajkot.

3.    To find the association between selected demographic variables and their pre-test knowledge regarding genital tuberculosis.

 

HYPOTHESES:

H1: The mean post-test knowledge score of adolescent girls on genital tuberculosis will be significantly higher than the mean pre-test knowledge score

H2: There will be significant association between pre-test knowledge and selected demographic variable.

 

MATERIAL AND METHODOLOGY:

RESEARCH APPROACH:

The research approach in this study was quantitative research approach.

 

RESEARCH DESIGN:

In this study pre-experimental (One group pre-test, post-test) design was used.

 

O1--------------------------X---------------------------O2

 

Setting: Selected college of Rajkot

Population:

Target population: Adolescent girls of age group 17-19 years.

 

Accessible population: Accessible population is adolescent girls of Sodha College of Nursing at Rajkot.

 

Sample:

The sample of the study comprised the 40 adolescent girls studying in selected College, Rajkot.

 

Sampling Technique:

Simple random sampling was adopted for the study. Simple random sampling involves random selection of elements from a population.

 

Data analysis and interpretation:

The collected data was analyzed using both descriptive and inferential statistics.

 

RESULT:

Major Findings:

The major findings of the study include

1.    The majority of 17(42.5%) samples age was 18 years

2.    The majority of 40 (100%) samples were adolescent girls

3.    The majority of 24(60%) samples were I year students.

4.    The majority of 16(40%) samples were belongs to extended family.

5.    The majority of 24(60%) samples were belongs to rural area.

6.    The majority of 26(65%) samples were having previous knowledge regarding genital tuberculosis.

 

The comparison between the pre-test and post-test knowledge score obtained by the samples on structured teaching programme revealed that the mean pre-test score was 13.53 and the mean post test score was 23.67. The mean difference between the pre-test and post- test score was 10.14 and the standard deviation of pre-test level was 4.66 and post-test was 3.52 and the calculated value was (t=11.15) higher than the table value (p=2.05) at the level of 0.05 thus, researcher accepted the hypotheses H1.

 

The analysis report of the table explains that association of knowledge with the selected demographic variables such as educational status and previous knowledge has obtained chi square value more than tabulated value at the level 0.05. Thus, hypotheses H2 was accepted which shows there was an association between the demographic variables and effectiveness of structured teaching programme regarding genital tuberculosis.

 

CONCLUSION:

The main conclusion of this present study is that most of the adolescent girls in the selected college had inadequate and moderately adequate level of knowledge in pre-test and they improved to moderately adequate and adequate knowledge in post-test. This shows the imperative need to understand the purpose the structured teaching programme on knowledge regarding “genital tuberculosis” among adolescent girls in selected college at Rajkot and it will improve the knowledge of genital tuberculosis.

 

REFERENCES:

1.     Das Ahuja A, Gupta D S. Incidence, etiopathogenesis and pathological aspects of genitourinary tuberculosis in India. Indian Journal of Urology. 2008; 24(3): 356

2.     Shrikant SN, BR, Kulkarni SW. Effectiveness of Bacillus Calmette Guerin (BCG) vaccination against genital tuberculosis: a case-control study. Journal of Communicable Disease. 2004; 36(3): 159-65.

3.     Kohli M D, Nabam B. PCR-Based Evaluation of Tuberculous Endometritis in Infertile Women of North India. Indian Journal of Nursing and Midwifery. 2011; 12 (1): 46.

4.     SK. Malhotra N.et al. Genital tuberculosis: an important cause of Washerman’s syndrome in India. Journal of Gynecology and Obstetrics. 2008; 277(1): 37-41.

5.     M. Kidane. Female genital tuberculosis in Uganda. International Journal of Gynecology and Obstetrics. 2004; 84: 241–246.

 

 

 

 

 

Received on 03.01.2023        Modified on 22.04.2023

Accepted on 30.07.2023       ©A&V Publications All right reserved

A and V Pub J. of Nursing and Medical Res. 2023; 2(3):85-87.

DOI: 10.52711/jnmr.2023.21