RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES
BANGALORE, KARNATAKA
PROFORMA FOR REGISTRATION OF
SUBJECT FOR DISSERTATION
1. NAME OF THE : Mrs. D. KRISHANA VENI
CANDIDATE AND 1 st Year M.Sc. Nursing INDIAN
ADDRESS COLLEGE OF NURSING
TILAK NAGAR, BY PASS ROAD, BELLARY-04
2. NAME OF THE : INDIAN COLLEGE OF NURSING
INSTITUTION TILAK NAGAR, BY PASS ROAD
BELLARY (DT).
3. COURSE OF STUDY & : 1 st year M.Sc., NURSING 1 ST YEAR SUBJECT COMMUNITY HEALTH NURSING.
4. DATE OF ADMISSION : 16-06-2008
5. TITLE OF THE TOPIC : A STUDY TO ASSESS THE KNOWLEDGE
ON TOBACCO CONSUMPTION AND ITS
HAZARDS AMONG ADOLESCENT BOYS AGE GROUP BETWEEN 18-22
YEARS IN SELECTED DEGREE COLLEGES AT BELLARY WITH
AVIEW TO DEVELOP AN INFORMATION GUIDE SHEET.
1
6. BRIEF RESUME OF THE INTENDED WORK
6.1 INTRODUCTION :
Tobacco consumption is the most prevalent cause of disease and death.
The harmful effects of smoking pipe and cigar are some what less long-term smokers of filter tipped cigarettes appear to have 30-35% lower risk of development of cancer due to consumption of tobacco. Tobacco consumption can affect the lives of adolescents and other people the use of tobacco consumption begins in adolescents as an occasional trip from the friends, pressure from the friends, as a recreational use, experimental basis to have an experience out of curiosity about tobacco consumption, then it gradually progress to more intensive compulsive use and become victimization of tobacco consumption. It is fashion in young stars and soon there is defective personality and causes of diseases (Joginder Singh 1994)
Back home tobacco Beedis is more widely practiced then cigarettes as apparent from dates obtained from national Council of Applied Economic Research, New Delhi and is associated with higher risk because Beedis are more carcinogen cigarettes Tobacco consumption increases the incidence of Carcinoma of lungs and other infections diseases. T.B. and also acts an reservoir of infection in the community burdening health care system for this (Edeth Mass 1987) the tobacco consumption including alcohol, causes enormous, damage to health and productive of nations. It undermines the quality of life of individual and their families and threatens the welfare of the community. Tobacco consumption prevalent in Indian States of Uttar Pradesh and Bihar and in parts of Srilanka i.e. chewing of tobacco alone or mixed with slaked lime as bolus of Paan kept in mouth for long hours which is the major cause of cancer of upper digestive tract and oral cavity.
Besides harmful effects of smoking on active smokers themselves in voluntary exposure of smoke to by standers is also injurious to health particularly to infants and children.
` Tobacco consumption causes many health problems like cancer of lungs, larynx, esophagus, peptic ulcer, kidney, pancreas, Heart diseases like atherosclerosis, heart attack, angina pectoris, peripheral vascular diseases stroke, peptic and ulcer, allergy including even T.B. also. Tobacco use is responsible for more than one of every 6 deaths in United States from pulmonary and cardio vascular diseases. More than 85% of lung cancer are attribute to inhalation of Carcinogenic chemicals. The risk of lung cancer decease as the duration of smoking cersution increases.
6.2 NEED FOR STUDY:
Tobacco consumption is a chronic condition that needs treatment.
Energy of smoking adolescence need to be diverted towards positive life style where they can lead purposeful life. Nurses multi disciplinary team should involve in tobacco consumption and their hazards prevention and cessations interventions in their daily practice. Routine provision of smoking, dependence interventions should be endorsed and advocated by all clinicians as they are effective in reducing both the human monotory costs associated with tobacco consumption.
Tobacco consumption has been a source of many personal and social evils. Apart from the harm they do to physical moral life of the individual the use of tobacco consumption creation of serious problems of health (NG Srivastava 1989). To many people specially in adolescent age and other people groups are concentrate the consumptions and other bad habits. Yet people of all ages use all kinds of tobacco materials regularly. There are different types of Cigarettes and Gutakas. The people who are tobacco consumption (Chain smokers) soon become dangerous of their health. (Edith Massan 1987). In India, the problem of tobacco consumption differ from those of the western countries. Tobacco consumption is special concern for youth, may of the young from their teens are engaging in different activities. Tobacco consumption and Gutka chewing is spread like contagious all over world and cannot escape from this wide spread diseases. A wide spectrum of society including adolescent boys, young professionals, business men, labours, taxi drivers, even Govt. officials have become victims of this habit. Tobacco consumption is special concern. For youth from their life and give complications or diseases like GI problems respiratory diseases and even dangerous complications i.e., Carcinoma of lungs and upper respiratory track and T.B.
By having in sight into the above all problems the investigation felt that it is essentials to bring awareness among the adolescent boys in order to control the consumption of Tobacco and its hazards.
6.3 Review of literature
· A study was conducted Alcazar street in USA in the year of 2001 May about hazards of smoking. The sample size of 6,473 was selected by random sampling. The study resulted in a conclusion that the hazards pattern suggests that the best time for smoking preventions were between 10 and 15 years of age.
The hazards pattern suggests that the best time for smoking preventions were between 10 and 15 years of age.
· A study was conducted in Humburg in the year of 1997 July about smoking after heart transplantation. Sample size of 349 people was selected by random sampling technique. The study resulted in a conclusion that despite of relatively low cigarette count, smoking and mortality after heart transplantation.
· A study was conducted in USA in the year of 1995 June, about smoking sample size of 6,125 people was selected by random sampling technique. The study resulted in a conclusion that Guidelines were necessary for the counselors such as looking their behaviours, checking whether the team is trying to loose weight providing health education in their early life.
· A study was conducted in USA in the year of 2003 March, to asses the behavious of pupils suffering from hazards of smoking & gutka chewing. A sample size of 3,146 college students was selected by random sampling. The study resulted that young and middle age males in many regions of the developing world also had large smoking risks. Hazards of smoking for women were highest in Narth America followed by Europe.
· A study was conducted in USA in the year of 2007, Jan. It was conducted among college students to detect hazards of smoking & guttka chewing. A sample size of 6,255 was randomly selected from different colleges. The study resulted in a conclusion that maximum risk for initiation of smoking was during the early teen years. Bhatachar Jee,
· Dr. A.C.Urmil, Dr. Somiaya, P.A.Gupta,. D.V.R.stted, study on tobacco hazards on tobacco consumers, this study concluded that tobacco consumer’s besides getting staining of skin, lips and gums are more vulnerable to more serious conditions like cancer of lungs, oral cavity. Pharynx, larynx bladder, pancreas, pepticulcer and strokes, visual impairment and partial blindness.
· J.Sandell, S.Singh, T.K.Sati, conducted a study to review the harmful health consequence of smoking in 424 smokers. Out of them 223 had deficit symptoms of harmful effects of smoking like cough irritation of throat, burning sensation of abdomen, breathlessness, palpitations, headache, loss of appetite.
· In Chandigarh, a study on the use of Tobacco was made on 408 students. Seventy seven of them were Tobacco users. In an other study 570 students from Chandigarh and Raipur it was found that between 10 to 24 years students most commonly use tobacco, amphetamines, cannabis, sedatives and tranquilizers.
· Mainak Mukherjee conducted survey among 132 students of Calcutta University shows that more than 1/3 of them are abusers of the drug. Another survey suggest that one out of two Delhi high school students are addicts while one out of 3 college students are hooked Tobacco consumption..
STATEMENT OF THE PROBLEM :
A STUDY TO ASSESS THE KNOWLEDGE ON TOBACCO CONSUMPTION
AND ITS HAZARDS AMONG ADOLESCENT BOYS AGE GROUP BETWEEN
18-22YEARS IN SELECTED DGREE COLLEGES AT BELLARY WITH AVIEW
TO DEVELOP AN INFORMATION GUIDE SHEET.
6.4 OBJECTIVES OF THE STUDY:
· To assess the knowledge of adolescent boys regarding tobacco consumption.
· To assess the knowledge of adolescent boys regarding hazards of tobacco consumption.
· To determine the association between the knowledge scores & demographic variables.
· To provide an information module on the basis of knowledge regarding tobacco consumption & its hazards.
6.5 Hypothesis :-
· There will be a significant between knowledge & selected demographic variables of adolescent boys.
Research Variables :-
a) Independent variables :- Informational guide sheet regarding tobacco consumption & its hazards.
b) Dependent Variables :- Knowledge of adolescent boys regarding
tobacco consumption & its hazards.
6.6 Operational Definitions :-
Assessment :- If refers to the knowledge of adolescent boys regarding tobacco consumption & its hazards.
Knowledge :- It is the information previously acquired by the adolescent boys regarding tobacco consumption & its hazards.
Adolescent boys :- It refers to the age group between 18-22 years.
Information Guide Sheet :-
It refers to self explanatory information sheet prepared by the investigator regarding tobacco consumption and its hazards.
Hazards :- Danger put at risk
6.7 Assumption :- The study will be based on the following
· The adolescent boys may not have adequate knowledge regarding tobacco consumption.
· The adolescent boys may not have knowledge regarding hazards of tobacco consumption.
6.8 Limitation of the Study :-
· This study is limited to adolescent boys age between 18-22 years
· This study is limited to adolescent boys who are studying in selected degree colleges.
· This study is limited to adolescent boys who are willing to participate in this study.
· This study is limited to adolescent boys who are available on the day of data collection.
· This study is limited to who can understand Kannada & English.
7. MATERIALS AND METHODS :
7.1 Source of data:
Data will be collected from adolescent boys age between 18 to 22
years who are studying in selected degree colleges, Bellary.
7.2 Methods of Collection of Data :-
7.2.1 Definition of the study subject :-
Adolescent boys age between 18 – 22 years who are studying in
selected degree colleges.
7.2.2 Inclusion & Exclusion criteria :-
a. Inclusion criteria :-
1) Adolescent boys age between 18 – 22 years.
2) Adolescent boys age between 18 – 22 years who are studying in selected degree colleges, Bellary.
3) Adolescent boys who are willing to participate in this studying.
4) Adolescent boys who are available on the day of data collection.
5) Adolescent boys who can understand Kannada & English.
b. Exclusion Criteria :-
1) Adolescent boys who are not having age between 18 – 22 years
2) Adolescent boys age between 18 – 22 years who are not willing to participate in this study.
3) Boys who are not available on the day of data collection.
4) Adolescent boys who are ill or sick.
7.2.3 Research design : Non experimental Descriptive Design.
7.2.4 Setting : Selected Degree Colleges, Bellary.
7.2.5 Sampling Technique : Random sampling Technique
7.2.6 Sample Size : 100
7.2.7 Tools of Research : Structured Questionnaire will be constructed in to parts.
Part 1 – Demographic Data
Part 2 – Knowledge basis Questionnaire
regarding tobacco consumption & its hazards.
7.2.8 Collection of Data : The investigator will collect the data by using
structured Questionnaire method.
7.2.9 Method of Data Analysis and presentation :
i) The Investigator use descriptive Inferential
statistical techniques for data Analysis.
ii) The analyzed data will be presented in the
form of Tables, diagrams, and graphs based on
Finding.
7.3 Does the study require any investigation to be conducted on patients or other human or animals ? If so please describe briefly ?
Yes, Study will be conducted on adolescent boys age between 18-22 years regarding tobacco consumption & its hazards.
7.4 Has ethical clearance has been obtained from your institution in case of 7.3?
· Yes, Informed. Consent will be obtained from concerned subject and authority of institution.
· Privacy, confidentiality & anonymity will be guarded.
· Scientific objectivity of the study will be maintained with honesty and impartiality.
8 . List of References:
TEXT BOOKS:
· Harsh Mohan, A Text book of pathology, 4th edition, Jaypee brother’s publishers, Page- 189-192.
· Dr. Mrs. Kasthuri Sundar Rao - A Text book of community health nursing ,4th edition, Mr. K.V.Mathew publishers, page -566.
· Shafer’s , A text book of medical – surgical nursing, 7th Edition, Wilma j Phipps, R.N.Ph.d publishers, Page - 174-181.
· B. Sridhar Rao, A text book of community health nursing, 1st editions, Virender Kumar Arya publishers, page - 223.
· Watsons, A text book of clinical nursing and related sciences, 6th edition, mike Walsh publishers, page - 256-257 & 967-968.
JOURNALS:
1. Nightingale Nursing times, volume - 2, Issue - 4, July 2006,
Page 24-27
WEB SITES:
1. cer.org
2. st.org
3. racic.org
· JE park, 1996, Text book of preventive and social medicine, 14th
Edition, M/s. Banarsids Bhanot Publishers, page -122
· NG Srivatsava, Study on Smoking, alcohol and drug abuse, the journal
of swasthhind January, 1989, page -215.
· Mahammad Najmi, Drug dependence, Drug abuse increasing in many
Soviets, the Journal of Drug addictions, social August, 1990, Page –204.
· Joginder Singh, Fighting “Drug Abuse” the Journal of Kurukshetra
August, 1994. Page -210.
· Edith massers “ Puppets versus Drug Abuse on drug abuse”, The
magazine of the world health organization, June 1986.
· Norman, Sartorius, Putting a higher value on health, The magazine of the World Health Organization, June, 1986.
· Anthony, W Clave, “Drugs big business”, The magazine of the World Health Organizations, June,1986