a descriptive study to ASSESS the effectiveness of
video assisted teaching programme on swine flu
among pre-university COLLEGE STUDENTS at selected colleges of gulbarga.
proforma for registration of
subject for dissertation.
syed shah hussain
M.Sc. Nursing – 1st Year
Medical Surgical Nursing
AL-KAREEM COLLEGE OF NURSING
GULBARGA
June – 2009
RAJIVGANDHIUNIVERSITY OF HEALTH SCIENCES,KARNATAKA
BANGALORE
ANNEXURE- II
PROFORMA FOR REGISTRATION OF SUBJECT FOR
DISSERTATION
1 / Name of the candidate andAddress (in block letter) / MR. SYED SHAH HUSSAIN
1st year M.Sc NURSING
Al-KAREEM COLLEGE OF NURSING
GULBARGA.
2 /
Name of the institution
/ AL-KAREEM COLLEGE OF NURSINGBAREY HILLS, NEAR ADARSH NAGAR GULBARGA 585105.
3 / Course of study and subject / M.Sc NURSING
MEDICAL-SURGICAL NURSING
4 /
Date of admission
/ 05-06-20095 /
Title of the Topic
a descriptive study to ASSESS the effectiveness of video assisted teaching programme on swine flu among pre-university college students at SELECTED COLLEGES OF gulbarga.INTRODUCTION
“Infectious diseases will last as long as humanity itself”1
The swine flu is a viral disease that attacks pig occasionally transmitted to human, the swine flu is also known as pork flu ( any ) virus belonging to the family Orthomyxoviridae which is endemic in population of pigs. These strain of viruses are known as swine influenza virus of SIV (the acronym in English of swine influenza virus have been classified into influenza virus C or are the subtypes of the genus influenza virus A(being the best known strain H1N1 isolated in Japan and Europe).Most importantly the H1N1 influenza out break of 2009 in humans and known as swine flu swine influenza –is not caused by SIV only. This is a new strain of virus of influenza A H1N1 that contains genetic material matched a strain of human influenza virus a strain of avian influenza virus and two separate strain of swine influenza virus.
Swine flu is a respiratory tract infection from the pigs. This kind of virus can kill whole of the human race. Some of the symptoms of swine flu are fever, Lethargy, Lack of appetite, Runny nose, Sore throat, nausea, Vomiting,Diarrhea, and coughing. It is transmitted easily between humans, due to an ability attributed to a mutation not yet identified and makes it through the saliva, by air, by close contact between the mucous membrane or through hands mouth transmission due to contaminated hands.
The two antiviral drugs can be taken such as Tamiflu and Relenza available with prescription can make the illness milder and make feel better faster. These drugs are also prevent serious influenza complications. There are different agencies that are providing funding advice and other support from different rich nations to every country to assist swine flu epidemic planning and preparation.2
Prevalence of swine flu is highly contagious and has spread very fast to 191 countries. Starting from America to Europe, Asia to Africa. Number of confirmed cases and death as on 18th September 2009.In India 7374 number of confirmed deaths 225. Globally incidence 2, 96,471 and deaths globally 3,486.3
As per report 6 succumb to swine flu virus sniffed life of 6 more people in India taking toll to 463 in the country Till date the samples were 72,483 people have been tested for H1N1 in Government Laboratories and a few private laboratories across country and 13,722 of them have been found positive said a statement issued by Health Ministry Thus from the total sample size 72,483 that was tested 18.9 percent have found positive4.
6. BRIEF RESUME OF STUDY:
6.1 Need for study:
Since swine flu is a most recent epidemic outbreak and most highly dangerous disease it caused havoc in the minds of people to use surgical mask and caused tremendous fear in the mind of public.
To provide knowledge to the public regarding respiratory hygiene through mass media and educational messages through news paper,journals,magazines,Television,TV aids, Internet etc .Must be done. A step must be taken by the Government in distributing surgical masks and discouraging large public gatherings including theater events, Games etc.
To understand the epidemiology and clinical manifestation of recent cases of swine flu infections in India can help inform regional national and global control measures in response to the emergence of swine flu infection. Important areas for investigation worldwide include evidence of person-to-person transmissions the geographical distribution of disease the clinical spectrum of disease and the effectiveness of mitigation strategies.5
For various infection people are scared of swine flu of all ages in whole of countries. The people at high risk of getting swine flu are parents who have had drug treatment of Asthma in the past three years, pregnant women, people aged 65 years and older, children under five years of age, people with chronic lung disease, chronic heart disease, kidney disease, liver disease, chronic neurological disease people with immnosuppression or Diabetes mellitus.6
A study conducted on pregnant women’s and fetuses are at a high risk of getting infection with the movel H1N1 influenza virus obstetrics providers need to be prepared to provide comprehensive case to address increased morbidity,mortalicy, and pregnancy related complications including spontaneous miscarriage and preterm birth faced by pregnant women during an influenza pandemic.7
A Study Conducted on oseltamivir susceptibility and resistance on influenza, oseltamivir phosphate is a prodrug of oseltamivir carboxylate a highly specific inhibitor of influenza virus neuraminidase is critical for virus release from injected cells and subsequent virus spread the drug was expected to have a low propensity to select for viable resistant mutants. Indeed viruses with neuraminidase and haemagglutinin. Substitution conferring reduced susceptibility to oseltamivir incidence of resistance 0.32% in adults 0.4%in mixed virus population, 4.1% in children.8
6.2 Review of Literature:
A study conducted on hospital hygiene influenza says that influenza is a severe febrile disease if airways that occur epidemically in winter months and caused a high number of infection and deaths worldwide in 30 years. In order to prevent this situation called pandemic plan have been developed worldwide. Beside vaqccination, general hygienic precaution and antiviral therapies are the most important measures in the management of influenza.9
A study conducted on the initial psychological response to H1N1(“Swine Flue”):The outbreak of the pandemic flu in 2009 provided a major challenge to health services around the world. Previous pandemics have led to stockpiling of goods, the victimization of particular population group and cancellation of travel and boycott of foods (ex: pork). Researches examined behavior and attitudinal response towardsinfluenza A H1N1.10
A study conducted on Swine Flu (H1N1)-A Global Epidemic. Swine is a Swedish term means pig. Swine Flu was first spotted in the year 1173. in pig , horses and also in birds like Swans and hens. Oseltamivir or Zenamivir for treatment and prevention of virus. Avoid touching your eyes, mouth and nose , clean hands thoroughly and regularly. Avoid contact with people who are ill. Reduce spending time in crowded areas. Practice good healthy habits and nutritious diet.11
A study conducted by national pandemic influenza preparedness planning .The recent outbreaks of influenza A H5N1and swine influenza AH1N1 caused a global concern over potential for a new influenza pandemic.12
A study conducted on college football teams using preventive defense on virus in New York-helmet shoulder pads and hand sanitizers with outbreaks reported at university of Mississippi and Wisconsin players are under orders to wash their hands and cover their mouthswhen they cough orsneeze,lest these teams joined those who have been hit hard by the bug as couple of their room mates got sick on campus they prepared themselves by bringing big bottle of disinfectant for cleaning at home.13
Awareness drive for PU Students Director of Pre University Education Shankar Narayan asked principals of all PU Colleges in the state to take steps to create awareness among the students and parents about Swine Flu. They also organized a meeting of students and informed them about the symptoms of the disease and take them to nearest hospital for investigations incase they suffer and found positive for disease the heads should arrange for suitable treatment.14
A study was conducted on a simple method for molecular detection of swine origin and human origin influenza A virus. A real time one step reverse transcriptase polymerase chain reaction SYBR green assay derived from the method reported by Van Elden and collaborators 2001 ensures the rapid sensitive and cost effective detection of both seasonal influenza virus and emerging H1N1 swine origin A virus S-OIV. 15
6.3 Statement of the problem:
A Descriptive study to assess the effectiveness of video assisted teaching Programme on swine flu among pre-university college students at selected colleges of Gulbarga.
6.4 Objectives of the study:
1) To assess the level of knowledge on swine flu among students of PU College.
2) To develop a video assisted teaching programme on swine flu.
3) To determine the effectiveness of video assisted teaching programme on swine flu.
4) To associate the post level of knowledge on swine flu with selected demographic variables.
6.5 Operational definition.
Effectiveness: In this study effectiveness refers to determining the extent to which the video assisted teaching programme has achieved the desired effect in term of gain in knowledge scores obtained on a structure questionnaire on cases of swine flu respectively.
Video assisted teaching programme: In this study, video assisted teaching programme refers to the systematic video teaching on swine flu its spread and prevention.
Swine flu: Swine flu also known as flu pork is an infectious disease caused by any virus belonging to the Orthomyxoviridae which is endemic in population of pigs. These strains of virus are known as swine influenza virus or
SIV (the acronym in English is of swine influenza viruses)have been classified into influenza virus C or one of the sub types of the genes influenza virus A.
PU college students: The students are of the ages between 16 to 18 years and are keen to know about Swine flu studying in selected PU colleges in Gulbarga.
6.6 Assumption:
1) The PU College students possess little knowledge regarding swine flu.
2) Acquiring knowledge about swine flu among PU college students is essential.
3) Video assisted teaching programme is an accepted strategy to improve the knowledge level.
6.7 Projected outcome (Hypothesis)
All hypotheses will be tested at 0.05 level of significance.
H1: The mean of post text knowledge scores of the students of PU College on swine flu.
will be significantly higher than the mean pre test knowledge scores.
Delimitations
1) PU College students who are studying at Gulbarga.
2) Students of PU College who will to participate in the study.
3) Students of PU College who are able to conversate in kannada and English
MATERIAL AND METHODS:--
7.) SOURCE OF DATA
Data will be collected from students of PU College at Gulbarga.
7.1) Research design
One group pre test- post test design with pre experimental design.
PRE TEST / INTERVENTION / POST TESTO1 / X / O2
O1-Pre test to assess the knowledge on swine flu by structured questionnaire.
X - Video assisted teaching programme to assess the knowledge on swine flu.
O2- Post test to reassess the knowledge on swine flu by structured questionnaires.
7.1.2 Setting
The study will be conducted in selected PU College at Gulbarga.
7.1.3 Population
In this study it refers to PreUniversityCollege students who are studying at Gulbarga.
7.2 Method of Data collection.
The data will be collected by using structured knowledge questionnaire on swine flu among PU College students at Gulbarga.
7.2.1 Sampling procedure.
In the study non probability convenient sampling technique is used for the sixty samples.
7.2.2 Sample size.
Based on the objective of the study 50 samples will be selected (50PUCollege students)who are studying in selected colleges at Gulbarga
7.2.3 Inclusion criteria for sampling.
1) PU College students who are studying at PU College Gulbarga.
2) PU College students who are able to Conversate in English and Kannada
3) PU College students who are willing to participate in the study
4) PU College students who are present at the time of study.
7.2.4 Exclusion criteria or sampling
1) PU College students who are not attending PU College
2) PU College students who are not able to conversate in English and Kannada
3) PU College students who are not willing to participate in the study.
4) PU College students who are not present at the time of study.
Instruments intended to be used
A structured knowledge questionnaire will be developed to assess the knowledge of PU College students regarding swine flu after reviewing the relevant literature and consulting with subject experts. After teaching PU College students by using video assisted teaching program the gain in knowledge is assessed.
7.2.6 Data collection method:
Data will be collected by the investigator himself after obtaining prior permission from concerned authority. Assess the pretest knowledge of PU College students by administering structured knowledge questionnaire video assisted teaching programme will be conducted for the pre-university students regarding swine flu by using lesson plan. Investigator will evaluate the effectiveness of video assisted teaching programme after 7 days by administering same structure questionnaire.
7.2.7 Data analysis plan.
Data will be analyzed by using descriptive and inferential statistics. Analysis would be presented in the form of graphs tables and diagrams. Effectiveness of planned teaching programmes can be tested by paired‘t’ tests and association of knowledge with selected demographic variables by using chi-square test.
7.3 Does the study require any investigations or interventions to be conducted on patients or other humans or animals? If so, please describe briefly.
Yes,as the investigator is giving video assisted teaching programme on swine flu for PU college students at Gulbarga.
7.4 Has ethical clearance been obtained from your institution in case of 7.3
Yes,the ethical clearance has been obtained from our college that is Al Kareem College Of Nursing Gulbarga.Consent will be obtained from particular colleges as well as subjects.
List of References
1 k Park; A text book of preventive and social medicine 20 th edition 2009
D Shamsunder,Introduction classification and history regarding swine flu 21June
009 http: //www. India studychannel.com.
3. Dr Nityanand ,Expert meet to review H1N1 swine flu Pandemic affecting the world and India conference Ranbaxy science foundation , Business standard 21stSept 2009
4. Jyothi pal, 6 succumbs to swine flu dead count 463 30 ThOct 2009.
5 .Wells , DL Hopfensperger DI Arden NH Myers KP , Olsen CW Gray GC , Outbreak of swine- origin influenza A H1N1 Virus infection ---Mexico -- March --- April 2009
Gov/ MMWR / Preview outbreak of swine – origin Influenza –Mexico March--- April 2009.
6. Sofia Ashmore, Approval for a UK swine flu vaccine is expected shortly . .com approval .for –a-U-swine flu is expected shortly 01675123.
7. Carlson and NorwitzH1N1 Influenza in pregnancy what all care providers ought to know Department of obstetrics and Gynecology Yale University of School of Medicine New Haven.
8. Aoki FY, Boivin G, Roberts N Oseltamivir Susceptibility and resistance on Influenza, Department of Microbiology university of Manitoba, Canada.
9 .Kervat k Becker, Wulf h Germany, Hospital Hygiene.
.cm base .com /user files/files/ swine flu sept 09.pdf.
10. Goodwin r Myers IB Malaysia Initial psychological response to H1N1 swine flu
2NDOctober2009.
11. Sanjana. Voice /Seshadripurum Independent P.U college online campus. Swine flu (H1N1) A Global epidemic 1173. colleges. Papyrus clubs .com/sipuc/ Voice 4th Dec 2009.
12. Smith n, Daves S mounts A National Pandemic influenza prepardness planning.
13. Ralph D Russo on pigskins and swine flu college Football teams using preventive defense on virus
14. Mr. Shankar Naryana, Awareness drive for PU college students Department of PU education.
15. Ninove L Gazin C Gould EA Charrel RN Zandotti C Asimple method for molecular detection of swine origin and Human origin influenza A virus June 8 2009.
9. / Signature of the Candidate10. / Remark of the Guide
11. / Name and Designation of (in Block Letters)
11.1Guide
11.2 Signature
11.3 Co-Guide (if any)
11.4 Signature
11.5 Head of the Department
11.6 Signature
12 / 12.1 Remarks of the Chairman and Principal
12.2 Signature