Documentos de Académico
Documentos de Profesional
Documentos de Cultura
JABALPUR (M.P.)
YEAR 2013-14
A
PROJECT REPORT
ON
“A STUDY TO ASSESS THE EFFECTIVENESS OF STRUCTURED
TEACHING PROGRAMME ON KNOWLEDGE REGARDING STEM CELLS
AND UMBILICAL CORD BLOOD BANKING AMONG THE POST NATAL
MOTHERS IN SELECTED HOSPITAL OF JABALPUR”
Submitted By:-
Ms. Aruna
Ms. Alka Mattu
Ms. Anita Kushwaha
Ms. Bharti Ahirwar
Ms. Archana Patel
NANDVANDAN COLLEGE OF NURSING
JABALPUR (M.P.)
CERTIFICATE
This is to certify that the research dissertation titled “A STUDY TO ASSESS THE
Student Ms. Aruna, Ms. Alka Mattu, Ms. Anita Kushwaha, Ms. Bharti Ahirwar,
JABALPUR (M.P.)
CERTIFICATE
This is to certify that the research dissertation titled “A STUDY TO
work of B.Sc. Nursing Final Year Student Ms. Aruna, Ms. Alka Mattu,
Ms. Anita Kushwaha, Ms. Bharti Ahirwar, Ms. Archana Patel of 2013-
2014.
Date:
Place: Jabalpur
TABLE OF CONTENTS
CHAPTER CONTENT PAGE No.
No.
1 INTRODUCTION 1-7
• Need of the study
• Problem statement
• Objective of the study
• Hypothesis
• Operational definitions
• Assumption
• Limitation
• Conceptual frame work
2 REVIEW OF LITERATURE 8-11
• Literature related to Stem Cells and Umbilical
Cord Blood Banking
• Literature related to Knowledge on Stem Cells
and Umbilical Cord Blood Banking
• Literature related to Structured Teaching
Programme of Stem Cells and Umbilical Cord
Blood Banking
3 RESEARCH METHODOLOGY 12-19
• Research Approach
• Research Design
• Setting
• Variables
• Dependent Variables
• Independent Variables
• Population
• Sample and Sample Size
• Sampling Technique
• Tools
• Reliability
• Pilot Study
• Procedure of Data Collection
• Plan For Data Analysis
• Summary
4 DATA ANALYSIS AND INTERPRETATION 20-44
OF DATA
5 MAJOR FINDINGS, DISCUSSION, 45-51
SUMMARY, CONCLUSION, LIMITATION
BIBLIOGRAPHY 52-53
ANNEXURES 54-86
LIST OF TABLE
TABLE TITLES OF TABLES PAGE
NO. No.
1 DISTRIBUTION OF SUBJECTS ACCORDING TO THE AGE 21
OF POST NATAL MOTHERS
2 DISTRIBUTION OF SUBJECTS ACCORDING TO THE 23
EDUCATION STUTUS
3 DISTRIBUTION OF SUBJECTS ACCORDING TO THE AREA 25
OF RESIDENCE
4 DISTRIBUTION OF SUBJECTS ACCORDING TO THE 27
FAMILY MONTHLY INCOME
5 DISTRIBUTION OF SUBJECTS ACCORDING TO THE TYPE 29
OF FAMILY
6 DISTRIBUTION OF SUBJECTS ACCORDING TO THE 31
RELIGION
7 DISTRIBUTION OF SUBJECTS ACCORDING TO THE 33
OCCUPATION
8 DISTRIBUTION OF SUBJECTS ACCORDING TO THE 35
PREVIOUS KNOWLEDGE
9 DISTRIBUTION OF SUBJECTS ACCORDING TO THE 37
SOURCE OF INFORMATION
10 ASSESSMENT OF KNOWLEDGE OF POST NATAL 39
MOTHER BEFORE ADMINISTRATION OF STRUCTURED
TEACHING PROGRAMME AT HOSPITAL OF JABALPUR
11 ASSESSMENT OF KNOWLEDGE OF POST NATAL 41
MOTHERAFTER ADMINISTRATION OF STRUCTURED
TEACHING PROGRAMME AT HOSPITAL OF JABALPUR
12 COMPARISON OF PRE & POST KNOWLEDGE OF POST 43
NATAL MOTHER REGARDING STEM CELLS AND
UMBILICAL CORD BLOOD BANKING
LIST OF FIGURE
FIGURE NO. TITLES OF FIGURE PAGE
No.
1 CONCEPTUAL FRAME WORK BASED ON KING’S GOAL 7
ATTAINMENT THEORY
2 RESEARCH DESIGN 14
3 BAR DIAGRAM SHOWING FREQUENCY DISTRIBUTION OF 22
SUBJECT ACCORDING TO THE AGE OF POST NATAL MOTHERS
4 BAR DIAGRAM SHOWING FREQUENCY DISTRIBUTION OF 24
SUBJECT ACCORDING TO THE EDUCATION STATUS
5 BAR DIAGRAM SHOWING FREQUENCY DISTRIBUTION OF 26
SUBJECT ACCORDING TO THE AREA OF RESIDENCE
6 BAR DIAGRAM SHOWING FREQUENCY DISTRIBUTION OF 28
SUBJECT ACCORDING TO THE FAMILY MONTHLY INCOME
7 BAR DIAGRAM SHOWING FREQUENCY DISTRIBUTION OF 30
SUBJECT ACCORDING TO THE TYPE OF FAMILY
8 BAR DIAGRAM SHOWING FREQUENCY DISTRIBUTION OF 32
SUBJECT ACCORDING TO THE RELIGION
9 BAR DIAGRAM SHOWING FREQUENCY DISTRIBUTION OF 34
SUBJECT ACCORDING TO THE OCCUPATION
10 BAR DIAGRAM SHOWING FREQUENCY DISTRIBUTION OF 36
SUBJECT ACCORDING TO THE PREVIOUS KNOWLEDGE
11 BAR DIAGRAM SHOWING FREQUENCY DISTRIBUTION OF 38
SUBJECT ACCORDING TO SOURCE OF INFORMATION
12 BAR DIAGRAM SHOWING DISTRIBUTION OF PRE TEST 40
KNOWLEDGE OF POST NATAL MOTHER REGARDING STEM CELLS
AND UMBILICAL CORD BLOOD BANKING
13 BAR DIAGRAM SHOWING DISTRIBUTION OF POST TEST 42
KNOWLEDGE OF POST NATAL MOTHER REGARDING STEM CELLS
AND UMBILICAL CORD BLOOD BANKING
14 BAR DIAGRAM SHOWING DISTRIBUTION OF COMPARISON 44
BETWEEN PRE AND POST KNOWLEDGE MADE BY CORRELATION
OF POST NATAL MOTHERS REGARDING STEM CELLS AND
UMBILICAL CORD BLOOD BANKING
LIST OF APPENDICES
• To assess the pretest knowledge regarding stem cell and umbilical cord blood
banking knowledge among post natal mother in selected hospital of Jabalpur.
• To assess the posttest knowledge regarding stem cell and umbilical cord blood
banking among post natal mother in selected hospital of Jabalpur.
• To compare pretest and post test knowledge regarding stem cell and umbilical
cord blood banking among post natal mother in selected hospital in Jabalpur.
Hypothesis
H1 = There will be significant difference between then mean pretest score and mean
post test score regarding stem cell and umbilical cord blood banking knowledge
among the post natal mother.
H0 = There will be no significant difference between the mean pretest scare and mean
post test scar regarding stem cell and umbilical cord blood banding knowledge
among the post natal mother.
Hence the investigator of the opinion to improve the knowledge regarding stem cells
umbilical cord blood banking.
The present study is a pre-experimental evaluation approach to evaluative the
effectiveness of plan teaching program on knowledge regarding stem cells and
umbilical cord blood banking among post natal mother in selected hospital of Jabalpur
(M.P.). The study was conducted in an Lady Elgin Hospital of Jabalpur (M.P.). The
sample size consists of 30 post natal mother. Purposive sampling techniques was use to
select the sample respondent.
The data collection was done by structured questionnaire. The tool was tested for
validity, reliability was found to be 0.94 and item analysis was carryout feasible was
obtaining through pilot study.
Based on the objective and hypothesis the data was analyzed by using descriptive and
inferential statics in that percentage, mean, standard deviation and paired (t) test was
done to assess the effectiveness of structured teaching program.
Result
Majority of 26(86.66%) had poor knowledge and 4 (13.33%) had average knowledge
the average mean of total pretest knowledge score is 5.03. Majority of 16(53.33%) had
a poor knowledge, 13(43.33%) had average knowledge and 1(3.33%) had a good
knowledge after administration of structured teaching program and the average mean of
total post test knowledge score is 11.06. The finding concluded that structured teaching
program was effective and improving knowledge regarding stem cells and umbilical
cord blood banking among post natal mothers.
INTRODUCTION
CHAPTER 1
INTRODUCTION
"Stem cell research must be carried out in an ethical manner in a way that
respects the sancity of human life."
John Bochrer
Redefining health in its endeavour to bring a leading edge healing concepts is proud to
introduce stem cell therapy. Stem cell therapy. Stem cells therapy is the most advanced
technology available globally to repair the bodys failing system. Stem cells have the
remarkable potential to develop into may different cell types in the body.
Umbilical cord stem cells therapy is utilized through the blood of umbilical cord. After
the placenta has been expelled from the body after a baby in born. As a rich source of
stem cells many parents today are 'banking' their children's umbilical cord cells in care
they are needed for using disease in the future.
The definitive statistics on the rate of stem cell transplantation in the us were published
in a child up to 20 years age receiving an autologus stem cells transplant to be 1 in 5000
and increasing to 1 in 450 by age 70 (Nietfeld et al. 2008)
A study was conducted to assess the effectiveness of self instructional module on the
knowledge regarding placental cord blood banking among ante natal mother in selected
hospitals in Kasargoad, by approaching one group pre test post test design by
conveying sampling. The mean post test knowledge (x2=43.17) was higher than the
mean pre test knowledge (x1=30.40). The study concluded that there was no association
between the pretest knowledge scores and the selected demographic variables.
A cord blood bank is a facility which store umbilical cord blood for future use.
Research have found scarcity of knowledge regarding umbilical cord blood banking
among post natal mother therefore study was conducted to evaluate the effectiveness of
structured teaching programme regarding stemcell and umbilical cord blood banking.
Stem cells have the ability to build energy tissue in the human body hence they have
great potential for future therapeutic uses in tissue regeneration and repair.
A large number of stem cells are normally found in the blood of newborn babies. After
birth the blood that is left behind in the placenta and umbilical cord (known as cord
blood) can be taken and stored for later use in a stem cell transplantation.
During the clinical postings the investigators felt the there is an inadequate awareness
regarding stem cell banking among mothers. So the investigators interest and felt a
need to conduct this study.
PROBLEM STATEMENT
• To assess the pretest knowledge regarding stem cell and umbilical cord blood
banking knowledge among post natal mother in selected hospital of Jabalpur.
• To assess the post test knowledge regarding stem cell and umbilical cord blood
banking among post natal mother in selected hospital of Jabalpur.
• To compare pretest and post test knowledge regarding stem cell and umbilical
cord blood banking among post natal mother in selected hospital in Jabalpur.
Hypothesis
H1 = There will be significant difference between then mean pretest score and mean
post test score regarding stem cell and umbilical cord blood banking knowledge
among the post natal mother.
H0 = There will be no significant difference between the mean pretest score and mean
post test scar regarding stem cell and umbilical cord blood banding knowledge
among the post natal mother.
Assumption –
Post natal mother have no or little knowledge about stem cells and umbilical cord blood
banking.
Planned teaching programme will help in the knowledge regarding stem cell and
umbilical cord blood banking among the post natal mother.
OPERATIONAL DEFINITION
Assess -
Assess in my study in defined as after the planned teaching programme how much
knowledge post natal mothers having about stem cell umbilical cord blood banking.
Effectiveness –
It refers to the extend to which the planned teaching programme has changed the
knowledge of mother about stem cells umbilical cord blood banking which can be
measured by post test.
Systematically developed instruction method and teaching and design for post natal
mother providing knowledge about stemcell and umbilical cord blood banking.
Stem cells
Stem cells are class of undifferentiated cell that are able to differentiate into specified
cell types commonly stem.
It refers to the mother after delivery to whom structured teaching programme is given.
It is popular trend among new and expected parents but it worth the cost and potential
future.
Limitation
• The sample limited to postnatal women who can understand hindi language.
The conceptual frame work is a theoretical approach to the study of problem. That is
scientifically based and which lay emphasis on solution arrangement and clarification
of concepts. The conceptual framework formalize the thinking process so that other
may read and know the basics to the research problem.
The conceptual framework selected for the study is based on Imogene on Kings "goal
attainment model".
The theory focus on interpersonal system reflects kings belief that the practice of
nursing on differentiated from that of other health professions by what nurses do with
and for individual. The major elements of theory of goal attainment are seen in the
interpersonal system in which two people who are usually strangers, come together in a
health care organization to help and be helped to maintain a state and health that
permits functioning in roles.
The concept of the theory is perception, action, interaction transaction. The concepts
are interrelated in every nursing situation. These forms are defined as concepts in the
conceptual framework.
Perception
Action
Action refers to activity to achive the goal what the individual perceives. In the study it
is mutual goal setting to knowledge regarding stem cells and umbilical cord blood
banking. Investigator prepares structured questionnaire to assess the knowledge of
postnatal mother regarding stem cell and umbilical cord blood banking and prepare
PTP.
Interaction
Transaction
Summary
This chapter deals with background of study, Need of study, Problem statement,
Objective, Operational Definition, assumption Research hypothesis, Limitation,
Conceptual Frame of the study, Perception, Action, Interaction, Transaction.
Perception Goal Setting Action Interaction
Transaction /Goal
attainment
Gain in No gain in
knowledge knowledge
Fig. no.1 Conceptual framework of King’s Goal Attainment Theory
REVIEW OF
LITERATURE
CHAPTER 2
REVIEW OF LITERATURE
This chapter presents a review of literature related to the research topic. It involves
systematic identification of a research problem and development or refinement of research
questions or hypothesis, orientation to what is known and not known about an area of injury.
Review of the literature is a key step in research process. The major goal of the review of
literature is develop a strong knowledge base to carryout research and other non research
scholarly activities is educational area such knowledge enhance the writing of scholarity
paper by students and faculty.
A study was conducted in USA to overcome the barriers to umbilical cord blood
transplantation. The study results showed that there has been marked increase in the
utilization of umbilical cord blood transplantation (UCBT) in recent year, especially in the
pediatric population, however graft failure, delayed engraftment, and profound delay in
immune reconstitution led to significant morbidity and transplant across human Leucocytic
Antigen (HLA) disparities, rapid procurement time and decreased graft versus host disease
(GVHD) seen with unit cord blood transplant made it a promising stem cell source and while
barriers visited, consistent program was being made to overcome them.
- “Fernamdez(2011)”
An experimental study was conducted to assess the effectiveness of human fetal critical brain
tissue on 12 patients with parkinsonism aged 45-75 years, who were not responding for anti
parkinsonism drug Sampling is purposively done. Evaluation of the patient after one month
revealed, mild improvement up to 33.3% in 41.6% of cares and moderate improvement (up to
66.6%) in mother 41.6% of cares. The study concluded the foctal cortical brain tissue can be
used for the treatment of parkinsonism.
- “Stephen Ski Hung Suen(2011)”
A prospective study was performed to evaluate previous knowledge of the possible medical
use of cord blood and acceptance of cord blood banking among pregnant women at the
university of board women’s Hospital pregnant outpatient clinic by using a structured
anonymous questionnaire from 300 questionnaire, 250(83%) were returned, and 245 could be
evaluated for final analysis. Only 40% indicated low knowledge about cord blood banking
(95%) supported the idea of UCBB 93% stated that they would age to donate the cord blood.
This study conclude with high acceptance of umbilical cord blood donation for banking and
stem cells transplantation.
- Surbek DV Isiebe A, 1998
Summary
This chapter deals with review of literature related to stem cells umbilical cord blood
banking, literature related to knowledge of women regarding stem cells and literature related
to effectiveness of structured teaching programme.
RESEARCH
METHODOLOGY
CHAPTER-3
RESEARCH METHODOLOGY
Research methodology is a way to systematically solve the problem. in this wee study the
various steps that are generally adopted by the researcher in studying the research problem
along with the logic behind them.
Further the study us aimed of determining the effectiveness of STP on knowledge regarding
stems cells and umbilical cord blood banking among post natal mothers.
Research Approach:-
Research approach is a system objective method of discovery with empirical evidence &
rigorous control. The control is achieved by holding condition constant and varying only the
phenomena's under study.
A research approach tells the researcher as to what data tom collect and how to analysis it.
The investigator employed quantitative & evaluative approach to determine the effectiveness
of PTP regarding stems cells & umbilical cord blood banking among post natal mothers.
Research Design:-
The team research design refers to the plan or organization of a scientific investigation
research design help the researcher in section of subject. According to POLIT & HUNGLE
(1999), the research design is an overall plan for obtaining answer to the question being
studies. It spells out the basis strategies that the research a depths to develop information that
is accurate & Interpretable. The research design indicate whether there an investigation and
what they made the methods to being to controlled extrapraneous variable and enhance the
study interpretability. the training and frequency of data collection , the setting the nature of
communication with the subject, the selection of research design depend upon the purpose of
the study, research approach a variable to be studied.
The research design for present study in pre-experimental one group pretest post test design
to measure the effectiveness of the STP for post natal mother.
An experimental design is the blue print of the proceeding that enable the researcher to test
the hypothesis by reaching valid conclusion about the relationship between independent and
dependent variable.
In this design introduce above measure before and after the planned expose, which depicted
as 01 and 02 respectively. in the present study the base means was knowledge test, the
experiment variable was STP.
Thus the research design can be present as:-
01 and 02 respectively. in the present study the base means was knowledge test, the
experimental variable was STP thus the research design can be represent as:
01----------------x---------------02
01- It the knowledge test administered to the mother of past natal period and before the
administration of STP.
Target Population
(Post Natal Mother)
Assemble Population
(Post Natal Mother of lady aligns Hospital of Jabalpur M.P.)
Sampling Technique
(Purposive Technique)
Tool for data collection self structured questioner for evening the knowledge of post Natal
Mother of lady Elgin Hospital of Jabalpur (M.P.)
Pretest
Introduction STP
Post Test
Reporting
Findings
Dependent Variable:-
The dependent variable is the condition or the charteristics that appear, disappear or changes
on the researcher introduce sources, or changes independent variables,
In the present study the dependent variable was the knowledge of post natal mother regarding
stem cells & umbilical cord bold banking.
Independent Variable:-
The independent variables is a consolation or charachtertics that researcher manipulate
control is an attempt to ascertain the observed Phenomena's.
In the present study the in dependent variable was the effectiveness of STP on stems cells
umbilical cord blood banking.
Population:-
A population group who's member person specify attribute that the researcher is interested in
this study (TALBOAT) The population of the present study comprises post natal mother of
lady Elgin Hospital
Sample:-
A sample is a portion of the population that has been selected to present the population
interest "Calbor" the sample of thee pretest study compare of purposively selected 30 post
natal mother of Lady Algin Hospital , Jabalpur .
Sapling Technique:-
A Purposive sampling is a deliberate selection of sample units that confine to some
predetermined criteria
A simple purposive sampling technique was used to selected sample for the study.
Sample Size:-
The sample size for the study was 30 post natal mother admitted in Lady Algin Hospital, JBP
Inclusion Criteria:-
The study include:-
• post natal mother in Lady Algin Hospital in Jabalpur
• Post natal Mother pretest during the time of data collection.
• Post natal mother participated in the study.
Exclusion Criteria:-
1. Mothers who can’t learned and write.
2. Mothers who is willing to participated in the study.
Development of Tools:-
Treece & Treece emphasized that the instrument selected in research should be a possible
the variable and would best obtain data for during conduction presented to the study. The
structured question is was prepared for answering the knowledge of hospital mother in
maturity units regarding stems cells umbilical cord blood banking.
The structured teaching was prepared on stems cells and umbilical cord blood banking. A
thorough review of that published on well as unpublished literature conceiving the knowledge
of post natal mother regarding the stem cells umbilical cord blood banking where undertaking
to get was for the depended of a specific instrument opinion and suggestion a expense in the
felled in expose of investigator in the area of research are Coincided.
First Draft:-
The first draft was made in English then it was traslative in Hindi and given to English and
Hindi expend for correction
Second Draft:-
The second draft was used for the pilot studies the investigator given question are to 6 post
natal mother. The course were analyzed and items analysis done. then they tried as final draft
was prepared.
Third Draft:-
This draft was use for the final studies.
Validity:-
Validity refers to the adequacy of sampling of domain studies.
To determined the contain validity the knowledge question was sub native to expends the
expends were regarded to give then opinion and suggestion.
Reliability:-
The final tool was tested for reliability. The self administered questionnaire was administered
to post natal mothers.
The reliability of the questionnaire was obtained by split half method. Tool was administered
to 6 post natal mothers admitted in Lady Algin Hospital of Jabalpur by structured multiple
choice questionnaire the reliability was calculated by using split half method and the
coefficient value is 0.54 so the tool is found reliable.
R= 0.54
Pilot Studies:-
A pilot study is a small scale version or trial run done in preparation for major study. The
pilot study conducted for the period of one week to identify the feasibility. The pilot study
conducted from 23\8\14 to 29\8\14 at Netaji Subhash Chandra Bose Medical College,
Jabalpur on 6 post natal mothers admitted in post natal ward. The pretest was given on the
first day (The structured teaching programme was given. The post test was conducted on the
seventh day).
Data was analyzed by statistical tests. The pilot study did not show any major change in the
design of questionnaire & the structured teaching programme developed by the researcher.
The analysis of the pilot study revealed that the objective of the study could be fulfilled.
Summary:-
This chapter deal with, research design variable under study, selection of filled for the study,
population for study sampling size, sampling technique, criteria, for selection of sample
development and description at tool, contain, validity, reliability, Pilot study, Procedure for
data collection, Plan for data analysis.
DATA ANALYSIS AND
INTERPRETATION OF
DATA
CHAPTER .4
ANALYSIS AND INTERPRETATION OFA DATA
This chapter deals with the organizing and synthesizing data in such a way that research
questions can be answered and hypothesis tested. Interoperating the finding is the most
challenging and structured step in the research finding which requires the investigator to be
creative.
Polit and Hungler 1999, defined analysis as a process of organizing and synthesizing in a
way that research question can be answered and hypothesis testes.
Section 1- It deal with the frequency and percentage distribution of the demographics data of
the sample.
Section2- It deals with the analysis of the data related of knowledge score before
administrating the structured teaching programme.
Section 3- It deals with the analysis of data related to knowledge score after administrating
the structured teaching programme.
Section 4- It deals with the comparison of knowledge score before and after administration of
structured teaching programme.
Table no. 1:
Frequency and percentages of subjects according to age of post natal
mothers
1 Age –
Above 30 year 2 7%
The data given in the table no. 1 show that out of 30(100%),6(20%) were
between below 21 years 22(73.33%) between 21 to 30 years and 2(6.66%)
between above 30 years.
Figure No.1:- Depicts the percentage distribution of sample according to
the age of post natal mothers.
Table No. 2
2 Educational status-
Illiterate 8 27%
The data given in the table No. 2 show that out 30(100%), 13(43.33) between 5-
10 standard 5(16.66%) between 11-12 standard, 4(13.33%) Graduate and
Postgraduate and 8(26.66%) between Illiterate.
Figure No.2:- Depicts the percentage distribution of sample according to
the educational status of post natal mothers
Table No. 3
3 Area-
Rural 25 83%
Urban 5 17%
The data given in Table no. 3 show that out of 30(100%), 25(83.33%) between
rural and 5(16.66%) or between urban.
Figure No.3:- Depicts the percentage distribution of sample according to
the area of residence of post natal mothers.
Table No.4
Frequency and percentage distribution of subject according to the family
monthly income of post natal mothers
1001-5000 10 33%
5001-10000 16 53%
Above 10001 2 7%
The data given in the table No.4 show that out of 30(100%), 2(6.66%) between
below 1000, 10(33.33%) between 10001-5000, 16(6.66%) between 5001-1000
and 2(6.66%) between above 10001 monthly income.
Figure No.4:- Depicts the percentage distribution of sample according to
the family monthly income of post natal mothers.
Table No.5
5 Type of family-
Nuclear 10 33%
Joint 15 50%
Extended 5 17%
The data given in the table No.5 show that out of 30(100%), 10(33.33%)
between nuclear family 15(50%) between joint family and 5(16.66%) were
between extended family.
Figure No.5:- Depicts the percentage distribution of sample according to
the type of family of post natal mothers.
Table No. 6
6 Religion
Hindu 27 90%
Muslim 2 7%
Christian 1 3%
Others 0 0%
The data given in the table No. 6 show that out of 30(100%), 27(90) between
Hindu, 2(6.66%) between Muslim, 1(3.33) between Christian
Figure No.6:- Depicts the percentage distribution of sample according to
the religion of post natal mothers.
Table No. 7
7 Occupation
Govt. Employee 1 3%
Labour 6 20%
The data given in the table No. 7 show that out of 30(100%) 20(66.66%)
between home make, 1(3.33%) between Govt. Employee 6(20%) between
Labour, 3(10%) between Private Job.
Figure No.7:- Depicts the percentage distribution of sample according to
the occupation of post natal mothers.
Table No.8
Yes 2 7%
No 28 93%
The data given in the table No. 8 show that out of 30(100%), 2(6.66%) between
yes and 28(93.33%) between No.
Figure No.8:- Depicts the percentage distribution of sample according to
the previous knowledge of post natal mothers.
Table No.9
9 Source of information
Media 0 0%
The data given in the table No. 9 show that out of 90(100%), 2(6.66%) between
friend & relatives, 28(93.33%) between health professional
Figure No.9:- Depicts the percentage distribution of sample according to
the source of information of post natal mothers.
SECTION B
It deals with the analysis of the related to pretest knowledge score of mother
regarding stem cells and umbilical cord blood banking.
Table No.10
Assessment of knowledge among mother before knowledge of structured
teaching program at Lady Elgin hospital in Jabalpur.
1 Good 0 0%
3 Poor 26 86.66%
The data presented in the table No. 10 indicate that 26(86.66%) having poor
knowledge, 4(13.33%) average knowledge before structured teaching program
regarding stem cells and umbilical cord blood banking. It fulfill the first
objective.
Fig No 10- Bar diagram showing distribution of pretest knowledge of
mother regarding stem cell and umbilical cord blood banking.
SECTION-C
It deals with the analysis of the data related to post test knowledge score of
mothers regarding stem cell and umbilical cord blood banking.
Table No. 11
Assessment of knowledge of mother after structured teaching program at
Elgin Hospital.
Sr. Variable Frequency Percentage Mean
No
1 Good 1 3.33%
3 Poor 16 53.33%
The data presented in the table No11 fulfill the objective (2) clearly. The results
indicates that 1(3.33%) mother had good knowledge, 13(43.3%) mothers had
average knowledge, 16(53.33%) of mothers had poor knowledge regarding stem
cells and umbilical cord blood banking. The mean and SD also justify the
knowledge of mothers.
Fig No. 11 Bar diagram showing distribution of posttest knowledge of
mother regarding stem cells umbilical cord blood banking.
SECTION- C
It deals with the effectiveness of structured teaching program on stem cell and
umbilical cord blood banking.
Table No. 12
Comparison of pre & post test knowledge of mother
2 posttest 11.06
The data presented in the table no. 12 fulfill comparison between the pre and
post test mean score i.e., the objectives 3, accepted hypothesis no. 1 and H0.
Calculated ‘t’ value is 19.35* and tabulated ‘t’ value is 2.05. The calculated ‘t’
value is greater than tabulated ‘t’ value at the level of 0.05 so PTP is found
effective.
Figure no. 12 Comparison of pre & post test knowledge of mother
DISCUSSION, SUMMARY,
CONCLUSION, IMPLICATION,
NURSING PRACTICE, NURSING
EDUCATION, NURSING
ADMINISTRATION, NURSE
RESEARCH AND
RECOMMENDATION
CHAPTER – 5
DISCUSSION, SUMMARY CONCLUSION, IMPLICATION, NURSING
PRACTICE, NURSING EDUCATION, NURSING ADMINISTRATION,
NURSE RESEARCH & RECOMMENDATION
Discussion
Recent trend show that the knowledge about stem cells and umbilical cord blood banking
among post natal mothers is inadequate or very less.
Hence the investigator have the opinion to improve the knowledge of mother so that the
future of the baby can be secure.
This chapter deals with the findings of the study to assess the effectiveness of structured
teaching programmed on knowledge regarding stem cells and umbilical cord blood banking
among postnatal mothers in lady Elgin hospital, Jabalpur (M.P.)
In order to achieve the objective of the study a pre-experimental pretest post test method was
adopted.
purposive sampling technique was collected from to mothers of postnatal period in Lady
Elgin hospital, Jabalpur ( M.P).
The finding of the study were discussed in the following section.
Section-II: Findings related to pretest knowledge score regarding stem cells and umbilical
cord blood banking among the postnatal mothers.
Summary
This chapter deals with the summary of the study and its major findings. The study was
conducted to assess the knowledge of mothers regarding stem cells and umbilical cord blood
banking.
The present study aimed to achieve the following objectives - assess the effectiveness of
structured teaching program regarding knowledge on stem cells and umbilical cord blood
banking.
The obtained data was entered into the master sheet for tabulation and statistical processing.
The findings of the study are discussed in terms of objective and assumption. The findings of
the study are compared and contrasted with those of other similar studies conducted in the
Indian setting.
Problem Statement
A study to assess the effectiveness of structured teaching program regarding knowledge on
stem cells and umbilical cord blood banking among postnatal mothers in selected hospital of
Jabalpur.
Objective
The objectives of the study are
1. To assess the pretest knowledge of the postnatal mothers regarding stem cells and
umbilical cord blood banking.
2. To assess the post-test knowledge of postnatal mother regarding stem cells and
umbilical cord blood banking.
3. To compare pretest and posttest knowledge regarding stem cells and umbilical cord
blood banking.
Hypothesis
1. There will be significant difference between the mean pretest score and mean post test
score knowledge score.
2. There will be no association between mean pretest score and mean post test score.
Nursing Research
1. It is the hours head for extensive research in the area of strategies for education nurses
on health in terms of increasing knowledge.
2. The nurse reaches should be able to conduct research on various aspects of stem cells
and umbilical cord blood banking to generate a more scientific data.
3. Finding of the study will provide insight and bardine data for educating nurses. It can
be used in reference for further studies. The findings emphasize on extensive need to
assess the knowledge regarding stem cells and umbilical cord blood banking.
Limitations
• The study is limited to post natal mothers.
• 30 post natal mothers admitted in Lady Elgin hospital of Jabalpur.
• Study in limited to post natal mothers who were present at the time of study.
Recommendation
• Similar study can be done on larger samples in order to increase the knowledge of
postnatal mother regarding stem cells and umbilical cord blood banking.
• Similar study can be conducted by allocating more time for data collection.
• A planned awareness program can be conducted among the antenatal and postnatal
mothers regarding stem cells and umbilical cord blood banking.
• A comparative study can be done between the urban and rural population.
BIBLIOGRAPHY
BIBLIOGRAPHY
1. Books
• Basavanthappa BT. Nursing research. 1st ed. New Delhi, Jaypee Brothers Medical
publishers, 2001.
• Perry G. Potter A. Fundamental of Nursing, 2nd Edition. St. Louis: the CV Mosby
• Dutta D.C., A Text Book of Obstetrics, 7th Edition, Jaypee Brothers Medical
• Bobak and Jenson, Maternity and Gynecologic, 5th Edition, Philadelphia Mosby
• Dickson Silverman and Schult, Maternal and Infant Nursing Care, 2nd Edition, St.
http/www.wyethnustritionals.com/moms./mom_exercise.htm.
(1) 29-37.
2. Journals
• www.stemcelltreatmetns.in
• www.celltherapyprogram.com
ANNEXURES
ANNEXURE-I
ANNEXURE-II
ANNEXURE-III
CONSENT FORM
Code No:
HOSPITAL OF JABALPUR”
I have been explained that all the information will be kept confidential
DATE SIGNATURE
PLACE
(PARTICIPANTS)
ANNEXURE-IV
Certificate Of Validation
This is to certified as the tool constructed by Ms. Aruna, Ms.
Alka Mattu, Ms. Anita Kushwaha, Ms. Bharti Ahirwar, Ms. Archana Patel,
SIGNATURE
NAME : Mrs. Siby Madam, Miss Sherin Madam,
Mr. Joy Sir, Mr. Vishal Sir
DESIGNATION
DATE : 26/09/2014
PLACE : Nandvandan College of Nursing Jabalpur
SUGGESTIONS
ANNEXURE-V
INSTRUCTIONS:-
Dear Respondents,
This questionnaire has the statement with four option on yourself kindly
go through and select appropriate options and enter in the boxes provided
please attempt all the item in the questionnaire.
SECTION-A
1. Age
a) Below 21 year ( )
b) 21 to 30 year ( )
c) Above 30 year ( )
2. Education Status
3. Area Residency
a) Rural ( )
b) Urban ( )
a) Below 1000 ( )
b) 1001-5000 ( )
c) 5001-10000 ( )
d) Above 10001 ( )
5. Types of Family
a) Nuclear ( )
b) Joint ( )
c) Extended ( )
6. Religion
a) Hindu ( )
b) Muslim ( )
c) Christian ( )
d) Other ( )
7. Occupation
a) Home make ( )
b) Govt. Employee ( )
c) Labor ( )
d) Pvt. Job ( )
a) Yes ( )
b) No ( )
9. Source Of Information
a) Media ( )
b) Friend and Relatives ( )
c) Health and Professional ( )
d) Any other source ( )
SECTION-B
Instructions :- in this section you are requested to give information about the
topic stem cells umbilical cord blood banking to complete following by( ) tick
mark in appropriate place.
b) Mature cells ( )
c) Tissue of Umbilical cord ( )
d) Degenerated Cells ( )
a) Undifferentiated cells ( )
b) Specialized cells ( )
c) Adult stem cells ( )
d) Budding embryo ( )
a) Specialized cells ( )
b) Mainly repair cells and regeneration of lost cells ( )
c) Destructive cells ( )
d) Haemepotic cells ( )
5. Cord blood is rich with:-
a) Proteins ( )
b) Vitamins ( )
c) Stem cells ( )
d) Adult cells ( )
a) Biological waste ( )
b) Stem cells ( )
c) Rich source of stem collected from umbilical cord ( )
d) Specialized cells ( )
a) Cord blood ( )
b) Adults stem cells ( )
c) Spinal cord stem cells ( )
d) Peripheral stem cells ( )
10. Life span of cord blood when frozen is:-
a) 20 years ( )
b) 30 minutes ( )
c) 1 year ( )
d) 10 years ( )
a) Psychiatric disorder ( )
b) Leukemia ( )
c) Polio ( )
d) Cataract ( )
14. Stem cells generate blood cells and cells of which system:-
a) Respiratory system ( )
b) Digestive system ( )
c) Nervous system ( )
d) Immune system ( )
15. Purpose of blood banking is to:-
a) Cord blood ( )
b) Adult stem cells ( )
c) Peripheral stem cells
d) Damaged cells
a) Donation of cord blood that remains in the placenta and cord after
a body is born by mother’s consent. ( )
b) Donation of blood ( )
c) Donation of mother’s blood ( )
d) Donation of baby’s blood ( )
a) Stem cells ( )
b) Bacteria ( )
c) Infection ( )
d) Lymphocytes ( )
20. The conditions being treated by stem cells are:-
a) Degenerative diseases ( )
b) Genetic disorders ( )
c) Infectious diseases ( )
d) Psychiatric disorders ( )
a) Placental cells ( )
b) Cord blood stem cells ( )
c) Bone marrow cells ( )
d) Embryonic stem cell ( )
a) Protection ( )
b) Self renewal ( )
c) Degeneration ( )
d) Immunity ( )
a) 10% ( )
b) 50% ( )
c) 100% ( )
d) 0% ( )
25. Cord blood banking serves as an alternative to:-
c) Placental cells ( )
a) Home ( )
b) Schools ( )
c) Accessible authorised hospitals ( )
d) Local clinics ( )
27. Embryonic cells, bone marrow, peripheral blood, amniotic fluid serves as
source of:-
a) Blood donation ( )
b) Blood Collection ( )
c) Stem cells ( )
d) Medicine Transfusion ( )
a) Rarely Accessible ( )
b) Degenerative in nature ( )
c) Easily accessible and free of cost ( )
d) Frozen ( )
30. Most of the ethical issue regarding stem cells therapy are relate to:-
a) Sources ( )
b) Preservation ( )
c) Collection ( )
d) Donation ( )
ANNEXURE-VI
funsZ’k %& bl iz’ukoyh esa vkidks gj ,d iz’u esa pkj fodYi fn;s x;s gSa bu iz’uksa esa ls lgh ds vkxs
¼lgh½ dk fpUg yxk;saA bl Hkkx esa vkidks vius fo"k; esa tkudkjh nsuh gSA
1- vk;q
v- 21 o"kZ ls de ¼½
c- 21 ls 30 o"kZ ¼½
l- 30 o"kZ ls vf/kd ¼½
2- ‘’kS{kf.kd ;ksX;rk
v- 5 oha ls 10 oha ikl ¼ ½
c- 11 oha ls 12 oha ikl ¼ ½
l- Lukrd ;k LukdksRRkj ¼ ½
n- vf’kf{kr ¼ ½
5- ifjokj dk izdkj
v- ,dkadh ifjokj ¼½
c- la;qDr ifjokj ¼½
l- foPNsfnr ifjokj ¼½
6- /keZ
v- fgUnw ¼ ½
c- eqfLye ¼ ½
l- bZlkbZ ¼ ½
n- vU; ¼ ½
7- ekrk dk O;olk;
v- xzg.kh ¼ ½
c- ‘’kkldh; deZpkjh ¼ ½
l- etnwj ¼ ½
n- izkbosV dk;Z ¼ ½
9- tkudkjh dk L=ksr
v- i=dkfjrk ls ¼ ½s
c- nksLr vkSj fj’rsnkjksa ls ¼ ½s
l- LokLFk; lacaf/k dk;ZdrkZ ¼ ½
n- vU; L=ksr ¼ ½
[kUM ¼c½
bl Hkkx esa vkidks Kku ls lacaf/kr tkudkjh nsuh gSA d`I;k uhps fn;s iz’uksa esa ls lgh ds vkxs lgh dk fpUg
yxk;sa A ;g tkudkjh flQZ ‘’kks/k ds fy;s gSA
8- uky jDr gS
v- TkSfod dpjk ¼ ½
c- uohu dksf’kdk ¼ ½
l- ukfHkuky lcls vPNk L=ksr gS uohu dksf’kdk dks izkIr djus dk ¼ ½
n- fo’ks"k dksf’kdk ¼ ½
10- dc rd uky jDr dks yEcs le; rd lqjf{kr j[k ldrs gSA
v- 20 o"kZ rd ¼ ½
c- 30 fefuV rd ¼ ½
l- 1 o"kZ rd ¼ ½
n- 10 o"kZ rd ¼ ½
14- uohu dksf’kdk dkSu ls ra= dh jDr dksf’kdk ,oa dksf’kdk mRiUUk djrh gSA
v- ‘’olu ra= ¼ ½
c- ikpu ra= ¼ ½
l- raf=dk ra= ¼ ½
n- izfrjf{kr ra= ¼ ½
30- T;knkrj uohu dksf’kdk mipkj esa dkSu lh uSfrd leL;k;sa vkrh gSak
v- L=ksr ¼ ½
c- tek djds j[kuk ¼ ½
l- lEHkky ds j[kuk ¼ ½
n- nku djuk ¼ ½
ANNEXURE-VII
Answer Key
mRrj rkfydk
iz'u Øekad p;fur mRrj
1 v
2 v
3 n
4 c
5 l
6 n
7 l
8 l
9 v
10 n
11 v
12 v
13 c
14 n
15 v
16 v
17 v
18 v
19 l
20 v
21 n
22 l
23 c
24 n
25 n
26 l
27 l
28 n
29 l
30 v