International Journal of Nursing Education and Research

Abstract

Warmth is one of the basic needs of a newborn baby. It is critical to the baby's survival and well being. Newborns body is not able to adjust itself, if environmental temperature changes which will results in the alteration of the newborns body temperature either it may be hypothermia or hyperthermia. The Department of Pediatric&Obstetrics of Indira Gandhi medical college, Shimla, report shown that about 3.4% perinatal deaths by hypothermia and At birth Hypothermia (6.3%) contributes 4^th rank in causes of neonatal deaths.

Objective: To assess the effectiveness of Nurse Intervention Programme on knowledge, attitude and practice regarding thermal protection of neonates among ASHA workers.

Methods: In order to achieve the objectives of the study, a Pre-experimental, i.e., one group pre-test post-test research design with a evaluative approach was adopted. Non probability purposive sampling technique was used to collect the data from the ASHA workers by using structured questionnaire.

Results: Revealed that 73.34% of the samples were in the age group of 25-30 years. 67% of were studied up to secondary education. Majorities (57%) were from Hindu religion and 77% belongs to nuclear family. Most (80%) of them were married. Majority (60%) of ASHA workers were having two children. Most of them (53.33%) had Rs. <6000 as their family's monthly income. And (57%) of the study samples were having 3-4 years of experience after completion of ASHA training. Many (50%) of the participants had brought pregnant women to hospital for delivery. 40% of ASHA workers have taken care <20 number of postnatal mothers and newborns. The analysis of mean, SD and mean percentage of knowledge, attitude and practice scores in pre-test and post-test revealed that the total mean knowledge score increased by 26.08% with mean ±SD of 6.7±1.69, the total mean attitude score increased by 11.6% with mean ±SD of 9.3±0.96 and the total mean practice score increased by 17.57% with mean ±SD of 7.36±2.24 after the administration of NIP. Paired't' test was used to analyse the difference between the pre-test and post-test knowledge, attitude and practice scores of the ASHA workers. The difference of knowledge (t₂₉ = 14.79 at p<0.001), attitude (t₂₉ = 9.18 at p<0.001) and practice (t29 =6.85 at p<0.001) scores was found to be highly significant. A significant increase was observed in knowledge, attitude and practice scores of the ASHA workers following the administration of nurse intervention programme on thermal protection of neonate. Findings revealed that the nurse intervention programme was effective on thermal protection of neonate. There was no significant association with other demographic variables like Age in year, Educational status of ASHA worker, Religion, Number of children, Income of family (monthly), Number of labour women brought to hospital for delivery ASHA workers, source of information regarding thermal protection of neonate among ASHA worker.

Keywords

Full Text

Abstract

A descriptive survey was conducted to assess the level of depression during pregnancy and postpartum period among adolescent and adult mother in civil hospital at Belgaum, Karnataka.

Objectives: To assess the depression among antenatal mother and postnatal mothers as measured by Edinburg Postnatal Depression Scale.

Method: In order to achieve the objectives of the study, non experimental design and descriptive survey was used in the study. The setting of the study was civil hospital, at Belgaum, Karnataka. The non-probability convenience sampling technique was used. A sample size of 50 mothers was selected for the study. Edinburg Postnatal Depression Scale was used as the tool.

Result: The findings revealed that majority of sample 51% belongs to the age group of >21 years and 38% had primary and secondary education. The mean score of level of depression during pregnancy and postnatal period was 13.06 and 9.96 respectively. This indicates that the level of depression during pregnancy was high compared to the postnatal period. The correlation between level of depression during pregnancy and postnatal period shown that there is a positive correlation between of depression during pregnancy and postnatal period (0.330). This suggests that the depression during postnatal period was less compared during pregnancy. There was no significant association between the level of depression during pregnancy and postnatal period with demographic variables such as age, education, occupation, type of family, religion, obstetrical score (Gravida, parity, no. of living children ) mode of delivery and past medical and surgical illness. But the economic status and area of residence has significant association with postnatal depression during postnatal period.(x2= 9.94, p=0.05, x2=5.05, p=0.05).

Keywords

Full Text