A Study is to evaluate the Effectiveness of Self-Instructional Module (SIM) on Knowledge Regarding Heart Smart Diet among Clients with Hypertension in selected Urban Areas of Bangalore, Karnataka.

  • Unique Paper ID: 167363
  • Volume: 11
  • Issue: 3
  • PageNo: 917-924
  • Abstract:
  • Background and purpose of the study: Health is one of those terms which most people find it difficult to define although they are confident of its meaning. During the past few decades there has been a reawakening that health is a fundamental human right, and a worldwide social goal; that it is essential to the satisfaction of basic human needs and to an improved quality of life; and it is to be attained by all people. In the last five decades the global population has more than doubled, so as the diseases too. Hypertension is a major public health problem in India and other developing countries. It has been a significant problem and contributor to other cardiovascular diseases4. An ICMR study regarding the prevalence of hypertension in urban and rural residents demonstrated 29% and 25% respectively. Various studies estimate a prevalence rate of hypertension among urban population is 36.4% and for rural population is 21.2% in India. It is the responsibility of a community health nurse to educate the community regarding this serious problem. Thus, the investigator felt the need to provide an self-instructional module (SIM) which can provide information regarding Heart Smart Diet for the clients with hypertension to keep their heart safe as hypertension is the major risk factor for stroke and other cardiovascular diseases. Objective: (1) To assess the pre-test knowledge scores of clients with hypertension regarding Heart Smart Diet by using structured knowledge questionnaire.(2)To determine the effectiveness of Self - Instructional Module regarding Heart Smart Diet among clients with Hypertension by using same structured questionnaire.(3)To find the association between pre-test knowledge scores regarding Heart Smart Diet among clients with hypertension and selected demographic variables. Design: One group pretest posttest design (pre-experimental design) was selected for the study. Subjects: The participants were 60 hypertensive clients in selected urban area in Bangalore. Sampling method: A purposive sampling technique was used to select the sample of the study. Data collection tool: A structured knowledge questionnaire on heart smart diet was used to collect data from the subjects. Data analysis: The obtained data were analyzed using descriptive and inferential statistics and interpreted in terms of objectives and hypotheses of the study. The level of significance was set at 0.05 levels. Results: the overall pretest, posttest and enhancement of mean knowledge scores regarding heart smart diet among clients with hypertension. The mean pretest knowledge was 0.49% with SD 0.50%. The mean posttest knowledge found to be 0.42 % with SD 0.49%. However, the enhancement was proved as mean (1.6%) and SD of (0.16%). Further, the paired t-test value (20.92*) shows statistical significance at level of p<0.05 with df (59), establishing the effectiveness of SIM. Conclusion: Regarding effectiveness of SIM , the mean pretest knowledge was 0.49% with SD 8%. The mean posttest knowledge found to be 0.42 % with SD 8.16%. However, the enhancement was proved as mean (1.6%) and SD of (0.16%). The paired t-test value is (20.92*). These findings indicate that the Self instructional module was effective in enhancing the knowledge of the hypertensive clients regarding heart smart diet

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