ÿþ<HTML><HEAD><TITLE>TNAI JOURNAL</TITLE> <META http-equiv=Content-Type content="text/html; charset=iso-8859-1"> <META content="Microsoft FrontPage 6.0" name=GENERATOR> </HEAD> <BODY background="../../img/thenursaningjournalH1.gif"> <DIV align=left> <TABLE cellSpacing=0 cellPadding=0 width="100%" border=0> <TBODY> <TR bgColor=#006699> <TD> <DIV align=center><img src="img/thenursaningjournal.gif" width="400" height="123"></DIV> </TD></TR> <TR> <TD> <DIV align=center><b><font face="Arial, Helvetica, sans-serif" size="2">May 2009&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;VOL. C No. 5</font></b></DIV> </TD></TR></TBODY></TABLE></DIV> <HR noShade> <DIV align=right>&lt;&lt; <A href="javascript:history.back()">Previous Page</A><BR></DIV> <table width="95%" border=0 align="center" cellpadding=2 cellspacing=0> <tbody> <tr bgcolor=#f8efcd> <td height="51" valign="top" bgcolor="#C6ECFF"> <div align=center> <p align="CENTER"><strong><font color="#CC0000" size="4" face="Verdana, Arial, Helvetica, sans-serif">Efficacy of Compact Disc in Abdominal Surgery <br> <font size="3">T. Sivabalan </font></font></strong> <p align="CENTER">&nbsp; </div></td> </tr> <tr bgcolor=#f8efcd> <td height="1254" bgcolor="#FFFFFF"> <table width="100%" border="0" cellpadding="1" cellspacing="2" bgcolor="#006699"> <tr> <td height="1246" valign="top" bgcolor="#FFFFFF"> <blockquote> <div align="left"> <table width="90%" border="0" cellspacing="10" cellpadding="3"> <tr> <td width="33%" height="735" valign="top"> <div align="justify"> <p><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Surgical treatment has been attempted since early times but until fairly recently surgery was considered the last resort to be used only when more conservative measures had failed. The present study sought to<br> <strong>(i)</strong> assess the effectiveness of compact disc (CD) on knowledge and practice of breathing exercises among patients undergoing abdominal surgery; <br> <strong>(ii)</strong> assess the effectiveness of CD on the knowledge and practice of patients regarding breathing exercises; and <br> <strong>(iii)</strong> compare the post-test scores with demographic variables.<br> Filardofe et. al reported that pulmonary complications followed by abdominal surgery were pneumonia (34% - 37%), atelectasis (11% - 24%), broncho constriction (17% - 22.9%), respiratory failure (11% - 13%), prolonged mechanical ventilation (9 % -11.4%) and bronchial infection (2.5% -4%).</font></p> <p><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> Overlend et. al stated that breathing exercises were used to optimise the gas exchange, keep airway open, promote lung expansion, promote secretion removal, minimize pneumonia and atelectasis and strengthen the accessory muscle of respiration. Pre-operative teaching facilitates recovery, decrease in length of hospital stay, smoother </font></p> </div> <hr align="JUSTIFY" size="1 "> <div align="justify"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><em>The author is Lecturer, Pravara College of Nursing, Loni, Maharashtra. </em></font></div></td> <td width="33%" valign="top"> <div align="justify"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">induction of anesthesia, fewer post-operative complications, rapid recovery and well being. In many institutions, the pre-operative teaching was greatly neglected aspect of nursing care, many patients developed post-operative complications. Thus the compact disc developed and bested can be used in surgical wards to educate the patients on regular basis before the surgery. </font> </div> <p align="justify"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><strong>Methodology</strong><br> A quasi experimental design, where pre- and post-test with control group approach was used. The population for the study included the patients with abdominal surgery. Purposive sampling technique was utilised for selecting a sample of 60 patients with abdominal surgery. Tools used for data collection included structured interview schedule, check list and compact disc.</font></p> <p align="justify"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> Reliability of the tools was established by split half method and test re-test method respectively. The reliability was found to be r = 0.92 for knowledge, r = 0.87 for check list and r = 0.93 for compact disc.<br> Data was collected from 60 abdominal surgery patients. The data was analysed according to objectives of study using descriptive and inferential statistics.</font></p> <p align="justify"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><strong>Findings</strong><br> The significant findings of the study were :</font></p> </td> <td width="33%" valign="top"> <div align="justify"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">&#8226; Highest percentage of patients (33%) in control group were in the age group of 41-50 years and those in experimental group (43%) were in the age group of 31-40 years.<br> &#8226; Most of the patients (67% and 70%) were male in both control and experimental group respectively.<br> &#8226; About 50 per cent of patients in control group had higher secondary education and 36 per cent of patients in experimental group were graduates.<br> &#8226; As many as 30 per cent of patients in control group were self employed and 40 percent in experimental group were private employees.<br> &#8226; Most of the patients (63% and 70%) in control group and experimental group were from urban area, respectively.<br> &#8226; 47 per cent of patients in control group and 70 per cent of patients in experimental group, had television as the source of information. </font> </div> <p align="justify"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Findings related to knowledge and practice <br> &#8226; Mean post-test knowledge score (92.9%) of experimental group (abdominal surgery patients) was found to be significantly higher than the post-test knowledge score (36.75%) in the control group, as evident from &#8216;t&#8217; value (29) = 54.7, p &lt;0.05 level. This suggested the effectiveness of compact disc in increasing the knowledge of abdominal surgery patients regarding breathing exercises. </font></p></td> </tr> <tr> <td colspan="3"><hr align="JUSTIFY" size="1"></td> </tr> <tr> <td height="380" valign="top"> <div align="justify"> <p><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> &#8226; Post-test practice score (85.91%) of experimental group (abdominal surgery patients) was significantly higher than the post-test practice score (12%) control group as evident by &#8216;t&#8217; value (29) = 44.9, p &lt;0.05. This suggested the development of correct practice regarding breathing exercises.</font></p> <p><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> &#8226; The co-efficient of correlation between knowledge and practice scores of experimental and control group indicated positive relationship which was found to be significant (r = 0.91). </font></p> </div> <p align="justify"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><strong>Implications</strong><br> Findings of the study imply that since abdominal surgery is associated with several complications, patients </font></p></td> <td valign="top"><div align="justify"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">needs to have adequate knowledge and practices to deal with them effectively. Hence it is imperative for nursing personnel working in a hospital to provide supportive and educative services. </font> </div> <p align="justify"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><strong>Conclusion</strong><br> &#8226; Knowledge of compact disc was found to be effective in increasing knowledge and improving correct practices regarding breathing exercises.<br> &#8226; A highly positive significant correlation existed between knowledge and practice of breathing exercises.</font></p> <p align="justify"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><strong>Recommendations </strong><br> On the basis of the findings, it is recommended that a (i) similar study may be replicated on a large </font></p></td> <td valign="top"><div align="justify"> <p><font size="2" face="Verdana, Arial, Helvetica, sans-serif">sample for making broader generalisation, and (ii) similar study can be conducted by utilising other teaching strategies. </font></p> <p><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> <strong>References</strong><br> &#8226; Hall JC, et. al (2004). Prevention of respiratory complications after abdominal surgery, Bri Medi J, 312 (7024), pp:148-152<br> <br> &#8226; Ignatavicius D, et.al, (1995). Medical surgical nursing, 2 edn, WB Saunders Company, Philadelphia<br> <br> &#8226; Luckman and Sorenson (1999). Medical Surgical Nursing, 5th edn, WB Saunders Company<br> <br> &#8226; Shuldhum (1998). Pre-operative education, International Journal of Nursing Studies, 36, pp 175-82 </font></p> </div> </td> </tr> </table> </div> </blockquote> <blockquote> <p align="center"><font color=#330033><font face="Tahoma, Arial" size=1>:: <a href="../../policy.htm">POLICY &amp; POSITION STATEMENT</a> :: <a href="../../resources.htm">RESOURCES &amp; PUBLICATION</a> :: <a href="../../thenursing.htm">THE NURSING JOURNAL OF INDIA</a><br> <a href="../../membership.htm">MEMBERSHIP DETAILS</a> :: <a href="../../advertise.htm">ADVERTISE WITH US</a> :: <a href="../../events.htm">EVENT DIARY</a> :: <a href="../../what.htm">WHAT'S NEW</a> :: <a href="../../guest.htm">SIGN OUR GUEST BOOK</a> :: <a href="../../contact.htm">CONTACT US</a> :: <a href="../../nurse.htm">NURSE PLEDGE</a></font><br> <font size=2><i>Trained Nurses' Association of India (TNAI)</i></font></font> </blockquote></td> </tr> </table></td> </tr> </tbody> </table> </BODY></HTML>