GRACIOUS COLLEGE OF NURSING
ABHANPUR RAIPUR(C.G.)
RESEARCH PRESENTATION
“A study to evaluate the effectiveness of structured teaching program on
knowledge regarding role of dietary supplements in prevention of heart attacks
among coronary artery disease patients admitted in selected hospital Raipur
(C.G.)”
SUBMITED TO SUBMITTED BY
PRIYA CHAKRAWARTI
[Link] VERMA
[Link]. NURSING FINAL YEAR
HOD MEDICAL SURGICAL NURSING
MEDICAL SURGICAL NURSING
GRACIOUS COLLEGE OF NURSING ABHANPUR (C.G.)
PROBLEM STATEMENT
“A study to evaluate the effectiveness of structured
teaching program on knowledge regarding role of
dietary supplements in prevention of heart attacks
among coronary artery disease patients admitted in
selected hospital Raipur (C.G.)”
OBJECTIVES
• To assess the pre-test knowledge regarding the role of dietary
supplements in prevention of heart attacks among coronary artery
disease (CAD) patients.
• To administer a structured teaching program on dietary supplements
in prevention of heart attacks among coronary artery disease patients
• To assess the post-test knowledge regarding the role of dietary
supplement in prevention among coronary artery disease patient.
• To evaluate the effectiveness of the structured teaching program on
knowledge regarding dietary supplement in prevention among
coronary artery disease patient.
• To find out the association between pre and post test knowledge.
HYPOTHESES
• H₁: There will be a significant association between pre test and post
test level of knowledge regarding dietary supplement in prevention
among coronary disease patient.
• H₀: There will be significant association between pre test knowledge
regarding dietary supplement in prevention among coronary artery
disease patient and this socio demographic variable.
OPERATIONAL DEFINITIONS
• Evaluate: Refers to the process of systematically measuring and comparing the pre-test and
post-test knowledge scores of coronary artery disease (CAD) patients regarding the role of
dietary supplements in preventing heart attacks, in order to determine the effectiveness of the
structured teaching program.
• Effectiveness: Refers to the extent to which the structured teaching program improves the
knowledge of CAD patients.
• Structured Teaching Program: A systematically designed educational intervention providing
information about dietary supplements and their role in preventing heart attacks.
• Knowledge: Awareness or understanding of dietary supplements as measured by a structured
knowledge questionnaire.
• Dietary Supplements: Products such as vitamins, minerals, omega-3 fatty acids, or antioxidants
used in addition to the normal diet to promote heart health.
• Coronary Artery Disease Patients: Individuals diagnosed with CAD and admitted to a selected
hospital for treatment or follow-up.
OPERATIONAL DEFINITION
• Effectiveness: - In this study effectiveness refers to the significant gain in knowledge as
determined by significant difference in mean pretest and mean posttest scores.
• Structured teaching programme:- It refers to teaching programme systematically prepared
and conduct by researcher on knowledge regarding knowledge regarding cardiac
rehabilitation.
• Knowledge: - Correct responses of the post myocardial infarction patients to the
knowledge items regarding cardiac rehabilitation in the self structured questionnaire.
• Cardiac rehabilitation:- Cardiac rehabilitation refers to that helps to improve the health
and return back to normal life activity of post myocardial infarction patients. In this study
cardiac rehabilitation includes that, physical rehabilitation, psychological rehabilitation,
vocational rehabilitation, sexual rehabilitation.
• Post myocardial infarction patients :-In this study post myocardial infarction patients refers
to patients who are admitted in the cardiac hospital and diagnosed as myocardial infarction
( include the patients receiving with medication treatment & invasive procedures).
DELIMITATIONS
• The study is limited to coronary artery disease patients
admitted in a selected hospital.
• Only patients who are willing to participate and are
available during the data collection period will be
included.
• The study does not assess the long-term retention or
behavioral change following the intervention.
CONCEPTUAL
FRAMEWORK
Conceptual Framework based on General System Theory (GST)
CHAPTER – II
REVIEW OF LITERATURE
This review is categorized as follows:
• Studies related to coronary artery disease and dietary
supplements
• Studies related to knowledge and awareness among CAD
patients
• Studies related to effectiveness of structured teaching
programs
CHAPTER- III
RESEARCH METHODOLOGY
CHAPTER IV
DATA ANALYSIS AND INTERPRETATION
ORGANIZATION OF STUDY FINDINGS
• THE DATA WAS ORGANIZED UNDER FOLLOWING SECTIONS:-
• SECTION A: - Description of socio demographic variables in frequency and
percentage.
• SECTION B: - To assess the Pre-test and Post-test Knowledge Scores among
coronary artery disease patients.
• SECTION C: - Effectiveness of Structured Teaching Program.
• SECTION D: - Association of knowledge score among coronary artery disease
patients with selected demographic variables by chi square test.
TABLE NO. 4.1
DISTRIBUTION OF CORONARY ARTERY DISEASE PATIENTS ACCORDING TO AGE
AGE (IN FREQUENCY (F) PERCENTAGE (%)
YEARS)
12 20%
30–40
41–50 15 25%
51–60 18 30%
Above 60 15 25%
Total 60 100
Fig. 4.1 Column diagram representing distribution of subjects according to their age in year.
Table -4.1(Fig.4.1) Distributions of coronary artery disease patients according to age. The result
indicates the majority 18(30%) of patients were in the age group of 51–60 years followed by 15(25%) in
the both age group of 40-50 and above 60 year and 12(20%) of patient were in the age group of 30-40
year.
TABLE - 4.2
DISTRIBUTION OF SUBJECT ACCORDING TO GENDER
Fig. 4.2 Column diagram representing frequency and percentage wise distribution of subject according
to gender
Table 4.2 (Fig. 4.2) Depicts that the distribution of subject according to gender. The result indicate
majority 38 (73.33%) patient were male and only 22 (36.7%) were female.
TABLE - 4.3
DISTRIBUTION OF SUBJECT ACCORDING TO MARITAL STATUS
Fig. 4.3 Column diagram representing frequency and percentage wise distribution of subject according to
marital status
Table 4.3 (Fig. 4.3) Depicts that the distribution of subject according to marital status. The result indicate
majority 44 (73.33%) patient were married, 6 (10.0%) were both are widowed and single and 4(6.7%) were
divorced.
TABLE - 4.4
DISTRIBUTION OF SUBJECT ACCORDING TO EDUCATION
Fig. 4.4 bar diagram representing frequency and percentage wise distribution of subject according
to Educational status
Table 4.4 (Fig. 4.4) Depicts that maximum of 16 (27.7%) patient had Graduate & above education, 14
(23%.3) had Secondary education, 12(20%) had Higher secondary education 10(16.7%) had primary
education and only8(13.3%) are No formal education .
TABLE - 4.5
DISTRIBUTION OF SUBJECT ACCORDING TO OCCUPATION
Fig. 4.5 Pie diagram representing frequency and percentage wise distribution of subject according to occupation.
Table 4.5 (Fig. 4.5) Illustrate that maximum 16(26.7%) self-employee were, 14(23.3%) were private employee,
12(20.0%) were unemployed, 10(16.7%) govt. employee, and only 8(13.3%) were Retired.
TABLE – 4.6
DISTRIBUTION OF SUBJECT ACCORDING TO AREA OF RESIDENCE
Fig. 4.6 Bar diagram representing frequency and percentage wise distribution of subject according to
area of residence.
Table 4.6 (Fig. 4.6) Reveals that majority 26(43.3%) patient was living in urban area, 20(33.3%) patient
living in rural area, and only 14(23.4%) patient living in semi-urban.
TABLE – 4.7
DISTRIBUTION OF SUBJECT ACCORDING TO AREA OF DURATION OF CAD
Fig. 4.7 Column diagram representing frequency and percentage wise distribution of subject according to
duration of CAD
Table 4.7 (Fig. 4.9) “Depicts that maximum 20(33.3%) had CAD for 4-6 year, followed by 18(30%) for
1-3 year, 12(20%) for more than 6 year, and only 10(16.7%) for less than 1 year”.
TABLE – 4.8
DISTRIBUTION OF SUBJECT ACCORDING TO AREA OF DIETARY PATTERN
Fig. 4.8 Cone diagram representing frequency and percentage wise distribution of subject according to Type of diet.
Table 4.8 (Fig. 4.8) Depicts that maximum 32 (53.3%) were non vegetarian and only 28(46.7%) were vegetarian.
SECTION – B
PRE-TEST AND POST-TEST KNOWLEDGE
SCORES
TABLE 4.9: FREQUENCY AND PERCENTAGE
DISTRIBUTION OF PRE-TEST KNOWLEDGE
SCORES
SECTION – B
PRE-TEST AND POST-TEST KNOWLEDGE SCORES
Fig 4.09 Cone diagram represent to pre-test knowledge scores of coronary artery disease
patients’ at selected hospital of Raipur (C.G.).
Table 4.09 (Fig. 4.09) depicts that in among 60 patient undergoing coronary artery disease,
After the STP the result indicate that majority 30 (50%) had Inadequate knowledge, 22(36.7%)
had Moderate knowledge and only 8(13.3%) had Adequate knowledge due to coronary artery
patients.
TABLE 4.1
TABLE 4.10: FREQUENCY AND PERCENTAGE DISTRIBUTION OF POST- TEST KNOWLEDGE SCORES
Fig 4.10 Clustered cylinder diagram represent post-test knowledge scores of coronary artery disease
patients’ at selected hospital of Raipur (C.G.).
Table 4.10 (Fig. 4.10) depicts that in among 60 patient undergoing coronary artery disease, After the STP the
result indicate that majority 44 (73.3%) had Adequate knowledge, 12(20%) had Moderate knowledge and
only 4(6.7%) had Inadequate knowledge due to coronary artery patients with a higher mean score.
SECTION -C
EFFECTIVENESS OF STRUCTURED TEACHING PROGRAM
TABLE 4: COMPARISON OF PRE-TEST AND POST-TEST KNOWLEDGE SCORES
TABLE 4: COMPARISON OF PRE-TEST AND POST-TEST
KNOWLEDGE SCORES
Table 4.11: The post-test mean (29.4) was higher than pre-test mean (15.8). The
calculated’ value was significant at p < 0.001, which proves the STP was highly
effective.
• SECTION – D
• ASSOCIATION OF KNOWLEDGE WITH DEMOGRAPHIC
VARIABLES
• TABLE 5: CHI-SQUARE TEST SHOWING ASSOCIATION
BETWEEN PRE-TEST KNOWLEDGE AND SELECTED
DEMOGRAPHIC VARIABLES
TABLE 5: CHI-SQUARE TEST SHOWING ASSOCIATION BETWEEN
PRE TEST KNOWLEDGE AND SELECTED DEMOGRAPHIC
VARIABLES
• Table 5 reveals that there is significant association between pre-test
knowledge regarding dietary supplements among coronary artery
disease patients and their selected socio-demographic variables.
There was significant association found between Education (χ² = 10.62
> 9.49) at 0.05 level of significance.
While no significant association was found between Age (χ² = 6.28 <
7.81), Gender (χ² = 2.12 < 5.99), Marital status (χ² = 3.45 < 7.81),
Occupation (χ² = 4.98 < 9.49), Residence (χ² = 2.76 < 5.99), Duration of
CAD (χ² = 6.88 < 7.81), Dietary pattern (χ² = 1.96 < 3.84) at 0.05 level of
significance.
Hence, hypothesis H₁ is accepted with regard to education, while for
other demographic variables hypothesis is rejected.
•
• SUMMARY
• This chapter dealt with the analysis and interpretation of
data collected to evaluate the effectiveness of the Structured
Teaching Program (STP) on knowledge regarding the role of
dietary supplements in the prevention of heart attacks
among coronary artery disease (CAD) patients admitted in a
selected hospital, Raipur (C.G.). Both descriptive and
inferential statistics were used to analyze the data.
