RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, BENGALURU,KARNATAKA.

SYNOPSIS PROFORMA FOR REGISTRATION OF SUBJECT FOR DISSERTATION

MR. PRINCE MATHEW 1ST YEAR MSc NURSING MEDICAL SURGICAL NURSING YEAR 2010-2011

BRITE COLLEGE OF NURSING, BENGALURU-91

1 RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, BENGALURU, KARNATAKA.

PROFORMA FOR REGISTRATION OF SUBJECTS FOR DISSERTATION

1 Name of the candidate PRINCE MATHEW and address I YEAR M.SC (N) STUDENT BRITE COLLEGE OF NURSING #69, BWSSB COLONY, CHIKKAGOLLARAHATTI, VISHWANEEDAM POST, BENGALURU-500 091 BRITE COLLEGE OF NURSING, 2 Name of the Institution #69, BWSSB COLONY, CHIKKAGOLLARAHATTI,VISHWANEEDAM POST, BENGALURU-500 091

3 Course of study and 1ST YEAR M.SC. NURSING subject MEDICAL SURGICAL NURSING

4 Date of admission to 4TH JUNE 2010 course

5 Title of the topic: “ A STUDY TO ASSESS THE KNOWLEDGE ON SELECTED ASPECTS OF

DENGUE FEVER AMONG PATIENTS OF SELECTED HOSPITALS AT

BENGALURU, KARNATAKA’’

2 6 BRIEF RESUME OF THE INTENDED STUDY

Introduction

Dengue and dengue hemorrhagic fever are illness caused by a viral infection that spreads through the bite of the Aedes mosquito. The main symptoms are fever, headache, pain behind the eyes, muscle and joint pain and rash. Sometimes there may be bloody diarrhea or vomiting, and bleeding from mucous membranes and the gums1.

The worldwide prevalence of this disease has increased dramatically in the last decades. It is now an epidemic in hundreds of countries in South East Asia, Africa, Americas, Eastern Mediterranean as well as the Western Pacific. The travelers returning home from the above regions carry a risk of being infected by the virus.

In india, in the present year there are 3021 positive cases are diagnosed and 33 of them expired. No exact treatment has been discovered for dengue as of date, but symptom wise treatment is in progress. The dengue prevention teams work predominantly in eliminating breeding sites of the dengue mosquito in areas where the scare of epidemic is high.2

6.1. Need for the study

The first recognized Dengue epidemics occurred almost simultaneously in Asia, Africa, and NorthAmerica in the 1780s, shortly after the identification and naming of the disease in 1779. A pandemic began in Southeast Asia in the 1950s, and by 1975. Dengue hemorrhagic fever had become a leading cause of death among children in the region.

In 2005 dengue outbreak in Singapore, 2006 dengue outbreak in India, 2006 dengue outbreak in Pakistan, and 2009 dengue fever epidemic was in Bolivia.

There is an ongoing 2010 outbreak occurring in Puerto Rico with 5382 confirmed infections and 20 deaths.

The Aedes mosquito known to transmit dengue breed in leftover water in disposed tires, flower 3 pots, discarded oil drums as well as water containers located nearby human dwellings.

Dengue mosquitoes are active during the day unlike the mosquitoes that cause malaria, thus they bite during the day. The average days after the symptoms appear are four to six days. It may vary from three to fourteen days as well. Dengue fever is not contagious it can only spread with the mosquito bite of a carrier mosquito3.

There is no set treatment or medicines for treating any form of dengue fever. People suffering with dengue fever must rest a lot and drink lot of water and fluids. They should be kept in a mosquito safe area so that no mosquitoes bite the suffering person and carries the virus to another person4 .

Different kinds of dengue fevers have re emerged all around the world and have caused frequent and greater epidemics. The problem is more severe in tropical cities. There has been a dramatic rise in the growth of dengue fever in the western hemisphere The major health organizations are researching a cure but so far there is no vaccine to stop dengue fever. The government agencies have been working on spreading awareness about the dengue fever and how it can be prevented5.

During the investigators service as a staff nurse in an established hospital, investigator had met 103 patients with dengue fever in one year without adequate knowledge about dengue fever and its preventive measures.. So the investigator felt, a need to conduct research on knowledge of patients regarding selected aspects of dengue fever. Discussions with the experts and review of the related literature also had motivated the investigator to undertake the following study

A study to assess the knowledge on selected aspects of Dengue fever among patients of selected hospitals at Bengaluru, Karnataka.

6.2. Review of Literature

A study was carried out in380 people in the age group between 15-45 years in an urban

4 area with the aim to measure the prevalence of Dengue episode. Out of them, 332 gave blood samples and 48 had physical examination. 12% of women had symptom of morbidity6.

An evaluatory study was conducted in 2007 to find the relationship between frequent travel and dengue fever. A samples size of 33 positive infected cases was assessed by using a health questionnaire. A comparison of results was performed with one way ANOVA test. The findings of the study was that more samples (67%) had the history of travelling a lot and12% of them were immediate relatives of the dengue positive patients and the remaining were no way connected with travel7

A descriptive study was conducted to study the previous incidence of dengue fever among frequent travellers. The sample size was 150 adolescents selected by random sampling technique. Data was collected through structured questionnaire and interview schedule. Results showed that the mean percentage score for having dengue fever was higher (75.2%) in international travelers than local travelers (24.8%)8.

A correlative study was conducted between dengue fever and international travelling among people infected with dengue fever and those who seek treatment.. The sample size was 35 women infected with dengue fever.. Sampling technique was purposive sampling. The result revealed that out of the samples, majority had history of travelling to endemic areas of dengue fever. (p<0.002)9.

A study was conducted to assess the knowledge of patients abut dengue fever and its possible preventive measures. A sample of 50 was selected randomly and data’s collected by 34 open ended questions. Descriptive and inferential statistics were used to analyze the data. The results showed majority (84%) had very minimal knowledge about the episode and methods of safeguards10.

A descriptive study was conducted in the University of Medicine Japan to assess the knowledge of adolescents regarding the association of travel and dengue infection. The findings showed that frequent travelers had relatedly high risk for development of dengue fever11.

6.3. Statement of the problem

A study to assess the knowledge on selected aspects of Dengue fever among patients of 5 selected hospitals at Bengaluru.

6.4. Objectives of the study

The objectives of the study are

 To determine the knowledge of patients on selected aspects of dengue fever using a structured questionnaire.

 To find association between mean pretest and post test knowledge score of patients on selected aspects of dengue fever.

6.5. Operational Definitons

Knowledge: In this study, the knowledge refers to the information regarding the dengue fever of patients in order to prevent infection and which is assessed from the responses to the structured questionnaire.

Selected aspects: In this study, selected aspects of dengue fever refers to definition, fever, clinical features, mode of transmission and preventive measures of dengue fever.

Dengue fever: In this study, dengue fever refers to illness caused by a viral infection that spreads through the bite of the Aedes mosquito

Patients:-In this study patient refers to those people who are admitted in the selected hospitals at Bengaluru with dengue fever.

6.6. Assumptions

1. Patients have some knowledge regarding dengue fever.

6 2. Patients may respond honestly to questions related to knowledge on dengue fever.

6.7. Hypothesis

The hypothesis will be tested at 0.05 level of significance.

H1: There will be significant association between mean pretest knowledge score and selected demographic variables.

6.8 Delimitations

The study will be delimited to patients admitted at selected hospitals at Bangalore.

Material and Methods 7 7.1. Source of data

Data will be collected from patients admitted in selected hospitals at Bangalore.

7.1.1. Research Design

Descriptive study design will be used for the study.

7.1.2. Setting

The study will be conducted at a selected hospital at Bangalore.

7.1.3. Population

Patients admitted in selected hospitals at Bangalore comprise population of the study.

7 7.2. Methods of Data Collection

7.2.1. Sampling Procedure

Convenience sampling technique will be used to select the samples.

7.2.2. Sample Size

Total number of samples selected for the study will be 50 in number.

7.2.3. Inclusion Criteria

- Patient who all are willing to participate in the study.

- Patients who all are available during the time of data collection.

- Patient who all are knowing kannada or English.

7.2.4. Exclusion criteria

- Patients who all are not willing to participate in the study.

- Patients who all had received training on dengue fever and Its prevention

7.2.5. Instruments intended to be used

The instruments intended to be used for the study are the following

Section A : Demographic proforma

Section B: Structured knowledge questionnaire regarding selected aspects of dengue fever.

7.2.6. Data Collection Method

Prior permission will be obtained from the higher authorities of the organisation. The purpose for the study will be explained to the patients and confidentiality will be assured. 8 Later informed written consent will be obtained. A structured questionnaire regarding selected aspects of dengue fever will be distributed to the participants and requested to be filled. The filled data will be collected back and later it will be used for calculation.

7.2.7. Plan for data analysis

The data will be analyzed by using both descriptive (mean, median, mean percentage and standard deviation) and inferential statistics (chi square test).

7.3. Does the study require any investigations/ interventions to be conducted on patients or the human or animals. If so please describe briefly

Yes, in the present study, the investigator plans to use structured knowledge questionnaire to assess the knowledge of patients on dengue fever .

7.4 Has ethical clearance been obtained from your institution in case of 7.3:

Yes, ethical clearance will be obtained from the ethical committee of the institution.

9 References 1. Ramalingam .S.H. Text book of Community Medicine, Samay publications. I edition 2006; 24-26.

2. Schwann Timsee. Dreaded diseases- The true face. American Journal of Nursing, Feb 2007; 32-35.

3. Nancy, Prevantable diseases, III Edition, Kamal publishing house. 2006; 90-96.

4. Dr. Oswald D’Souza, Health planning; Journal of Community Medicine 2007 ; 3(11) ; 4- 6.

5. Lee Thomas. Killer Diseases; Journal of Continuing Nursing Education 2008; 3(7); 10-11.

6. B.G. Patil. Assessment of Staff Nurses knowledge regarding pacemaker. Journal of cardio vascular nursing 2008; 34(4) : 12-15.

7. B. Hebare. Prevalence of dengue . Dissertation abstract International 2007; 74(9); 101- 104.

8. Vijaya Naidu. Dengue among frequent travelers. Journal of curative nursing 2009, 10 (8): 67-70.

9. Sin: Thomas .Dengue-the pandemic . Journal of continuing nursing 2005; (6) : 72-74.

10. Deepa Mathew. Assessment of knowledge on Dengue fever and its prevention.. . Nurses voice 2008; 3(4): 5-7.

11. P C Chawan. Travel and dengue infection. Indian journal of international research. 2008; 6 (2):26-29.

9 Signature of Candidate

10 Remarks of the Guide This study is feasible

10 11 Name & Designation Of 11.1 Guide Mrs.Prof.Eban Baskaran Msc(N) Professor, Brite College of Nursing Bangalore-91

11.2 Signature

11.3 Co-Guide _

11.4 Signature _

11.5 Head of the Department Mrs.Prof.Eban Baskaran Msc(N) Professor, Brite College of Nursing Bangalore-91

11.6 Signature

12 12.1 Remarks of the Principal

12.2 Signature

11