Effect of structured teaching programme on post operative exercise in terms of knowledge and practice among patients with elbow surgery admitted in selected hospitals of Kolkata, West Bengal.

Chhanda Pal; Prof. Smritikana Mani; Ananya Bhakta; Prof. Dr. Ananda Kisor Pal

Volume : VI, Issue : V, May - 2017

Effect of structured teaching programme on post operative exercise in terms of knowledge and practice among patients with elbow surgery admitted in selected hospitals of Kolkata, West Bengal.

Chhanda Pal, Prof. Smritikana Mani, Ananya Bhakta, Prof. Dr. Ananda Kisor Pal

Abstract :

Introduction Following any surgery around elbow joint, the non affected joints outside the area of postoperative immobilization, like shoulder, wrist and finger joints undergo stiffness frequently. Therefore, an attempt has been made through this study to reduce the stiffness of those joints using the structured teaching programme having knowledge of specific exercises of those joints for postoperative patients. Objectives: To find the effectiveness of structured teaching programme on knowledge and practice among patients with elbow surgery in selected hospitals, Kolkata. Materials and method : A experimental research approach and pre experimental design was adopted for this study. Conceptual framework based on modified J.W. Kenny�s (1968) General System theory model was adopted. Non probability purposive sampling technique was adopted.30 patients who undergone surgery around elbow joints were selected as per prescheduled selection criteria as a study subject .A valid and reliable structured knowledge questionnaire & structured observation checklist (r–0.83, r–0.92) was used for data collection. Informed consent was taken from the subject before the data collection. Result : The study result showed that 47% of patients belonged to 15–24 years of age group. Majority 63% patient were belonged to male gender.43% that is the maximum number of patients were educated upto primary level of education. Majority of patient 37% were daily labour in their occupational status. Majority i.e.37% of patients were belonged to middle socio–economic status. In knowledge area, there was a significant difference in pre–test knowledge and post–test knowledge score (�t� value 12.28 at p<0.05) .In practice area, there was a significant difference in pre–test practice and post–test practice( �t� value 86.76 at p<0.05).So the structured teaching programme is effective in increasing the knowledge and practice of patients with elbow surgery. The computed chi square shows no significant association between pre–test knowledge level with selected variables.There was also no significant relationship was found between knowledge and practice in both pre–test and post test area. Conclusion : In postoperative period after elbow surgery, the unaffected joints of upper limb require supervised exercises to maintain their normal mobility with the help of specific knowledge provided by structured teaching programme.