ABSTRACT:
Background: One of the privileges of practicing preventive medicine is being able to provide care for conditions that can span the periods from childhood to adulthood. We are in a unique position to provide care for patients who benefit from our experience not only providing care for the problem at hand but also knowing the best means for management of that problem in the future. As the rates of obesity increases among children and adolescents, polycystic ovary syndrome (PCOS) is certainly one of these conditions suited for preventive medicine1. Adolescence is the most pivotal period of life, yet one of the most vulnerable times for physical ailments. Adolescents (13-19 years) form a large section of population – about 22.5 percent, that is, about 225 million. According to recent statistics more than 50% of the world’s population is below the age of 25 and one fifth are adolescents (WHO 1995). In India one third of the population are between the ages of 10 and242. PCOS is the most common cause of anovulatory infertility. It accounts for 90% to 95% of women attending infertility clinics with anovulation. However 60% of women with PCOS are fertile (defined as the ability to conceive within 12 months), although time to conceive is often increased. In those with PCOS and infertility, 90% are overweight. Obesity independently exacerbates infertility, reduces efficacy of infertility treatment and induces a greater risk of miscarriage. There is currently an active debate about the appropriate limit for body mass index for assisted reproduction therapies, given the reduced success rates and the demonstrated risks of pregnancy in overweight women. Ideally, weight should be optimised prior to pregnancy. Age-related infertility also exacerbates infertility and timely planning of families may warrant discussion3. Polycystic ovary syndrome (PCOS) is a common health problem which is alarmingly increasing in teenage girls and young women during their early reproductive years. It is one of the most common endocrine disorders of women in reproductive age group, with prevalence of 4-12% globally4. PCOS is not just an endocrine disorder, but a combination of metabolic and psychosocial detriments. Not addressing all the aspects of PCOS, such as depression, may delay the treatment of the “primary” issues such as fertility and hyperandrogenism. While further research needs to be conducted with larger sample sizes, current research does suggest a decreased quality of life in this population. It is evident that a universally accepted diagnostic criterion needs to be implemented by researchers and health care professionals5. OBJECTIVES OF THE STUDY: 1. To evaluate the effectiveness of self instructional module on knowledge regarding PCOS among adolescent girls. 2. To find out an association between pre- test knowledge scores regarding self instructional module among adolescent girls with their selected socio demographic variables. Methods: The research approach adopted for the study was Evaluative Survey approach. Research design was Pre experimental, one group pre-test post - test research design. By using non-probability purposive sampling technique 100 adolescent girls were selected for the study. Structured knowledge questionnaire was used to assess the knowledge regarding PCOS. Results: The result showed that, in pre test, majority of subjects 59 (59%) had poor knowledge about PCOS and 41 (41%) had average knowledge about PCOS, on the other hand in post test majority of subjects 72 (72%) had good knowledge about PCOS while 33 (33%) had average knowledge, and none had poor knowledge about PCOS. In present study calculated paired ‘t’ value (tcal= 44.25) was greater than tabulated value (ttab = 1.98). Hence H1 was accepted. This indicated that the gain in knowledge score was statistically significant at p<0.05 level. Therefore the findings revealed that the self instructional module on PCOS was effective in increasing the knowledge, among subjects. In the present study there was significant association between pre test knowledge scores and selected socio-demographic variables, like age in years [X2cal= 28.786 X2tab= 5.99], educational standard [X2cal= 41.2, X2tab= 3.84], previous knowledge [X2cal=6.034 X2tab= 3.84] and source of information [X2cal= 14.623 X2tab= 9.49]. The calculated Chi-square values were higher than tabulated value at 0.05 level of significance. Hence H2 was accepted. This indicated that there was significant association between pre test knowledge scores and selected socio-demographic variables at 0.05 level of significance. Interpretation and Conclusion: The major conclusions drawn on the basis of findings were, in pre test, majority of subjects had poor knowledge about PCOS on the other hand after the administration of Self instructional module, in post test majority of subjects had good knowledge about PCOS. From the study findings it is concluded that Self instructional module is effective in improving knowledge of adolescent girls regarding PCOS
Cite this article:
Ghule Priyanka Babanrao. A Pre-Experimental Study to Evaluate the Effectiveness of Self Instructional Module (SIM) on Knowledge regarding Polycystic Ovarian Syndrome (PCOS) among Adolescent girls at selected Junior Colleges, Kolhapur. A and V Pub InternationalJournal of Nursing and Medical Research. 2025; 4(2):77-1. doi: 10.52711/ijnmr.2025.16
Cite(Electronic):
Ghule Priyanka Babanrao. A Pre-Experimental Study to Evaluate the Effectiveness of Self Instructional Module (SIM) on Knowledge regarding Polycystic Ovarian Syndrome (PCOS) among Adolescent girls at selected Junior Colleges, Kolhapur. A and V Pub InternationalJournal of Nursing and Medical Research. 2025; 4(2):77-1. doi: 10.52711/ijnmr.2025.16 Available on: https://ijnmronline.com/AbstractView.aspx?PID=2025-4-2-4