A Study to Evaluate the Effectiveness of Video Assisted Teaching Programme on Knowledge regarding Prevention and Management of Varicose Veins among staff nurses working in Critical Care Unit in selected Hospital at Rajkot

 

Janvi Bhadarka1, Suneesh P. M.2, Jeenath Justin Doss K.3

1II Year M.Sc. Nursing, MSN-Cardiovascular and Thoracic Nursing, Shri Anand Institute of Nursing,

Opp. Ghanteshwar Park, B/h Shainik Society, Jamnagar Road, Rajkot - 360006.

2Guide, MSN-Cardiovascular and Thoracic Nursing, Shri Anand Institute of Nursing,

Opp. Ghanteshwar Park, B/h Shainik Society, Jamnagar Road, Rajkot - 360006.

3Principal, MSN-Cardiovascular and Thoracic Nursing, Shri Anand Institute of Nursing,

Opp. Ghanteshwar Park, B/h Shainik Society, Jamnagar Road, Rajkot - 360006.

*Corresponding Author E-mail:  janvibhadarka@gmail.com

 

ABSTRACT:

a study to evaluate the effectiveness of video assisted teaching programme on knowledge regarding prevention and management of varicose veins among staff nurses working in critical care unit in selected hospital at Rajkot. The objectives of the study was (a) To assess the knowledge regarding prevention and management of varicose veins among staff Nurses working in Critical Care Unit. (b) To evaluate the effectiveness of video assisted teaching programmed on knowledge regarding prevention and management of varicose Vein among Nurses working in Critical Care Unit in selected hospital of Rajkot. (c) To find out the association between selected demographic variable and level of pre-test level of knowledge regarding prevention and management of varicose vein among Nurses working in Critical Care Unit in selected hospital at Rajkot. The research design adopted was One Group Pre-test & Post-test design. The study had been conducted in selected hospital at Rajkot. Non probability sampling technique had been adopted to select the desired samples. The sample size was 40. As a part of intervention, a video assisted teaching programme on knowledge regarding prevention and management of varicose vein was provided to staff Nurses working in Critical Care Unit for 30 minutes and the data was collected by structured interview with set of questionnaires that is administered to assess the level of knowledge regarding prevention and management of varicose vein among staff Nurses working in Critical Care Unit. The data were analysed by using both descriptive and inferential statistical method paired “t” test was used to evaluating the effectiveness of video Assisted teaching programme on knowledge regarding prevention. The obtained value 8.262, which shows highly significant at the level of p<0.05. There is significant association between demographic variables such as Gender, Marital status and weight with pretest level of knowledge on prevention and management of varicose vein. The study concluded that the video assisted teaching programme was effectiveness in improving of knowledge regarding prevention and management of varicose vein.

 

KEYWORDS: Effectiveness, Prevention and management of varicose vein, Staff Nurses working in critical care unit.

 

 

INTRODUCTION:

“Veins are Very Essential Ingredient for Nursing Staff”

Nurses are an integral component of health care delivery system. In discharging the duties, Nurse encounter a variety of occupational health problems, which may be categorized in to biological hazards, physical hazards and psychological hazards. Nurses constitute the largest category of health care workers in most of the countries, and have a critical role in the health care delivery system. Nurses generally serve as the primary interface with patients. It would be fair to state that the health care delivery system would cease to function in the absence of Nurse.1

 

Varic is a Latin word means swelling. Varix means enlarged tortuous vein. Varicose veins or varicosities are dilated, tortuous subcutaneous veins most frequently found in the saphenous system. They may be small and innocuous or large and bulging. The etiology of varicose veins is unknown. Congenital weakness of the vein structure, female gender, use of hormones, increasing age, obesity, pregnancy, venous obstruction resulting from thrombosis or extrinsic pressure by tumours, or occupations that require prolonged standing (nursing profession, teachers, traffic police, sales girl) are the some of the risk factors for Varicose veins. As per the studies women suffer this disease four times more than men. As the veins enlarge, the valves are stretched and become incompetent, allowing venous blood flow to be reversed. As back pressure increases and the calf muscle pump fails, further venous distention results. The increased venous pressure is transmitted to the capillary bed, and the edema develops. This varicose vein problem leads to many complications such as superficial thrombophlebitis, rupture of the varicose veins from weakening of the vessel wall and ulceration of the skin.2

 

Varicose veins are the veins that have become enlarged and tortuous. Veins have leaflet valves to prevent blood from flowing backwards. Leg muscles pump the veins to return blood to the heart, against the effects of gravity. When veins become varicose, the leaflets of the valves no longer meet properly, and the valves do not work. This allows blood to flow backwards and they enlarge even more. Varicose veins are most common in the superficial veins of the legs, which are subject to high pressure when standing. Besides cosmetic problem, varicose veins are can be painful, especially when standing or walking.3

 

NEED FOR THE STUDY:

Millions of workers spend majority of the working day on their feet and many hours in static positions. Standing uses 20% more energy than sitting and because human bodies are not designed to stand at work, prolonged standing, can lead to tiredness, loss of concentration and increased health risks. These risks include the swelling of feet and legs, feet and joint damage, varicose veins, heart and circulatory disorders, lower back problems and pregnancy complications.4

 

A study result shown that, 40 years old had a prevalence of varicose veins was 22%, 50 years old had a prevalence of varicose veins 35%, and 60 years old had   a prevalence of varicose veins 41% respectively. A genetic link exists, and the risk of varicose veins developing if both parents are affected is 90%; 62% risk if one parent is affected and female off spring; 25% risk if one parent is affected and male offspring; and if no parent is affected, the risk is 20%.4

 

Varicose vein commonly occurs in the general population. The physical conditions during the work and conditions of employment are important risk factors that induced prevalence of varicose veins are increased. For instance, prolong standing posture and physical state is irreversible in the nursing profession. A cross-sectional study was carried out among 203 Nurses from three general hospitals in Amol, Iran to determine the varicose veins in Nurses. The result shows prevalence of varicose vein was 73.9%.5

 

According to one estimate in 2020, 10-30% of population in worldwide is suffering from varicose vein disease and 15-20% of population in India is suffering from varicose vein disease. In our country people are quite ignorant of this disease. So, the severity of disease becomes increased. Health education is one of the strategies in the prevention of varicose veins. Keeping the preventive facts in view and the fact that health education has a significant effect on knowledge of traffic police which in turn helps in the prevention of varicose veins.6

 

Current statistics reveal that nearly 190 million people globally (2021), suffer from varicosities and the toll is ever increasing. Where India is concerned that more than 10 million people are affected from varicose vein every year and experts are Witnessing a growing prevalence of varicosities especially among women. Nearly, 15-20 percent of women and 10-15 percent of men suffer from varicose veins in India and nearly 10-12 percentage of people are suffer from varicose vein in Gujarat.7

 

OBJECTIVES OF THE STUDY:

1.    To assess the knowledge regarding prevention and management of varicose veins among staff Nurses working in Critical Care Unit.

2.    To evaluate the effectiveness of video assisted teaching programmed on knowledge regarding prevention and management of varicose Vein among Nurses working in Critical Care Unit in selected hospital of Rajkot.

3.    To find out the association between selected demographic variable and level of pre-test level of knowledge regarding prevention and management of varicose vein among Nurses working in Critical Care Unit in selected hospital at Rajkot.

 

HYPOTHESES:

H1: The mean post test score will be significantly higher than the mean pretest score of knowledge regarding prevention and management of varicose vein.

H2: There will be significant association between the selected demographic variables and pre test level of knowledge among Nurses working in Critical Care Unit.

 

MATERIAL AND METHODOLOGY:

RESEARCH APPROACH:

Quantitative research approach.

 

RESEARCH DESIGN:

Pre experimental one group pretest posttest design

 

VARIABLES UNDER THE STUDY:

The variables under the study were independent variable and dependent variables.

 

Independent variable:

Video assisted Teaching Programme on prevention and Management of    varicose veins.

 

Dependent variable:

Knowledge regarding prevention and management of varicose vein among staff Nurses working in Critical Care Unit.

 

SETTING OF THE STUDY:

Setting is the physical location and condition in which data collection takes place.

 

The study was conducted in Gokul hospital at Rajkot. Gokul hospital is 75 bedded multi-speciality Hospital in that 35 bed are CCU bed which is located at the 12/14- Manhar Plot, Vidya Nagar Main Rd, Bhakti Nagar, Rajkot. The hospital is growing in full pledge with the support of all the medical staff, and nursing staff.

 

POPULATION:

Target population:

Staff Nurses working in selected hospital

 

Accessible population:

Staff Nurses working in Critical Care Unit of selected hospital.

 

SAMPLE:

The sample of the study comprised the staff Nurses working in Critical Care Unit in Gokul hospital, Rajkot.

 

SAMPLE SIZE:

The sample size of the study comprised of 40 staff Nurses working in Critical Care Unit.

 

SAMPLING TECHNIQUE:

Non probability Purposive sampling technique was used to select the sample for the study.

 

DATA ANALYSIS AND INTERPRETATION:

The collected data was analyzed using both descriptive and inferential statistics.

 

RESULT:

MAJOR FINDING OF THE STUDY:

Major study findings includes,

Findings related to demographic variables of the study

1.    The majority of 13 (32.5%) samples’ age is between 21-30 yrs.

2.    The majority of 33 (82.5%) samples were female staff Nurses.

3.    The majority of 18 (45%) samples were diploma course.

4.    The majority of 25 (62.5%) samples were married.

5.    The majority of 16 (40%) samples were 8 hours duty.

6.    The majority of 26 (65%) samples were below 50kg weight.

7.    The majority of 14 (35%) samples were 5-10 year of experience.

8.    The majority of 12(30%) samples were working in SICU.

 

Study shows that pre-test level of knowledge among selected 40 sample of staff Nurses working in Critical Care Unit. reported 04(10%) Adequate knowledge, 09(10%) moderately adequate and 27(85%) inadequate knowledge.

 

The pre-test report 02(05%) adequate knowledge, 04(10%) moderately adequate and 34(85%) inadequate knowledge. After the video assisted teaching programme on knowledge regarding prevention and management of varicose vein. the post-test level of knowledge was 32(80%) adequate knowledge, 05(12.5%) moderately adequate, and 03(7.5%) inadequate knowledge. It also revealed that the mean pre test score is 13.225 and the mean post test score is 24.52. The mean difference between the pre test and post test score is 13.82.

 

It hence the hypothesis stated, ‘’shows that the comparison between the pre-test and post-test knowledge score obtained by the samples on video assisted teaching programme. The mean difference between the pretest and posttest was 13.4 and the standard deviation of pretest level was 6.02 and posttest was 4.19 and the calculated value is (‘t’= 8.262) is higher than the table value (P = 2.05) at the level of 0.05 thus, researcher accepted the hypothesis H1.

 

Researcher found the following demographic variables such as gender, marital status, weight found calculated chi square value higher than the tabulated value, this indicates these variables is a significant association between these variables and pre test knowledge, thus researcher accepted hypothesis H2. And the other demographic variables such as age, educational status. Duration of work, experience, type of CCU found calculated chi square value lower than the tabulated value, this indicates these variables is a non-significant association between these variables & pre test knowledge.

 

CONCLUSION:

The main conclusion of this present study is that most of the staff Nurses working in Critical Care Unit had inadequate and moderately adequate level of knowledge in pre test and they improved to moderately adequate and adequate knowledge in post test. People Who continues stand for longer time get more risk for varicose vein and so researcher choose this study for the prevention and management of varicose vein and researcher select staff Nurses working in CCU as they have a more risk developing varicose vein and The main conclusion of this present study was that the video assisted teaching programme improve the level of knowledge regarding prevention and management of varicose vein among staff Nurses working in Critical Care Unit in selected hospital.

 

REFERENCES:

1.     Rawlance Ndejjo, et al. Occupational Health Hazards among Healthcare Workers in Kampala, Uganda, Journal of Environmental and Public Health, Volume. 2015 (2015),

2.     Graham Douglas, Clinical Examination, 11th edition, Elsevier, Church Chill Livingstone, page number: 118-119.

3.     Tortora Grabowski, Principles of Anatomy and Physiology, 10th edition, Wiley Publishers, page number: 702-703.

4.     R.K. Marya, Medical Physiology, 2nd edition, CBS Publishers and Distributors, page number: 110-111.

5.     Laurikka JO et al. Lifestyle factors and varicose veins: does cross-sectional design result in underestimate of the risk? Phlebology. 2010; 25(4):201-6.

6.     Trendelen Burg. Prevalence and incidence statistics for varicose veins 2020 November 2. http// www. Wrong diagnosis.com

7.     Polit and Beck (2008). Nursing research: Generating and Assessing Evidence for Nursing Practice. 8th edition, Philadelphia : Wolters Kluwer Publications.

 

 

 

 


 

Received on 06.02.2023        Modified on 12.04.2023

Accepted on 19.06.2023       ©A&V Publications All right reserved

A and V Pub IntJ. of Nursing and Medical Res. 2023; 2(3):93-96.

DOI: 10.52711/ijnmr.2023.22