Research

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COMPARATIVE STUDY TO ASSESS THE LEVEL OF KNOWLEDGE REGARDING PREVENTION

OF INFLUENZA A VIRUS AMONG SCHOOL GOING STUDENTS OF SELECTED GOVT. BASTAR

HIGH SCHOOL JAGDALPUR.

BY

MS.NARMADA SINHA

MS. NEELIMA SAHU

MS.THALESHWARI SAHU

MS YAMINI SAHU

GOVT. COLLEGE OF NURSING JAGDALPUR

(Affilated to Ayush Health & Science University ,Raipur (C.G.)

SEPTEMBER-2014

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COMPARATIVE STUDY TO ASSESS THE LEVEL OF KNOWLEDGE REGARDING PREVENTION

OF INFLUENZA A VIRUS AMONG SCHOOL GOING STUDENTS AT SELECTED GOVT. BASTAR

HIGH SCHOOL JAGDALPUR (C.G.)

BY

MS. NARMADA SINHA

MS.NEELIMA SAHU

MS.THALESHWARI SAHU

MS.YAMINI SAHU

GUIDE - MRS. A. NOVEL

CO GUIDEMRS. SHABIBA DAHARIA

- MRS.JAYA SONEKAR

DISSERTATION SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENT FOR

BATCHLER DEGREE OF SCIENCE (NURSING). AT

AYUSH UNIVERSITY

RAIPUR ,CHHATTISGARH

SEPTEMBER-2014

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GOVERNMENT COLLEGE OF NURSING

JAGDALPUR (C.G.)

DECLARATION BY THE CANDIDATE

WE HEREBY DECLARE THAT THIS DISSERTATION / THESES TITLED COMPARATIVE STUDY

TO ASSESS THE LEVEL OF KNOWLEDGE REGARDING PREVENTION OF INFLUEZA A VIRUS

AMONG SCHOOL GOING STUDENTS AT SELECTED OF BASTAR HIGH SCHOOL JAGDALPUR

AT BASTAR DISTRICT,CHHATTISGRAHIS A BONAFIED AND GENUINE RESEARCH WORK

CERTIFIED OUT BY US UNDER THE GUIDANCE OF DEMONSTRATOR MRS.SHABIBA

DAHARIA AND MRS.JAYA SONEKAR GOVT. COLLEGE OF NURSING JAGDALPUR (C.G.)

DATE-

PLACE-JAGDALPUR

SIGNATURE OF THE CANDIDATES

MS.NARMADA SINHA

MS.NEELIMA SAHU

MS.THALESHWARI SAHU

MS.YAMINI SAHU

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CERTIFICATE

This is to verify that the thesis enlisted comparative study to assess the level of knowledge

regarding prevention of influenza A virus among school going student at selected school of

Govt. Bastar high school Jagdalpur (c.g.). Is a ban tide research work done by Ms. Narmada

Sinha , Ms. Neelima Sahu , Ms. Thaleshwari Sahu ,Ms. Yamini Sahuof Government College

of Nursing in Jagdalpur in Partial fulfilment of the requirement for the degree of bachelor of

science Nursing Ayush & Health Science University, Raipur (C.G.)

PRINCIPAL

MRS. A. NOVEL

M.Sc. NURSING (PEDIATRIC)

GOVT.COLLEGE OF NURSING JAGDALPUR

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CKNOWLEDEMENT

Arise awake and stop not till the goal is reached

Firstly we express our grateful thanks to the almighty God for showering his lot of

blessings, grace and supports upon us.

We are greatly obliged to our principal Mrs. G. Minj and our Class Teacher Mr. Deepak

Kumar for his and encouragement which inspire us and provide with the spirit and will

power to do work in due manner.

I thanks to all my friends for their supports and encouragement and help during our

project .

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ABSTRACTS

The aim of this study was to assess the level of knowledge regarding prevention

influenza A virus among school going students at selected Govt. Bastar high school

Jagdalpur (c.g.). The objective of the study is To assess the level of knowledge regarding

prevention of swine flu among school children. To evaluate the effectiveness of

structured teaching programme by comparing pre test and post knowledge score. To

find out the association between post test knowledge scores with selected demographic

variables. The main study was conducted at Government Bastar high school Jagdalpur

sampling technique was used to selected 30 students. The data was collected and

analyzed by using descriptive and inferential statistics. The overall level of knowledge

regarding prevention of influenza a virus students showed that 16% students have

average knowledge and 14% had poor knowledge. There was significant association

between assessing the level of knowledge regarding prevention of influenza A virusamong students and selected demographic variables such as age, sex, religion, education

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of family , types of family, occupation of family, income of parents, types of family, living

place knowledge from student. Based on the study finding it can said that almost all the

students have average knowledge regarding influenza A.

INDEX

S.NO CONTENTS PAGE NO

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LIST OF TABLE

I. INTRODUCTION

1. NEED OF STUDY

2. PROBLEM STATEMENT

3. OBJECTIVES

4.

OPERATIONAL DEFINITION5. HYPOTHESIS

6. VARIABLES

7. ASSUMPTION

8. DELIMITATION

II. REVIEW OF LITERATURE

III. METHODOLOGY

1.

RESEARCH APPROACH

2. RESEARCH DESIGN

3. SETTING OF THE STUDY

4. CRITERIA FOR SELECTION OF THE

SETTING THE STUDY

5. TARGET POPULATION

6. SAMPLE AND SAMPLE SIZE

7. SAMPLING TECHNIQUE

8. SAMPLING CRITERIA

9. DEVELOPMENT OF TOOLS

10.

DATA COLLECTION METHOD

11.PLAN FOR DATA ANALYSIS

12.ETHICAL CONSIDERATION

13.SUMMARY

IV. DATA ANALYSIS AND INTERPRETATION

V. RESULT & DISCUSSION

VI. SUMMARY, CONCLUSION, IMPLICATION,

LIMITATION& RECOMMENTATION

VII. BIBLIOGRAPHY

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S.NO. TITLES PAGE NO.

1.

Distribution of the subjects acc to age

2. Distribution of the subject acc to sex

3. Distribution of the subjects acc to family education

4. Distribution of the subjects acc to family occupation

5. Distribution of the subjects acc to family monthly income

6. Distribution of the subjects acc to types of family

7. Distribution of the subjects acc to place

8. Distribution of the subjects acc to religion

9. Distribution of the subjects acc to no. of children

10.

Distribution of sample acc to level of knowledge before &after structure teaching programme

11. Comparison of sample pre-test & post test

12. Item wise analysis of knowledge level before intervention

13. Item wise analysis of knowledge level after intervention

14.

Analysis regarding comparison of mean score & SD of pretest

& post test level of knowledge

15. Association between level of knowledge & demographic

variable

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LIST OF FIGURES

S.N. TITLES PAGE

NO.

1 Ray diagram of research design

2 Column diagram representing subjects according to age of children.

3 Column diagram representing subjects according to sex.

4 Bar diagram representing subjects according to family education.

5 Pie diagram representing subjects according to family Column diagram

representing subjects according to age of children occupation

6 Bar diagram representing subjects according to income of family

7 Lie diagram representing subjects according to types of family

8 Doughnut diagram representing subjects according to living place

9 Area diagram representing subjects according to religion

10 Column diagram representing subjects according to no. of children

11 Chart layout representing the subjects according to level of knowledge

wise analysis of pre test post test.

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LIST OF APPENDIX

APPENDIX TITAL

a. Tools of data collection

b. Letter seeking permission for main study

c. List of statistical formula used in present study

d. Letter seeking experts opinion for content validity of the tool

E Certificate for validation

F Informed consent

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CHAPTER:- 1

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INTRODUCTION

Infection diseases will last as long as humanity itself.

- K.PARK

Health is a concern of every one. Attention to health is central to objective of general

education . Swine flu also known as H1N1 type. A influenza ,is a human diseases . People get

the disease from other people ,not from pigs. The disease got stuck with the name swine flu

because it originally jumped from pigs to humans.

In India around 30,197 had become the victims of this disease and found to be

+ve . Out of which 1,453 +ve people have died as per cumulative death index mates

published by ministry of health & family welfare India as an March 13.2010.

Influenza H1N1 [swine flu] is a respiratory tract infection from the hogs .This kind of virus

can kill the human race .This infection is a world wide virus outbreak .Outbreaks are

common in pigs year round and infection in humans is a result of close contact with

infected animals .A flu deadly disease occur when a new influenza virus emerges for which

people have little or no immunity and for which there is no vaccine . Those whom their

hospitals are more than 10 miles from their community can easily infected with the swine

flu. The disease spread easily person to person and can be cause with serious illness and can

spread out across the country and even worldwide in a very short span of time .

Human to human transmission of swine flu can also occur. This is thought to

happen in the same way as seasonal flu occurs in people, which is mainly through coughing

or sneezing of people infected with the influenza virus to an uninfected individual will be

infected also. People may also become infected by touching something with flu viruses on it

and then they touch their mouth or nose.

Medical researchers around the world have admitted that the swine flu viruses could

mutate into something as deadly as the Spanish flu and are watching care fully the last

outbreak of swine flu in 2009 in order to create in contingency plan for a possible pandemic

imminent globle. Many countries have taken precautionary measures and education to

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reduce the chances of this happening .A comparative study conducted in as reveals that the

young children are at more risk and the viruses are easily transferred to them by touching or

handling the utensils which was handled by infected person. People with H1N1 flu can

spread it to others up to about 3 feet away .School and day care canters are considered as a

best setting for infection .According to Elias M.J.Etal 1994.School year the time of increasing

risk for negative health related outcomes. It is important vaccinate the toddlers before they

step in to preschool age. This age group should be more carefully than away other group.

Fever , lethargy, lack of appetite, runny nose, sore throat ,nausea, vomiting, diarrhoea and

coughing are some of the following symptoms are swine flu in people. The effects of a

pandemics can be lessened preparation is made ahead of time. Planning and preparation

information and checklists are being prepared for various sectors of society, including

information for individuals and families.

People at high risk of serious flu complications include children younger than five years.

Every six month of age and above should get vaccinated against the flu as soon as

vaccination is available. Vaccination is specially important for the people who care for or are

around persons at high risk, including babies less than 6 months of age who can not be

vaccinated. Flu is more dangerous than the common cold for children. Each year, seasonal

flu places a large families. Children commonly need medical care because of influenza,

especially before they turn 5 year old.

Prevention being better than cure .An influential paper published in the year of 2008 in

the journal of infectious disease states that the majority of deaths among children in the

1918-1919 influenza pandemic likely resulted directly from secondary bacterial pneumonia.

The ultimate aim of structured teaching programme is to bring a significant change in the

knowledge and health behaviour of family .While every one should get a swine flu vaccine in

flu season, its especially important that the target groups to get vaccinated because they

are at high risk of having serious flu related complication. People at high risk for developing

flu related complication are children younger than 5, but especially children younger than 2

years.

NEED FOR THE STUDY

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Prevention is better than cure.

Dr.kelly hernicksons (august 2009 ),swine influenza is a highly contagious respiratory

disease of pigs caused by one of several swine influenza A viruses outbreaks are common in

pigs year round and infection in human is a result of close contact with infected animals .

By mid century in 1957,a pandemic of swine flu infected more than 45 million people in

Northern America, killing 70,000 people. In total almost caused 2 million deaths worldwide.

11 years later, from 1968 to 1969 pandemic of influenza Hong Kong affecting over 50

million people, causing some 33,000 deaths. In 1976, some 500 soldiers were infected with

swine flu in a few weeks. Reports have stated that United states has likly riched its pik for

H1n1,as only 32 of 50 states are now reporting wide spread influenza activities. While H1N1

may have piaked in parts of the Noethern hemisphere, the number of deaths worldwide

jumped by over 1,000 during the past weeks, reaching more than 7,800.

Turkey seem to be reporting new deaths at an alarmingrate. 83 new deaths were reported

this week ,increasing the death toll in Turkey , by 74% .Mexico also confirmed 83 new

death, upping their total death count by a less significant 14.5% .H1N1 deaths are also on

the rise in Canada ,who confirmed 78 new deaths- resulting in a 31 % increase in their totaldeaths in just a week. Russia has been experiencing a significant surge in swine flu deaths as

well, with 65 new ones reported this week a64% rise in total deaths. China reported 51

new deaths, nearly doubling tally. Total deaths in Iran increased by 40% with the addition

of 40 new deaths. The united Kingdom saw a 15.7 % increase form the new deaths they

reported 30 new deathstotal rise of 42 % respectively.

According to health department, Inida 2011 had reported 566 death tolls. New cases were

reported in country taking the total number of people suffering the contagious virus are

16,328.

The country had reported the following confirmed swine flu cases in India. Maharashtra still

continues to place on top among other places that have many confirmed swine flu cases.

Its last death made its toll climbed up to 197 deaths. The place also has approximately about

3600 people who were infected by the swine flu .Kerala reported 27 confirmed swine flu

cases were reported this place .New Delhi had recorded 13 cases of swine flu .Eight negative

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folks of Tamilnaduhad raised the number of cases of swine flu India. One case of swine flu

infection was recent discovered in Haryan. Karnataka reported 5 deaths due to swine flu

were last recorded rising its total death toll to 117 .Bangalore reported 38 swine flu deaths

so far.

Today child health is viewed as a holistic and positive component for total

development, and health is essential for high quality of life for children. Children physical

size and developmental level result in unique responses to illness and technological

challenges. It is a challenging task for the medical & nursing team involved in the care of

children .According to reports, swine flu (H1N1) is spreading fast throughout country;

people are getting panicky about its possible consequences. The ignorance and fear are the

root causes of the unwarranted panic among the public.

25 June 2012 central of disease control swine flu is otherwise called as influenza A

(H1N1) infection has clinical manifestations of influenza like illness range from

asymptomatic infection to mild upper respiratory illness, viral syndrome, diarrhoea and

sever pneumonia to acute respiratory distress syndrome (ARDD) & to progression to multi

organ failure. Populations at increased risk for morbidity & mortality include the very young

(1-3 years) & elderly 65 above .Influenza virus are common & important human pathogens

that are responsible for seasonal epidemics & occasional unpredictable pandemics. The

deadliest pandemic in recorded history occurred in 1918 toward the end of the First World

War. Influenza H1N1 strain killed an estimated 50 millions people worldwide the 1000 of

young children & previously healthy individuals dying within 5-7 days of infection. Each year

central for Disease Control publishes recommendation for influenza; and expands its

guidance by adding recommendation for vaccination of children 2-5 years of age.

Recently published studies indicate that 20-40 % of populations in India have been

infected by (H1N1).Many country specially in high risk group. This coverage further

increases community wide immunity, pandemic like the virus that advice during post

pandemic period. Based on last pandemics it is likely that virus will continue to cause serious

disease in younger children. If the groups identify diminish.

People at high risk of serious flu complications include children younger than 5 years.

Every 6 month of age & last as soon as as the vaccine is available. Vaccination is especially

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important for he people who care for or are around person below 24 month of age who

cannot be vaccinated. Flu is more dangerous than the common cold for children. Each year ,

seasion winter well being of children & families. Children commonly need medical care of

because influenza especially before the prevention being better than cure .

PROBLEM STATEMENT

COMPLICATION STUDY TO ASSESS THE LEVEL OF KNOWLEDGE OF SCHOOL STUDENT ON

PREVENTION OF INFLUENZA HINI THROUGH THE STRUCTURE TEACHING PROGRAMME

AMONG HIGH SCHOOL CHILDREN AT GOVT.SCHOOL JAGDALPUR.

OBJECTIVES OF STUDY

1.To assess the knowledge regarding prevention of swine flu among high school children.

2.To evaluate the effectiveness of structured teaching by compairing pre test & post test

knowledge score.

3.To find the association between pre test knowledge score with selected demographic

variables.

OPERATIONAL DEFINATION

Evaluate : This study refers to finding the value of the structured teaching programme on

increasing knowledge of high school children regarding swine flu prevention.

Effectiveness : Refers to determining the extent to which the structured teaching

programme has achieved the desired effect in improving the knowledge of high school

children on swine flu prevention.

Structured teaching programme : Well organized teaching material prepare and used by the

investigator for the selected high school children to enhance the student knowledge onswine flu prevention.

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Knowledge : Ability of high school children in giving correct responses to the question asked

as measured by knowledge questionnaire.

H1N1 : A highly contagious form of influenza seen in swine caused by virus

orthomyxoviridae .The infection is communicable to and caused a woridwide epidemic .

Prevention : It refers to the activities or measures that are being taken to control or stop

any untoward effect of disease or disease it self.

School children : The children of age between 12-15 year

HYPOTHESES

H0There will be no association between the knowledge of high school children regarding

influenza H1N1 prevention & selective variables.

H1-There will be a significant association between the knowledge of high school children

regarding swine flu

H2- There will be significant association between pre test and post test knowledge

scores on swine flu and its prevention among high school children.

ASSUMPTION:

The high school children will have inadequate knowledge regarding the

prevention of influenza H1N1.

Structured teaching programme enhance the knowledge of high school

children .

VARIABLES;

Independent variables: structured teaching programme regarding prevention of influenza

H1N1 is the independent variable in the present study.

Dependent variable : knowledge score of high school children on prevention of influenza

H1N1 is the dependent variables.

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SUMMARY

This chapter has dealt with the introduction, need for the study, problem statement,

objectives, operational defination, assumption formulated, conceptual framework, adopted

for the study and the organization of report.

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CHAPTER -II

REVIEW OF LITERATURE

A literature review is a body of text that aims to text that aims to review the critical points

of knowledge on a particular topic of A literature review is an account of what has been

already established on a particular research topic by accredited scholars and researchers.

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[Acc. To university of Toronto,2001] DEVELOPMENT OF TOOLS.

Keeping in view the objectives of the comparative study to assess the level of knowledge of

school student on prevention of Influenza A (H1N1) through the structured teaching

programme at Govt. School Jagdalpur.

The questionnaire has two part 1 & part 2

PART 1:-The first part consist of 9 items related to demographic characteristics of school

going children age 1216 years

PART 2:- It consist of 30 items related to knowledge, related to meaning & definition, mode

of transmission, clinical manifestation, pathophysiology , diagnosis, prevention and

management, side effect of vaccination of INFLUENZA A.

The responded were instructed to select the most appropriate answer. Each correct answer

has given as core of one & zero for wrong answer. Thus maximum score was 30. As the

sample consist of school going children 12 to 16 year attending in Bastar Higher Secondary

School Jagdalpur (C.G.). The tool was prepared in English and translated to Hindi to facilitate

better comprehension.

Review of literature is a systemic identification , location ,selection and summary of

written material that contains information information on research problems.

Literature review is based on the extensive survey of books, journals, and

international nursing indices. It provides basis for future investigations, justifies the

need for study , and relates the finding from one study to another with a hope to

establish a comprehensive study of scientific knowledge in a profession discipline

from which valid and pertinent theories may be develop.

The review of literature of the present study was collected, organized and has been

presented under two section.

SectionA : Studies related to disease condition .

Section-B: Studies related to prevention and immunization.

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Section :A:- Studies related to disease condition

A cross sectional study was conducted on the transmission of influenza A/H1N1

2009 , in the community of England the sample consisted of 1385 patients with cold or flu

symptoms who had called to NHS directed telephone health line . The study was conducted

in 6 region of England pneumonia .If the vaccine supplies are limited ,these findings suggest

a ration for focusing prevention efforts on younger population.

An experimental was conducted on Chest radiography & CT in novel swine origin influenza

a (H1N1) virus infection in U.S.A. The sample consisted 66 patient who underwent chest

radio graphs .Study divides these samples into two groups, group 1 of 14 patient and group

2 consisted 52 patient , group 1 required ICU admission and advance mechanical ventilation

and group 2 did not, finding reveals that the group 1 had abnormal initial radiographs than

group 2.Study concluded that the chest radiographs were normal in more than half of

patients with H1N1 and progress to bilateral extensive lung disease.

A cross sectional study was conducted on Initial psychological respons to influenza A,

H1N1, at brunel university, U.K. The sample consisted 328 respondents the data collected

by in internet and paper based questionnaire studying Malaysia and Europe. The studyanalyzed that the measures assessd changes transport usage, purchase of preparatory

goods for a pandemic, indicators of a anxiety estimated rates for seasonal flu ,and

effectiveness of seasonal flu vaccination. The findings revealed that initial responses to

influenza A show large regional differences in anxiety and more likely to reduce travel and

to by the masks and food. The study concluded that the discussion with family and friends

may reinforce existing anxiety level .

FLOOD et al 2010 U.S.A. shows that an experimental that n experimental study was

conducted on Development of a new disinfectant with very strong anti influenza viral

activity . The study consisted ovo as sample . The study analyzed that the acute toxicity of

this disinfectant to two different cultured cell lines were investigated. The finding revealed

that the new disinfectant shown very strong anti influenza viral activity the ovo test .The

study had concluded that this new disinfectant is expected to be useful for preventing viral

infection during a new influenza pandemic.

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A cross section survey study conducted on Sydney residents to ascertain the beliefs ,

perceived risk and initial attitude of the Australian community towards the influenza at

university of new south wales ,Sydney. sample consisted 620 respondents. The finding

reveals that about 447 were aware of pandemic H1N1, but 273 felt they did not have

enough information about the situation. The study suggested to emphasize the efficacy of

recommended actions such as hand hygiene.

NIAID researchers found that H1N1 influenza was transmitted to human several months

before recognition of outbreak A team of Hong Kong University conducted an evaluator

analysis on the currently circulating 2009 novel H1N1 influenza virus to determine its origin

and early development. Researchers found that the virus was derived from several viruses

circulating in swine, and that the initial transmission to humans occurred several months

before recognition of the outbreak.

Wisconsin-madison et al 2011 :- The investigator at the university of Wisconsin-Madison

Found that infection with human H1N1 viruses that are antigenic ally related to viruses were

circulating in 1918 confers neutralizing antibody activity against the currently circulating

2009 novel H1N1 .These finding suggests that people alive during the 1918 influenza

pandemic have the most protection against the current 2009 H1N1 influenza because of

their prior exposure. Finally the team confirms the antiviral drug like Tami flu and Relenza

are effective against the new H1N1 pandemic virus.

Section- B: Studies related to prevention and immunization.

An Experimental study was conducted on To assist in future outbreak prevention and

control efforts at naval medical centre, California The sample consisted 761 patients. These

patients. were had influenzalike illness. The finding revealed that 97 were confirmed of

novel H1N1 virus infection and the study concluded that the outbreak described that it

primarily affects adolescents and young adults and resulted in a febrile illness without

sequelae.

Rothan Tondevr et el 2009 france:- Result shown that A descriptive study was conducted on

prevention and treatment modalities of novel H1N1 influenza, the researcher were obtained

the data from Medline (1966-Oct-1999) and international pharmaceutical Abstracts (1971-

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oct-2009) these data and available articles were reviewed with the information obtained

from the centers for disease control and prevention, the food are drug administration &

WHO, the analysis of study was this new strain, by this study the researcher suggested that

the utilization of immunization & antiviral treatment options are available to prevent, treat

and control the spread of HINI infection.

Jimenez Garda 2012 Spain :- Shown that an experimental study was conducted to

investigate the ability of Arachidonic acid(AA) and docosahaxaenoic acid (DHA) enriched

infants formula to modulate immune response in the neonate in response to an inactivated

influenza virus vaccine .The samples consisted 48 neonate piglets which are distributed in

to 16 blocks are of 3 littermate piglets each. In each block piglet where randomly assigned

to a control formula for 30 days on day 9 ,8 blocks of piglets were immunized with an

inactivated influenza virus vaccine, on days 0 ,9, 16, 23 and 30. After weaning T cells had

measured. The study analyzed that the T cell were proliferated in blood .The study shown

the result that the immunomodilatory effects of AA /DHA enriched formulas were

consistent with up regulation of interleukin 10 in peripheral blood mononuclear cells the

study concluded that the AA /DHA enriched formula modulated antigen specific T cell

responses in part through an interleukin 10 dependent mechanism.

Dexter 2013 Canada university et al:- An experimental study was conducted on The clinical

presentation, diagnosis and management of swine flu among Pediatric patients at child and

family research institute, Canada. The sample consisted 205 children. The finding revealed

that 30 children were infected with H1N1. The study analyzed that the guidelines on

diagnostic testing and management of patients with H1N1 infection. The researcher

suggested that the exposed children should be indentified and should be vaccination.

SUMMARY:- The review of literature aided in providing knowledge based to carry out the

study. It helped the investigator to understand the existing the knowledge about vaccination

of influenza H1N1 among the high school children to identify the concept of theoretical

framework and their relationship among the concepts. It further gave direction in designing

the study development of tool data collection procedure and analysis of data.

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CHAPTER III

METHODOLOGY

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The philosophical assumption , method of data collection & techniques of data analysis can

be used to find out whether the study is qualitative, quantitative or a mixture of the two

According to Kadar Parahoo

method of data & presentation , here includes the parameter to be compared &analyzed,

statistical techniques and method to be used for analysis the data should be specified e.g.

descriptive statistics inferential statistical for testing hypothesis and drawing inferences.

According to B.T. Basavanthappa :-

RESEARCH APPROACH:-

Research approach is the procedure conducting the study .

According to Kerlinger

In this study quantitative research approach is used .

RESEARCH DESIGN:-

The research design is the plan , structure & strategy of investigations of

answering the research question is the overall plan or blue print. The researchers select to

carry out their study .

According to B.T. Basavanthappa

The term research design means of plan that describes how, when &

where data are to be collected & analyzed. The design of the study comprises the following

aspects :-

The approach ( quantitative ,qualitative or both ,with or without a conceptual

framework)

The method of data collection & ethical considerations .

The time place & source of data .

The method of data analysis.

For the present study pre experimental research design (one-group pre-test, post-

test design ) is used.

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RESEARCH DESIGN-:

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VARIABLES :-

INDEPENDENT VARIABLES

The independent variables is the variable that stands alone and not

dependent any other. It is the causes of action.

In the study, structured teaching programme was the independent variable.

DEPENDENT VARIABLES

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The dependent variables is the effect of the action of the independent

variables and can not exit by it self.

In the study knowledge of level of children were dependent variable.

SETTING OF THE STUDY

The physical location & condition which data collection takes place in the study.

For the present study , site in the Bastar high secondary school Jagdalpur ( C.G.) which is 60

student is available and well facilitate.

CRITERIA FOR THE SELECTION OF THE STUDY

Relevance.

Avoidance of duplication.

Urgency of data needed ( timeless).

Feasiability of the study.

Application of results.

Ethical acceptability.

TARGET POPULATION

The target or study population is the population which meets the criteria for

inclusion stimulated by researchers.

According to Kedar Parahoo

Target population is the aggregate of cases about which the researcher would like

to generalized. For the present study school going children of bastar high school

Jagdalpur with level of knowledge prevention of Influenza A .

ACCESSIBLE POPULATION

The accessible or source population is the aggregate of cases that conform to

designated criteria and that are accessible as subject for a study.

For the present study prevention of Influenza A level of knowledge on school going

children (12-16 years) in Bastar high school Jagdalpur c.g. are the accessiblepopulation.

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DEVELOPMENT OF TOOLS

Keeping in view the objectives of the comparative study to assess thelevel of knowledge of school student on prevention of Influenza A (H1N1) through

the structured teaching programme at Govt. School Jagdalpur.

The questionnaire has two part 1 & part 2

PART 1:- The first part consist of 9 items related to demographic

characteristics of school going children age 1216 years

PART 2:- It consist of 30 items related to knowledge, related to meaning & definition,

mode of transmission, clinical manifestation, pathophysiology, diagnosis, prevention and

management, side effect of vaccination of INFLUENZA A.

The responded were instructed to select the most appropriate answer. Each

correct answer has given as core of one & zero for wrong answer. Thus maximum

score was 3the sample consist of school going children 12 to 16 year attending in

Bastar Higher Secondary School Jagdalpur (C.G.). The tool was prepared in English

and translated to Hindi to facilitate better comprehension

Developmental of structured teaching programme

Teaching programme is guide for a teacher because it help , to cover the

topic comprehensively with sequence of point & without missing anything.

The step to prepare teaching plan were.

Review of literature.

Framing the outline of content.

Prepare & organisation of content.

Deciding the method of instruction & A.V.AIDS.

Preparation of the final draft of STP.

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Evaluation the teaching plan.

Review of literature

An extensive literature review was undertaken regarding Influenza A vaccination from theresearcher & non researcher materials , internet sources, journals.

Framing the outline of content

The outline of the teaching plan was framed which include setting of the journals & specific

objectives, specifying the date ,time, place & size of the group , number of sessions &

duration of sessions.

Prepare of organisation of content

Content of the structured teaching programme was prepared & organized under various

heading according to the specific objectives.

Deciding the method of instruction & AV AIDS

The method of instruction adopted was lecture cum discussion, AV AIDS were black board,

charts, and flash cards were used.

Prepare of the final draft of the STP

Generals & specific objectives of the teaching plan were given in the beginning of the STP.

Final draft of plan teaching programme was organized under various heading, such as

introduction, meaning and definition of swine flu, mode of transmission , clinical

manifestation , pathophysiology, management, prevention and side effect on vaccination of

swine flu.

SAMPLE AND SAMPLE SIZE

A proportion or subject of the population is known as a sample.

A sample is a smaller representation of a large whole . A sample is a subset of population

element.

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Sample size may depend upon the nature of the population, number of sub groups ,nature

of study , type of sampling , level of accuracy & available of time and money.

According to D. Elakuvana Bhaskararaj

For the present study of 30 children are taken from Bastar high school jagdalpur c.g.

SAMPLING TECHNIQUE

Sampling is the process of selecting a representive part of the population. Thus , a

carefully carried out sampling process helps to draw a sample that represents the

characteristics of the population from which the sample is drawn.

The technique used in sampling for the present study is purposive sampling.

DATA COLLECTION METHOD

A formal written permission taken from principal Govt. College of Nursing Jagalpur (C.G.) to

conduct the study .Data is collected from comparative study of school going student of

bastar high school Jagdalpur ( C.G.) .The purpose of study was comparative study to assess

the level of knowledge of school going student (10-12 year) .

Through the sampling the researcher selected 30 samples to assess the level of

knowledge of school going student. It took 15 minutes for pre test & post test for 15

minutes with each student. The test was taken with the help of self structured teaching

programme list which in 30 question items. The students cooperated well the researcher

gave thanks after the completion of data collection.

PLAN FOR DATA ANALYSIS:-

The data were analyzed according to the objective of the study by using the descriptive and

inferential stastistics such as :

Frequency and percentage distribution were computed for describing the samples

demographic variables.

Knowledage level were analyzed in term of frequencies, percentage, mean ,mean %,

standared deviation and percentage in the form of bar ,pie, cone, column diagram.

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Paired pre test and post test was computed to compare the pre test and post test

mean score level of knowledge.

ETHICAL CONSIDERATION:-

The research problem and objective were approved by the research committee.

Formal permission taken from the higher authorities to conduct the study. Informed

consent was taken from all student include in this study from Bastar high school

Jagdalpur c.g. the purpose of the study was explained the students. Confidentiality

was maintained during data collection.

SUMMARY:-

This chapter of methodology deals with the research approach , research design,

setting of study, population ,sample and sample technique, development and

description of tools, development of structured questionnaire, data collection and

plan for data analysis.

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CHAPTER IV

DATA ANALYSIS AND INTERPRETATION

Analysis of quantitative data involves the production and interpretation of frequencies

,tables, graphs etc that describe the data .

According to Bhaskararaj

This chapter present the analysis and interpretation of data collection from school going

children study in Govt. Bastar High School Jagdalpur about prevention of influenza A.

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The analysis in the categorized , ordering , manipulating and summarizing of data obtained

answer to research question.

The data collection was organized tabulated ,analyzed and interpreted according to the

objectives of the study.

1.To assess the knowledge regarding prevention of swine flu among high school children.

2.To evaluate the effectiveness of structured teaching by compairing pre test & post test

knowledge score.

3.To find the association between pre test knowledge score with selected demographic

variables.

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SECTION - I

DISTRIBUTION OF THE STUDY SUBJECTS ACCORDING

SOCIODEMOGRAPHIC VARIABLES

S.NO. AGE FREQVENCY PERCENTAGE

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DISTRIBUTION OF SUBBJECT ACCORDING TO THE AGE

FIGURE 1:- Column diagram representing subjects according to age of childrenTABLE

TABLE [FIG-1]:-depicts that children , i.e . 4 [13.30%] belong to age group of 10-12 years

and maximum children 14 [46.60%]belong to age group of 12-14 years and 10 [33.33%] in

age group are 14-16 years and followed by 2 [6.66%] in the group of 16-18 years.

TABLE-II

S.NO. SEX FREQUENCY PERCENTAGE

1. MALE 30 100%

10-12 year12-14 year

14-16 year16-18 year

4

14

10

2

13.30%46.60%

33.33%6.66%

FREQUENCY PERCENTAGE

1 10-12 Year 4 13.3%

2 12-14 Year 14 46.6%

3 14-16 Year 10 33.3%

4 16-18 Year 2 6.66%

TOTAL 30 100%

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2. FEMALE 0 0

TOTAL 30 100%

DISTRIBUTION OF SUBJECTS ACCORDING TO SEX

FIGURE 2 :- Column diagram of representing subjects of according to sex of children.

TABLE [fig 2]:-depicts that majority of children i.e.30 [100%]had male.0[0%] had female.

TABLE - III

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

MALE FEMALE

Column1

PERCENTAGEFREQUENCY

S.N. FAMILY EDUCATION FREQUENCY PERCENTAGE

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DISTRIBUTION OF SUBJECTS ACCORDING TO THE FAMILY EDUCATION.

FIGURE 3: - Bar diagram representing subjects according to family education.

TABLE 3 :-Depicts that level of family education i.e. 7(23.3%) had primary school

,13(43.33%) middle school, 5(16.6%) higher school, 5(6.6%) college.

TABLE- IV

S.NO. FAMILY OCCUPATION FREQUENCY PERCENTAGE

0

2

4

6

8

10

12

14

PRIMARY

SCHOOL

MIDDLE

SCHOOL

HIGHER

SECONDARY

SCHOOL

COLLEGE

Column1

FREQUENCY

PERCENTAGE

1 PRIMARY SCHOOL 7 23.3%

2 MIDDLE SCHOOL 13 43.33%

3 HIGHER SECONDARY SCHOOL 5 16.6%

4 COLLEGE 5 16.6%

TOTAL 30 100%

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1 GOVT. SERVENT 4 13.33%

2 PRIVATE JOB 5 16.66%

3 LABOUR 18 60%

4 NON OF THIS 3 10%

TOTAL 30 100%

DISTRIBITION OF SUBJECTS ACCORDING TO FAMILY OCCUPATION

FIGURE 4:-pie representing subjects according to family occupation.

TABLE[Fig4]:- depicts that level of family occupation i.e.4[13.33%] govt. Servent

,5[16.66%]private job,18[60% ] labor,3[10%]non of this

TABLE - V

13%

17%

60%

10%

FREQUENCY

GOVT.SERVENT PRIVATE JOB LABOUR NON OF THIS

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S.N. FAMILY INCOME FREQUENCY PERCENTAGE

1. 2500 7 23.33%

2. 3000 9 30%

3. 5000 9 30%

4. 10,000 5 16.66%

TOTAL 30 100%

DISTRIBUTION OF SUBJECTS ACCORDING TO FAMILY INCOME

FIGURE 5 :-bar diagram representing subjects according to income of family

TABLE 5[FIG 5]:- the depicts shows that income of family i. e.7 [23.33 %] 2500Rs/,

9[30%]3000Rs/,9[30%] 5000Rs/,5[16.66%] 10,000Rs/

TABLEVI

0 2 4 6 8 10

2500

3000

5000

10000

7

9

9

5

23.33%

30%

30%

16.66%

FREQUENCY PERCENTAGE Column1

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S.NO. TYPES OF FAMILY FREQUENCY PERSENTAGE

1. NUCLEAR 22 73.33%

2. JOINT 8 26.66%

TOTAL 30 100%

s DISTRIBUTION OF SUBJECTS ACCORDING TO TYPES OF FAMILY

FIGURE:-diagram re-Line presenting the subject according to types of family.

TABLE [FIG 6]:-Shows that the types of family of majority i.e.22[73.33%] nuclear,8[26.66%]

joint .

TABLE - VII

0

5

10

15

20

25

NUCLEARJOINT

22

873.33%26.66%

Chart Title

FREQUENCY

PERSENTAGE

Series 3

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S.NO. LIVING PLACE FREQUENCY PERSENTAGE

1. TOWN 15 50%

2. VILLAGE 15 50%

TOTAL 30 100%

DISTRIBUTION OF SUBJECTS ACCORDING TO LIVING PLACE

FIGURE 7:-Doughnut diagram representing subjects according to living place.

TABLE[fig7]:-depicts that 15[50%]town, 15[50%]village.

TABLE - VIII

S.NO. RELIGION FREQUENCY PERCENTAGE

TOWN

50%

VILLAGE

50%

TOWN

50%

VILLAGE

50%

Chart Title

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1. HINDU 29 96.66%

2. MUSLIM 0 0%

3. CHRISTIAN 1 3.33%

4. SIKH 0 0%

TOTAL 30 100%

DISTRIBUTION OF SUBJECTS ACCORDING TO RELIGION

FIGURE 8:- area diagram representing subjects according to the religion

TABLE[fig8]:-depicts that maximum 29[96.66%]hindu, 0[0%] muslim, 1[3.33%] Christian,

0[0%] sikh

TABLE :-IX

0

5

10

15

20

25

30

HINDUMUSLIM

CHRISTIANSICKKH

AxisT

itle

Axis Title

Chart Title

FREQUENCY

PERCENTAGE

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S.NO. NO OF CHILDREN FREQUENCY PERCENTAGE

1. 30 30 100%

2. 40 0 0%

3. 45 0 0%

4. 50 0 0%

TOTAL 30 100%

DISTRIBUTION OF SUBJECTS ACCORDING TO NO OF CHILDREN.

FIGURE 9:-Column diagram representing subjects according to no of children.

TABLE 9[fig9]:- The depicts are shows that no of children i.e.30[100%] 30, 0[0%] 40,[0%] 45,

0[0%]50.

ANALYSIS REGARDING COMPARISON OF MEAN SCORE AND STANDERD DEVIATION OF

PRETEST & POST TEST LEVELE OF KNOWLEDGE .

0

5

10

15

20

25

30

3040

4550

30

00

0

100%0%

0%0%

FREQUENCY PERCENTAGE Series 3

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S.NO. LEVEL OF

KNOWLEDGE

MAXIMUM

POSITIVE

SCORE

MEAN

SCORE

MEAN %

SCORE

STANDERD

DEVIATION

1. PRE TEST 30 8.63 3.33% 6.98

2. POST TEST 30 15.83 3.33% 12.61

The above table shows that 8.63 is mean score,3.33 is a mean % score and 6.98 is the

standard deviation of pre test and 15.83 is mean score, 3.33 is a mean % score,12.61is the

standard deviation of post test.

FIGURE NO 10:- chart layout representing the subject according to level of knowledge wise

analysis of pre test post test.

MAXIMUM POSITIVE SCORE

MEAN SCORE

MEAN PERCENTAGE SCORE

STANDERD DEVIATION

0

5

10

15

20

25

30

PER TESTPOST TEST

AxisTitle

Chart Title

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CHAPTER V

RESULTS AND DISCUSSION

Analysis as the categorizing , manipulating and summarizing of data , to obtain answers to

the research questions .The purpose of analysis is to reduced data to n intelligible and

interpretable form so that the relation of research problem can be studied and tested.

Interpretation is the most challenging and structured step in the process of research.

Interpreting the research findings requires the investigators to be creative.

One group pre test post test design with evaluating approach was used in the

presented to assess the effectiveness of STP on vaccination of swine flu among school

childrens.

The data was collected from 60 students before and after the administration of STP.

The collected information was organized ,tabulated,analyzed and interpreted by using

descriptive and inferential statistics.

The objectives of the study were,

*To assess the knowledge regarding prevention of swine fiu among high school children.

*To evaluate the effectiveness of structured teaching programme by comparing pre test and

post test knowledge score.

*To find the association between pre test knowledge scores with selected demographic

variables.

ORGANIZATION OF FINDINGS

The data and findings organised and presented in three parts, Part-I, Part-II, Part-

III,and Part-IV.

Part I: Sample characteristics

Part:II Analysis of pre test knowledge scores of students.

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SECTION A: Level of Knowledge among students regarding

Vaccinatio of swine flu.

SECTION B: Area wise mean, mean percentage, standard deviation

Of pre test knowledge score.

Part III: Assessment of effectiveness of STP vaccination

Of swine flu .

SECTION A: Assesssment of post- test knowledge score of students

Regarding vaccination of swine flu.

SECTION B: Area wise effectiveness of structured teaching

Programme.

SECTION C:Item-wise effectiveness of structured teaching

Programme on vaccination of swine flu.

PART IV: Association of pre test knowledge scores and selected

Demographic variables.

Part I:Sample characteristics

Table 1:Demographic charecteristics of the sample

N=60

Demographic

Data

Frequency percentage

1.Age of children

1o to 12 yrs. 4 13.33%

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12 to 14 yrs. 14 46.6%

14 to 16 yrs. 10 33.3%

16 to 18 yrs. 2 6.66%

2. sex

Male 60 100%

Female - -

3.Level of family education

Primary education 7 23.3%

Middle school 13 43.33%

Higher secondary 5 16.6%

College 5 16.6%

4.family occupation

Govt. Servent 4 13.33%

Private servent 5 16.66%

Labour 18 60%

None of this 3 10%

5.Family income

2500 Rs. 7 23.33%

3000 Rs. 9 30%

5000 Rs. 9 30%

1000Rs. 5 16.6%

6.Types of family

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Nuclear 22 73.33%

Joint 08 26.66%

7.Living place

TOWN 15 50%

Village 15 50%

8.religion

Hindu 29 96.66%

Muslim 0 0%

CHRISTIAN 01 3.33%

Sikh 0 0%

9. no. Of children

30 0 0%

40 0 0%

60 60 100%

A quantative approach used for the study. A purposive sampling was done to select

samples. The Data collection tools Were used demographic variables ,rating scale was used

to assess the level of knowledage by subjects.

The major finding of the study are dicussed in light to the formulated objectives, which are

as follows;

To assess the level of knowledge regarding prevention of swine flu among school

children.

To evaluvate the effectiveness of structured teaching programme by comparing pre

test and post knowledge score.

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To find out the association between post test knowledge scores with selected

demographic variables.

The first objectives is to assess the knowledge regarding prevention of swine flu

among school children.

The level of knowledge the sample was measured by rating scale the reveals that

total mean percentages of pre test knowledge score was 3.33% with mean and

standard deviation of 8.63 and 6.98 area wise mean percentages of knowledge score

was highest 3.34% and control group and mean percentage 3.33% mean and

standard deviation 9.46 and 7.55 .

The overall mean post test knowledge score mean percentages

3.33% mean and standard deviation 15.83 and 12.61 and post test control group

mean percentage 3.33% and mean and standard deviation 13.03 and 10.41

evaluation of the effectiveness of STP shows that majority of the respondents pre

test knowledge 3.33% and post test knowledge 3.33% adequate knowledge followed

by 4 (10 %) of respondents had moderately adequate knowledge the overall level of

knowledge score was pre test 30,mean score 8.63 mean percentage score 3.33% and

standard deviation 6.98.

The post test knowledge score 30, mean score 15.83 mean

percentage score 3.33% and standard deviation 12.61.It was also found that the

obtained Z value 12.592 higher than the table value.

The seconds objectives was to find out the effectiveness of structured teaching

programme by comparing pre test and post test knowledge score.

The finding congruent with the studies conducted by other researcher . Study was

conducted was evaluate the effectiveness of health education module on schools ,in

order to create awareness among school children the investigator has taken up this

study; this will help the target group to help them to prevent them self from this

dangerous contagious disease .The study limited to the children of age group 12-14

years by using random sampling technique, sample was 60 children were selected

the result of post score revealed that the health education module had brought in an

improvement the level of knowledge regarding swine flu among samples.The overall

mean score percentage 3.33% with the SD 6.98 in the pre test score and the overall

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mean percentages 3.33% with SD 12.61 in the post test score it reveals that the

improvement score the 12.592 the paired Z value which has stastistically

significant improvement -1.17 level.

This study conclude that HEM health education module was effective in

improving the knowledgw among the school children regarding prevention of swine

flu.

The association of knowledge post test knowledge score of school children

regarding vaccination of swine flu with selected demographic variables

The association of post test knowledge score of school children regarding

vaccination of swine flu with selected demographic variables revealed that there

was no association between the post test knowledge score and selected

demographic variables like age of children ,sex ,education , occupation of family ,

monthly income of family, type of family, living place, religion, number of children

.Also the study reveals that there was association between the selected variables like

sex and number of children post test knowledge score of school children regarding

vaccination of swine flu.

The result of this study contradicted by a similar study done by Lynch

J.P.(2009) on school children knowledge regarding prevention of swine flu reveals

that increase knowledge was associated with school education and living pattern.

SUMMARY-: this chapter dealt with the analysis and interpretations of the findings

of the study.

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CHAPTER VI

SUMMARY , FINDINGS, IMPICATION ,LIMITATION,RECOMMENDATIONS AND CONCLUSION

This chapter presents the summary of the study, finding and its implications for nursing and

health care services and ends with recommendations for further research in this field.

SUMMARY OF THE STUDY

The purpose of the study was to assess the level of knowledge of school student on

prevention of influenza H1N1.

The pre experimental study was designed by the researchers to evaluate the level of

knowledge. Purposive sampling technique was used to selects 30 samples. The tool was

developed and adopted after reviewing the relevant literature. Comparative study used to

assess the level of knowledge among school going children. The collected data was

calculated and analyzed using both descriptive and inferential statistics based on the

objectives of the study. The study tested and accepted the hypothesis .The data collect were

statistically analyzd and represented as tables and graphs in the previous chapter.

The major finding of the study are discussed in light to the formulated objectives, which are

as follows,

1.To assess the knowledge regarding prevention of swine flu among high school children.

2.To evaluate the effectiveness of structured teaching by compairing pre test & post test

knowledge score.

3.To find the association between pre test knowledge score with selected demographic

variables.

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ORGANIZATIONThe data was analysed and presented in four different headings.

SECTIoN 1:- Description of demographic variables.

SECTION 2:- Finding related to effectiveness of structure teaching programmes.

SECTION 3:- Findings related to comparison of effectiveness of level of knowledge before

and after

Structure teaching programmes.

SECTION 4:-Association between selected variables with effectiveness of structure teaching

Programme.

MAJOR FINDINGS OF THE STUDY :-

= As per socio demographic variables, subject acc. to the age of children , majority of

responded in samples 46.67% belong to 1214 year.

= Distribution of subject acc. to sex majority of responded in sample 100% were boys.

= Distribution of subject acc. to family education , majority of responded in sample 43.39%

belong to middle school of family education.

= Distribution of subject acc. to family occupation, majority of responded in 60% belong to

labour .

=Distribution of subject acc. to family income, majority of responded in 30% belong to 3000

& 30% of 5000.

= Distribution of subject acc. to type of family , majority of responded in sample 73.33%

belong to nuclear type of family .

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=Distribution of subject acc. to living place equal responded 50% to both village & town

living place.

=Distribution of subject acc. to religion , majority of responded in sample 96.66% belong to

Hindus.

=Comparison of level of knowledge of school going children before & after structure

teaching programme .

C0NCLUTION :-

Swine flu is a highly contagious respiratory disease of pig caused by one

of several swine Influenza A viruses out breaks are common in pig year round & infection in

human is a

A study conducted on for assess the level of knowledge of school student

on prevention Influenza A H1N1.

NURSING IMPLICATION:-

The present study emphasized the need for the educate the school

going children regarding prevention of Influenza.

NURSING EDUCATION:-

=Nursing curriculum should be equipped with knowledge & skill to prepare a good

structure teaching programme for asses their knowledge & increase the level of

knowledge of Influenza H1N1.

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=Nursing will have a good skill for assessing increased the level of knowledge of school

going children.

NURSING RESEARCH

Use of research finding should become a part of the qualityassurance evaluation to

evaluate individual performances a whole.

The study will motivate initial researchers to conduct the study on large scale.

Selected structured teaching programme increase the level of knowledge of

students .

RECOMMENDATION

The same study could be undertaken with large sample to show stronger statistical

association.

Study school can reveal a better picture and confirm the finding of present study.

LIMITATION

Getting adequate sample takes time.

Teaching is time consuming

The study was confined to a small number of participants which limits generalization.

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CHAPTER 6

BIBLIOGRAPHY

BOOKS

Brunner & Suddarths:- Text Book of Medical Surgical Nursing; 12th

edition 2008;

published by wolters kluwer India pvt. Ltd New Delhi; pp 1105-1107.

Bailey & Lovis:- Text Book of Short Practice of surgery; 25th

edition ; published by hodder

Arnold and Edward 2008 Ltd ;pp 1185-1187.

Indu khurana arushi: text book of anatomy and physiology for health professional; published

by kumar jain pp 364

K. rajgopal shenoy:- Text Book Of manipal manual of surgery;2ND

edition ;published by

satish k jain;pp 521

Luckmanns :- text book of core principal and practice of medical surgical nursing;

Edition 2010; published by elesvier India pvt Ltd; 1073-1075

Lemone burke:- text book of critical thinking in client care medical surgical nursing ; edition

2008; published by oorling Kindersley India pvt Ltd

Potter and perry; text book of fundamental of nursing; 7th

edition; published by elesvier pvt

Ltd; pp 1181

Robert .g. marton; Nursres pocket guide; 10th

edition ;published by joanne p.duncan

Willson and ross; text book pf anatomy and physiology in health and illness;2006 edition;

published by Elesvier; pp 302

Tiraha behram khan ; medical dictionary English-hindi; published by kamal prakashan

Tortora derrickson; text book of principal of anatomy and physiology; 12th

edition; volume 2

published by john wiley and son 2009 pvt Ltd ;pp 970

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WEBOGRAPHY

http://:www.stomacare.com

http://:www.ostomywoundmanagement.com

http://:www.ostomycareliteraturereview.com

http://:www.ijsr.net.com

http://:www.englishadvisorybookletostomy.com

http://:www.healthlibrary.com

http://:www.rajivgandhiuniversityofhealthscience.com

Lewis and chintamani; text book of medical surgical nursing; edition 2011; published by

elesvier India pvt Ltd ;pp 1073-1076.

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SET-A

1)Age of children

a)1012 year b)12-14 year

c) 1416 year d) 1618 year

2) Sex.

a)Girls b) Boys

3)education of family.

a)Primary education b) Middle education

c) Higher education d) Higher secondary

4)Occupation of family.

a) Govt. Employee b) Private service

c) Labour d) None of this

5)Income of family.

a)2,500/ b) 3,000/

c) 5,000/ d) 10,000/

6) Types of family.

a)Nuclear family b) Joint family

7)Living place.

a) Town b) Village

8)Religion.

a) Hindu b) Muslim

c)Christian d) Sikh

9)Number of children.

a) 1012 year b) 1214 year

c) 1416 year d) 1618 year.

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SET - B

1)Swine flu is a.

a) communicable disease b) non-communicable disease

c) both d) none of this

2)who & when discovered the influenza virus.

a) by who on 11 June 2009 b) by who on 11 June 2001

c)by NGO on 10 may 2009 d) by NGO on 20 june 2007

3)what is the meaning of N in H1N1 virus.

a)snuraminidase b) nuranionidase

c) nuclice acid d) none of this

4) what is the meaning of H in influenza.

a) haemoglobin b) hem-aglutinin

c) heminidase c) all of

5) what is the size of H1N1 virus.

a)rectangular b) round shape

c) triangular d) all of

6) which month highly communicable of swine flu virus.

a) NovemberApril b) AprilNovember

c)April - September d) MayJuly

7) whose month highly infectious about swine flu.

a) 11 June 2009 b) 11 June 2010

c) 9 march 2007 d) 28 may 2009

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8) whose country given swine flu name H1N1.

a) Taiwan b) Endonesia

C) Japan d) Brazil

9)which area in highly mortality rate.

a) south Asia & china b) America

c) Africa & south Asia d) Endonesia & Japan

10)how many people are death by this virus.

a) 6,000 b) 20,000

c) 9,500 d) 18,000

11)which system are related swine flu disease.

a) Digestive system b) Nervous system

c) Respiratory system d) Circulatory system

12) other name of swine flu.

a) mal nutrition b) measles

c) avine flu ( bird flu ) d) chicken guniea

SETC

1)what are the route oftransmission of swine flu in human.

a) by respiratory system b) by infected hand

c) by anus d) by mouth

2)which type of influenza virus are affect by swine flu.

a) H1N1 B) H1N2

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c)H3N3 d) H7N7

3)what is the incubation period of swine flu .

a) 1214 hours b) 212 hours

c) 18 -72 hours d) 2448hour

4)which season are favrable for swine flu infection .

a) rainny season b) summer

c) winter d) winter & summer

5) transmission of influenza virus occur for pigs to human by.

a) uncooked meet b) contact

c) touch d) non of this

6) human o human transmission rate rapidly increase.

a) sneezing & coughing b) infected food

c) infected water d) none of this

SETD

1)what is the main symptoms of swine flu ?

a)swelling of neck b) body ache & fever

c) headache d) all of above

2) what is the different between cold & flu.

a) nose, lungs & alveoli infection is knows as flu.

b)upper respiratory tract infection is known as cold

c) nose & lungs infection is known as cold

1) a & b 2) only b

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3) a & c 4) a, b,& c

SETE

1)what is the main prevention of swine flu .

a) Immunization b) medication

c) both d) none of this

2) what is the main site of vaccination of swine flu.

a) Intramuscular b) Intravenous

c) Subcutaneous d) none of this

3) how many month spacing is needed between & 2 doses.

a) 28 days b) 15 days

c) 10 days d) 1 month

4) how to diagnose swine flu.

a) blood test b) sputum test

c) both d) none of this

5) which age of children are not given vaccine of swine flu.

a) below 2 year b) below 3 year

c) below 3 year d) none of this

6) which type of diseased person are not given the vaccination of swine flu.

a) diabetic mellitus b) jaundice

c) asthma d) none of this

7) what is the side effect of swine flu vaccination .

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a) abdomen pain b) fever , swelling & redness

c) vomiting & fever d) joint pain & fever

8) if swine flu is not care properly .

a) mental problem b)neckache

c) chest pain d) death

SETF

1)which uncooked meat lead to swine flu ?

a) fish b) hen

c) dog d) pig

2) which type of diet are recommended for swine flu.

a) nontoxic b) carbohydrate

b) vegetable d) all of this

3) which vitamin are reduce the effect of swine flu.

a) vitamin a b) vitamin c

c) vitamin e d) vitamin d

Letter seeking permission to conduct study.

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To,

The principal

Government college of nursing

Jagdalpur [C.G.]

Subject:- seeking permission to conduct study.

Respected madam,

We are the student of b.sc. nursing final year student in govt. College of

nursing Jagdalpur ,Bastar,[C.G.] affiliated to AYUSH HEALTH AND SCIENCE UNIVERCITY