Aruna R1, Esther Rakel2
1Assistant Professor, Medical Surgical Nursing Department Ganga College of Nursing,
(Affliated to the Dr. MGR Medical University) Chennai, Tamil Nadu, India.
2Dean Cum Principal, Ganga College of Nursing, Coimbatore Affiliated to The Tamil Nadu
Dr. MGR Medical University, Chennai, Tamil Nadu, India.
*Corresponding Author E-mail:
ABSTRACT:
KEYWORDS: Effectiveness, Structured Teaching Programme, Knowledge, Attitude, Chronic kidney disease, Lifestyle modification.
INTRODUCTION:
The incidence of chronic kidney disease and its consequences are increasing throughout western and developing world. The world foundation for renal care estimated that by the year 2020, over 1 million people will be required to provide care for approximately 1,4million people receiving dialysis, and approximate 1.2 million are with functioning transplants. Chronic kidney disease is a gradual and progressive loss of the ability of the kidneys to function normally.
Buke (2016) stated that modification of lifestyle habits like smoking cessation, exercise, moderate alcohol consumption, and weight loss in obese people will slow the progression of chronic kidney disease. Diet is considered 0ne of the treatment of chronic kidney disease. Dietary advice includes information about energy, protein, sodium phosphate, potassium, and fluid. The overall aim is to prevent malnutrition, hyperkalemia, hyperphosphatemia, and obesity and to aid in the treatment of hypertension and alleviate the uremic symptom, a balanced healthy diet to meet individual nutritional requirements.
Therefore, the above fact and studies created an insight in the investigator`s mind. By improving the knowledge regarding lifestyle modification on chronic kidney disease, the incidence of complication could be reduced. It may enhance the changes in the health care delivery system. The overall aim of the present study is to assess the effectiveness of video assisted teaching programmed on knowledge and attitude regarding lifestyle modification among patients with chronic kidney disease.
STATEMENT OF THE PROBLEM:
· To assess the level of knowledge and attitude regarding lifestyle modifications among patients with chronic kidney disease.
· To administer a video assisted structured teaching programme on lifestyle modifications among patients with chronic kidney disease.
· To assess the effectiveness of video assisted structured teaching programme on the level of knowledge and verbal responses structured interview schedule for attitude regarding lifestyle modifications among patients with chronic kidney disease.
· To find out the correlation between knowledge and attitude regarding lifestyle modifications among patients with chronic kidney disease.
· To find out the association between knowledge and attitude regarding lifestyle modifications among patients with chronic kidney disease with selected demographic variables.
Section I: Data on distribution of demographic variables of patients with chronic kidney disease.
Section II: Description of Statistical Value of Pre-test and Post-test knowledge Scores Regarding lifestyle modifications Among Patients with Chronic Kidney Disease.
Section III: Description of Statistical Value of Pre-test and Post-test attitude Scores Regarding lifestyle modifications Among Patients with Chronic Kidney Disease.
Section IV: Correlation of pretest scores of the knowledge and attitude regarding life style modification among patients with chronic kidney disease.
Section V: Association of Demographic Variables with Pretest Scores of Knowledge Regarding Life Style Modifications Among Patients with Chronic Kidney Disease.
Table 1: Mean, standard deviation and t” value of Pre-test and Post-test knowledge Scores Regarding lifestyle modifications Among Patients with Chronic Kidney Disease (n=40)
|
S.No |
Knowledge |
Mean |
SD |
‘t’ value |
Level of significance |
|
1 |
Pre-test |
15.77 |
3.9 |
16.87* |
0.05* |
|
2 |
Post-test |
22.82 |
2.97 |
This Table shows that the mean score of knowledge in pre-test was 15.77 and post-test was 22.82. The calculated ‘t' value 16.87 at df (39) was greater than the table value at 0.05 level of significance. It reveals that there was a significant difference between the pre-test and post-test knowledge scores. So the results are concluded that structured teaching programme has a significant effect on improving the level of knowledge among patients with chronic kidney disease.
Table 2 Mean, standard deviation and t” value of Pre-test and Post-test attitude Scores Regarding lifestyle modifications Among Patients with Chronic Kidney Disease. (n=40)
|
S. No |
Attitude |
Mean |
SD |
‘t’ value |
Level of significance |
|
1 |
Pre-test |
41.25 |
9.59 |
18.87* |
0.05* |
|
2 |
Post-test |
53.8 |
7.33 |
This Table shows that the mean score of attitude on the pre-test was 41.25 and the post-test score was 53.8. The calculated ‘t' value 18.87 at df (39) was greater than the table value at 0.05 level of significance. It reveals that there was a significant difference between the pre-test and post-test attitude scores. So the results are concluded that structured teaching programme has a significant effect on the improvement of attitude regarding lifestyle modification among patients with chronic kidney disease.
Table 3: Mean, standard deviation and correlation of pretest scores of the knowledge and attitude regarding life style modification among patients with chronic kidney disease (n=40)
|
S. No |
Pretest |
Mean |
S.D |
r |
|
1 |
Knowledge |
15.77 |
3.9 |
+0.67 |
|
2 |
Attitude |
41.2 |
9.59 |
This Table shows that there was a positive correlation between the knowledge and attitude in the pre-test.
Table. 4: Mean, standard deviation and correlation of post test scores of the knowledge and attitude regarding life style modification among patients with chronic kidney disease.
(n=40)
|
S. No |
Post test |
Mean |
S.D |
r |
|
1 |
Knowledge |
22.82 |
2.97 |
+0.73 |
|
2 |
Attitude |
53.5 |
7.33 |
This Table shows There was a positive correlation between knowledge and attitude in pretest and post-test. Compare with pre-test, the post-test ‘t' score is increased. It shows that parents developed adequate knowledge and favorable attitude after the structured teaching programme.
This study was conducted to determine the effectiveness of video assisted teaching programme on knowledge and attitude regarding lifestyle modifications among patients with chronic kidney disease.
Research was conducted after the approval of research committee and hospital. The nature and purpose of the study was explained to the authorities of kidney centre, Coimbatore. Oral consent was obtained from the participants. Assurance was given to the study samples that the anonymity of each individual would be maintained strictly.
Frequency and percentage will be used for the distribution of samples based on their knowledge and attitude regarding lifestyle modifications among patients with chronic kidney disease. Mean and standard derivation will be used to assess pre and post-test knowledge regardingknowledge and attitude regarding lifestyle modifications among patients with chronic kidney disease.Chi-square test will be used to find an association between pre-test on knowledge regarding knowledge and attitude regarding lifestyle modifications among patients with chronic kidney disease with their selected demographic variables.
The association of attitude with demographic variables by χ2test. It reveals that the age, sex, religion, occupation, income, marital status, type of family, body built, duration of chronic kidney disease, personal habits, associated illness obtained had no significant association with a pretest attitude score of subjects. So there is no association between attitude and selected demographi Svariables.
This study revealed that the pre-test means score for the knowledge was 15.77 and post-test mean score Was 22.82. Thereby the 't' value of knowledge was 16.87. The pre-test mean score for attitude was 46.3 and the post-test mean score was 57.1. Thereby the ‘t’ value for attitude was 18.87.
Both the ‘t’ value obtained from knowledge and attitude were higher than the table value at 0.05 level of significance. This reveals that there was a significant improvement in knowledge and attitude about lifestyle modifications among patients with chronic kidney disease. This, in turn, reveals that the structured teaching programme was effective.
This study was conducted only in a selected hospital which imposed limitations in generalization of findings.
No follow-up was done after the test due to time constraint of the participants.
The study highlights the need for targeted educational interventions to improve breast cancer awareness among women. Community-based programs, healthcare provider initiatives, and media campaigns can help bridge knowledge gaps and encourage early detection practices. Strengthening awareness efforts is essential in reducing breast cancer-related mortality and enhancing women's health outcomes.
CONFLICT OF INTEREST:
None declared
We offer our heartfelt thanks to the omnipotent originator of the universe for the abundant grace at all times in being here and doing what he has willed to do to us. We would like to thank the Director of Ganga breast care centrel, who granted permission to conduct a pilot study and main study.
RA: Conceptualization of the study, collection, analysis of the data, writing the manuscript, finalized the manuscript and will act as the guarantor of the paper, KD: Conceptualization of the study, collection, analysis of the data, writing the manuscript, finalized the manuscript, edited and critically evaluated the manuscript; Edited and critically evaluated the manuscript.
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Received on 04.04.2025 Revised on 05.06.2025 Accepted on 14.07.2025 Published on 14.08.2025 Available online from August 23, 2025 Int. J. of Advances in Nursing Management. 2025;13(3):145-148. DOI: 10.52711/2454-2652.2025.00028 ©A and V Publications All right reserved
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