A Study to Assess the Effectiveness of Planned Health Teaching Program on Knowledge regarding use of Papaya Leaf in Dengue Fever among people of selected Rural Community area of Mehsana

Jitendra Patidar, Komal Khokhariya, Anandi Limbat, Arkan Mansuri, Divya Prajapati, Mayur Prajapati

Joitiba College of Nursing, Bhandu, Tal - Visnagar, Dist – Mehsana, Gujarat.

*Corresponding Author E-mail:

ABSTRACT:

Background: Dengue is fast emerging pandemic-prone viral disease in many parts of the world. Dengue flourishes in urban poor areas, suburbs and the countryside but also affects more affluent neighbourhoods in tropical and subtropical countries. Dengue is a mosquito-borne viral infection causing a severe flu-like illness and, sometimes causing a potentially lethal complication called severe dengue. The incidence of dengue has increased 30-fold over the last 50 years. Up to 50-100 million infections are now estimated to occur annually in over 100 endemic countries, putting almost half of the world’s population at risk. Severe dengue (previously known as dengue haemorrhagic fever) was first recognized in the 1950s during dengue epidemics in the Philippines and Thailand. Today it affects Asian and Latin American countries and has become a leading cause of hospitalization and death among children and adults in these regions. The full life cycle of dengue fever virus involves the role of mosquito as a transmitter (or vector) and humans as the main victim and source of infection. The dengue virus (DEN) comprises four distinct serotypes (DEN-1, DEN-2, DEN-3 and DEN-4) which belong to the genus Flavivirus, family Flaviviridae.¹Aims and Objectives: To assess knowledge regarding use of papaya leaf in dengue fever among the selected rural community. To evaluate effectiveness of plan teaching on knowledge regarding use of papaya leaf in dengue fever among rural community of mehsana. To find out the association with knowledge score with their selected demographic variables. Result: Regarding level of knowledge, in pre-test 66.66 % of respondents belong to poor knowledge 16.66% of respondents belong to average knowledge and 16.66% of responds belong to good knowledge before intervention. In post-test, 20% of responds belong to poor knowledge 46.66% of respondents belongs to averages knowledge and 33.33%of respondents belong to good knowledge after intervention. During pre-test the mean level of knowledge was 7.54%during post-test the mean level of knowledge was 10.67%, which is apparently higher than pre-test knowledge scoreWith regard to effectiveness of planned teaching programme regarding use of papaya leaf in dengue fever among people of selected rural community area of mehsana. With regard to the association between the level of knowledge among the people with their demographic variables was significant. Conclusion- The main conclusion from this present study is that most of the people head poor level of knowledge regarding use of papaya leaf in dengue fever in pre –test and their level of knowledge regarding use of papaya leaf in dengue fever head improved to a great extent after planned teaching program which was revealed in post-test. This shows the imperative need to understand the utilities of planned teaching programme in improvement of knowledge regarding use of papaya leaf in dengue fever and it will improve the people knowledge.

KEYWORDS: Assess, Knowledge Plan Teaching, Dengue, Fever Rural.

INTRODUCTION:

Dengue is rapid emerging mosquito-borne disease, affecting countries in tropical and subtropical regions around the world. Globally, it is estimated that there are 390million dengue infection occur each year. The virus being transmitted through the bites of female Aedes mosquito infected with one of four dengue virus serotypes (DEN-1, DNE2, DNE-3 and DNE40. for a healthy individual, the first symptom of the disease appears 3-7 days after being bitten by an infected mosquito. The symptoms ranged from mild to high fever, severe headache with muscle and joint pain. The dengue hemorrhagic fever is characterized by fever, hemorrhagic sign, thrombocytopenia and plasma leakage. The pathogenesis of dengue infection involves host-specific immune responses, including immune cell activation, secretion of cytokines and chemokines, the production of inflammatory mediators, and autoimmunity. In the absence of antiviral drug to treat the disease, various alternative treatment are being explored including papaya leaf juice (COLJ). Many scientist have investigated the possible use of this plant as supportive treatment for dengue patients level in rodents have been studied extensively. For the past 10 years, a number of clinical trial and clinical case studies on the platelet increasing property of CPLJ or extracts in dengue patient have been reported. The papaya leaf extract and juice were also studies for their antioxidant and immunomodulatory activities in vitro and in vivo. The leaves extract has been shown regulate certain cytokine production in activated human The fruit juice and leaf extract have been demonstrated to have a wide variety of pharmacological properties including anticancer, antioxidative, antihypertensive, wound healing, hepatoprotective, antimicrobial, anthelmintic, effect on smooth muscles, antimalarial, immunomodulatory activity, anti-ulcer activity, antifertility, histaminergic, diuretic, antiamoebic, anti-tumor, anti-inflammatory, anti-bacterial, antiviral, antifungal, nephroprotective, hepatoprotective, hypoglycemic and hypolipidemic effects, and anti-sickling effect in sickle cell disease peripheral blood mononuclear cells (PBMCs) in vitro. An in vivo study has shown that papaya leaf extract treatment reduced the inflammatory effect in paw edema induced rats. The lack of effective therapeutic interventions for dengue has created interest in alternative therapies, i.e., natural and herbal remedies for the disease. Carica papaya (CP) leaf extract has recently gained interest in the treatment of dengue, particularly in social media networks, and has shown increasing off-label use in the disease. While the simple extract of papaya leaves is commonly used, there are some commercial preparations containing papaya leaf extract available in certain countries. Papaya leaves to fight dengue. Being considered as one of the healthiest fruits, papaya helps in curing many diseases. Not only the pulp but its leaves contain many healing properties. Its leaves are well-known to increase the platelet count and are also enriched with anti-malarial properties, making it the best home remedy to fight against dengue fever ion and other illnesses.

MATERIAL AND METHODS:

Pre experimental one group pre-test post -test design was used. 30 participants were selected using Non-probability convenient samplingtechniques in selected villages of mehsana. Structured questionnaire was used to assess the level of knowledge among village people.

RESULT:

The finding of the present study showed that. During pre-test 66.66% of responds belong to poor knowledge 16.66% of respondents belong to average knowledge and 16.66% of responds belong to good knowledge before intervention. During post-test 20% of responds belong to poor knowledge 46.66% of respondents belongs to averages knowledge and 33.33%of respondents belong to good knowledge after intervention. It also revealed that, during pre-test the mean level of knowledge was 7.54%during post-test the mean level of knowledge was 10.67%, which is apparently higher than pre-test knowledge score. With regard to the association chi-squire values were found to be significant for variables at level of significant and therefore, the findings partially supports the research hypothesis(H1) inferring that there will be significant difference between pre-test and post-test knowledge score among the people.

DISCUSSION:

It should be emphasized that, none of them were any post-operative DVT complications till 7^th day, in follow up visit, 17% of them had mild signs of DVT complications. mild signs of respiratory complications, mild signs of wound complications selected, none of the patient were signs of complications of incisional hernia till day 7. In follow up visit, 4% of them were mild signs of complications of incisional hernia. Selected post operative complications among the patients following abdominal surgery.

CONCLUSION:

The main conclusion from this present study is that most of the people head poor level of knowledge regarding use of papaya leaf in dengue fever in pre –test and their level of knowledge regarding use of papaya leaf in dengue fever head improved to a great extent after planned teaching program which was revealed in post-test . This shows the imperative need to understand the utilities of planned teaching programme in improvement of knowledge regarding use of papaya leaf in dengue fever and it will improve the people knowledge.

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