Food belief and practices during postoperative period among post operative patient by binita acharya...

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A research report for Post Basic Bachelor of Nursing

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  • 1. O FOOD BELIEF AND PRACTICES DURING POSTOPERATIVE PERIOD AMONG POST OPERATIVE PATIENT By Binita Acharya binitabibisa@gmail.com Cell no:9779849758084 A Research Report Submitted To The Faculty Of Tribhuvan University Institute Of Medicine In Partial Fulfillment Of The Requirement For The Degree Of Post Basic Bachelor Of Nursing (Hospital Major) Lalitpur Nursing Campus 2013

2. ENDORSEMENT The research on Food Belief And Practices During Postoperative Period Among Post Operative Patient is my bonafide work at Lalitpur Nursing Campus and is submitted for approval as a partial requirement for the degree of post basic bachelor of nursing from Tribhuvan University, Institute of medicine. Candidate (Signature) Name: Binita Acharya The Research committee accepts this research for examination and approval. The research on Food Belief And Practices During Post Operative Period Among Postoperative Patient has been examined and is approved/ not approved by the research committee. Name: Ms Khagi Maya Pun(Signature) . Research Advisor Date: Name: Ms Radha Devi Bangdel (Signature) Campus Chief Date: 3. ACKNOWLEDGEMENT Research is a continuous process which requires support, guidance and help from different people to conduct successfully. So I would like to extend my heartily gratitude thanks to many well- wishers for their valuable supports , suggestions, guidance, time, and cooperation for conducting this small scale study. First of all, I would like to express my gratitude and thanks to Tribhuvan University, Institute of Medicine , Lalitpur Nursing Campus for providing me an opportunity to conduct this study as a partial fulfillment of Post Basic Bachelor degree in major in Hospital Nursing. I wish to express my sincere gratitude to the Campus Chief Mrs. Radha Devi Bangdel and the Assistant Campus Chief Mrs. Sarala K.C of Lalitpur Nursing Camus for their valuable suggestions during the whole research study. I would like to express my deep sense of gratitude and appreciation to my research advisor Mrs. Khagi Maya pun for her constant guidance, valuable suggestions and enthusiastic support during my study period. I would like to give my sincere thanks to our co-coordinator mam Mrs. Priscilla Samson and research teacher Mrs. Ranjana Shrestha and Mr. Rohn Happ and all B.N faculty members for their valuable suggestions during the course of the study. I would like to express my thanks to the LNC librarian Mrs. Rajani Shrestha, Pravash Pokhrel for their valuable help and cooperation to collect related literature and the materials for the study. I wish to express my sincere thanks to the chief of clinical administratior of TUTH Ram Bikram Adhikari for giving me permission to conduct this research. My special and deep thanks goes to all of the respondents (post operative patient) without whom the research could not be conducted. Binita Acharya 4. ABSTRACT A study on Food Belief and Practices during Postoperative period Among Post Operative Patient attending at surgical ward, gynae ward and surgical referral clinic of TUTH Maharajgunj was done as the partial fulfillment of the requirement for the B.N. The main purpose of this study was to assess food belief and practice of post operative patients. Methodology: A small scale descriptive study was used for the study. This study was conducted among 50 respondents using a non probability purposive sampling technique. The time period of this study was 5 weeks. Interview technique which composed of questionnaire related to demographic information and the questionnaire related to belief and practice was used for data collection. Findings: The findings of the study showed that, among 50 respondents (49) 98% respondents had post operative food belief. This finding indicates that a high percentage of post operative patients had food belief. Potato, meat, fish, egg, ginger, garlic, onion, pulses are the foods mostly avoided by the surgical patients. 68% of post operative patient belief that protein containing diet like meat, fish, egg, pulses develop pus at surgical site . 80% of the respondent belief citrus fruit should not be taken after surgery. 68.0% of the respondents belief that lentils and pulses should not be taken , but 94.0 % of the respondents had belief that fiber containing food like green vegetables is needed after surgery to prevent constipation. 70.0% respondents had restriction on dairy product and majority of the respondent 66% had practiced food belief as it was followed from the ancient time. 5. TABLE OF CONTENTS CONTENTS Endorsement i Acknowledgement ii Abstract iii Table of contents iv List of tables vii List of figures viii Abbreviations ix CHAPTER- I Introduction 1.1 Background of the study 1 1.2 Rational of the study 4 1.3 Statement of the problem 5 1.4 Objectives of the study 5 1.5 Research Question 5 1.6 Operational definition 6 CHAPTER -II 2.1 Review of related Literature 7 2.2 Summary of literature review 13 6. CHAPTER -III RESEARCH METHODOLOGY 3.1 Research Design 14 3.2 Research Area 14 3.3 Population of the study 14 3.4 Sample Size of the study 14 3.5 Sampling technique 14 3.6 Inclusion Criteria 14 3.7 Variables of the study 15 3.8 Data gathering tool 15 3.9 Data gathering procedure 15 3.10 Validity and Reliability of instrument 16 3.11 Pre-test 16 3.11 Ethical Consideration 16 3.12 Data analysis procedure 17 CHAPTER IV DATA ANALYSIS AND INTERPRETATION Part I Demographic related information 19 Part II Belief related information 21 Part III Practice related information 39 7. CHAPTER V SUMMARY, CONCLUSION AND RECOMMENDATION 5.1 Summary of the findings 42 5.2 Conclusion 45 5.3 Implication of the study 46 5.4 Recommendation for the further study 46 5.5 Strength of the study 46 5.6 limitations of the study 47 5.7 Budget and time schedule 47 5.8 Plan for dissemination 47 REFERENCE 48 APPENDICES Questionnaire in English version 55 Questionnaire in Nepali version 62 Consent form 71 Time Schedule Permission letter 8. LIST OF TABLES Table Contents Page.No 1 Distribution of the Respondents According to their Demographic Information 19 2 Distribution of the Respondents According to their Demographic Information 20 3 Distribution of Respondents According to Their Belief Regarding Restriction of food after surgery 21 4 Distribution of Respondents Belief Regarding Food which should not be taken during Post Operative Period 22 5 Distribution of Respondents Belief Regarding Food which is must appropriate during Post Operative Period 23 6 Distribution of Respondents Belief Regarding Foods which are Necessary for Wound Healing 24 7 Distribution of Respondents Belief Regarding Types of Fruits which are not taken after Surgery 25 8 Distribution of respondents belief regarding harm caused by these fruits after Surgery 26 9 Distribution of Respondents According to Their food Belief Regarding lentils and pulses after surgery 27 10 Distribution of Respondents According to Their Belief Regarding Reason for taking lentils and pulses 28 11 Distribution of Respondents According to Their Belief Regarding restriction of fiber containing food ( green vegetables) after surgery 30 12 Distribution of Respondents belief regarding fiber containing food ( green 31 9. Table Contents Page.No vegetables) after surgery 13 Distribution of respondents according to their belief regarding dairy product 32 14 Distribution of respondents belief for taking dairy product after surgery 33 15 Distribution of Respondents Belief for Avoiding Dairy Products After Surgery 34 16 Distribution of Respondent Belief Regarding Hot Food Concept 35 17 Distribution of Respondents Belief on Food which are Hot (Garmi) After Surgery 36 18 Distribution of respondents belief regarding reason for avoiding hot food after surgery 37 19 Distribution of respondents belief regarding food which develop pus at surgical wound. 38 20 Distribution of Respondents Practices regarding Choice of Normal Diet After Surgery 39 21 Distribution of Respondents Food Practice After Surgery 40 22 Distribution of Respondents Reason for practicing food Beliefs 41 LIST OF FIGURES 1 Distribution of Respondents Belief Regarding not taking Pulses and lentils after surgery 29 10. ABBREVIATIONS TUTH Tribhuvan University Teaching Hospital SRC Surgical Referral Clinic SPSS Statistical Package for the Social Sciences 11. CHAPTER I INTRODUCTION 1.1 Background of the study Concepts of foods belief originate from old Greek or Ayurvedic system of medicine. Consequently Greek concepts and classification of food and diseases are prevalent and deeply rooted among general population. ( S. Q. Nizami et al. 2008) The theory of hot and cold food belief during any disease and illness is practiced by almost all people in society. These food beliefs are not a concept solely seen in the less educated, lay man but it is seen in homeopaths and qualified doctors too. Faith and belief on hot and cold effects of food is prevalent in all most all parts of the world mostly deep rooted in Indian, Malay, Korean, Sinhalese and Mexican cultures and is found in varying degrees in Latin American, North American, European and African countries as well. The root of this theory emerges as early as the 5th century BC in the work of Hippocrates and in India these belief appears as early as 2nd century BC. ( N.B. Inam, S Siddiqui, K Qureshi , 2003) Specific belief about what food can be consumed and what cant be consumed remain in most of the religious people. While restrictions on the eating of certain foods, such as eggs, dairy products, and meats, were devised for safety reasons not to spoil them easily. Many Buddhists are vegetarians. Most do not eat meat. Many Hindus are strict vegetarian. (Victor B Meyer, Rochow 2009) 12. In Florida and in California, people recovering from major surgery in cancer are given white bread, canned soups and canned fruits as they belief that these foods are easiest to digest. But many nutritioni