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    DISSERTATIONPRESENTATION

    Prepared By,Mrs. SHEELA K CII yr M.Sc NursingRathna college of nursing,

    Hassan.

    Guided By,Mrs. LAKSHMI MHOD, Dept. of OBG,Rathna college of nursi

    Hassan.

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    Introducti Several terms are commonly used in referencparticular stage of growth and development . primarily refers to the maturational, hormonaprocess that occurs when the reproductive orgto function and the secondary sex characterisdevelop.Adolescence is a period of transition between

    and adulthood- a time of rapid physical, cognand emotional maturity as youngsters prepareadulthood.Menarche is the term applied to the first mensperiod in girls.

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    Menstruation is the time of change for eve

    adolescent girl. Due to lack of knowledgeregarding menstruation , the adolescent girlthrough thePhysiological and emotional stresses. In Insociety do not get adequate knowledge abotheir own bodys physiological changes andmenstruation. If we are providing accurateknowledge to the adolescent girls, it will befor them at the time of menstruation.

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    Statement of Prob study to evaluate the effectiven

    of structured teaching programme (Son knowledge regarding pre preparefor menstruation and menstrual hyamong pre-adolescent girls in selerural schools at Hassan district .

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    Objectives To assess the knowledge regarding pre preparfor menstruation and menstrual hygiene amon

    adolescent girls before structured teaching pro

    To administer STP regarding pre preparednesmenstruation and menstrual hygiene among padolescent girls.

    To evaluate the effectiveness of STP regardinpreparedness for menstruation and menstrual among pre-adolescent girls after structured teprogramme.

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    To find the association between knowlepre-adolescent girls regarding pre prepafor menstruation and menstrual hygieneselected socio demographic variables.

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    Hypothesi H1: There will be significant increase in

    knowledge scores after administration o

    regarding pre preparedness for menstruamenstrual hygiene. H2: There will be a significant associatio

    between selected socio-demographic vawith their post test knowledge scores.

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    CONCEPTUALFRAME WORK

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    Category of LiteratuReviews

    Knowledge regarding pre preparednefor menstruation

    Knowledge regarding pre preparednefor menstrual hygiene

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    Research Approac

    Research approach- Quantitativeapproach.

    Research design-Pre experimental de

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    Probability simple random sampling

    O 1

    X

    O 2

    Pre test

    Intervention

    Post test KEYSO1 Level of knowlein the pre test.O2 Level of knowlein the post test.

    X Intervention.

    Schematic Representation OfResearch Design.

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    VariablesIndependent variable: In this study the independent variabStructured teaching programme.

    Dependent variable: Knowledge of pre-adolescent girls regardi

    preparedness for menstruation and menhygiene is the dependent variable in this stu

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    Setting of the stu

    The study was conducted selected rural schools at Has

    district, Karnataka.

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    Target populatioThe target population of the pres

    study includes pre-adolescent girls stud

    selected rural schools at Hassan district.SamplesThe sample used for this study

    80 pre-adolescent girls studying in selecschools at Hassan district, those who fuinclusion and exclusion criteria.

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    Sample size

    The sample comprise of 80 pre-adolescent girls from selected ruralschools at Hassan district.

    Sampling techniqueProbability ( simple random ) sampltechnique.

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    Development of the A structured questionnaire was used

    assess the level of knowledge of pre-adolescent girls regarding pre preparedfor menstruation and menstrual hygien

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    Description of the tThe tool was organized in to two parts: PART ISocio Demographic profile contains

    age, religion, type of the family, educational smother, occupation of father, dietary habits, presidence and source of information regardingpreparedness for menstruation and menstrual

    PART II Contains 30 structured questionnairseeking knowledge of pre-adolescent girls repreparedness for menstruation and menstrual

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    Content validity of theThe constructed tool was given to five ex

    four from the field of obg nursing, oneobstetrician and gynaecologist. The expwere chosen based on their experience clinical expertise. As per the suggestiorecommendations of the experts, necesmodifications were done in the tool.

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    Reliability of the The Reliability of the questionnaire was asses

    using split half technique Smearmon brownsprophecy formula and Karl Pearsons correlatiomethod.

    R= 2r/1+rR=Reliability of co-efficient of correlation

    for whole test.r=Reliability of co-efficient of correlationfor half test.

    The obtained value is r = 0.81, which indicatool is reliable.

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    AREAWI SE ASSESSM EN T OF PRE TEST KN OWL ED GE

    REGARDI NG PRE PREPAREDN ESS

    F OR M ENSTRUATI ON AND M ENSTRUAL H YGI ENE.

    ASSESSMENT No of

    items

    Range Mean

    score

    SD Mean

    % Minimum Maximum

    Female reproductiveorgans

    6 1 6 3.20 .960 53.33

    Pre-Preparedness formenstruation 12

    1 7 4.15 1.323 34.58

    Pre-Preparednessfor menstrual hygiene 12 2 6 4.04 1.277 33.67

    6 17 11.39 2.084 37.97

    Table shows the overall areawise assessment of knowledge level of pre-adolescent girls before administration of structuredteaching programe on pre preparedness for menstruation and menstrual hygiene. Pre-adolescent girls shows least knowledgelevel of 33.67% in area of pre preparedness for menstrual hygiene and more knowledge level of 53.33% in area of femalereproductive organs.

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    AREAWISE ASSESSMENT OF PRE TESTKNOWLEDGE

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    Pretest over all knowledge scoreOVERAL L ASSESSM EN T OF PRE TEST KN OWL ED GE

    REGARDI NG PRE PREPAREDNESS F OR ME NSTRUATI ON AN D

    M ENSTRUAL H YGIE NE .

    Table Shows the pre-test overall knowledge score on pre prepreparedness for menstruation and menstrual hygiene. They arehaving 37.97% of knowledge score before administration of STP.

    ASSESSMENT No ofitems

    Range Meanscore

    SD Mean%

    Minimum Maximum

    OVERALL 30 6 17 11.39 2.084 37.97

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    Distribution of subjects accordinPre Test Level of Knowledge.

    Table shows distribution of subjects according to pre-testlevel of knowledge, majority of pre-adolescents (31.2%)have moderate level of knowledge where as 68.8% of pre-adolescents have inadequate knowledge.

    LEVEL OF KNOWLEDGE NUMBER PERCENTAGE

    ADEQUATE 0 0

    MODERATELY ADEQUATE 25 31.2

    INADEQUATE 55 68.8

    TOTAL 80 100.0

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    ASSESSM EN T OF POST TEST K NOWL ED GE

    REGARDI NG PRE PREPAREDN ESS F OR

    M ENSTRUATI ON AND M ENSTRUAL H YGI ENE.

    ASSESSMENT No ofitems

    Range Meanscore

    SD Mean%

    Minimum Maximum

    Female reproductiveorgans

    6 4 6 5.29 .640 88.17

    Pre-Preparedness formenstruation 12

    8 12 9.95 1.030 82.92

    Pre-Preparedness formenstrual hygiene

    12 7 12 10.49 1.293 87.42

    Table shows the assessment of knowledge level of pre-adolescent girls on pre preparedness for menstruationand menstrual hygiene Pre-adolescent girls shows the least knowledge level of 82.92% in the area of pre

    preparedness for menstruation and the highest knowledge level ( mean 88.17%) in the area of femaleReproductive organs

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    FIGURE SHOWS AREAWISE ASSESSMENT OFPOST TEST KNOWLEDGE

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    Posttest over all knowledgeTAB L E SH OWS OVERAL L ASSESSM EN T OF POST T EST

    KN OWL ED GE REGARDI NG PRE PREPAREDN ESS F OR

    M ENSTRUATI ON AND M ENSTRUAL H YGI ENE.

    Table shows the post test overall knowledge score on pre preparedness for menstruation and menstrual hygiene. Theyare having 85.73% of knowledge score after theadministration of structured teaching programme.

    ASSESSMENT No ofitems

    Range Meanscore

    SD Mean%

    Minimum Maximum

    OVERALL 30 22 29 25.72 1.575 85.73

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    Distribution of subjects accord

    Post Test Level of Knowle

    Table shows distribution of subjects according to post test level ofknowledge which reveals that the majority of the pre-adolescent girls(78.8%) had adequate level of knowledge and remaining 21.2% hadmoderately adequate level of knowledge.

    LEVEL OF KNOWLEDGE NUMBER PERCENTAGE

    ADEQUATE 63 78.8

    MODERATELY ADEQUATE 17 21.2

    INADEQUATE 0 0

    TOTAL80 100.0

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    Comparison of pre and post test knowledge

    among the pre-adolescent gArea of

    knowledge Pre-test Post-test Enhancement Students paired

    t-test Mean SD Mean SD Mean SD

    Femalereproductiveorgans

    3.20 .960 5.29 .640 2.087 1.138 t=16.401

    Pre-Preparednessfor menstruation

    4.15 1.323 9.95 1.030 5.800 1.626 t=31.910

    Pre-Preparednessfor menstrualhygiene

    4.04 1.277 10.49 1.293 6.450 1.895 t=30.438

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    Association between the selecdemographic variable and the pre test

    knowledge.Chi-square test is used to identify signifof association. There is no significant assocfound betweenany demographic variables and pretest knowledge score of pre adolescent girls.

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    Discussio As per the 1st objective, Overall pre-test knowledge scopreparedness for menstruation and menstrual hygiene

    SD of 2.084 mean percentage was 37.97

    As per the 2

    nd

    and 3rd

    objective, Overall post test knowlescore on pre preparedness for menstruation and mensamong pre-adolescent girls mean knowledge is 25.721.575, mean percentage of 85.73

    As per the 4th objectives the 2 value shows that there isignificant association between any demographic vartest knowledge score of pre-adolescent girls.

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    SummarThe present study was conducted to evaluate theffectiveness of structured teaching programm

    knowledge of pre-adolescent girls regarding ppreparedness for menstruation and menstrual among pre-adolescent girls in selected rural sHassan district. Data was collected, analyzed interpreted in terms of the objectives formulaover all pre test knowledge percentage was37.97. overall post- test knowledge percentage was85.73 . Thisshows the effectiveness of structured teachingprogramme in improving knowledge of pre-a

    regarding pre preparedness for menstruation amenstrual h iene

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    ConclusioThe findings of the study recommended f

    further interventional approaches in devknowledge of pre-adolescent girls regarpreparedness for menstruation and menshygiene. The present study proved the n

    of the teaching programme in improvingknowledge of pre-adolescent girls.

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