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“A study to assess the effectiveness of self instructional module on knowledge regarding

home care management of diabetes among patients in selected urban areas at bangalore.”

CONCEPTUAL FRAMEWORK.

The conceptual framework used for this study was derived from general system theory, which
was developed in the year 1968 by ludwig van. Bertalanff. Ken summarize in his general system
theory, there are three components that are “input” through out and “output”. Input refers to
matter. Energy that enters into the system through its boundary. “throughput” refers to
processing where system transforms the energy and matter. ”output” refers to matter, energy that
is processed through the system .the feed back is environmental of system.

Input

in this study the investigator has considered ,input as the pretest assessment of knowledge
regarding home care management of diabetes among the patients by structured knowledge
questionnaire. Throughput process is the activity phase .here the investigator implement self
instructional module or regarding home care management of diabetes among the patients
selected from the urban area of bangalore, who fulfilled the inclusion criteria. Including
knowledge on general information, causes ,incidence, high risk factor, signs and symptoms,
diagnosis, treatment and prevention.

Output

Output from a system is energy matter or information given out by the system as results of its
processes .in the present study output includes the result either gains in knowledge regarding the
home care management of diabetes among the given samples. The gained knowledge was
measured through post-test.

Feedback

The feedback is the environment responses to the system. Feedback may be positive or negative
or natural. In this study input was assessing the knowledge of regarding the home care
management of diabetes among the taken samples from the urban area of Bangalore .
Throughput was the activity phase where self instructional module was administered regarding
the definition, incidence, high risk factor, signs and symptoms, diagnosis, treatment and
prevention. Output was the change in knowledge regarding the home care management of
diabetes. After the self instructional module which was measured by using structured knowledge
questionnaire on diabetes. Feedback emphasizes to strength in the input and throughput .it is
necessary if the result showed any inadequate knowledge regarding diabetes.
“A study to assess the effectiveness of self instructional module on knowledge regarding
home care management of diabetes among patients in selected urban areas at bangalore.”

REVIEW OF LITERATURE

Review of the literature is a systematic search of the published work to gain information about a
research topic. It is a compilation that provides the grounds works to be further study. Related
research and non research literature was reviewed to broader the understanding and to gains to
insight into the selected area under study. The review is organized under the following heading

Part a; Literature related to general knowledge causes of diabetes

Part b: Literature related to incidence.

Part c : literature related to prevention and home management.

Part a; Literature related to general knowledge causes of diabetes

A “study conducted to evaluate the effectiveness of the structured group education


program on biomedical ,psychosocial and lifestyle measures among type 2 diabetes patient .the
intervention group showed significantly positive association between change in perceived
personal responsibility and weight loss at 12 months .the conclusion was that the structured
education program for patients with type 2 diabetes resulted in greater improvements in weight
loss and smoking cessation and positive improvements in belief about illness .a survey study was
conducted to determine the demand for health education among patients with diabetes by means
of evaluating the level of their knowledge .the survey showed that 54.6% of the respondents
cannot explain the mechanism of diabetes, while 39.2% of the patients do not know the nature of
type 2 diabetes.

A “study conducted to evaluate group education for patients with non-insulin dependent
diabetes. The objective of the study was to identify effective use of hospital resource in relation
to staff time and diabetes education; to ensure that all patients have access to a standard level of
education; and to maintain and/or improve diabetes control. After group education there was a
significant improvement in knowledge of diabetes, blood sugar control and energy balance. This
was achieved with a reduction in staff time, when compared with individual education, and more
efficient use of hospital resource. Thus, the objectives were realized. It is concluded that diabetes
group education is useful in patients.
Part b: Literature related to incidence.

The who estimated 30 million people worldwide had diabetes mellitus in 1985. A decade later,
the global burden of diabetes mellitus was estimated to be 135 million. In the year 2006 it was
246 million. This is likely to increase at least 366 million by 2030. Around 3.2 million deaths
every year are attributable to complications of diabetes; six deaths every minute. The top 10
countries, in numbers of sufferers are india, china, usa, indonesia, japan, pakistan, russia, brazil,
italy, and bangladesh. At present in india 41 million patients suffering with diabetes mellitus and
this number will reach 79.4 million by 2030. In mangalore by 2004 it was2002 cases, 2005 -
1624 cases, 2006 -1834 and in the year 2007it was 1554 case found newly.

A study was conducted to determine the incidence of peripheral neuropathy in


children suffering from insulin dependent diabetes mellitus among 40 children suffering from
insulin dependent diabetes mellitus and receiving insulin therapy involving two injections a day
and 30 healthy children were included in the study. The detailed neurological examinations were
conducted and result showed that the peripheral neuropathy is rather a frequently observed
complication in diabetic children.

Part c : Literature related to prevention and home management.

A cross sectional study was conducted to examine the relationship between diabetes self
management, fasting blood sugar and quality of life among type 2 diabetic patients with foot
ulcers,80 participants with type 2 diabetes who had foot ulcers. Received the diabetes treatment
in king chulalongkorn memorial hospital, thailand. Self management was assessed by evaluating
dietary intake ,exercise ,medication, self monitoring, hygienic and foot care. The analysis
revealed that there was a negative significant association between fasting sugar and quality of
life(r=-0.30,pless than0.05).furthermore, diabetes self management had a significant association
with quality of life.
DISSERTATION
CRITIQUE

SUBMITTED TO , SUBMITTED BY,

DR. BINDHU K NAIR ANITTA S KURIAKOSE

ASSISTANT PROFESSOR IST YEAR Msc.NURSING

GOVT.COLLEGE OF NURSING, THRISSUR GOVT.COLLEGE OF

NURSING THRISSUR

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