COMPARATIVE STUDY TO ASSESS THE LEVEL OF KNOWLEDGE REGARDING PREVENTION

OF INFLUENZA A VIRUS AMONG SCHOOL GOING STUDENTS OF SELECTED GOVT. BASTAR

HIGH SCHOOL JAGDALPUR.



BY
MS.NARMADA SINHA
MS. NEELIMA SAHU
MS.THALESHWARI SAHU
MS YAMINI SAHU

GOVT. COLLEGE OF NURSING JAGDALPUR
(Affilated to Ayush Health & Science University ,Raipur (C.G.)
SEPTEMBER-2014
COMPARATIVE STUDY TO ASSESS THE LEVEL OF KNOWLEDGE REGARDING PREVENTION
OF INFLUENZA A VIRUS AMONG SCHOOL GOING STUDENTS AT SELECTED GOVT. BASTAR
HIGH SCHOOL JAGDALPUR (C.G.)

BY
MS. NARMADA SINHA
MS.NEELIMA SAHU
MS.THALESHWARI SAHU
MS.YAMINI SAHU

GUIDE - MRS. A. NOVEL
CO GUIDE MRS. SHABIBA DAHARIA
- MRS.JAYA SONEKAR


DISSERTATION SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENT FOR
BATCHLER DEGREE OF SCIENCE (NURSING). AT
AYUSH UNIVERSITY
RAIPUR ,CHHATTISGARH
SEPTEMBER-2014



GOVERNMENT COLLEGE OF NURSING
JAGDALPUR (C.G.)
DECLARATION BY THE CANDIDATE


WE HEREBY DECLARE THAT THIS DISSERTATION / THESES TITLED COMPARATIVE STUDY
TO ASSESS THE LEVEL OF KNOWLEDGE REGARDING PREVENTION OF INFLUEZA A VIRUS
AMONG SCHOOL GOING STUDENTS AT SELECTED OF BASTAR HIGH SCHOOL JAGDALPUR
AT BASTAR DISTRICT,CHHATTISGRAHIS A BONAFIED AND GENUINE RESEARCH WORK
CERTIFIED OUT BY US UNDER THE GUIDANCE OF DEMONSTRATOR MRS.SHABIBA
DAHARIA AND MRS.JAYA SONEKAR GOVT. COLLEGE OF NURSING JAGDALPUR (C.G.)

DATE-
PLACE-JAGDALPUR

SIGNATURE OF THE CANDIDATES
MS.NARMADA SINHA
MS.NEELIMA SAHU
MS.THALESHWARI SAHU
MS.YAMINI SAHU



CERTIFICATE


This is to verify that the thesis enlisted comparative study to assess the level of knowledge
regarding prevention of influenza A virus among school going student at selected school of
Govt. Bastar high school Jagdalpur (c.g.). Is a ban tide research work done by Ms. Narmada
Sinha , Ms. Neelima Sahu , Ms. Thaleshwari Sahu ,Ms. Yamini Sahu of Government College
of Nursing in Jagdalpur in Partial fulfilment of the requirement for the degree of bachelor of
science Nursing Ayush & Health Science University, Raipur (C.G.)



PRINCIPAL
MRS. A. NOVEL
M.Sc. NURSING (PEDIATRIC)
GOVT.COLLEGE OF NURSING JAGDALPUR







ACKNOWLEDEMENT

Arise ,awake and stop not till the goal is reached

Firstly we express our grateful thanks to the almighty God for showering his lot of
blessings, grace and supports upon us.
We are greatly obliged to our principal Mrs. G. Minj and our Class Teacher Mr. Deepak
Kumar for his and encouragement which inspire us and provide with the spirit and will
power to do work in due manner.
I thanks to all my friends for their supports and encouragement and help during our
project .




















ABSTRACTS

The aim of this study was to assess the level of knowledge regarding prevention
influenza A virus among school going students at selected Govt. Bastar high school
Jagdalpur (c.g.). The objective of the study is To assess the level of knowledge regarding
prevention of swine flu among school children. To evaluate the effectiveness of
structured teaching programme by comparing pre test and post knowledge score. To
find out the association between post test knowledge scores with selected demographic
variables. The main study was conducted at Government Bastar high school Jagdalpur
sampling technique was used to selected 30 students. The data was collected and
analyzed by using descriptive and inferential statistics. The overall level of knowledge
regarding prevention of influenza a virus students showed that 16% students have
average knowledge and 14% had poor knowledge. There was significant association
between assessing the level of knowledge regarding prevention of influenza A virus
among students and selected demographic variables such as age, sex, religion, education
of family , types of family, occupation of family, income of parents, types of family, living
place knowledge from student. Based on the study finding it can said that almost all the
students have average knowledge regarding influenza A.







INDEX
S.NO CONTENTS PAGE NO
LIST OF TABLE


I. INTRODUCTION
1. NEED OF STUDY
2. PROBLEM STATEMENT
3. OBJECTIVES
4. OPERATIONAL DEFINITION
5. HYPOTHESIS
6. VARIABLES
7. ASSUMPTION
8. DELIMITATION

II. REVIEW OF LITERATURE


III. METHODOLOGY
1. RESEARCH APPROACH
2. RESEARCH DESIGN
3. SETTING OF THE STUDY
4. CRITERIA FOR SELECTION OF THE
SETTING THE STUDY
5. TARGET POPULATION
6. SAMPLE AND SAMPLE SIZE
7. SAMPLING TECHNIQUE
8. SAMPLING CRITERIA
9. DEVELOPMENT OF TOOLS
10. DATA COLLECTION METHOD
11. PLAN FOR DATA ANALYSIS
12. ETHICAL CONSIDERATION
13. SUMMARY

IV. DATA ANALYSIS AND INTERPRETATION


V. RESULT & DISCUSSION


VI. SUMMARY, CONCLUSION, IMPLICATION,
LIMITATION& RECOMMENTATION

VII. BIBLIOGRAPHY





S.NO. TITLES PAGE NO.
1. Distribution of the subjects acc to age
2. Distribution of the subject acc to sex
3. Distribution of the subjects acc to family education
4. Distribution of the subjects acc to family occupation
5. Distribution of the subjects acc to family monthly income
6. Distribution of the subjects acc to types of family
7. Distribution of the subjects acc to place
8. Distribution of the subjects acc to religion
9. Distribution of the subjects acc to no. of children
10. Distribution of sample acc to level of knowledge before &
after structure teaching programme

11. Comparison of sample pre-test & post test
12. Item wise analysis of knowledge level before intervention
13. Item wise analysis of knowledge level after intervention
14. Analysis regarding comparison of mean score & SD of pretest
& post test level of knowledge

15. Association between level of knowledge & demographic
variable

LIST OF FIGURES

S.N. TITLES PAGE
NO.
1 Ray diagram of research design
2 Column diagram representing subjects according to age of children.
3 Column diagram representing subjects according to sex.
4 Bar diagram representing subjects according to family education.
5 Pie diagram representing subjects according to family Column diagram
representing subjects according to age of children occupation

6 Bar diagram representing subjects according to income of family
7 Lie diagram representing subjects according to types of family
8 Doughnut diagram representing subjects according to living place
9 Area diagram representing subjects according to religion
10 Column diagram representing subjects according to no. of children
11 Chart layout representing the subjects according to level of knowledge
wise analysis of pre test post test.







LIST OF APPENDIX

APPENDIX TITAL
a. Tools of data collection
b. Letter seeking permission for main study
c. List of statistical formula used in present study
d. Letter seeking experts opinion for content validity of the tool
E Certificate for validation
F Informed consent

























CHAPTER:- 1

INTRODUCTION

Infection diseases will last as long as humanity itself.
- K.PARK
Health is a concern of every one. Attention to health is central to objective of general
education . Swine flu also known as H1N1 type. A influenza ,is a human diseases . People get
the disease from other people ,not from pigs. The disease got stuck with the name swine flu
because it originally jumped from pigs to humans.
In India around 30,197 had become the victims of this disease and found to be
+ve . Out of which 1,453 +ve people have died as per cumulative death index mates
published by ministry of health & family welfare India as an March 13.2010.
Influenza H1N1 [swine flu] is a respiratory tract infection from the hogs .This kind of virus
can kill the human race .This infection is a world wide virus outbreak .Outbreaks are
common in pigs year round and infection in humans is a result of close contact with
infected animals .A flu deadly disease occur when a new influenza virus emerges for which
people have little or no immunity and for which there is no vaccine . Those whom their
hospitals are more than 10 miles from their community can easily infected with the swine
flu. The disease spread easily person to person and can be cause with serious illness and can
spread out across the country and even worldwide in a very short span of time .
Human to human transmission of swine flu can also occur. This is thought to
happen in the same way as seasonal flu occurs in people, which is mainly through coughing
or sneezing of people infected with the influenza virus to an uninfected individual will be
infected also. People may also become infected by touching something with flu viruses on it
and then they touch their mouth or nose.
Medical researchers around the world have admitted that the swine flu viruses could
mutate into something as deadly as the Spanish flu and are watching care fully the last
outbreak of swine flu in 2009 in order to create in contingency plan for a possible pandemic
imminent globle. Many countries have taken precautionary measures and education to
reduce the chances of this happening .A comparative study conducted in as reveals that the
young children are at more risk and the viruses are easily transferred to them by touching or
handling the utensils which was handled by infected person. People with H1N1 flu can
spread it to others up to about 3 feet away .School and day care canters are considered as a
best setting for infection .According to Elias M.J.Etal 1994.School year the time of increasing
risk for negative health related outcomes. It is important vaccinate the toddlers before they
step in to preschool age. This age group should be more carefully than away other group.
Fever , lethargy, lack of appetite, runny nose, sore throat ,nausea, vomiting, diarrhoea and
coughing are some of the following symptoms are swine flu in people. The effects of a
pandemics can be lessened preparation is made ahead of time. Planning and preparation
information and checklists are being prepared for various sectors of society, including
information for individuals and families.
People at high risk of serious flu complications include children younger than five years.
Every six month of age and above should get vaccinated against the flu as soon as
vaccination is available. Vaccination is specially important for the people who care for or are
around persons at high risk, including babies less than 6 months of age who can not be
vaccinated. Flu is more dangerous than the common cold for children. Each year, seasonal
flu places a large families. Children commonly need medical care because of influenza,
especially before they turn 5 year old.
Prevention being better than cure .An influential paper published in the year of 2008 in
the journal of infectious disease states that the majority of deaths among children in the
1918-1919 influenza pandemic likely resulted directly from secondary bacterial pneumonia.
The ultimate aim of structured teaching programme is to bring a significant change in the
knowledge and health behaviour of family .While every one should get a swine flu vaccine in
flu season, its especially important that the target groups to get vaccinated because they
are at high risk of having serious flu related complication. People at high risk for developing
flu related complication are children younger than 5, but especially children younger than 2
years.
NEED FOR THE STUDY
Prevention is better than cure.
Dr.kelly hernicksons (august 2009 ),swine influenza is a highly contagious respiratory
disease of pigs caused by one of several swine influenza A viruses outbreaks are common in
pigs year round and infection in human is a result of close contact with infected animals .
By mid century in 1957,a pandemic of swine flu infected more than 45 million people in
Northern America, killing 70,000 people. In total almost caused 2 million deaths worldwide.
11 years later, from 1968 to 1969 pandemic of influenza Hong Kong affecting over 50
million people, causing some 33,000 deaths. In 1976, some 500 soldiers were infected with
swine flu in a few weeks. Reports have stated that United states has likly riched its pik for
H1n1,as only 32 of 50 states are now reporting wide spread influenza activities. While H1N1
may have piaked in parts of the Noethern hemisphere, the number of deaths worldwide
jumped by over 1,000 during the past weeks, reaching more than 7,800.
Turkey seem to be reporting new deaths at an alarmingrate. 83 new deaths were reported
this week ,increasing the death toll in Turkey , by 74% .Mexico also confirmed 83 new
death, upping their total death count by a less significant 14.5% .H1N1 deaths are also on
the rise in Canada ,who confirmed 78 new deaths- resulting in a 31 % increase in their total
deaths in just a week. Russia has been experiencing a significant surge in swine flu deaths as
well, with 65 new ones reported this week a64% rise in total deaths. China reported 51
new deaths, nearly doubling tally. Total deaths in Iran increased by 40% with the addition
of 40 new deaths. The united Kingdom saw a 15.7 % increase form the new deaths they
reported 30 new deaths total rise of 42 % respectively.
According to health department, Inida 2011 had reported 566 death tolls. New cases were
reported in country taking the total number of people suffering the contagious virus are
16,328.
The country had reported the following confirmed swine flu cases in India. Maharashtra still
continues to place on top among other places that have many confirmed swine flu cases.
Its last death made its toll climbed up to 197 deaths. The place also has approximately about
3600 people who were infected by the swine flu .Kerala reported 27 confirmed swine flu
cases were reported this place .New Delhi had recorded 13 cases of swine flu .Eight negative
folks of Tamilnaduhad raised the number of cases of swine flu India. One case of swine flu
infection was recent discovered in Haryan. Karnataka reported 5 deaths due to swine flu
were last recorded rising its total death toll to 117 .Bangalore reported 38 swine flu deaths
so far.
Today child health is viewed as a holistic and positive component for total
development, and health is essential for high quality of life for children. Children physical
size and developmental level result in unique responses to illness and technological
challenges. It is a challenging task for the medical & nursing team involved in the care of
children .According to reports, swine flu (H1N1) is spreading fast throughout country;
people are getting panicky about its possible consequences. The ignorance and fear are the
root causes of the unwarranted panic among the public.
25 June 2012 central of disease control swine flu is otherwise called as influenza A
(H1N1) infection has clinical manifestations of influenza like illness range from
asymptomatic infection to mild upper respiratory illness, viral syndrome, diarrhoea and
sever pneumonia to acute respiratory distress syndrome (ARDD) & to progression to multi
organ failure. Populations at increased risk for morbidity & mortality include the very young
(1-3 years) & elderly 65 above .Influenza virus are common & important human pathogens
that are responsible for seasonal epidemics & occasional unpredictable pandemics. The
deadliest pandemic in recorded history occurred in 1918 toward the end of the First World
War. Influenza H1N1 strain killed an estimated 50 millions people worldwide the 1000 of
young children & previously healthy individuals dying within 5-7 days of infection. Each year
central for Disease Control publishes recommendation for influenza; and expands its
guidance by adding recommendation for vaccination of children 2-5 years of age.
Recently published studies indicate that 20-40 % of populations in India have been
infected by (H1N1).Many country specially in high risk group. This coverage further
increases community wide immunity, pandemic like the virus that advice during post
pandemic period. Based on last pandemics it is likely that virus will continue to cause serious
disease in younger children. If the groups identify diminish.
People at high risk of serious flu complications include children younger than 5 years.
Every 6 month of age & last as soon as as the vaccine is available. Vaccination is especially
important for he people who care for or are around person below 24 month of age who
cannot be vaccinated. Flu is more dangerous than the common cold for children. Each year ,
seasion winter well being of children & families. Children commonly need medical care of
because influenza especially before the prevention being better than cure .

PROBLEM STATEMENT
COMPLICATION STUDY TO ASSESS THE LEVEL OF KNOWLEDGE OF SCHOOL STUDENT ON
PREVENTION OF INFLUENZA HINI THROUGH THE STRUCTURE TEACHING PROGRAMME
AMONG HIGH SCHOOL CHILDREN AT GOVT.SCHOOL JAGDALPUR.

OBJECTIVES OF STUDY
1.To assess the knowledge regarding prevention of swine flu among high school children.
2.To evaluate the effectiveness of structured teaching by compairing pre test & post test
knowledge score.
3.To find the association between pre test knowledge score with selected demographic
variables.

OPERATIONAL DEFINATION
Evaluate : This study refers to finding the value of the structured teaching programme on
increasing knowledge of high school children regarding swine flu prevention.
Effectiveness : Refers to determining the extent to which the structured teaching
programme has achieved the desired effect in improving the knowledge of high school
children on swine flu prevention.
Structured teaching programme : Well organized teaching material prepare and used by the
investigator for the selected high school children to enhance the student knowledge on
swine flu prevention.
Knowledge : Ability of high school children in giving correct responses to the question asked
as measured by knowledge questionnaire.
H1N1 : A highly contagious form of influenza seen in swine caused by virus
orthomyxoviridae .The infection is communicable to and caused a woridwide epidemic .
Prevention : It refers to the activities or measures that are being taken to control or stop
any untoward effect of disease or disease it self.
School children : The children of age between 12-15 year

HYPOTHESES
H0 There will be no association between the knowledge of high school children regarding
influenza H1N1 prevention & selective variables.
H1-There will be a significant association between the knowledge of high school children
regarding swine flu
H2- There will be significant association between pre test and post test knowledge
scores on swine flu and its prevention among high school children.
ASSUMPTION:
The high school children will have inadequate knowledge regarding the
prevention of influenza H1N1.
Structured teaching programme enhance the knowledge of high school
children .

VARIABLES;
Independent variables: structured teaching programme regarding prevention of influenza
H1N1 is the independent variable in the present study.
Dependent variable : knowledge score of high school children on prevention of influenza
H1N1 is the dependent variables.



SUMMARY
This chapter has dealt with the introduction, need for the study, problem statement,
objectives, operational defination, assumption formulated, conceptual framework, adopted
for the study and the organization of report.




































CHAPTER -II

REVIEW OF LITERATURE

A literature review is a body of text that aims to text that aims to review the critical points
of knowledge on a particular topic of A literature review is an account of what has been
already established on a particular research topic by accredited scholars and researchers.
[Acc. To university of Toronto,2001] DEVELOPMENT OF TOOLS.
Keeping in view the objectives of the comparative study to assess the level of knowledge of
school student on prevention of Influenza A (H1N1) through the structured teaching
programme at Govt. School Jagdalpur.
The questionnaire has two part 1 & part 2
PART 1:-The first part consist of 9 items related to demographic characteristics of school
going children age 12 16 years
PART 2:- It consist of 30 items related to knowledge, related to meaning & definition, mode
of transmission, clinical manifestation, pathophysiology , diagnosis, prevention and
management, side effect of vaccination of INFLUENZA A.
The responded were instructed to select the most appropriate answer. Each correct answer
has given as core of one & zero for wrong answer. Thus maximum score was 30. As the
sample consist of school going children 12 to 16 year attending in Bastar Higher Secondary
School Jagdalpur (C.G.). The tool was prepared in English and translated to Hindi to facilitate
better comprehension.


Review of literature is a systemic identification , location ,selection and summary of
written material that contains information information on research problems.
Literature review is based on the extensive survey of books, journals, and
international nursing indices. It provides basis for future investigations, justifies the
need for study , and relates the finding from one study to another with a hope to
establish a comprehensive study of scientific knowledge in a profession discipline
from which valid and pertinent theories may be develop.
The review of literature of the present study was collected, organized and has been
presented under two section.
Section A : Studies related to disease condition .
Section-B: Studies related to prevention and immunization.
Section :A:- Studies related to disease condition
A cross sectional study was conducted on the transmission of influenza A/H1N1
2009 , in the community of England the sample consisted of 1385 patients with cold or flu
symptoms who had called to NHS directed telephone health line . The study was conducted
in 6 region of England pneumonia .If the vaccine supplies are limited ,these findings suggest
a ration for focusing prevention efforts on younger population.
An experimental was conducted on Chest radiography & CT in novel swine origin influenza
a (H1N1) virus infection in U.S.A. The sample consisted 66 patient who underwent chest
radio graphs .Study divides these samples into two groups, group 1 of 14 patient and group
2 consisted 52 patient , group 1 required ICU admission and advance mechanical ventilation
and group 2 did not, finding reveals that the group 1 had abnormal initial radiographs than
group 2.Study concluded that the chest radiographs were normal in more than half of
patients with H1N1 and progress to bilateral extensive lung disease.
A cross sectional study was conducted on Initial psychological respons to influenza A,
H1N1, at brunel university, U.K. The sample consisted 328 respondents the data collected
by in internet and paper based questionnaire studying Malaysia and Europe. The study
analyzed that the measures assessd changes transport usage, purchase of preparatory
goods for a pandemic, indicators of a anxiety estimated rates for seasonal flu ,and
effectiveness of seasonal flu vaccination. The findings revealed that initial responses to
influenza A show large regional differences in anxiety and more likely to reduce travel and
to by the masks and food. The study concluded that the discussion with family and friends
may reinforce existing anxiety level .
FLOOD et al 2010 U.S.A. shows that an experimental that n experimental study was
conducted on Development of a new disinfectant with very strong anti influenza viral
activity . The study consisted ovo as sample . The study analyzed that the acute toxicity of
this disinfectant to two different cultured cell lines were investigated. The finding revealed
that the new disinfectant shown very strong anti influenza viral activity the ovo test .The
study had concluded that this new disinfectant is expected to be useful for preventing viral
infection during a new influenza pandemic.
A cross section survey study conducted on Sydney residents to ascertain the beliefs ,
perceived risk and initial attitude of the Australian community towards the influenza at
university of new south wales ,Sydney. sample consisted 620 respondents. The finding
reveals that about 447 were aware of pandemic H1N1, but 273 felt they did not have
enough information about the situation. The study suggested to emphasize the efficacy of
recommended actions such as hand hygiene.
NIAID researchers found that H1N1 influenza was transmitted to human several months
before recognition of outbreak A team of Hong Kong University conducted an evaluator
analysis on the currently circulating 2009 novel H1N1 influenza virus to determine its origin
and early development. Researchers found that the virus was derived from several viruses
circulating in swine, and that the initial transmission to humans occurred several months
before recognition of the outbreak.
Wisconsin-madison et al 2011 :- The investigator at the university of Wisconsin-Madison
Found that infection with human H1N1 viruses that are antigenic ally related to viruses were
circulating in 1918 confers neutralizing antibody activity against the currently circulating
2009 novel H1N1 .These finding suggests that people alive during the 1918 influenza
pandemic have the most protection against the current 2009 H1N1 influenza because of
their prior exposure. Finally the team confirms the antiviral drug like Tami flu and Relenza
are effective against the new H1N1 pandemic virus.
Section- B: Studies related to prevention and immunization.
An Experimental study was conducted on To assist in future outbreak prevention and
control efforts at naval medical centre, California The sample consisted 761 patients. These
patients. were had influenzalike illness. The finding revealed that 97 were confirmed of
novel H1N1 virus infection and the study concluded that the outbreak described that it
primarily affects adolescents and young adults and resulted in a febrile illness without
sequelae.
Rothan Tondevr et el 2009 france:- Result shown that A descriptive study was conducted on
prevention and treatment modalities of novel H1N1 influenza, the researcher were obtained
the data from Medline (1966-Oct-1999) and international pharmaceutical Abstracts (1971-
oct-2009) these data and available articles were reviewed with the information obtained
from the centers for disease control and prevention, the food are drug administration &
WHO, the analysis of study was this new strain, by this study the researcher suggested that
the utilization of immunization & antiviral treatment options are available to prevent, treat
and control the spread of HINI infection.
Jimenez Garda 2012 Spain :- Shown that an experimental study was conducted to
investigate the ability of Arachidonic acid(AA) and docosahaxaenoic acid (DHA) enriched
infants formula to modulate immune response in the neonate in response to an inactivated
influenza virus vaccine .The samples consisted 48 neonate piglets which are distributed in
to 16 blocks are of 3 littermate piglets each. In each block piglet where randomly assigned
to a control formula for 30 days on day 9 ,8 blocks of piglets were immunized with an
inactivated influenza virus vaccine, on days 0 ,9, 16, 23 and 30. After weaning T cells had
measured. The study analyzed that the T cell were proliferated in blood .The study shown
the result that the immunomodilatory effects of AA /DHA enriched formulas were
consistent with up regulation of interleukin 10 in peripheral blood mononuclear cells the
study concluded that the AA /DHA enriched formula modulated antigen specific T cell
responses in part through an interleukin 10 dependent mechanism.
Dexter 2013 Canada university et al:- An experimental study was conducted on The clinical
presentation, diagnosis and management of swine flu among Pediatric patients at child and
family research institute, Canada. The sample consisted 205 children. The finding revealed
that 30 children were infected with H1N1. The study analyzed that the guidelines on
diagnostic testing and management of patients with H1N1 infection. The researcher
suggested that the exposed children should be indentified and should be vaccination.
SUMMARY:- The review of literature aided in providing knowledge based to carry out the
study. It helped the investigator to understand the existing the knowledge about vaccination
of influenza H1N1 among the high school children to identify the concept of theoretical
framework and their relationship among the concepts. It further gave direction in designing
the study development of tool data collection procedure and analysis of data.


































CHAPTER III

METHODOLOGY

The philosophical assumption , method of data collection & techniques of data analysis can
be used to find out whether the study is qualitative, quantitative or a mixture of the two
According to Kadar Parahoo
method of data & presentation , here includes the parameter to be compared &analyzed,
statistical techniques and method to be used for analysis the data should be specified e.g.
descriptive statistics inferential statistical for testing hypothesis and drawing inferences.
According to B.T. Basavanthappa :-
RESEARCH APPROACH:-
Research approach is the procedure conducting the study .
According to Kerlinger
In this study quantitative research approach is used .
RESEARCH DESIGN:-
The research design is the plan , structure & strategy of investigations of
answering the research question is the overall plan or blue print. The researchers select to
carry out their study .
According to B.T. Basavanthappa
The term research design means of plan that describes how, when &
where data are to be collected & analyzed. The design of the study comprises the following
aspects :-
The approach ( quantitative ,qualitative or both ,with or without a conceptual
framework)
The method of data collection & ethical considerations .
The time place & source of data .
The method of data analysis.
For the present study pre experimental research design (one-group pre-test, post-
test design ) is used.
RESEARCH DESIGN-:






































VARIABLES :-
INDEPENDENT VARIABLES
The independent variables is the variable that stands alone and not
dependent any other. It is the causes of action.
In the study, structured teaching programme was the independent variable.
DEPENDENT VARIABLES
The dependent variables is the effect of the action of the independent
variables and can not exit by it self.
In the study knowledge of level of children were dependent variable.
SETTING OF THE STUDY
The physical location & condition which data collection takes place in the study.
For the present study , site in the Bastar high secondary school Jagdalpur ( C.G.) which is 60
student is available and well facilitate.
CRITERIA FOR THE SELECTION OF THE STUDY
Relevance.
Avoidance of duplication.
Urgency of data needed ( timeless).
Feasiability of the study.
Application of results.
Ethical acceptability.

TARGET POPULATION
The target or study population is the population which meets the criteria for
inclusion stimulated by researchers.
According to Kedar Parahoo
Target population is the aggregate of cases about which the researcher would like
to generalized. For the present study school going children of bastar high school
Jagdalpur with level of knowledge prevention of Influenza A .
ACCESSIBLE POPULATION
The accessible or source population is the aggregate of cases that conform to
designated criteria and that are accessible as subject for a study.

For the present study prevention of Influenza A level of knowledge on school going
children (12-16 years) in Bastar high school Jagdalpur c.g. are the accessible
population.

DEVELOPMENT OF TOOLS
Keeping in view the objectives of the comparative study to assess the
level of knowledge of school student on prevention of Influenza A (H1N1) through
the structured teaching programme at Govt. School Jagdalpur.
The questionnaire has two part 1 & part 2
PART 1:- The first part consist of 9 items related to demographic
characteristics of school going children age 12 16 years
PART 2:- It consist of 30 items related to knowledge, related to meaning & definition,
mode of transmission, clinical manifestation, pathophysiology, diagnosis, prevention and
management, side effect of vaccination of INFLUENZA A.
The responded were instructed to select the most appropriate answer. Each
correct answer has given as core of one & zero for wrong answer. Thus maximum
score was 3the sample consist of school going children 12 to 16 year attending in
Bastar Higher Secondary School Jagdalpur (C.G.). The tool was prepared in English
and translated to Hindi to facilitate better comprehension


Developmental of structured teaching programme
Teaching programme is guide for a teacher because it help , to cover the
topic comprehensively with sequence of point & without missing anything.
The step to prepare teaching plan were.
Review of literature.
Framing the outline of content.
Prepare & organisation of content.
Deciding the method of instruction & A.V.AIDS.
Preparation of the final draft of STP.
Evaluation the teaching plan.
Review of literature
An extensive literature review was undertaken regarding Influenza A vaccination from the
researcher & non researcher materials , internet sources, journals.
Framing the outline of content
The outline of the teaching plan was framed which include setting of the journals & specific
objectives, specifying the date ,time, place & size of the group , number of sessions &
duration of sessions.
Prepare of organisation of content
Content of the structured teaching programme was prepared & organized under various
heading according to the specific objectives.
Deciding the method of instruction & AV AIDS
The method of instruction adopted was lecture cum discussion, AV AIDS were black board,
charts, and flash cards were used.
Prepare of the final draft of the STP
Generals & specific objectives of the teaching plan were given in the beginning of the STP.
Final draft of plan teaching programme was organized under various heading, such as
introduction, meaning and definition of swine flu, mode of transmission , clinical
manifestation , pathophysiology, management, prevention and side effect on vaccination of
swine flu.

SAMPLE AND SAMPLE SIZE
A proportion or subject of the population is known as a sample.
A sample is a smaller representation of a large whole . A sample is a subset of population
element.
Sample size may depend upon the nature of the population, number of sub groups ,nature
of study , type of sampling , level of accuracy & available of time and money.
According to D. Elakuvana Bhaskararaj
For the present study of 30 children are taken from Bastar high school jagdalpur c.g.
SAMPLING TECHNIQUE
Sampling is the process of selecting a representive part of the population. Thus , a
carefully carried out sampling process helps to draw a sample that represents the
characteristics of the population from which the sample is drawn.
The technique used in sampling for the present study is purposive sampling.
DATA COLLECTION METHOD
A formal written permission taken from principal Govt. College of Nursing Jagalpur (C.G.) to
conduct the study .Data is collected from comparative study of school going student of
bastar high school Jagdalpur ( C.G.) .The purpose of study was comparative study to assess
the level of knowledge of school going student (10-12 year) .
Through the sampling the researcher selected 30 samples to assess the level of
knowledge of school going student. It took 15 minutes for pre test & post test for 15
minutes with each student. The test was taken with the help of self structured teaching
programme list which in 30 question items. The students cooperated well the researcher
gave thanks after the completion of data collection.
PLAN FOR DATA ANALYSIS:-
The data were analyzed according to the objective of the study by using the descriptive and
inferential stastistics such as :
Frequency and percentage distribution were computed for describing the samples
demographic variables.
Knowledage level were analyzed in term of frequencies, percentage, mean ,mean %,
standared deviation and percentage in the form of bar ,pie, cone, column diagram.
Paired pre test and post test was computed to compare the pre test and post test
mean score level of knowledge.

ETHICAL CONSIDERATION :-
The research problem and objective were approved by the research committee.
Formal permission taken from the higher authorities to conduct the study. Informed
consent was taken from all student include in this study from Bastar high school
Jagdalpur c.g. the purpose of the study was explained the students. Confidentiality
was maintained during data collection.

SUMMARY:-
This chapter of methodology deals with the research approach , research design,
setting of study, population ,sample and sample technique, development and
description of tools, development of structured questionnaire, data collection and
plan for data analysis.

























CHAPTER IV

DATA ANALYSIS AND INTERPRETATION

Analysis of quantitative data involves the production and interpretation of frequencies
,tables, graphs etc that describe the data .
According to Bhaskararaj

This chapter present the analysis and interpretation of data collection from school going
children study in Govt. Bastar High School Jagdalpur about prevention of influenza A.

The analysis in the categorized , ordering , manipulating and summarizing of data obtained
answer to research question.

The data collection was organized tabulated ,analyzed and interpreted according to the
objectives of the study.
1.To assess the knowledge regarding prevention of swine flu among high school children.
2.To evaluate the effectiveness of structured teaching by compairing pre test & post test
knowledge score.
3.To find the association between pre test knowledge score with selected demographic
variables.


































SECTION - I
DISTRIBUTION OF THE STUDY SUBJECTS ACCORDING
SOCIO DEMOGRAPHIC VARIABLES

S.NO. AGE FREQVENCY PERCENTAGE
DISTRIBUTION OF SUBBJECT ACCORDING TO THE AGE


FIGURE 1:- Column diagram representing subjects according to age of childrenTABLE
TABLE [FIG-1]:-depicts that children , i.e . 4 [13.30%] belong to age group of 10-12 years
and maximum children 14 [46.60%] belong to age group of 12-14 years and 10 [33.33%] in
age group are 14-16 years and followed by 2 [6.66%] in the group of 16-18 years.

TABLE-II

S.NO. SEX FREQUENCY PERCENTAGE
1. MALE 30 100%
10-12 year
12-14 year
14-16 year
16-18 year
4
14
10
2
13.30%
46.60%
33.33%
6.66%
FREQUENCY PERCENTAGE
1 10-12 Year 4 13.3%
2 12-14 Year 14 46.6%
3 14-16 Year 10 33.3%
4 16-18 Year 2 6.66%
TOTAL 30 100%
2. FEMALE 0 0
TOTAL 30 100%

DISTRIBUTION OF SUBJECTS ACCORDING TO SEX



FIGURE 2 :- Column diagram of representing subjects of according to sex of children.
TABLE [fig 2]:- depicts that majority of children i.e.30 [100%]had male.0[0%] had female.

TABLE - III

0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
MALE FEMALE
Column1
PERCENTAGE
FREQUENCY
S.N. FAMILY EDUCATION FREQUENCY PERCENTAGE
DISTRIBUTION OF SUBJECTS ACCORDING TO THE FAMILY EDUCATION.

FIGURE 3: - Bar diagram representing subjects according to family education.
TABLE 3 :- Depicts that level of family education i.e. 7(23.3%) had primary school
,13(43.33%) middle school, 5(16.6%) higher school, 5(6.6%) college.


TABLE- IV
S.NO. FAMILY OCCUPATION FREQUENCY PERCENTAGE
0
2
4
6
8
10
12
14
PRIMARY
SCHOOL
MIDDLE
SCHOOL
HIGHER
SECONDARY
SCHOOL
COLLEGE
Column1
FREQUENCY
PERCENTAGE
1 PRIMARY SCHOOL 7 23.3%
2 MIDDLE SCHOOL 13 43.33%
3 HIGHER SECONDARY SCHOOL 5 16.6%
4 COLLEGE 5 16.6%
TOTAL 30 100%
1 GOVT. SERVENT 4 13.33%
2 PRIVATE JOB 5 16.66%
3 LABOUR 18 60%
4 NON OF THIS 3 10%
TOTAL 30 100%

DISTRIBITION OF SUBJECTS ACCORDING TO FAMILY OCCUPATION

FIGURE 4:-pie representing subjects according to family occupation.
TABLE[Fig4]:- depicts that level of family occupation i.e.4[13.33%] govt. Servent
,5[16.66%]private job,18[60% ] labor,3[10%]non of this

TABLE - V

13%
17%
60%
10%
FREQUENCY
GOVT.SERVENT PRIVATE JOB LABOUR NON OF THIS
S.N. FAMILY INCOME FREQUENCY PERCENTAGE
1. 2500 7 23.33%
2. 3000 9 30%
3. 5000 9 30%
4. 10,000 5 16.66%
TOTAL 30 100%

DISTRIBUTION OF SUBJECTS ACCORDING TO FAMILY INCOME

FIGURE 5 :-bar diagram representing subjects according to income of family
TABLE 5[FIG 5]:- the depicts shows that income of family i. e.7 [23.33 %] 2500Rs/,
9[30%]3000Rs/,9[30%] 5000Rs/,5[16.66%] 10,000Rs/

TABLE VI

0 2 4 6 8 10
2500
3000
5000
10000
7
9
9
5
23.33%
30%
30%
16.66%
FREQUENCY PERCENTAGE Column1
S.NO. TYPES OF FAMILY FREQUENCY PERSENTAGE
1. NUCLEAR 22 73.33%
2. JOINT 8 26.66%
TOTAL 30 100%

s DISTRIBUTION OF SUBJECTS ACCORDING TO TYPES OF FAMILY


FIGURE:-diagram re-Line presenting the subject according to types of family.
TABLE [FIG 6]:-Shows that the types of family of majority i.e.22[73.33%] nuclear,8[26.66%]
joint .



TABLE - VII
0
5
10
15
20
25
NUCLEAR
JOINT
22
8
73.33%
26.66%
Chart Title
FREQUENCY
PERSENTAGE
Series 3
S.NO. LIVING PLACE FREQUENCY PERSENTAGE
1. TOWN 15 50%
2. VILLAGE 15 50%
TOTAL 30 100%

DISTRIBUTION OF SUBJECTS ACCORDING TO LIVING PLACE



FIGURE 7:-Doughnut diagram representing subjects according to living place.
TABLE[fig7]:-depicts that 15[50%] town, 15[50%]village.

TABLE - VIII
S.NO. RELIGION FREQUENCY PERCENTAGE
TOWN
50%
VILLAGE
50%
TOWN
50%
VILLAGE
50%
Chart Title
1. HINDU 29 96.66%
2. MUSLIM 0 0%
3. CHRISTIAN 1 3.33%
4. SIKH 0 0%
TOTAL 30 100%

DISTRIBUTION OF SUBJECTS ACCORDING TO RELIGION


FIGURE 8:- area diagram representing subjects according to the religion
TABLE[fig8]:- depicts that maximum 29[96.66%] hindu, 0[0%] muslim, 1[3.33%] Christian,
0[0%] sikh

TABLE :-IX

0
5
10
15
20
25
30
HINDU
MUSLIM
CHRISTIAN
SICKKH
A
x
i
s

T
i
t
l
e

Axis Title
Chart Title
FREQUENCY
PERCENTAGE
S.NO. NO OF CHILDREN FREQUENCY PERCENTAGE
1. 30 30 100%
2. 40 0 0%
3. 45 0 0%
4. 50 0 0%
TOTAL 30 100%

DISTRIBUTION OF SUBJECTS ACCORDING TO NO OF CHILDREN.


FIGURE 9:- Column diagram representing subjects according to no of children.
TABLE 9[fig9]:- The depicts are shows that no of children i.e. 30[100%] 30, 0[0%] 40,[0%] 45,
0[0%]50.
ANALYSIS REGARDING COMPARISON OF MEAN SCORE AND STANDERD DEVIATION OF
PRETEST & POST TEST LEVELE OF KNOWLEDGE .
0
5
10
15
20
25
30
30
40
45
50
30
0
0
0
100%
0%
0%
0%
FREQUENCY PERCENTAGE Series 3
S.NO. LEVEL OF
KNOWLEDGE
MAXIMUM
POSITIVE
SCORE
MEAN
SCORE
MEAN %
SCORE
STANDERD
DEVIATION
1. PRE TEST 30 8.63 3.33% 6.98
2. POST TEST 30 15.83 3.33% 12.61

The above table shows that 8.63 is mean score,3.33 is a mean % score and 6.98 is the
standard deviation of pre test and 15.83 is mean score, 3.33 is a mean % score,12.61 is the
standard deviation of post test.


FIGURE NO 10:- chart layout representing the subject according to level of knowledge wise
analysis of pre test post test.
MAXIMUM POSITIVE SCORE
MEAN SCORE
MEAN PERCENTAGE SCORE
STANDERD DEVIATION
0
5
10
15
20
25
30
PER TEST
POST TEST
A
x
i
s

T
i
t
l
e

Chart Title













CHAPTER V

RESULTS AND DISCUSSION
Analysis as the categorizing , manipulating and summarizing of data , to obtain answers to
the research questions .The purpose of analysis is to reduced data to n intelligible and
interpretable form so that the relation of research problem can be studied and tested.
Interpretation is the most challenging and structured step in the process of research.
Interpreting the research findings requires the investigators to be creative.
One group pre test post test design with evaluating approach was used in the
presented to assess the effectiveness of STP on vaccination of swine flu among school
childrens.

The data was collected from 60 students before and after the administration of STP.
The collected information was organized ,tabulated,analyzed and interpreted by using
descriptive and inferential statistics.
The objectives of the study were,
*To assess the knowledge regarding prevention of swine fiu among high school children.
*To evaluate the effectiveness of structured teaching programme by comparing pre test and
post test knowledge score.
*To find the association between pre test knowledge scores with selected demographic
variables.
ORGANIZATION OF FINDINGS
The data and findings organised and presented in three parts, Part-I, Part-II, Part-
III,and Part-IV.
Part I: Sample characteristics
Part:II Analysis of pre test knowledge scores of students.
SECTION A: Level of Knowledge among students regarding
Vaccinatio of swine flu.
SECTION B: Area wise mean, mean percentage, standard deviation
Of pre test knowledge score.
Part III: Assessment of effectiveness of STP vaccination
Of swine flu .
SECTION A: Assesssment of post- test knowledge score of students
Regarding vaccination of swine flu.
SECTION B: Area wise effectiveness of structured teaching
Programme.
SECTION C:Item-wise effectiveness of structured teaching
Programme on vaccination of swine flu.
PART IV: Association of pre test knowledge scores and selected
Demographic variables.

Part I:Sample characteristics
Table 1:Demographic charecteristics of the sample
N=60
Demographic
Data
Frequency percentage
1.Age of children
1o to 12 yrs. 4 13.33%
12 to 14 yrs. 14 46.6%
14 to 16 yrs. 10 33.3%
16 to 18 yrs. 2 6.66%
2. sex
Male 60 100%
Female - -
3.Level of family education
Primary education 7 23.3%
Middle school 13 43.33%
Higher secondary 5 16.6%
College 5 16.6%
4.family occupation
Govt. Servent 4 13.33%
Private servent 5 16.66%
Labour 18 60%
None of this 3 10%
5.Family income
2500 Rs. 7 23.33%
3000 Rs. 9 30%
5000 Rs. 9 30%
1000Rs. 5 16.6%
6.Types of family
Nuclear 22 73.33%
Joint 08 26.66%
7.Living place
TOWN 15 50%
Village 15 50%
8.religion
Hindu 29 96.66%
Muslim 0 0%
CHRISTIAN 01 3.33%
Sikh 0 0%
9. no. Of children
30 0 0%
40 0 0%
60 60 100%

A quantative approach used for the study. A purposive sampling was done to select
samples. The Data collection tools Were used demographic variables ,rating scale was used
to assess the level of knowledage by subjects.
The major finding of the study are dicussed in light to the formulated objectives, which are
as follows;
To assess the level of knowledge regarding prevention of swine flu among school
children.
To evaluvate the effectiveness of structured teaching programme by comparing pre
test and post knowledge score.
To find out the association between post test knowledge scores with selected
demographic variables.
The first objectives is to assess the knowledge regarding prevention of swine flu
among school children.
The level of knowledge the sample was measured by rating scale the reveals that
total mean percentages of pre test knowledge score was 3.33% with mean and
standard deviation of 8.63 and 6.98 area wise mean percentages of knowledge score
was highest 3.34% and control group and mean percentage 3.33% mean and
standard deviation 9.46 and 7.55 .
The overall mean post test knowledge score mean percentages
3.33% mean and standard deviation 15.83 and 12.61 and post test control group
mean percentage 3.33% and mean and standard deviation 13.03 and 10.41
evaluation of the effectiveness of STP shows that majority of the respondents pre
test knowledge 3.33% and post test knowledge 3.33% adequate knowledge followed
by 4 (10 %) of respondents had moderately adequate knowledge the overall level of
knowledge score was pre test 30,mean score 8.63 mean percentage score 3.33% and
standard deviation 6.98.
The post test knowledge score 30, mean score 15.83 mean
percentage score 3.33% and standard deviation 12.61.It was also found that the
obtained Z value 12.592 higher than the table value.
The seconds objectives was to find out the effectiveness of structured teaching
programme by comparing pre test and post test knowledge score.
The finding congruent with the studies conducted by other researcher . Study was
conducted was evaluate the effectiveness of health education module on schools ,in
order to create awareness among school children the investigator has taken up this
study; this will help the target group to help them to prevent them self from this
dangerous contagious disease .The study limited to the children of age group 12-14
years by using random sampling technique, sample was 60 children were selected
the result of post score revealed that the health education module had brought in an
improvement the level of knowledge regarding swine flu among samples.The overall
mean score percentage 3.33% with the SD 6.98 in the pre test score and the overall
mean percentages 3.33% with SD 12.61 in the post test score it reveals that the
improvement score the 12.592 the paired Z value which has stastistically
significant improvement -1.17 level.
This study conclude that HEM health education module was effective in
improving the knowledgw among the school children regarding prevention of swine
flu.

The association of knowledge post test knowledge score of school children
regarding vaccination of swine flu with selected demographic variables

The association of post test knowledge score of school children regarding
vaccination of swine flu with selected demographic variables revealed that there
was no association between the post test knowledge score and selected
demographic variables like age of children ,sex ,education , occupation of family ,
monthly income of family, type of family, living place, religion, number of children
.Also the study reveals that there was association between the selected variables like
sex and number of children post test knowledge score of school children regarding
vaccination of swine flu.
The result of this study contradicted by a similar study done by Lynch
J.P.(2009) on school children knowledge regarding prevention of swine flu reveals
that increase knowledge was associated with school education and living pattern.
SUMMARY-: this chapter dealt with the analysis and interpretations of the findings
of the study.
























CHAPTER VI

SUMMARY , FINDINGS, IMPICATION ,LIMITATION,RECOMMENDATIONS AND CONCLUSION
This chapter presents the summary of the study, finding and its implications for nursing and
health care services and ends with recommendations for further research in this field.

SUMMARY OF THE STUDY
The purpose of the study was to assess the level of knowledge of school student on
prevention of influenza H1N1.
The pre experimental study was designed by the researchers to evaluate the level of
knowledge. Purposive sampling technique was used to selects 30 samples. The tool was
developed and adopted after reviewing the relevant literature. Comparative study used to
assess the level of knowledge among school going children. The collected data was
calculated and analyzed using both descriptive and inferential statistics based on the
objectives of the study. The study tested and accepted the hypothesis .The data collect were
statistically analyzd and represented as tables and graphs in the previous chapter.
The major finding of the study are discussed in light to the formulated objectives, which are
as follows,
1.To assess the knowledge regarding prevention of swine flu among high school children.
2.To evaluate the effectiveness of structured teaching by compairing pre test & post test
knowledge score.
3.To find the association between pre test knowledge score with selected demographic
variables.


ORGANIZATION
The data was analysed and presented in four different headings.
SECTIoN 1:- Description of demographic variables.
SECTION 2:- Finding related to effectiveness of structure teaching programmes.
SECTION 3:- Findings related to comparison of effectiveness of level of knowledge before
and after
Structure teaching programmes.
SECTION 4:-Association between selected variables with effectiveness of structure teaching
Programme.


MAJOR FINDINGS OF THE STUDY :-
= As per socio demographic variables, subject acc. to the age of children , majority of
responded in samples 46.67% belong to 12 14 year.
= Distribution of subject acc. to sex majority of responded in sample 100% were boys.
= Distribution of subject acc. to family education , majority of responded in sample 43.39%
belong to middle school of family education.
= Distribution of subject acc. to family occupation, majority of responded in 60% belong to
labour .
=Distribution of subject acc. to family income, majority of responded in 30% belong to 3000
& 30% of 5000.
= Distribution of subject acc. to type of family , majority of responded in sample 73.33%
belong to nuclear type of family .
=Distribution of subject acc. to living place equal responded 50% to both village & town
living place.
=Distribution of subject acc. to religion , majority of responded in sample 96.66% belong to
Hindus.
=Comparison of level of knowledge of school going children before & after structure
teaching programme .


C0NCLUTION :-
Swine flu is a highly contagious respiratory disease of pig caused by one
of several swine Influenza A viruses out breaks are common in pig year round & infection in
human is a
A study conducted on for assess the level of knowledge of school student
on prevention Influenza A H1N1.

NURSING IMPLICATION:-
The present study emphasized the need for the educate the school
going children regarding prevention of Influenza.



NURSING EDUCATION:-
= Nursing curriculum should be equipped with knowledge & skill to prepare a good
structure teaching programme for asses their knowledge & increase the level of
knowledge of Influenza H1N1.
=Nursing will have a good skill for assessing increased the level of knowledge of school
going children.

NURSING RESEARCH
Use of research finding should become a part of the qualityassurance evaluation to
evaluate individual performances a whole.
The study will motivate initial researchers to conduct the study on large scale.
Selected structured teaching programme increase the level of knowledge of
students .



RECOMMENDATION
The same study could be undertaken with large sample to show stronger statistical
association.
Study school can reveal a better picture and confirm the finding of present study.


LIMITATION
Getting adequate sample takes time.
Teaching is time consuming
The study was confined to a small number of participants which limits generalization.




















CHAPTER 6
BIBLIOGRAPHY
BOOKS
Brunner & Suddarths:- Text Book of Medical Surgical Nursing; 12
th
edition 2008;
published by wolters kluwer India pvt. Ltd New Delhi; pp 1105-1107.
Bailey & Lovis:- Text Book of Short Practice of surgery; 25
th
edition ; published by hodder
Arnold and Edward 2008 Ltd ;pp 1185-1187.
Indu khurana arushi: text book of anatomy and physiology for health professional; published
by kumar jain pp 364
K. rajgopal shenoy:- Text Book Of manipal manual of surgery;2
ND
edition ;published by
satish k jain;pp 521
Luckmanns :- text book of core principal and practice of medical surgical nursing;
Edition 2010; published by elesvier India pvt Ltd; 1073-1075
Lemone burke:- text book of critical thinking in client care medical surgical nursing ; edition
2008; published by oorling Kindersley India pvt Ltd
Potter and perry; text book of fundamental of nursing; 7
th
edition; published by elesvier pvt
Ltd; pp 1181
Robert .g. marton; Nursres pocket guide; 10
th
edition ;published by joanne p.duncan
Willson and ross; text book pf anatomy and physiology in health and illness;2006 edition;
published by Elesvier; pp 302
Tiraha behram khan ; medical dictionary English-hindi; published by kamal prakashan
Tortora derrickson; text book of principal of anatomy and physiology; 12
th
edition; volume 2
published by john wiley and son 2009 pvt Ltd ;pp 970

WEBOGRAPHY

http://:www.stomacare.com
http://:www.ostomywoundmanagement.com
http://:www.ostomycareliteraturereview.com
http://:www.ijsr.net.com
http://:www.englishadvisorybookletostomy.com
http://:www.healthlibrary.com
http://:www.rajivgandhiuniversityofhealthscience.com


Lewis and chintamani; text book of medical surgical nursing; edition 2011; published by
elesvier India pvt Ltd ;pp 1073-1076.


























SET-A
1)Age of children
a)10 12 year b)12-14 year
c) 14 16 year d) 16 18 year
2) Sex.
a)Girls b) Boys
3)education of family.
a)Primary education b) Middle education
c) Higher education d) Higher secondary
4)Occupation of family.
a) Govt. Employee b) Private service
c) Labour d) None of this
5)Income of family.
a)2,500/ b) 3,000/
c) 5,000/ d) 10,000/
6) Types of family.
a)Nuclear family b) Joint family
7)Living place.
a) Town b) Village
8)Religion.
a) Hindu b) Muslim
c)Christian d) Sikh
9)Number of children.
a) 10 12 year b) 12 14 year
c) 14 16 year d) 16 18 year.


SET - B
1)Swine flu is a.
a) communicable disease b) non-communicable disease
c) both d) none of this
2)who & when discovered the influenza virus.
a) by who on 11 June 2009 b) by who on 11 June 2001
c)by NGO on 10 may 2009 d) by NGO on 20 june 2007
3)what is the meaning of N in H1N1 virus.
a)snuraminidase b) nuranionidase
c) nuclice acid d) none of this
4) what is the meaning of H in influenza.
a) haemoglobin b) hem-aglutinin
c) heminidase c) all of
5) what is the size of H1N1 virus.
a)rectangular b) round shape
c) triangular d) all of
6) which month highly communicable of swine flu virus.
a) November April b) April November
c)April - September d) May July
7) whose month highly infectious about swine flu.
a) 11 June 2009 b) 11 June 2010
c) 9 march 2007 d) 28 may 2009
8) whose country given swine flu name H1N1.
a) Taiwan b) Endonesia
C) Japan d) Brazil
9)which area in highly mortality rate.
a) south Asia & china b) America
c) Africa & south Asia d) Endonesia & Japan
10)how many people are death by this virus.
a) 6,000 b) 20,000
c) 9,500 d) 18,000
11)which system are related swine flu disease.
a) Digestive system b) Nervous system
c) Respiratory system d) Circulatory system
12) other name of swine flu.
a) mal nutrition b) measles
c) avine flu ( bird flu ) d) chicken guniea

SET C
1)what are the route of transmission of swine flu in human.
a) by respiratory system b) by infected hand
c) by anus d) by mouth
2)which type of influenza virus are affect by swine flu.
a) H1N1 B) H1N2
c)H3N3 d) H7N7
3)what is the incubation period of swine flu .
a) 12 14 hours b) 2 12 hours
c) 18 -72 hours d) 24 48hour
4)which season are favrable for swine flu infection .
a) rainny season b) summer
c) winter d) winter & summer
5) transmission of influenza virus occur for pigs to human by.
a) uncooked meet b) contact
c) touch d) non of this
6) human o human transmission rate rapidly increase.
a) sneezing & coughing b) infected food
c) infected water d) none of this
SET D
1)what is the main symptoms of swine flu ?
a)swelling of neck b) body ache & fever
c) headache d) all of above
2) what is the different between cold & flu.
a) nose, lungs & alveoli infection is knows as flu.
b)upper respiratory tract infection is known as cold
c) nose & lungs infection is known as cold
1) a & b 2) only b
3) a & c 4) a, b,& c

SET E
1)what is the main prevention of swine flu .
a) Immunization b) medication
c) both d) none of this
2) what is the main site of vaccination of swine flu.
a) Intramuscular b) Intravenous
c) Subcutaneous d) none of this
3) how many month spacing is needed between & 2 doses.
a) 28 days b) 15 days
c) 10 days d) 1 month
4) how to diagnose swine flu.
a) blood test b) sputum test
c) both d) none of this
5) which age of children are not given vaccine of swine flu.
a) below 2 year b) below 3 year
c) below 3 year d) none of this
6) which type of diseased person are not given the vaccination of swine flu.
a) diabetic mellitus b) jaundice
c) asthma d) none of this
7) what is the side effect of swine flu vaccination .
a) abdomen pain b) fever , swelling & redness
c) vomiting & fever d) joint pain & fever
8) if swine flu is not care properly .
a) mental problem b)neckache
c) chest pain d) death

SET F
1)which uncooked meat lead to swine flu ?
a) fish b) hen
c) dog d) pig
2) which type of diet are recommended for swine flu.
a) non toxic b) carbohydrate
b) vegetable d) all of this
3) which vitamin are reduce the effect of swine flu.
a) vitamin a b) vitamin c
c) vitamin e d) vitamin d





Letter seeking permission to conduct study.
To,
The principal
Government college of nursing
Jagdalpur [C.G.]
Subject:- seeking permission to conduct study.
Respected madam,
We are the student of b.sc. nursing final year student in govt. College of
nursing Jagdalpur ,Bastar,[C.G.] affiliated to AYUSH HEALTH AND SCIENCE UNIVERCITY <
RAIPUR & have to conduct a research project which is to be submitted towards partial
fulfilment for the award of bachelor of nursing degree from AYUSH HEALTH AND SCIENCE
UNIVERSITY, RAIPUR on the following topic & objectives:-
TOPIC:- comparative study to assess the level of knowledge of school going children for
prevention of influenza A [H1N1 ].At govt .school jagdalpur.
OBJECTIVES:-
To assess the knowledge regarding prevention of swine flu among high school
children.
To evaluate the effectiveness of structured teaching programme by comparing pre
test and post test knowledge score.
To find the association between post test knowledge scores with selected
demographic variables.
So kindly request to grant us permission to conduct the study from
....................to........................in your esteemed institution.
Thanking you
Place- jagdalpur [C.G.] your faithfully
Date- B .Sc. nursing 4
th
year student
Letter seeking permission to conduct study.
To,
The principal Bastar
high.secondary school
Jagdalpur [C.G.]
Through-Mrs. A.novel
Principal
Govt. College of nursing jagdalpur,Bastar(c.g)
Subject:- seeking permission to conduct study.
Respected madam,
We are the student of b.sc. nursing final year student in govt. College of
nursing Jagdalpur ,Bastar,[C.G.] affiliated to AYUSH HEALTH AND SCIENCE UNIVERCITY <
RAIPUR & have to conduct a research project which is to be submitted towards partial
fulfilment for the award of bachelor of nursing degree from AYUSH HEALTH AND SCIENCE
UNIVERSITY, RAIPUR on the following topic & objectives:-
TOPIC:- comparative study to assess the level of knowledge of school going children for
prevention of influenza A [H1N1 ].At govt .school jagdalpur.
OBJECTIVES:-
To assess the knowledge regarding prevention of swine flu among high school
children.
To evaluate the effectiveness of structured teaching programme by comparing pre
test and post test knowledge score.
To find the association between post test knowledge scores with selected
demographic variables.
So kindly request to grant us permission to conduct the study from
....................to........................in your esteemed institution.
Thanking you
Place- jagdalpur [C.G.] your faithfully
Date- B .Sc. nursing 4
th
year student




APPENDIX-E
From
B.Sc. Nursing final year,
Govt. College of nursing, jagdalpur.
To
Through: The principal, Govt. College of Nursing, jagdalpur.
Respected madam,
SUB- Requisition for getting expert opinion suggestion for content validity of the tool.
We are the student of B.Sc. Nursing final year, Govt. College of Nursing , jagdalpur
partial fulfilment of Bachelor Degree in Nursing . I have selected the topic mentioned
below for the research project to be submitted to Mrs. A. Novel madam, principal , govt.
College of nursing jagdalpur.
PROBLEM STATEMENT:
A study to evaluate the effectiveness of structure teaching
programme on increased level of knowledge among the school going children in Bastar High
School , jagdalpur at bastar District, Chhattisgarh.
I request you kindly validate the tool and give your expert opinion
for necessary modification and also I will be very grateful if you refine the problem
statement and objective.
ENCLOSURES
Statement of the problem
Objective
Hypothesis
Research tool
Demographic profile
Thanking you
Place : jagdalpur
Date Yours
faithfully
B.Sc. Nursing
final year
APPENDIX F
CERTIFICATE FOR VALIDATION
This is to certify that the tool developed for data collection of by final year student of Govt.
College of Nursing jagdalpur is validated and can proceed with this tool and conduct the
main dissertation entitle.
A study to evaluate the effectiveness of structure teaching programme on
increased level of knowledge among school going children in bastar high school, jagdalpur
,district bastar , chhattisgarh.
Date: Signature:















APPENDIX G
INFORMED CONSENT
We are the student of B.Sc. Nursing final year , Govt. College of Nursing jagdalpur
conducting a study A study to evaluate the effectiveness of structure teaching programme
on increased level of knowledge among high school children in bastar high school jagdalpur
at bastar distric, Chhattisgarh.
As a partial fulfilment of the requirement for the degree of B.Sc. ( Nursing )
under the AYUSH University . The study participants will be assessed by pre test post test .
I assure you that the response given by you will be kept confidentially so , I request you to
kindly cooperate with me and participate in this study.

THANK YOU