CHAPTER - V

SUMMARY,
DISCUSSION
AND
CONCLUSION
 CHAPTER - V

SUMMARY, DISCUSSION AND CONCLUSION

SUMMARY:

The present chapter is devoted to the summary of the findings, limitations,

interpretations of the results and recommendations that incorporate the

implications of the study.

The primary aim of the study was to assess the effectiveness of Mentha Bar

who has dysmenorrhea and reduction of pain among adolescent girls in

Swapna School of Nursing.

OBJECTIVES OF THE STUDY:

 To identify the levels of dysmenorrhea among adolescent girls both in

experimental and control groups.

 To plan and administer Mentha Bar on reduction of dysmenorrhea

among adolescent girls in experimental group

 To assess the effectiveness Mentha Bar of dysmenorrhea among

adolescent girls in experimental group

 To find the association between post test scores with their selected

demographic variables both in experimental and control groups

A detailed review of literature was taken up to gain knowledge about

dysmenorrhea and its intervention in reducing pain and adolescent girls

outcome through Mentha Bar, to select the related content

and to develop the conceptual frame work for the study as well as to develop a

tool for data collection. The conceptual frame work used for the study was

based on Heath Belief Model “Roschentosh”theory. Purposive sampling

technique was used to select the samples. The present study was conducted at

Swapna School of Nursing, Chaitanyapuri, and Hyderabad.

A structured questionnaire and WaLIDD rating scale was developed on the

basis of review of literature and by consulting with the experts. The

standardized “r‟ value indicates that the tool was highly reliable. The pilot study

was conducted on 6 adolescent girls who is having dysmenorrhea; the results

reveal that the tool was feasible and highly reliable to conduct the main study.

The investigator had selected the samples size 60 with 30 in experimental and

30 in control group, the samples were adolescent girls who were having

dysmenorrhea in Swapna School of Nursing, Chaitanyapuri, and Hyderabad.

Depending upon the objectives of the study the data was collected, analyzed

and interpreted by using descriptive and inferential statistics. Frequency and

percentage were computed to summarize the sample characteristics, mean

and standard deviation are used to analyze the pre-test and post-test scores in

experimental and also in control group. Chi-square was computed to find out

the association between pre-test and post-test scores with selected

demographic variables. The ‟t” test was computed to find out the difference

between pretest and post test scores.

OBJECTIVES :

Objective-I : To identify the levels of dysmenorrhea among adolescent girls both in

experimental and control groups.

In experimental group the majority of Adolescent girls 70 % (21) of the samples

belong to 19 years of age group In Education status 53.3% (16) of the samples

belong to GNM II Year, 46.7% (14), 40% (12) of the samples belong to 5000-

10,000/Monthly income group, 30% (9) of the samples belong to

>20,000/Monthly income group, majority of the girls 76.7% (23) of the samples

belong Were Christians, 56.7% (17) of the samples belong to mixed, 63.33%

(19) of the samples belong to Nuclear Family type,70% (21) of the samples

belong to urban type of residence. 66.7% (20) of the samples belong had

family H/O Dysmennorhea. 53.4% (16) of the samples belong to above 50kg,

& 63.3% (19) of the samples were under the average BMI between 18.5-24.9, majority

of girls i.e 50% (15) of the samples had the average 28 days cycle, adolescent girls

i.e 40% (12) of the samples used 2Pads/day, followed by 33.3% (10) of the samples

used 3Pads/day, 63.3% (19) of the samples had the duration of bleeding in between

the 3-4days, 66.7% (20) of the samples had the nature of bleeding in moderate,

16.6% (5) of the samples had the nature of bleeding. 50% (15) of the samples had the

Characteristics of bleeding with only blood, followed 50% (15) of the samples had the

Characteristics of had bleeding blood with clots. 80% (24) of the samples had the

regularity of the cycle often monthly, 53.3% (16) of the samples had the Pain during

menstrual cycle started at, From the first menstrual cycle, 50% (15) of the samples

complained/had the Pain characteristics, experiencing combination of either two or

three mentioned twisting/stinging/sharp type of Pain, 30% (9) of the samples had the

Duration of Pain throughout menstruation, 63.3% (19) of the samples used no

measures to relieve pain, and followed by 6.7%(2) of the samples used measures such

as drug intervention to relieve pain respectively.

In Control group the Adolescent girls 66.7 % (20) of the samples belong to 17-18

years of age group.,33.4% (10) of the samples belong to GNM I Year. 30% (9)

of the samples belong to 5000-10,000/Monthly income group, 30% (9) of the

samples belong to >20,000/Monthly income group, 46.6% (14) of the samples

belong Were Christians, and 36.7% (11) of the samples were Hindus, 60%

(18) of the samples belong to Non-vegetarians of the samples, 50% (15) of

the samples belong to Nuclear Family type, 26.7% (8) of the samples belong

to Single Parent family type,50% (15) of the samples belong to urban type of

residence, 26.7% (8) of the samples belong to semi-urban type of

residence.50% (15) of the samples had family history of dysmennorhea,

56.7% (17) of the samples belong 41-50 kg, 70% (21) of the samples were under

the average BMI between 18.5-24.9, 50% (15) of the samples had the average 28

days cycle, 50% (15) of the samples used 2Pads/day, 50% (15) of the samples had

the duration of bleeding in between 5-6 days, 33.3% (10) of the samples had the

nature of bleeding in moderate, Followed by 26.7% (8) of the samples had the nature of

bleeding Heavy, 60% (18) of the samples had the Characteristics of bleeding with only

blood, 46.6% (14) of the samples had the regularity of the cycle often monthly, 30%

(9) of the samples had the Pain during menstrual cycle started at, followed by 30% (9)

of the samples had the Pain during menstrual cycle started at , After a half year of the

menstrual cycle. 26.7% (8) of the samples complained/had the Pain characteristics,

experiencing combination of either two or three mentioned twisting/stinging/sharp type

of Pain. 43.4% (13) of the samples had the Duration of Pain from 12hours-72hours of

menstruation, 60% (18) of the samples used no measures to relieve pain, and followed

by 16.7%(5) of the samples used measures such as drug intervention to relieve pain

respectively.
OBJECTIVE – III: To assess the effectiveness of Mentha Bar in reduction of

dysmenorrhea among adolescent girls in experimental group.

In experimental group the mean value and standard deviation of the pre-test of

adolescent girls, who has dysmenorrhea shows that mean is 8.16, SD is 1.98, where

as in post-test mean is 5.56, SD is 1.53.

The Study also depicts that in control group the Pre-test mean is 6.93, SD is 1.823, and

Where as in post-test mean is 6.13 & SD is 1.428.

The calculated Paired t test calculated value for experimental group is

5.9 and the table value is 2.04 at 0.05% level of significance and 29 degree of

freedom, hence the calculated “t” test value is greater than table value, indicating that

the null hypothesis (H0) is rejected and research hypothesis (H1) is accepted.

OBJECTIVE – IV: To find the association between post test scores with their

selected demographic variables both in experimental and control groups

In experimental group the calculated chi-square values for age (31.75),

Education(4.81), Religion (2.99), Dietary Habits (1.48), family income (13.69),Type of

family (2.87) Area of Living (10.14) H/O dysmenorrhea was (2.44). It indicates in all

Demographic variables chi-square values are less than table value 12.59, 16.92, 7.81

at degree of freedom 6,9 , 3. So, there is no significant between any variables.

In Control group the calculated chi-square values for age (2.25), Education(3),

Religion (4.29), Dietary Habits (0.946), family income (12.64),Type of family (8.437)

Area of Living (4.85) H/O dysmenorrhea was (1.428). It indicates in all Demographic

variables chi-square values are less than table value 12.59, 16.92, 7.81 at degree of

freedom 6, 9, 3. So, there is no significant between any variables.

 DISCUSSION:

The study attempted to find out the effectiveness of Mentha Bar on adolescent

girls who has dysmenorrhea. The following discussions were made based on

the findings

 Mentha Bar is effective in adolescent girls in reducing pain during their

menstruation.

 Mentha Bar is effective, non-invasive and non-pharmacological therapy.

 Mentha Bar has no major side effects.

 Mentha Bar will reduce the pain, for those who want to avoid

pharmacological methods; it is the best non pharmacological therapy.

IMPLICATIONS:

The results obtained from the study helped the researcher to drive certain

implications for nursing practice, nursing education, nursing administration and

nursing research.

NURSING PRACTICE:

 Many of the nurses meet different type of people with dysmenorrhea

complaints so the nurses can tell and teach about Mentha Bar.

 The findings of the study make it evident that nurses can periodically

update their knowledge and utilize in providing efficient care to patients.

 Regarding nursing practice several implications can be drawn from

present study, continuing educational programme by using nursing person

to provide recipe of the preparation of Mentha Bar poses for dysmenorrhea

should be made ongoing process in the hospital area.

 There is need for efforts by all nurses to increase the knowledge and

awareness regarding indications, proper techniques, duration and actions

of Mentha Bar.
 NURSING EDUCATION:

 If Mentha Bar classes are scheduled in college the absenteeism

percentage would come down.

 Nursing education emphasis that health care system should pay more

attention on training the students so that the nurses themselves will

become more knowledgeable and can be their own selves as well as to

the others by imparting health education by various methods of

educational technology.

 The curriculum may be responsible for imparting knowledge among nurses

in administration of medication but nurse educators have the additional

responsibility to update their knowledge.

 The existing nursing curriculum on Mentha Bar for effective outcome should

be strengthened whereas the students will be enhanced with the knowledge

on effective outcome and pain relief management during dysmenorrhea.

NURSING ADMINISTRATION:

 Staff development programme in any organization is the primary responsibility

of the nurse administrator

 Administration plays a major role in regulating and coordinating the laws.

Institutions rendering services to the clients should review their policies and

practices.

 Nursing administration should coordinate and conduct various educational

programmes in order to improve and update nurse’s knowledge on

dysmenorrhea and pain relief by Mentha Bar Recipe.

 NURSING RESEARCH

 The scope of interventions for a wide variety of disease conditions and the

research basis for practice are continuing to expand in phenomenal rate.

 Nurses need to be actively engaged in all phases of the research process, to

address ongoing questions of interest to continually improve client care

regarding Mentha Bar and its effectiveness in reduction of dysmenorrhea

LIMITATIONS:
The study was limited to 60 undergraduate students who have dysmenorrhea

and the sample was selected based upon their menstruation date.

RECOMMENDATIONS:

 A similar study can be conducted for a longer period for the best results.

 A similar study can be conducted on larger sample which may yield more

reliable results.

 A similar study can be conducted on all age groups who will have severe

dysmenorrhea.

 A study can be conducted to find out the effectiveness of Mentha Bar on pre-

menstrual syndrome.

 A comparative study can be conducted between Mentha Bar and other non-

pharmacological measures like acupressure, trans-Cutaneous electrical nerve

stimulation, heat compress or reflexology.

CONCLUSION:

The study gave a new learning experience for the researcher. The overall

experience of conducting this study was satisfying and enriching. The

respondents were very much satisfied and happy with the intervention they

have received. The results of the present study show that there was a great

response from adolescent girls who had dysmenorrhea with severe side

effects, in the effectiveness & relieving dysmenorrhea pain.