PROFORMA FOR REGISTRATION OF SUBJECT FOR DISSERTATION

DISSERTATION PROPOSAL

“A STUDY TO ASSESS THE EFFECTIVENESS OF PLANNED HEALTH TEACHING

ON KNOWLEDGE REGARDING DENGUE FEVER AMONG THE
STUDENTSOF VII AND X STANDARD IN SELECTED
GOVERNMENTSCHOOL, GONDA,
UTTAR PRADESH.”
SUBMITTED BY:
MRS. ANNAPURNA TIWARI,
1ST YEAR M.S c NURSING,
DEPARTMENT OF MEDICAL SURGICAL NURSING,
YEAR 2020-2021,
SCPM COLLEGE OF NURSING AND PARA MEDICAL COLLEGE.

DR. RAM MANOHAR LOHIA AVADH UNIVERSITY, FAIZABAD,

UTTAR PRADESH.

0
 DR. RAM MANOHAR LOHIA AVADH UNIVERSITY, 
FAIZABAD, UTTAR PRADESH.
PROFORMA FOR REGISTRATION OF SUBJECTS FOR DISSERTATION

1 MRS. ANNAPURNA TIWARI,

Name of the candidate I YEAR M.SC (N) STUDENT,
and address SCPM COLLEGE OF NURSING,
GONDA, HARIPUR, UTTAR PRADESH
SCPM COLLEGE OF NURSING
2 Name of the Institution GONDA, HARIPUR, UTTAR PRADESH

3 Course of study and 1ST YEAR M.SC. NURSING

subject MEDICAL SURGICAL NURSING
10 SEPTEMBER 2020
4 Date of admission to
course
5 Title of the topic: “A STUDY TO ASSESS THE EFFECTIVENESS OF PLANNED HEALTH
TEACHING ON KNOWLEDGE REGARDING DENGUE FEVER AMONG
THE STUDENTS OF VII AND X STANDARD IN SELECTED
GOVERNMENT SCHOOL,GONDA, UTTAR PRADESH.”

6 BRIEF RESUME OF THE INTENDED STUDY

1
Introduction

Dengue and dengue hemorrhagic fever are illness caused by a viral infection that spreads
through the bite of the Aedes mosquito. The main symptoms are fever, headache, pain behind the
eyes, muscle and joint pain and rash. Sometimes there may be bloody diarrhea or vomiting, and
bleeding from mucous membranes and the gums1.

The worldwide prevalence of this disease has increased dramatically in the last decades. It is
now an epidemic in hundreds of countries in South East Asia, Africa, Americas, Eastern
Mediterranean as well as the Western Pacific. The travelers returning home from the above
regions carry a risk of being infected by the virus.

In india, in the present year there are 3021 positive cases are diagnosed and 33 of them expired.
No exact treatment has been discovered for dengue as of date, but symptom wise treatment is in
progress. The dengue prevention teams work predominantly in eliminating breeding sites of the
dengue mosquito in areas where the scare of epidemic is high.2

6.1. Need for the study

The first recognized Dengue epidemics occurred almost simultaneously in Asia, Africa, and
NorthAmerica in the 1780s, shortly after the identification and naming of the disease in 1779. A
pandemic began in Southeast Asia in the 1950s, and by 1975. Dengue hemorrhagic fever had
become a leading cause of death among children in the region.

In 2005 dengue outbreak in Singapore, 2006 dengue outbreak in India, 2006 dengue outbreak in
Pakistan, and 2009 dengue fever epidemic was in Bolivia.

There is an ongoing 2010 outbreak occurring in Puerto Rico with 5382 confirmed infections and
20 deaths.

The Aedes mosquito known to transmit dengue breed in leftover water in disposed tires, flower
2
pots, discarded oil drums as well as water containers located nearby human dwellings.

Dengue mosquitoes are active during the day unlike the mosquitoes that cause malaria, thus
they bite during the day. The average days after the symptoms appear are four to six days. It may
vary from three to fourteen days as well. Dengue fever is not contagious it can only spread with
the mosquito bite of a carrier mosquito3.

There is no set treatment or medicines for treating any form of dengue fever. People suffering
with dengue fever must rest a lot and drink lot of water and fluids. They should be kept in a
mosquito safe area so that no mosquitoes bite the suffering person and carries the virus to another
person4 .

Different kinds of dengue fevers have re emerged all around the world and have caused frequent
and greater epidemics. The problem is more severe in tropical cities. There has been a dramatic
rise in the growth of dengue fever in the western hemisphere The major health organizations are
researching a cure but so far there is no vaccine to stop dengue fever. The government agencies
have been working on spreading awareness about the dengue fever and how it can be prevented5.

During the investigators service as a staff nurse in an established hospital, investigator had met
103 patients with dengue fever in one year without adequate knowledge about dengue fever and
its preventive measures.. So the investigator felt, a need to conduct research on knowledge of
patients regarding selected aspects of dengue fever. Discussions with the experts and review of
the related literature also had motivated the investigator to undertake the following study

6.2. Review of Literature

A study was carried out in380 people in the age group between 15-45 years in an urban
area with the aim to measure the prevalence of Dengue episode. Out of them, 332 gave blood
samples and 48 had physical examination. 12% of women had symptom of morbidity6.

An evaluatory study was conducted in 2007 to find the relationship between frequent
travel and dengue fever. A samples size of 33 positive infected cases was assessed by using a
3
health questionnaire. A comparison of results was performed with one way ANOVA test. The
findings of the study was that more samples (67%) had the history of travelling a lot and12% of
them were immediate relatives of the dengue positive patients and the remaining were no way
connected with travel7

A descriptive study was conducted to study the previous incidence of dengue fever among
frequent travellers. The sample size was 150 adolescents selected by random sampling technique.
Data was collected through structured questionnaire and interview schedule. Results showed that
the mean percentage score for having dengue fever was higher (75.2%) in international travelers
than local travelers (24.8%)8.

A correlative study was conducted between dengue fever and international travelling
among people infected with dengue fever and those who seek treatment.. The sample size was 35
women infected with dengue fever.. Sampling technique was purposive sampling. The result
revealed that out of the samples, majority had history of travelling to endemic areas of dengue
fever. (p<0.002)9.

A study was conducted to assess the knowledge of patients abut dengue fever and its possible
preventive measures. A sample of 50 was selected randomly and data’s collected by 34 open
ended questions. Descriptive and inferential statistics were used to analyze the data. The results
showed majority (84%) had very minimal knowledge about the episode and methods of
safeguards10.

A descriptive study was conducted in the University of Medicine Japan to assess the
knowledge of adolescents regarding the association of travel and dengue infection. The findings
showed that frequent travelers had relatedly high risk for development of dengue fever11.

6.3. Statement of the problem

“A study to assess the effectiveness of planned health teaching on knowledge regarding

dengue fever among the students of VII and X standard in selected Government School,
Gonda, Uttar Pradesh.”

6.4. Objectives of the study

4
 The objectives of the study are

 To determine the knowledge of students on dengue fever using a structured questionnaire.

 To find association between mean pretest knowledge score of students regarding dengue
fever and selected demographic variables.

6.5. Operational Definitions

Knowledge: In this study, the knowledge refers to the information regarding the dengue fever of
patients in order to prevent infection and which is assessed from the responses to the structured
questionnaire.

Dengue fever: In this study, dengue fever refers to illness caused by a viral infection that spreads
through the bite of the Aedes mosquito.

Students: - In this study students refers to studying VII and X standard in selected Government
School,Gonda, Uttar Pradesh.”

6.6. Assumptions

1. Students have some knowledge regarding dengue fever.

2. Students may respond honestly to questions related to knowledge on dengue fever.

6.7. Hypothesis

The hypothesis will be tested at 0.05 level of significance.

H1: There will be significant association between mean pretest knowledge score and selected
demographic variables.

6.8 Delimitations

The study will be delimited to students of VIII and X standards in selected Government
School, Gonda, Uttar Pradesh.”.

5
 Material and Methods

7.1. Source of data

Data will be collected from students of VIII and X standards of in selected Government
School, Gonda, Uttar Pradesh.”

7.1.1. Research Design

Experimental design will be used for the study.

7.1.2. Setting

The study will be conducted at a in selected Government School,Gonda, Uttar Pradesh.”

7.1.3. Population

7 Students studying in selected in selected government school, Gonda, Uttar Pradesh.”

7.2. Methods of Data Collection

7.2.1. Sampling Procedure

Convenience sampling technique will be used to select the samples.

7.2.2. Sample Size

Total number of samples selected for the study will be 60 in number.

7.2.3. Inclusion Criteria

- Students who are willing to participate in the study.

- Students who can be communicated in English or in Hindi.

7.2.4. Exclusion criteria

- Students who are not willing to participate in the study.

6
 - Students who had received training on dengue fever and Its prevention

7.2.5. Instruments intended to be used

The instruments intended to be used for the study are the following

Section A : Demographic proforma

Section B: Structured knowledge questionnaire regarding dengue fever.

7.2.6. Data Collection Method

Prior permission will be obtained from the higher authorities of the organisation. The
purpose for the study will be explained to the patients and confidentiality will be assured.
Later informed written consent will be obtained. A structured questionnaire regarding
dengue fever will be distributed to the participants and requested to be filled. The filled
data will be collected back and later it will be used for calculation.

7.2.7. Plan for data analysis

The data will be analyzed by using both descriptive (mean, median, mean percentage and
standard deviation) and inferential statistics (chi square test).

7.3. Does the study require any investigations/ interventions to be conducted on patients
or the human or animals. If so please describe briefly

Yes, in the present study, the investigator plans to use structured knowledge questionnaire
to assess the knowledge of students on dengue fever.

7.4 Has ethical clearance been obtained from your institution in case of 7.3:

7
 Yes, ethical clearance will be obtained from the ethical committee of the institution.

References
1. Ramalingam .S.H. Text book of Community Medicine, Samay publications. I edition
2006; 24-26.

2. Schwann Timsee. Dreaded diseases- The true face. American Journal of Nursing, Feb
2007; 32-35.

3. Nancy, Prevantable diseases, III Edition, Kamal publishing house. 2006; 90-96.

4. Dr. Oswald D’Souza, Health planning; Journal of Community Medicine 2007 ; 3(11) ; 4-
6.

5. Lee Thomas. Killer Diseases; Journal of Continuing Nursing Education 2008; 3(7); 10-11.

6. B.G. Patil. Assessment of Staff Nurses knowledge regarding pacemaker. Journal of cardio
vascular nursing 2008; 34(4) : 12-15.

7. B. Hebare. Prevalence of dengue . Dissertation abstract International 2007; 74(9); 101-

104.

8. Vijaya Naidu. Dengue among frequent travelers. Journal of curative nursing 2009, 10 (8):
67-70.

9. Sin: Thomas .Dengue-the pandemic . Journal of continuing nursing 2005; (6) : 72-74.

10. Deepa Mathew. Assessment of knowledge on Dengue fever and its prevention.. . Nurses
voice 2008; 3(4): 5-7.

11. P C Chawan. Travel and dengue infection. Indian journal of international research. 2008;
6 (2):26-29.

8
9 Signature of Candidate

10 Remarks of the Guide

11 Name & Designation Of

11.1 Guide

11.2 Signature

11.3 Co-Guide

11.4 Signature _

11.5 Head of the Department

11.6 Signature

12 12.1 Remarks of the Principal

12.2 Signature

9
10