RESEARCH

PROPOSAL
RESEARCH GUIDE:
Mrs. Dipali Dumbre

RESEARCH CO-GUIDE:
Mr. Deepak sethi

PRESENTED BY:
Ms. Jennifer William Anthony

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 SYMBIOSIS COLLEGE OF NURSING

1.
MS. JENNIFER WILLIAM ANTHONY
Name of the Candidate

2. Name of the Institution SYMBIOSIS COLLEGE OF NURSING

3.
Course of study and II year M.Sc. Nursing
subject Medical Surgical Nursing

4. Date of admission to the

course February 25th, 2021

5. Title of the topic : A study to assess the Lifestyle implication among

patients with selected comorbidities post COVID-19

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INTRODUCTION:

“NOT HOW LONG, BUT HOW WELL YOU HAVE LIVED IS THE MAIN THING.”
— SENECA
While the world was running swiftly in the name of progress and economic gain, the
Novel human Coronavirus (SARS-CoV-2) COVID-19 has led the world to stop because of its
deadly outcome. The disease has shattered every corner of the world and destroyed many
families. The Novel Coronavirus has set a pause button on the world. The serious and deadly
outcome of the disease has swept many countries to shut their daily activities. Many countries
in the world are affected by the serious pandemic issue which has forced to advise lockdown
in order to prevent the transmission. Many of the patients has overcome the battle with
COVID-19 while many are worst hit by the same.
Severe acute respiratory distress syndrome virus (SARS-CoV-2) another member of
beta coronavirus is very closely related to the SARS-CoV that was reported in 2002 19.
Coronavirus-19 (COVID-19) caused by SARS-CoV-2 virus was first reported in December
in Wuhan, China. Subsequently it was declared as Global Pandemic by World Health
Organization (WHO). SARS-CoV-2 utilizes several host receptors for cell entry in the Lungs
such as angiotensin-converting enzyme 2 (ACE2) and the cellular serine protease TMPRSS2.
Angiotensin converting enzyme 2 is expressed in various organs including lung and alveolar
epithelial cells, which makes them more susceptible to COVID-19 viral infection.
As the Novel Coronavirus continues to evolve, there are still many limitations to our
knowledge of who this virus may hit critically. Older Adults and patients with underlying
disease condition are found to have worse prognosis.
Given the nature of this virus, there is still much to learn about this virus. We all
know that the symptoms of COVID-19 ranges from common cold to severe complications or
diseases like Bronchitis, Pneumonia, Multi-Organ failure and even Death. Patients with
comorbidity such as Diabetes and Hypertension are been linked to have more admission rates
in Intensive care Units. Reasons being the underlying comorbidity that the patient is suffering
from. It has been examined that the patients with underlying comorbidity has severe impact
from that of the normal ones. In addition, the impairment of Immune system in Diabetes
could be the contributing factor for the vulnerability of COVID-19.
Hypertension is also treated with ACE inhibitors and ARBs which results in up
regulation of ACE2. ACE2 can also be increased by thiazolidinediones and Ibuprofen. These

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data suggest that ACE2 expression is increased in diabetes and treatment with ACE inhibitors
and ARBs increase ACE2 expression. Consequently, the increased expression of ACE would
facilitate infection with COVID-19. Thus, researcher hypothesize that diabetes and
hypertension treatment with ACE2- stimulating drugs increase the risk of developing severe
and fatal COVID-19
Considering all the severity of COVID-19 with underlying comorbidity, particularly
Hypertension and Diabetes Mellitus, this study aims to assess the lifestyle Implications
among patients.

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NEED OF THE STUDY:
According to Ministry of health and Family Welfare Government of India, Data in 20
October 2021, Active cases 178098, Discharged cases 33478247, Deaths 452651, Total
Vaccination done 99,12,82,283.
Infection by the new corona virus strain SARS-CoV-2 and its related syndrome
COVID-19 has been associated with more than two million deaths worldwide. Patients of
higher age and with preexisting chronic health conditions are at an increased risk of fatal
disease outcome. However, detailed information on causes of death and the contribution of
pre-existing health conditions to death yet is missing.
According to the study published in National Centre of Biotechnology Information
(NCBI) on December 2020 validated questionnaire to assess the changes in lifestyle-related
behavior was administered on adults across India. The study concluded that COVID-19
marginally improved the eating behavior, yet one-third of participants gained weight as
physical activity declined significantly coupled with an increase in screen and sitting time.
Mental health was also adversely affected. A detailed understanding of these factors can help
to develop interventions to mitigate the negative lifestyle behaviors that have manifested
during COVID-19.
The current study focuses to find out the Lifestyle implications in Physical,
Psychological and Socio-Economical aspects of Patients with underlying Co morbidity
affected with COVID-19.

PROBLEM STATEMENT: A study to assess the lifestyle implication among patients with
selected comorbidities post COVID-19

OBJECTIVES OF THE STUDY:

1. To assess the lifestyle implication among patients with selected comorbidities post
COVID-19.
2. To find out the association between the lifestyle implication with selected
comorbidities.

OPERATIONAL DEFINITIONS
Assess: To determine the rate or amount of something [such as a tax, charges or fine]
-By MARIUM WEBSTINER
Lifestyle: The way in which a person or a group of people lives and works
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 -OXFORD
Implication: The conclusion that can be drawn from something although it is not explicitly
stated
-OXFORD
Comorbidity: comorbidity is the presence of one or more additional conditions often co-
occurring (that is, concomitant or concurrent) with a primary condition.
- WIKIPEDIA
COVID-19: Coronavirus disease (COVID-19) is an infectious disease caused by the
SARS-CoV-2 virus. 
-WHO

INCLUSION CRITERIA:
 Those who are interested to participate in the study
 Those who were affected with COVID 19
 Patients with underlying Comorbidities

EXCLUSION CRITERIA:
 Those who are not present at time of study
 Those who have language barrier
 Patients not presenting any history of Hypertension and Diabetes Mellitus

REVIEW OF LITERATURE:
The Review of literature for the present study will be collected from various information
given in books, journals, abstracts, published and unpublished dissertations, and census and
internet websites.

RESEARCH METHODOLOGY
Research Approach: Quantitative research approach
Research Design: Descriptive design
Sample size – 60
Sampling technique – Non probability convenient sampling
Population: Patient affected with COVID-19
Target population – Patients affected with COVID-19 and presenting selected
comorbidities (Hypertension and Diabetes Mellitus)

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 Accessible population- Patients affected with COVID-19 in Pune city.

DESCRIPTION OF THE TOOL

Tool consist of two sections
Section A – DEMOGRAPHIC VARIABLES of Patients consisting of age, gender
education, occupation, Comorbidity, Family History of Comorbidity, Area of admission
during COVID-19 and Post COVID period.

Section B- STRUCTURED QUESTIONNAIRE including

Part A – Physical Aspects
Part B- Psychological Aspects
Part C- Socio-Economic Aspects

SCORING

SR. NO. MARKS LEVEL OF KNOWLEDGE

1. 0-10

2. 11-20

3. 21-30

PLAN FOR DATA COLLECTION

 Permission from the authority for data collection

 Communication with samples with informed consent

 Instructions to the participants about questionnaire

 Written consent from the participant

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 CONSENT FORM

PARTICIPANT INFORMATION SHEET:

 Study title: A study to assess the lifestyle implication among patients with selected
comorbidities post COVID-19.

 Name of the investigator and organization: Ms. Jennifer William Anthony, M.Sc.
Nursing students under Department of Medical Surgical Nursing, Symbiosis College Of
Nursing, Pune

 Name of the research guide: Ms. Dipali Dumbre, Assistant Professor Department Of
Medical Surgical Nursing, Symbiosis College Of Nursing, Pune

 Purpose of the research: To assess the lifestyle implication among patients with selected
comorbidities post COVID-19.

 Risk: No any possible risk regarding conduction of the study.

 Time duration: Total duration of the study will be 1 day.

 Confidentiality: Researcher will maintain the confidentiality of the all information of the
participant during and after study.

 Incentives: Participants will not be provided any kind of incentives in any manner.

 Voluntary participation: I am willing to participate in the study. I understand that my

data and record will be kept confidential.

 Termination of participation: I have read all the information provided on this form and
give consent to participate in the study.

Date:

Place: Signature of Participant

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 QUESTIONNAIRE TOOL
SECTION I: DEMOGRAPHIC DATA
1. Age
a. 30-40
b. 41-50
c. 51-60
d. 61 and above
2. Gender
a. Male
b. Female
c. Other
3. Education
a. Uneducated
b. Secondary Schooling
c. Higher Secondary Schooling
d. Graduate and Post-Graduate
4. Occupation
a. Private Sector
b. Government Sector
c. Self- employed
d. Home Maker
5. Comorbidity
a. Hypertension
b. Diabetes Mellitus
6. Family History of Comorbidity
a. Yes
b. No
7. Area of admission during COVID
a. Ward
b. ICU
c. Quarantine Center
8. Post COVID period
a. 1 week
b. 2 week
c. 3 week
d. 4 week and above

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 SECTION II: PHYSICAL ASPECTS
Strongl Strongly
Agree Neutral Disagree
Questionnaire y Agree Disagree
(4) (3) (2)
(5) (1)
1. I have excessive Hair loss after
COVID
2. Experiencing unclear vision
3. I’m often experiencing Headache
4. Even after recovery I’m
experiencing Lose of taste and smell
5. Decreased appetite after COVID
6. There’s changes in breathing pattern
after COVID
7. After walking for a little while I feel
Breathless
8. I still have unusual Cough
9. Often feel tired and cannot do more
activities as I used to do before
COVID
10. Disturbed sleeping pattern after
COVID
11. Pain due to change in regular
activities
12. I’m facing more cardiac Issues after
COVID
13. I have examined changes in my BSL
values due to change in diet plan
14. Observed Joint Pain that is on and
off
15. Experiencing changes in Bowel and
Bladder movements

SECTION III: PSYCHOLOGICAL ASPECTS

Strongly Strongly
Agree Neutral Disagree
Questionnaire Agree Disagree
(4) (3) (2)
(5) (1)
PERSONAL
1. I often get anxious
2. I’m afraid that I might die soon
because of this sickness
3. I get disturbed when I see

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 COVID related news
4. I often get furious on anything
5. I’m not at peace Mentally
Strongly Strongly
Agree Neutral Disagree
Questionnaire Agree Disagree
(4) (3) (2)
(5) (1)
FAMILY
1. My family is affected because of
me
2. I’ve become emotionally weak
3. I have fear of losing loved ones
because of COVID
4. Yet not comfortable with family
gatherings
5. Guilty, as my family member is
suffering from COVID because
of me

SECTION IV: SOCIO-ECOMIC ASPECTS

Strongl Strongly
Agree Neutral Disagree
Questionnaire y Agree Disagree
(4) (3) (2)
(5) (1)
1. I feel Isolated by my group
2. I feel that the perspective of society
towards me has been changed
3. I’m not comfortable with outing
these days
4. I choose to be alone
5. Because of COVID I’m facing
Financial Crisis

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 FORMAT FOR CONTENT VALIDITY

Name of the expert:

Designation:
Name of the Institution:
Respected Madam/ Sir,
Kindly go through the content and place the right (√) mark against the checklist in the
following columns ranging from relevant to not relevant. Wherever there is a need for
modification, kindly give your valuable opinion in the remarks column.
SECTION A
DEMOGRAPHIC DATA

Item Need
Relevant Not Relevant Remarks
No. Modification
1.

2.

3.

4.

5.

6.

7.

8.

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 SECTION B
STRUCTURED QUESTIONNAIRE

Item Need
Relevant Not Relevant Remarks
No. Modification
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
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 CERTIFICATE FOR TOOL VALIDATION

This is to certify that the tool constructed by Ms. Jennifer William Anthony

PRN:20040242003, Second Year M.Sc. Nursing student of Symbiosis College of

Nursing, which is to be used in her study titled “A study to assess the lifestyle

implication among patients with selected comorbidities post COVID-19” has been

validated by the undersigned. The suggestions and modifications given by me will be

incorporated by the investigator in concern with their respective guide

COMMENTS--------------------------------------------------------------------------------------------.

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NAME:

DESIGNATION:

COLLEGE:

SIGNATURE:

PLACE:

DATE:

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