A STUDY TO ASSESS THE EFFECTIVENESS OF INFORMATIVE

BOOKLET ON OBSTRUCTIVE SLEEP APNEA AMONG ATTENDING

MEDICAL AND SURGICAL INPATIENT DEPARTMENT AT STANLEY
HOSPITAL IN CHENNAI.

RESEARCH PROJECT SUBMITTED TO

GRT COLLEGE OF NURSING

TIRUTTANI.

DISSERTATION SUBMITTED TO

THE TAMILNADU DR. M.G.R MEDICA UNIVERSTY

CHENNAI
IN PARTIAL FULLFILLMENT OF REQUIERMENT FOR THE DEGREE
OF
BACHELOR OF SCIENCE IN NURSING
JULY 2023
 A STUDY TO ASSESS THE EFFECTIVENESS OF INFORMATIVE
BOOKLET ON OBSTRUCTIVE SLEEP APNEA AMONG ATTENDING
MEDICAL AND SURGICAL INPATIENT DEPARTMENT AT STANLEY
HOSPITAL IN CHENNAI.

DISSERTATION SUBMITTED TO

THE TAMILNADU DR. M.G.R MEDICA UNIVERSTY

CHENNAI
IN PARTIAL FULLFILLMENT OF REQUIERMENT FOR THE DEGREE
OF
BACHELOR OF SCIENCE IN NURSING
JULY 2023

SUBMITTED BY:

Ms. JOTHILAKSHMI.K

Ms. KAVITHA.V

Ms. MADHUMITHA.M

Ms. LEENA MERRY VIVILIYA.G

Ms. NIVETHA.S

Ms.PRAISELIN.D

Ms. SANDHIYA.S

Ms. SWETHA. K.R

Ms.YUGABHARATHI. V.E

BATCH 2019-2023
 A STUDY TO ASSESS THE EFFECTIVENESS OF
INFORMATIVE BOOKLET ON OBSTRUCTIVE SLEEP APNEA AMONG
ATTENDING MEDICAL AND SURGICAL INPATIENT DEPARTMENT AT
STANLEY HOSPITAL IN CHENNAI.

Approved by the following Research Advisory Committee members

PRINCIPAL IN NURSING RESEARCH

DR.PADMAVATHI.R

B.Sc.(N).,R.N.,R.M. ,M.Sc. (N).,Ph.D.,

Principal & Professor of Nursing.,

GRT College of Nursing, GRT Mahalakshmi

Nagar, Chennai-Tirupathi Highway, Tiruttani-631-

209, Tiruvallur District

Signature: College seal:

Seal:

RESEARCH GUIDE:

MS.GRACY.J

B.Sc (N).,R.N.,R.M.,M.Sc (N).,

Assistant professor,

Department of Medical and Surgical Nursing,

GRT College of Nursing,

GRT Mahalakshmi Nagar,

Chennai-Tirupathi Highway,

Tiruttani-631-209,

Tiruvallur district.

Signature:
Seal:
 DECLARATION BY THE RESEARCH SCHOLAR

We hereby declare that the present dissertation entitled “A study to assess the
effectiveness of informative booklet on Obstructive sleep Apnea among attending Medical and
Surgical Inpatient Department at Stanley Hospital in Chennai ” is the outcome of the original
research word undertaken and carried out by us, under the guidance of Dr.Padmavathi.R.,M.Sc
(N)Ph.D, principal, Ms.Gracy.J,M.Sc (N), Assistant Professor, Department of Medical and
Surgical Nursing , GRT College of Nursing, Tiruttani.

Signature of the Scholars

Ms. JOTHILAKSHMI.K

Ms. KAVITHA.V

Ms. MADHUMITHA.M

Ms. LEENA MEERY

VIVILIYA.G Ms. NIVETHA.S

Ms. PRAISELIN.D

Ms. SANDHIYA.S

Ms. SWETHA.K.R

MS.YUGABARATHI.V

Place:

Date:
 CERTIFICATE BY THE GUIDE

The research advisory committee members certify that the research project entitled “A
study to assess the Effectiveness of Informative Booklet on Obstructive Sleep Apnea among
attending Medical and Surgical inpatient department at Stanley Hospital in Chennai” is a
bonafide work done by Ms.Jothilakshmi.K, Ms.Kavitha.V, Ms.Madhumitha.M, MS.Leena merry
viviliya.G, Ms.Nivetha.S, MS.Sandhiya.S, MS.Swetha.K.R, MS.Yugabharathi.V, submitted under
my guidance and supervision during the period of April 2022.

Signature of the Guide Signature of the Principal

Place:

Date:
 Acknowledgement
"Dear God, just want to say thank you for everything”

We thank God Almighty for showering his blessings upon us and guidance in the matters
at hand and for clearly showing us the way to conduct our work with a spirit of joy and
enthusiasm throughout our study.

We place on record, my sincere thank you to MR.G.R .Rajendran, chairman MDs’

G.R.T institute of education and technology for giving us an opportunity to uplift our study.

I am also extremely indebted to Dr.Padmavathi.R, M.Sc.(N), Ph.D.,principal ,GRT

college of nursing, who has been a source of unflagging and whole hear-ted support. This work
would not have been possible without her guidance, support and encouragement. She ingrained
in us the thought that obstacles exist and thus challenge one to keep going.

I would like to express my deepest sense of Gratitude to my guide Ms.Gracy.J,

Asst.Professor, Department of Medical and Surgical Nursing, who offered his continuous advice
and encouragement throughout the course of this thesis. I thank her for the systematic guidance
and great effort he put into training us in this field.

I dedicate my heartfelt thanks and gratitude to our class coordinator, Ms.Angel shalini,,
Associate. Professor, Department of Mental health nursing, GRT college of Nursing for valuable
suggestions and tireless motivation to carry out our study Successfully.

We are grateful to the experts for the validating the tools used in this study and also we
would like to extend our gratitude to all the faculty of GRT college of nursing for their valuable
inputs into the study.

Our heartfelt thanks all the participants of our study for their wonderful participation and
co operation without whom we could not have completed our study.

We are indeed thankful to Mr.Amalraj.,M.Sc (Math)., M.Ed., for his assistance in

statistical analysis
 A note of thanks to the Librarians at GRT College of nursing for their help in providing
needed reference materials required. Our special gratitude to the members of Computer lab, in
helping us to proceed with our paper materials.

Words fail to express our gratitude we feel towards our parents the guiding lights of our
life. Thanking them is like thanking our self, so I leave it unsaid.

Finally, I take this opportunity to express the profound gratitude from my deep heart to
our beloved parents, friends, grandparents, and siblings for their love and continuous support –
both spiritually and materially. We limit our self to those whose help can be acknowledged in a
tangible way.
 TABLE OF CONTENT
CHAPTER CONTENT PAGE NO

INTRODUCTION

Background of the study

Need for the study

Statement of the problem

I
Objectives of the study

Hypothesis

Operational definitions

Delimitations

II REVIEW OF LITERATURE

RESEARCH METHODOLOGY

Research approach

Research design

Variables

III Research setting

Research population, Sample, Sample size, Sampling

technique, Research setting

Sampling criteria

Description of the tool

Content validity
 Procedure of data collection

Plan for analysis of data

IV DATA ANALYSIS AND INTERPRETATION

V DISCUSSION

VI SUMMARY,CONCLUSION,IMPLICATION AND
RECOMMENDATION

VII REFERENCE

LIST OF TABLES

Table No Description Page no

1 Frequency and percentage distribution of Adult Inpatient
at Medical and Surgical Department on Demographic
variable.

2 Frequency and percentage distribution of pre test and post

test level of knowledge among Adult at Medical and
Surgical Department.

3 Comparison of standard deviation of knowledge scores

before and after the implementation of Booklet
knowledge
4 Association of pre test level of knowledge with their
selected demographic variables.
 LIST OF FIGURES

Fig No Contents Page No

1 Conceptual frame work

2 Schematic representation of research methodology

3 Frequency and percentage distribution of pre and post test level

of knowledge among Adults.
4 Frequency and percentage distribution of pre and post test level
of knowledge regarding among Adult Inpatient Medical and
Appendix Title Page No
Surgical Department.
5 I FrequencyLetter
and percentage distribution of comparison of pre test
seeking permission to conduct study
and post test mean values.
II List of experts for content validity

III Certificate for English editing

IV Content validity certificate

V Research participant consent form

VI Demographic variable proforma

 LIST OF APPENDICES

ABSTRACT

“Education is a journey not a race...”

AUTHORS: B.sc Nursing III year students

KEYWORDS: A study to assess the effectiveness of Informative Booklet on Obstructive Sleep

Apnea among attending Medical and Surgical Inpatient Department at selected Hospital in
Chennai.

TITTLE: Effectiveness of Informative Booklet on Obstructive Sleep Apnea among

attending Medical and Surgical Inpatient Department at Selected Hospital in Chennai.

OBJECTIVE OF THE STUDY

1. To assess the pre and post test level of knowledge regarding Obstructive Sleep Apnea
among Medical and Surgical in Patients.

2. To evaluate the effectiveness of Informative Booklet on Obstructive Sleep Apnea

among Medical and Surgical in Patients.

3. To find out the associate between the post test knowledge with there selected
demographic variable.

STUDY FINDINGS:

. The present study showed that among 30 subjects (11)37% were between the age group
of 50-59 years and (8)27% were between the age group of 20-29 , (7)23% were between the
group of 40-49 years and (4)13% were the age group above 30-39.

63% of the samples were Males and (11)37% were Females with regard to level of
education,(1)3% were professionals,(2)7% were Graduates,(3)10% samples were Diploma,
(9)30% has High school certificate,(6)20% has middle school certificate,(5)7%has primary
school certificate,(4)13% are illiterate.

In assessing the occupation of the given sample (1)3% are clerks,7% were from
technicians, skilled agriculture and fishery, craft related trade workers ,13% are from
professionals, skilled workers, plant and machine operators ,(6)20% are in elementary
occupation (5)17% are unemployed. In regard to family income, (13)43% of subject’s family
incomes was between 10,002-29,972 per month, (15)50% of subject’s family income was less
than <10,001 per month.

In regard to religion,(25)83% were Hindus,(4)13% are Christians,(1)3% are Muslims to

assessing the marital status (23)77% are married ,(6)20% unmarried, and (20)67% lives in
nuclear type of family whereas (10)33% are from joint family.(27)90% are living in urban areas,
(3)10% are living in rural areas.
 Appendix-I

Letter seeking permission to conduct study

From:

The principal,
GRT College of Nursing,
Tiruttani.

To:

The Medical Officer,

Stanley Government Hospital,

Chennai.

Respected Madam/Sir:

SUB: Requesting permission to conduct research study-reg

This is for your attention and consideration, that our B.sc Nursing III year
Students (9 members) would like to conduct research project titled” Effectiveness of Informative Booklet on
Obstructive Sleep Apnea among Medical and Surgical Inpatients Department at Stanley Hospital in Chennai”

Hence, we request your good office to permit our students for the same we
assure you that our student will abide by the rules and regulations and without violating ethical values. kindly
do the needful.

Thanking you,

Yours truly,

Principal

GRT College of Nursing

 Appendix II

LIST OF EXPERTS FOR CONSENT VALIDITY

1. Dr.Padmavathi.R, M.Sc., Ph.D.,

Principal,

GRT College of Nursing,

Tiruttani -95.

2. Ms. Gracy.J M.Sc (N),

Assistant Professor in Medical and Surgical Nursing, GRT

College of Nursing,

Tiruttani -95.

3. Ms.Angel shalini. M.Sc., Ph.D.,

Assistant Professor in Mental Health Nursing, GRT

College of Nursing,

Tiruttani -95

4. Mrs.Sivagami.P M.Sc (N).,

Assistant Professor in Community Health Nursing, GRT

College of Nursing,

Tiruttani -95

5. Mrs. Jayanthi.L. M.Sc (N).,

Assistant Professor in Medical Surgical Nursing, GRT

College of Nursing,

Tiruttani -95
 Appendix –III

CERTIFICATE FOR ENGLISH EDITING TO WHOMSOEVER

IT MAY CONCERN

This is to certify that the dissertation titled that “A study to assess the effectiveness of
Informative Booklet on Obstructive Sleep Apnea among attending Medical and Surgical
Inpatient Department at Stanley Hospital in Chennai” By III Year B.Sc (N) students of GRT
College of Nursing was edited for English language appropriateness by ---------------------------
 Appendix-IV

CERTIFICATE FOR CONTENT VALIDITY

This is certify that the tool and utilize for the purpose of conducting “A study to assess
the Effectiveness of Informative Booklet on Obstructive Sleep Apnoea among attending Medical
and Surgical Inpatient Department at Stanley Hospital in Chennai” This is being undertaken
by……. in III Year in GRT College of Nursing, Tiruttani is valid and appropriate for the same.
 Appendix –V

RESEARCH PARTICIPANTS CONSENT FORM

We are III Year B.Sc (N), students of GRT College of Nursing Tiruttani, as a part of our
study, we have selected a research project a “A Study to Assess the Effectiveness of Informative
Booklet on Obstructive Sleep Apnoea among attending Medical and Surgical Inpatient
Department at Selected Hospital in Chennai. we are hereby seeking your consent and co
operation to participate in the study. Please be frank and honest in your response. The
Information collected will be kept confidential and anonymity will be maintained.

Signature of the researcher

I hereby

Give my consent to participate in the study.

Signature of the participants

 DEMOGRAPHIC VARIABLE PROFORMA

INSTRUCTION:
Please put a tick mark in the following options.

Please be frank in answering

IDENTIFICATION DATA:

SAMPLE POINT:

SECTION:- A DEMOGRAPHIC VARIABLES

1) Age

a) 20-29 years
b) 30-39 years
c) 40-49years
d) 50-59 years

2) Sex

a) Male
b) Female
c) Others

3) Level of Education

a) Profession or Honours
b) Graduate
c) Intermediate or Diploma
d) High school certificate
e) Middle school certificate

4) Occupation

a) Legislators, senior officials and managers

b) Professional
c) Technicians and associate professional
d) Clerks
e) Skilled workers and shop market sales workers
f) Skilled agricultural and fishery workers
g) Graft and related trade workers
h) Plant and Machine operators and assemblers
i) Elementary occupation
j) Unemployed
5) Monthly income in rupees

a) > 199,862
b) 99,931-199,861
c) 74,755-99,930
d) 49,962-74,755
e) 29,973-49,961
f) 10,003-29,972
g) <10,001

6) Religion

a) Hindu
b) Christian
c) Muslim
d) Others

7) Marital status

a) Single
b) Married
c) Divorced
d) Widow/ Widower
e) Separated

8) Type of family

a) Nuclear
b) Joint
c) Extended

9) Area of residence

a) Urban
b) Rural

10) Previous knowledge on Obstructive Sleep Apnoea

a) Yes
b) No

11) If yes,

a) Online
b) College
c) Consultation
d) Face –to-Face
e) Handouts
f) Other

SECTION-B

QUESTIONNAIRE RELATED TO KNOWLEDGE ON OBSTRUCTIVE SLEEP

APNOEA

A) MEANING AND PREVALENCE

1) Obstructive sleep apnoea is

a) Cessation (or) Significant decreased in air flow while sleeping
b) Lack of sleep all day
c) Increased air flow while sleep
d) Increased mucous production while sleep

2) Sleep Apnea Is
a) Chronic disorder that affects your sleep
b) Falling in your sleep
c) Turning in your sleep
d) Insomnia

3) Obstructive Sleep Apnea Is

a) Lower airway collapse
b) Upper airway collapse
c) Both A&B
d) None of the above

4) Sleep Apnea Is Most Common Among

a) Men
b) Women
c) Children
d) Infants

5) How Many Times The Patients With Obstructive Sleep Apnea Wakes Up
a) Almost every day
b) 3-4 Times per week
c) 1-2 Times per week
d) 1-2 Times per Month

B) RISK AND ASSOCIATED FACTORS

1) Anatomical Factors of Obstructive Sleep Apnea

a) Enlarged Tonsils
b) Abnormal Positioning of Maxilla and Mandible
c) Soft Tissue
d) All the Above
2) Associated Condition are
a) Hyperthyroidism
b) Splenomegaly
c) Nephrotic syndrome
d) Renal calculi

3) Substances which can relax the Muscles in the throat and also worsen the Obstructive Sleep Apnea
a) Alcohol, sedatives (or) Tranquillizers
b) Antibiotics
c) Diuretics
d) Anti- Inflammatory

4) Which of the following increase the risk of Obstructive Sleep Apnea

a) Asthma
b) Heart Disease
c) Obesity
d) Diabetes
e) All the Above

5) Which of the following Indicate the risk of Obstructive Sleep Apnea

a) Spleen Enlargement
b) Hepatomegaly
c) Thick Neck Circumference
d) Increased Waist Circumference

C) SINGS AND SYMPTOMS

1) During which time the patient with Obstructive Sleep Apnea has excessive Sleep
a) Night time
b) Day time
c) Early Morning
d) Mid-Day Sleepiness

2) Breathing Pattern of the Obstructive Sleep Apnea is

a) Normal Breathing Pattern
b) Irregular Breathing Pattern
c) Episodes of stopped Breathing during sleep
d) Obstruction in during sleep

3) Signs Associated with Obstructive Sleep Apnea

a) Coughing
b) Yawning
c) Snoring loudly
d) Wheezing

4) Obstructive Sleep Apnea awaking is accompanied with,

a) Gasping or choking
b) Dry mouth or sore throat
c) Morning headache
d) All the above
5) Which of the following signs and symptoms is expressed by the patient with Obstructive Sleep
Apnea while awaking,
a) Excessive tired
b) Drowsiness
c) Weakness
d) Confusion

D) DIAGNOSIS

1) Which of the following is very effective and easy to diagnose Obstructive Sleep Apnea
a) Sleep pattern
b) Split night Sleep study
c) Home sleep apnea testing
d) Both (B) and (c)

E) MANAGEMENT AND PARAMETERS

1) Which of the Behavioral modification is needed for the patient with Obstructive Sleep Apnea,
a) Weight reduction
b) Drink more water
c) Reduce or Skip sleep
d) None of the above

2) Oral appliances is most effective in,

a) Young patients
b) Obese patients
c) Lean patients
d) Paralyzed patients

3) Moderate to severe Apnea can be treated with,

a) Continuous positive airway pressure
b) Tracheotomy
c) ET Intubation
d) Face mask

4) Which of the following time alcohol intake should be avoided?

a) 1 hour before bed
b) 2-3 hours before bed
c) 2-4 hours before bed

5) Maintaining Upper Airway Patency during sleep can,

a) Enhance sleep pattern
b) Reduced snoring
c) Prevent soft tissues from collapse
d) None of the above
 BIBLIOGRAPHY

BOOK REFERENCE :
1) Brunner and Suddarth (2004) Text Book of Medical Surgical Nursing 10th
Edition Philadelphia Lippincott Williams & Wilkins P.No.1627-163

2) Joyce M.Black Jane Hokanson Hawks (2009) Text Book of Medical Surgical Nursing
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3) Brunner and Suddarth (2015) Text Book of Medical Surgical Nursing 13the
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Patients With Moderate To Severe COPD " Published by Ann Am Thorac

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Disease"Journal of Human Hypertension" Volume 29 P.No.705-712

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Severe Obstructive Sleep Apnoea "Journal of The Formosan Medical Association "
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INTERNET REFERENCE:

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2) https..//.www.healthline.com

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5) https..//aasm.org/resources/sleep apnea
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9) https..//www..lung.org/lung_health_diseases

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15) https..//www.thrhindu.comn/news/national/tamil-nadu/now-
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