“EFFECTIVENESS OF STRUCTURED TEACHING

PROGRAMME ON KNOWLEDGE REGARDING

POLYCYSTIC OVARIAN SYNDROME AMONG
ADOLESCENTS AND YOUNG WOMEN.”

INVESTIGATOR GUIDE
ABINAYA.P Mrs. Porkodi Rabindran
III Year B.Sc Nursing, Tutor,
College of Nursing, College of Nursing,
JIPMER. JIPMER.
 INTRODUCTION
 The most common endocrine disorders among teenagers and
young women has an imbalance of female sex hormones known as
Poly cystic ovarian syndrome (PCOS) a term coined by STEIN
AND LEVENTHAL in 1935.
 This complex disorder consist of three characteristic symptoms
namely oligo/amenorrhea or anovulation, hirsutism and infertility.
 The exact cause of PCOS is unknown.
 If PCOS is left untreated, may lead to life threatening chronic
conditions including type 2 diabetes mellitus, hypertension,
cardiovascular disease, and stroke and kidney problems.
 OBJECTIVES
PRIMARY OBJECTIVE:
Among adolescents and young women in the age group of 18-24
 To assess the knowledge on polycystic ovarian syndrome before and after
structured teaching programme
 To determine the effectiveness of planned teaching programme on
knowledge regarding PCOS

SECONDARY OBJECTIVE:
Among adolescents and young women in the age group of 18-24
 To find out the association between pretest knowledge on PCOS with their
selected demographic profile.
 To find out the association between pretest knowledge on PCOS with their
selected dietary and clinical profile.
 METHODOLOGY
Study design:
Pre experimental, one group pretest posttest study design.

Inclusion criteria
• Girls in the age groups of 18 – 24years
• Those who can read and write English or Tamil
• Those present at the time of data collection

Exclusion criteria
• Girls in health profession
• Girls who are already diagnosed with PCOS
Sampling population
• The Adolescents and young women (18-24yrs) residing in the
Villianur town, Odaimpet, and Uruvaiyar villages under Villianur
Primary Health Center who full fills the inclusion and exclusion
criteria.

Sample size calculation

• The sample size is estimated using the expected proportion level of
difference in the mean % knowledge score of 48.23% between pre-
test and post-test which is obtained from previous study conducted
in Mangalore (2013). The sample size is estimated using precision
of 10% at 5% level of significance. Openepi software was used to
calculate sample size and it is 34.

Sampling technique
• Systematic random sampling technique was used in this study. The
Kth value was 29 therefore the sample size was 34.
TOOLS
Data was collected using the tool prepared by the
investigator, which consisted of four parts.
Part A: Demographic profile
Part B:Clinical profile
Part C:Dietary profile
Part D: Structured questionnaire on knowledge regarding
PCOS

Part A
The first part consist of socio demographic profile such
as sample number, class, age, religion, place of residence,
mothers education, mothers occupation, fathers education,
fathers occupation, family type and family income.
Part B
• The second part consists of clinical profile data such as
BMI (based on ASIAN CRITERIA), waist circumstance,
age at menarche, regularity of menstrual cycle, average
duration of your menstrual flow, average interval between
your menstrual cycle, personal history of premenstrual
symptoms, any history of acne, excess hair growth, area
of dark and velvety discoloration of skin, level of physical
exercise and source of health information.
Part C
• The third part consists of dietary profile measuring the dietary
pattern and frequency of food consumption

Part D

• The fourth part the structured knowledge questionnaire consists

of 20 questions with response of 4 options regarding PCOS. A score
of 1 was given for correct response and 0 for wrong response.
DATA ANALYSIS

All statistical analysis was carried out at 5% level of significance and P value <

0.05 was considered as significant. The results were analyzed using descriptive

and inferential statistics. The data were analyzed using statistical software

SPSS version 22.

ETHICAL CONSIDERATION

The study protocol was approved by the Undergraduate Research Monitoring

Committee (UGRMC) of JIPMER and the institute Ethics Committee.

The consent was obtained from the participants after explaining the risk and

benefits of the study and ensuring the confidentiality.

 RESULTS
“Characteristics of PCOS”
“Type of Diet”
“Comparison of knowledge score between
pretest and posttest”
 “Distribution of overall knowledge of
adolescents and young women regarding PCOS”
“Category wise comparison of pre-test –post-test knowledge scores”
“Association between the pre-test knowledge score and selected demographic variables,
clinical and dietary profile”
 FIGURES
“BMI of adolescents and young women”

BMI
50.00%
44.10%
45.00%

40.00%

35.00%

30.00%
26.50%
25.00%

20.00%

15.00%
11.80% 11.80%
10.00%
5.80%
5.00%

0.00%

Underweight Normal Over weight Pre-obese Obese type 1

 “Source of health information regarding PCOS”

SOURCE OF HEALTH INFORMATION

0.45

0.4 38.20%
35.40%
0.35

0.3

0.25

0.2

0.15

0.1 8.80% 8.80% 8.80%

0.05

0
1

Health personnel Friends Parents Teachers Radio/TV/internet/newspaper

 DISCUSSION

• The study found that among the 34 participants 8 (34%) of them

were adolescents and 26 (76%) were young women.
• Majority of them 32(94%) belong to Hindu religion.
• Their mothers mostly 16(47%) had secondary level education
and only 3(9%) of them had collegiate education, and 26(77%)
were homemakers.
• Majority of them 25(74%) came from nuclear family with
22(65%) belonging to middle class and lower middle class
income group.
• A similar finding was seen in a study conducted in Udupi District
among pre university students showed that out of 752 students
their mothers were mostly 437 (58.1%) had primary education
and majority 554 (73.6%) of the students’ mothers were home
makers.
• Only 15 (44%) of the adolescents and young women had BMI
within the range of normal (18.5-22.9).

• Overweight (23-24.9) was observed among 4(11.8%) and

obesity (25-40) among 11(33%).

• This finding is slightly different from the study conducted

among 200 medical students in Nagpur which shows that 51%
girls had normal BMI, 19.5% were overweight, and 16.5%
were obese while 13% were underweight.
• The information regarding health mostly received
was from health personnel among 13 (38%) of
adolescents and young women and from parents
among 12(35%) of them.

• This finding is contrary to the findings found in

Udupi district where 562 (74.7%) students had the
habit of reading health related magazines .
• Dietary profile showed most of the adolescents and
young women 18 (52.9%) consumed a combined diet
that was predominantly vegetarian.

• Study conducted in Australian National Nutrition

Survey revealed that the subjects consumed
vegetables pattern diet is about 3.9% and a another
study conducted in Urban Baroda showed that 66.6%
adolescents consumed processed food compared to
this study where only 20.6% of adolescents
consumed processed food.
• There was significant difference between the mean pre-test
and post-test knowledge level.

• The post-test mean percentage 14.64 (3.575) scores

improved than the pre-test percentage 6.500 (2.351) scores

• The difference in mean score between pretest and posttest

was 8.14, but was not statistically significant (p value –
0.197).

• Similar findings was found in a study conducted at

Mangalore, where the study results revealed pre-test mean
percentage (4.37%) scores regarding PCOS to be less than
post-test mean percentage (12.08%) scores.
 CONCLUSION

There are clear evidence from the present

study and studies conducted elsewhere
depecting that the girls and their mothers lack
knowledge regarding PCOS. The importance
of educating them can never be overlooked.
Nurses can play major role in this to build
healthy mothers.