Study to evaluate the effectiveness of Self Instructional Module

Study to evaluate the effectiveness of self instructional ModuleA man besides busy to take tutelage of his healthis like a mechanic too busy to take mission of his tools. gaining control is a neurological disorder characterised by unprovoked galvanizing discharges that disrupt the nervous system and stand cause abnormalities such as abnormal blood levels of calcium, magnesium, glucose which can trigger oneness or more raptus conditions that irritate the brain. (Christensen and Vestergaard, 2007)Most people with rapture rent outwardly normal lives. Approximately 80% can be aided by modern therapies, and roughly may take months or years between each ecstasy attack. However, this condition can uphold daily bearing of people with seizure, their family and their friends. People with seizures who ignore treatment fork out, a shorter life expectancy and increase risk of cognitive impairment. People with seizure have an higher(prenominal) risk of poor self -esteem, feeling and suicide tendency. These problems may by a reaction that may result in cruelty and shunning by other people. (httpwww.nih.gov)Based on the total projected population of India, the estimated number of people with seizure would be 5.5 million. Based on a single study on the incidence of seizure, the number of parvenue cases of seizure in each year would be close to half a million (Epilepsy term 2009) .The average incidence rate was higher than many a(prenominal) a nonher(prenominal) developed countries, but lower than the developing countries. (Shankar Saha, and Shyamal Das, 2008)Seizure becomes a medical emergency, when seizure lasts longer than 5 minutes or when a person has many seizures and does not wake up between them. Good healthy habits may help to control seizure such as good sleep habits, stress reduction, proper exercise, good nutrition, regular intake of medicament etc. (Rubin and Kornblau, 2009)NEED FOR THE STUDYMany people with seizure also live with ever typify fe ar of getting another attack. The risk of seizure acts as a barrier for their independence In USA people with seizure or other handicaps cannot be denied employment or access to many educational, recreational or other activities due to their seizure. However one survey in India showed that about 56% of people with seizure finish high school education and only 15% finish college education. These pass judgment are found lower than those of the general population. These numbers indicate that some important barriers still outlive for people with seizure.The risk of seizures becomes a barrier for peoples recreational choices sports is a positive factor in life which is best for the person to participate. Women with seizure are often concerned about whether they can become with child(predicate) and have a healthy child. This is usually a possible situation. Probably 90% women with seizure have the chance of bearing a normal healthy baby and the risk of birth defects is only associated with pregnancy and delivery.The researcher personally felt that seizure episodes are common and often recurrent if the patient does not maintain good health habits. The experience level regarding guard measures on management of seizure is congenital for people. So the researcher got interested to prepare a Self Instructional Module regarding promotion of sentry go measures among patients with seizure.STATEMENT OF THE PROBLEMThe study to evaluate the effectiveness of Self Instructional Module (SIM) on companionship regarding promotion of prophylactic measures among patients with seizure and primary maintenance sponsors in selected Hospitals at Salem.OBJECTIVESTo develop and validate Self Instructional Module regarding promotion of asylum measures for patients with seizure and primary care givers.To assess the knowledge hit on Safety measures regarding seizure management before and after(prenominal)wards exposed to SIM among patients with seizure and primary care givers.To find out the association between pre-test level of knowledge with selected demographic variables (Age in years, Educational status) look into HYPOTHESES (Level of significance pH1 The mean post-test knowledge score after exposed to SIM lead be higher than the mean pre-test knowledge score among patients with seizure.H2 The mean post-test knowledge score after exposed to SIM will be higher than mean pre-test knowledge score among primary care givers of patients with seizure.H3 on that point will be meaning(a) association between the pre-test knowledge level on promotion of caoutchouc measures among seizure patients with their selected demographic variables.H3(a) There will be evidentiary association between the pre-test knowledge level on promotion of safety measures among seizure patients with their age.H3(b) There will be significant association between the pre-test knowledge level on promotion of safety measures among seizure patients with their educational status.OPERATIONA L DEFINITIONS1. EffectivenessIn this study Effectiveness refers to the significant difference in mean pre test and post test knowledge score regarding promotion of safety measures on management of seizure among the samples.a). Knowledge of patients with seizure In this study , it refers to the level of development which is know by the patients with seizure regarding promotion of safety measures which includes drug regimen marriage and pregnancy relaxation therapy and safety measures on management of seizure which will be assessed by using a structured questionnaire, with denary choice questions . The tally will be interpreted as below 50% Inadequate knowledge 50% 75% moderate knowledge and above 75% adequate knowledge.b). Knowledge of primary care givers of patients with seizureIn this study it refers to the level of information regarding promotion of safety measures which includes care of patient during and after seizure by the primary care giver which is assessed by struct ured questionnaire that contains multiple choice questions. The scores will be interpreted as below 50% Inadequate knowledge 50% 75% moderate knowledge above 75% adequate knowledge.2. Primary CaregiverIn this study it refers to a person who is being with the patient and giving care before, during and after a seizure attack.3. Self Instructional ModuleSection-1 For patients with seizureIn this study it refers to a self explanatory guide regarding the promotion of safety measures on management of seizure. It gives information regarding meaning of seizure, its causes, signs and symptoms, diagnosis, complications, and management of seizure.Section 2 For primary care givers of patients with seizureIn this study it refers to set of guidelines regarding promotion on care of patients with seizure for the primary care givers. It gives information regarding the care of patient during after seizure.4. Patients with SeizureIn this study, it refers to individuals who are diagnosed as patien ts with seizure for the past one year and who attend the out- patient department for regular treatment in selected Hospitals at Salem.5. Safety Measures on Management of SeizureIn this study it refers to the information regarding safety measures on drug regimen relaxation therapy care during and after seizure which should be followed by the patient to avoid physical as hale as mental harm.6. Demographic Variablesa) Age in yearsIn this study the age chemical group from 20 to 60 years was included.b) GenderIt refers to the sex of the patient with seizure and primary care giver (male and female).c) Educational statusIn this study primary school to post graduate level were included.d) Family piece in health professionIn this study it refers to the individual in the family who is working as doctor, nurse, physiotherapist or other health personnel.ASSUMPTIONThe knowledge on seizure and care during seizure is innate for people to lead a healthy life and to promote psychosocial well be ing.The improved knowledge will help in preventing the further attack of seizure.ETHICAL CONSIDERATIONFormal permission will be obtained from the concern authority from the Neuro Hospital OPD where the study is conducted.Written informed consent will be obtained from the samples after explaining the usefulness of study.DELIMITATIONSSample size is delimited to 30 patients on regular treatment and their primary care givers who attend OPD.Patients with seizure who are accompanied by primary care giver.Study is delimited to those who will be available for post test.SUMMARYThis chapter dealt with the introduction, need for the study statement of the problem objectives hypotheses operational definitions trust ethical consideration and delimitations.