A Study to Assess the Effectiveness Of Structured Teaching Programme on Knowledge Regarding Hand Exercise in Prevention of AV Fistula Dysfunction among Hemodialysis Patient In Selected Hospital, Tumkur

Abstract

Health is wealth; this phrase is very popular because happiness lies in the health of man. Good health helps to develop charm, grace, and happy mind. Kidneys are a pair of bean shaped organs located either side of the lower back just below the rib cage. Renal failure is the severe impairment or total lack of kidney function. Chronic Renal Failure (CRF) develops insidiously overtime and necessitates the initiation for long term survival.1 Dialysis is used to remove fluid and uremic waste products from the body when the kidneys are not able to do so. It is the best method to use arteriovenous fistula (AVF) as a vascular access. Compared to other vascular access such as venous catheter and a synthetic graft, arteriovenous fistula is most used method as it has fewer complications. Complications can occur even if we are careful, but are much less common if you take a few precautions. Hand exercise is essential to perform in prevention of AV fistula dysfunction. The aim of the study was to assess the effectiveness of Structured Teaching Programme on knowledge regarding Hand exercise among Hemodialysis patients in selected hospital, Tumkur.
Methods: n evaluative approach with pre-experimental one group pre-test post-test design was used with purposive sampling technique to select the sample (N=50). A structured knowledge questionnaire was used to assess the Knowledge and STP was administered to find its effectiveness. The collected data was analyzed by using Descriptive statistics like mean, median and standard deviation, and inferential statistics like paired and independent‘t’ test was included to test the hypothesis and Chi-square test was included to test the association of knowledge scores with demographic variables.
Results: The mean percentage of post-test knowledge score (79.09 %) was higher than the mean percentage of pre-test knowledge score (36.54%). The calculated’ value [t (49) = 21.01] is greater than the table value (0.05, 49df) = 1.96. It showed a significant difference between mean pre- and post- test knowledge scores. Calculated x2 values are showed no significant association between any of the variables with their post-test knowledge scores. Therefore, no significant association was found between these other variables and post-test knowledge level of Hemodialysis patients.

Interpretation & Conclusion: The findings of the study showed that there was a deficit in knowledge of
Hemodialysis patients before administration of STP. The results indicated that the STP is effective in increasing
the knowledge of Hemodialysis patients on Hand exercise.