“A STUDY TO ASSESS THE EFFECTIVENESS OF PLANNED HEALTH

TEACHING ON KNOWLEDGE REGARDING DENGUE FEVER

AMONG THE STUDENTS OF X STANDARD
IN SELECTED GOVERNMENTSCHOOL,
GONDA, UTTAR PRADESH.”

BY
Mrs. Annapurna Tiwari
Dissertation Submitted to the
Dr. Ram Manohar Lohia Avadh University, Ayodhya, U.P.

In partial fulfilment of the requirements for the degree of

Master of Science in Nursing

In

Medical Surgical Nursing

Under the guidance of

Dr.Aspin R. PhD

Associate professor

Medical Surgical Nursing

SCPM College of Nursing and Paramedical Sciences

Lucknow road, Haripur, Gonda U.P. – 271003

2021

DR. RAM MANOHAR LOHIA AVADH UNIVERSITY, AYODHYA, U.P.

i
 DECLARATION BY THE CANDIDATE

I hereby declare that this dissertation/thesis entitled “A Study To Assess The

Effectiveness Of Planned Health Teaching On Knowledge Regarding Dengue Fever

Among The Students Of X Standard In Selected Government School, Gonda, Uttar

Pradesh.” is a bonafide and genuine research work carried out by me under the guidance of

Dr.Aspin R. PhD, Associate professor, Department of Medical Surgical Nursing.

Date: Signature of the Candidate

Place: Gonda Mrs. Annapurna Tiwari

ii
 CERTIFICATE BY THE GUIDE

This is to certify that the dissertation entitled “A Study To Assess The Effectiveness

Of Planned Health Teaching On Knowledge Regarding Dengue Fever Among The

Students Of X Standard In Selected Government School, Gonda, Uttar Pradesh.” is a

bonafide research work done by Mrs. Annapurna Tiwari in partial fulfillment of the

requirement for the degree of Master of Science in Medical Surgical Nursing.

Date: Signature of the Guide

Place: Gonda Dr.Aspin R. PhD

Associate professor,

Department of Mental Health Nursing,

SCPM College of Nursing and Paramedical

Sciences.

iii
 ENDORSEMENT BY THE HOD, PRINCIPAL/HEAD OF THE

INSTITUTION

This is to certify that the dissertation entitled “A Study To Assess The Effectiveness Of

Planned Health Teaching On Knowledge Regarding Dengue Fever Among The Students

Of X Standard In Selected Government School, Gonda, Uttar Pradesh.” is a bonafide

research work done by Mrs. Annapurna Tiwari, under the guidance of Dr.Aspin R.

PhD, Associate professor, Department of Medical Surgical Nursing.

Seal & Signature of the HOD Seal & Signature of the Principal

Dr.Aspin R. PhD, Mrs.Manimegalai.M M.Sc. Nsg

Associate professor, Principal,

Department of Mental Health Nursing, SCPM College of Nursing and

SCPM College of Nursing and Paramedical Sciences.

Paramedical Sciences.

Date: Date:

Place: Gonda Place: Gonda

iv
 COPYRIGHT

Declaration by the Candidate

I hereby declare that the Dr. Ram Manohar Lohia Avadh University,

Ayodhya, U.P., shall have the rights to preserve, use and disseminate this dissertation /

thesis in print or electronic format for academic / research purpose.

Date: Signature of the Candidate

Place: Name

© Dr. Ram Manohar Lohia Avadh University, Ayodhya, U.P.

v
 ACKNOWLEDGMENT

“When you can stop, you don't want to. And when you want to stop, you can't. That's
addiction "
-HealthyPlace.com

This thesis is the result of two years of work whereby I have been

accompanied and supported by many people. It is a pleasant aspect, that I now have

the opportunity to express my gratitude for all of them.

I am grateful to Almighty God for his grace and blessings, which has been the

guiding force behind all my efforts that has enabled me to complete this study

successfully.

I extend my sincere gratitude to the Management of SCPM College of

Nursing, the Chairman Dr. O.N. Pandey Sir and Managing Director Mrs. Alka

Pandey Mam, The Director Mr. Ajitabh Dubey Sir and Administrator

Mr.Dheeraj Kumar Dubey Sir for giving me a platform to complete my study

efficiently.

I express my profound respect and deep gratitude to Mrs.Manimegalai.M

M.Sc. Nsg Principal of SCPM College of Nursing for her support, valuable

suggestions and guidance to carry out the study.

I wish to express my heartfelt thanks to my esteemed guide and mentor

Dr.Aspin R. PhD Associate professor, Department of Mental Health Nursing, for

providing me with constant support, concern, un-tiring effort, continuous inspiration

and encouragement for this endeavor.

I extend my sincere thanks to Faculty Members of Department of Mental

Health (Psychiatric) Nursing and all the faculty of SCPM College of Nursing and

vi
 Paramedical Sciences for their guidance and helpful support during the entire course

of the study.

I am highly obliged to all the experts who validated the data collection tool

and gave their valuable suggestions in preparing the final draft for this study.

My heartfelt thanks to Librarian and Mr. Durgesh Srivastav, Computer

operator, SCPM College of Nursing & Paramedical Sciences, Haripur, Gonda for

there help and assistance rendered during the course of study.

I thank my parents and my friends who stood as pillar of support throughout

the study time. I extend my sincere gratitude to all members of the research

committee, for their valuable criticisms and suggestions for the improvement of this

dissertation.

The perfection of work finds success through teamwork and dedication which

are molded by various persons involved in the successful completion of this study. It

will not be fruitful, unless I extend my heartfelt thanks and gratitude to all who guided

me efficiently to bring this thesis forward.

Thank you all

With a grateful heart

signature of the Candidate

Date:

Place: Gonda (Mrs. Annapurna Tiwar)

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 LIST OF ABBREVIATIONS USED

Df Degree of freedom

H Hypothesis

HOD Head of the department

NS Non-Significant

P table value of chi-square test

S Significant

S. No. Serial Number

SD Standard Deviation

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 RESEARCH ABSTRACT

Background: We are familiar with the following statements:”Mosquitoes are worse than

Tigers”and It’s very difficult to control Dengue fever until it subside dengue fever has been

main health problem of the world. This study assesses the effectiveness of structured teaching

programme on knowledge o n Dengue fever among students in government school, Gonda.

OBJECTIVES: 1) To assess the pre test knowledge on Dengue fever, 2) to deliver the

structured teaching programme regarding Dengue fever, 3) to assess the post test knowledge

on Dengue fever, 4) to evaluate the effectiveness of structured teaching programme on

knowledge on Dengue fever. 5) to find out the association between post test scores of

knowledge demographic variables. METHOOLOGY: The study was conducted in

government school, Gonda. The research design used for this study was one group pre test

post test. 50 samples were selected through convenience sampling technique. A structured

interview questionnaire was used to collect the data on knowledge o n Dengue fever among

students for pre test followed by that structured teaching programme on f Dengue fever has

been given. Post test was conducted after an interval of one week by using the same

questionnaire. The data was analyzed by using descriptive and inferential statistics.

FINIDINGS: The demographic variables associated on the basis of knowledge are age

(8.73>7.82) Educational status (9.52>7.82), Income (8.08>7, 82), Source of information

(10.72>7.82), Type of solid waste disposal (8.39>7.82) and the demographic variables

associated on the basis of practice are income (11.48>7.82),Source of information

(11.0>7.82), type of solid waste disposal (8.76>7.82) on Dengue fever. Pretest knowledge

level was assessed among Housewive, mean was 12.14, standard deviation 3.4 and the overall

knowledge of mean percentage was 40% that shows the students were in inadequate

knowledge. Post test knowledge score in mean 19.9 and standard deviation 2.81. The overall

knowledge of mean percentage was 66% that shows adequate knowledge after structured

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teaching programme., area wise calculation of knowledge level was assessed. The post test

mean percentage for definition of Dengue fever 73%, causes of Dengue fever was 63%,

mode of transmission of Dengue fever was 65%, signs& symptoms of Dengue fever was

65%, complication of Dengue fever was 48%, and prevention of Dengue fever was

70%.Comparison of pre and post test level of knowledge was analyzed by using paired’t test.

Calculated ‘t’ value was 14.8 (14.8>2.02) which was greater than table value. So it was

significant at p>0.05level. Comparison of pre and posttest level of knowledge in area wise

also analyzed by using paired’t test.Calculated‘t value for definition of Dengue fever

7.7>2.02, causes 14.6>2.02, mode of transmission 9.8>2.02, signs& symptoms 8.6>2.02,

complication 4.0>2.02 and prevention of Dengue fever 6.0>2.02. Hence all the areas of

knowledge were greater than the table value. So it was significant at p>0.05 level. Comparison

of pre and post test level of practice was analyzed by using paired t test. Calculated‘t’ value

was 16.2 (16.2>2.02) which was greater than table value. So it was significant at p>0.05level.

The calculated r value was higher than the table value. Hence it was a positive correlation

between knowledge so knowledge of the disease reported a significant higher on Dengue

fever. Conclusion: The study proves that structured teaching programme on dengue fever

among students was effective in improving the knowledge.

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 TABLE OF CONTENTS

PAGE
CHAPTER CONTENT
NO
I INTRODUCTION 1 -11
 Need for the study 3
 Statement of the problem
6
 Objectives of the study
 Operational definitions 6
 Assumptions 6
 Hypothesis
8
 Ethical consideration
 Delimitation 8

 Conceptual frame work 8

II REVIEW OF LITERATURE
12-28
 Literature related to prevalence and
12
causes of Dengue fever.
 Literature related to signs and symptoms 17
of Dengue fever.
 Literature related to prevention of Dengue
fever. 19
 Literature related to knowledge and
practice of Dengue fever. 22

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III RESEARCH METHODOLOGY 29-35
 Introduction 29
 Research approach
 Research design 29
 Variables 29
 Setting of the study
29
 Population
 Sample size and sampling technique 30
 Criteria for sample selection 30
 Development of the tool
 Content validity 31
 Reliability 31
 Pilot study
 Data collection procedure 31
32
33
33
34

IV DATA ANALYSIS 37-61

 Data regarding the demographic variables 38
of students 41
 Analysis of pre test and post test level of
knowledge score on Dengue fever
43
 Comparison of mean pre test and post test
knowledge score on Dengue fever
 Comparison of mean pre test and post test 45
area wise knowledge score on Dengue fever 54

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  Association between post test level of 60
knowledge score on Dengue fever among
students with their demographic variables

V DISCUSSION 62-67

SUMMARY, IMPLICATIONS,
VI CONCLUSION, RECOMMENDATION 68-74
AND LIMITATION.
BIBLIOGRAPHY 75
APPENDICES

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 LIST OF TABLES
TABLE PAGE
TITLE
NO NO
Frequency &distribution according to demographic
1. Variables 38

Analysis between pre test and post test level of

2. knowledge score on dengue fever among students 41

Comparison of Mean, standard deviation and‘t’

test value of pre test and post test over all
.3 43
knowledge score o n Dengue fever among students.

Comparison of Mean, standard deviation and‘t’ test

4. scores of students in pre and post test 45
knowledge regarding definition of Dengue fever
Comparison of Mean, standard deviation and‘t’ test
5. scores of students in pre and post test 46
knowledge regarding causes of Dengue fever
Mean, standard deviation and‘t’ test scores of in
6. pre and post test knowledge regarding mode of 47
transmission of Dengue fever
Comparison of Mean, standard deviation and‘t’ test
scores of students in pre and post test
7. 48
knowledge regarding signs and symptoms of
Dengue fever
Comparison of Mean, standard deviation and‘t’ test
8. scores in pre and post test knowledge regarding 49
complication of Dengue fever among students.
Comparison of Mean, standard deviation and‘t’ test
9. scores in pre and post test knowledge regarding 50
prevention of Dengue fever among students.
Analysis between pre test and post test level of
10. practice score regarding control and prevention of 52
dengue fever among students
Association between post test overall knowledge
11. scores of samples with demographic Variables 54

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 LIST OF FIGURES

FIG. PAGE
TITLE
NO NO
Conceptual framework based on Rosen stock's(1974),
Health Belief Model applied to assess the effectiveness
1. of s t r u c t u r e d teaching programme on knowledge on 11
dengue fever among students.

2. Schematic representation of the Research design 36

Bar diagram shows percentage of pre- test and post-
3. test knowledge score on dengue fever among Students. 42

Bar diagram shows mean percentage of pre-test and

4. post-test over all knowledge score on dengue 44
fever among students.
Bar diagram shows mean percentage of pre- test and
post- test knowledge score of definition, causes, mode
5. of transmission, signs and symptoms, complication and 51
prevention on control and prevention of dengue fever
among students.

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