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WELCOME THESIS PRESENTATION BY MISS ANISHA MADHURI BECK M.SC. NURSING SECOND YEAR MENTAL HEALTH NURSING RITCON RAIPUR (C.G)
STATEMENT OF THE PROBLEM A quasi-experimental study to assess the effectiveness of origami crafts on test anxiety reduction among children in selected hospital, Raipur Chhattisgarh.
OBJECTIVES To assess pre-test and post-test level of anxiety among hospitalized children in experimental and control group To determine the effectiveness of Origami in reducing anxiety level of hospitalized children in experimental group. To compare the pre and post-test level of anxiety among hospitalized children in control group. To compare the post-test level of anxiety among hospitalized children in experimental and control group To find the association between pre-test level of anxiety among hospitalized children in experimental and control group with selected demographic variables.
HYPOTHESES H1: There will be a significant difference between the pre- and post- test level of anxiety among hospitalized children in experimental and control group. H2: There will be a significant association between pre-test level of Anxiety among hospitalized children in experimental and control group with selected demographic variables.
OPERATIONAL DEFINITION EFFECTIVENESS In this study effectiveness refers to the positive outcome of origami on anxiety among hospitalized children as measured by Behavioral observational checklist on hospitalized anxiety.
ORIGAMI Origami also called paper folding, art of folding objects out of paper to create both two-dimensional and three-dimensional subjects. In this study, origami refers to an art of folding paper into decorate figures as of fish, jumping frog, Tulip Flower, Wind mill, Paper Flower, Dog, Butterfly, Rose, and Lotus by the children as per investigator guidelines.
ANXIETY In this study it refers to the child reaction during vocalization, gaze behaviour , reaction to therapeutic procedures and reaction related to loss of control as measured by Behavioural observational checklist on hospitalized anxiety.
HOSPITALIZED CHILDREN In this study refers to children admitted to the paediatric ward, between the age group of 6-10 years. ASSUMPTIONS Level of anxiety may differ in between male and female child. Majority of the children staying at hospital may have different level of anxiety. Origami craft may bring Reduction in the level of anxiety among hospitalised child. DELIMITATION The study is delimited to Children who are admitted in paediatric ward and children who are available at the time of data collection. 6-10 years children those who are anxious Observation of the children by the investigator only during day time. the interventions are given only when the child is interested Hospitalized children and their mothers who are willing to participate in the study Data collection period is limited to 1 month
RESEARCH APPROACH (Quantitative research approach) RESEARCH DESIGN (Quasi experimental research design) TARGET POPULATION (Children) ACCESIBLE POPULATION (children in Bal Gopal hospital Raipur C.G.) SETTING OF STUDY (selected hospital Raipur C.G) SAMPLING TECHNIQUE (purposive sampling technique) SAMPLE SIZE (Sample size 60 children) VARIABLE TOOL FOR DATA COLLECTION (Section A-socio demographic data) (Section B- Self-structured questions) DATA ANALYSIS (Descriptive and inferential data) RESEARCH FINDING METHODOLOGY
DATA ANALYSIS AND INTERPRETATION AGE Experimental group Control group Frequency (f) Percentage (%) Frequency (f) Percentage (%) 6-8 Year 18 60 16 53.33 9-10 year 12 40 14 46.66 Total 30 100% 30 100% Distribution of subject according to the socio demographic variables . Table 1 Distribution of subjects based on age N=60
Table -2 Distribution of subjects based on gender N=60 GENDER Experimental group Control group Frequency (f) Percentage (%) Frequency (f) Percentage (%) MALE 20 66.66 17 56.66 FEMALE 10 33.33 13 43.33 Total 30 100% 30 100%
Table – 3 Distribution of subjects based on Birth order of the child N=60 Birth order of the child Experimental group Control group Frequency (f) Percentage (%) Frequency (f) Percentage (%) Fist 05 16.66 08 26.66 Second 15 50 12 40 Third 08 26.66 06 20 Fourth 02 6.66 04 13.33 Total 30 100% 30 100%
Table - 4 Distribution of subjects based on type family N=60 Type Family Experimental group Control group Frequency (f) Percentage (%) Frequency (f) Percentage (%) Nuclear family 15 50 14 46.66 Joint family 12 40 13 43.33 Separated 02 6.67 01 3.33 Extended family 01 3.33 02 6.67 Total 30 100% 30 100%
T able - 5 Distribution of subjects based on income N=60 Income Experimental group Control group Frequency (f) Percentage (%) Frequency (f) Percentage (%) Below 5000/- 10 33.33 11 36.66 5001 to 10000/- 06 20 05 16.66 10001 to 15000/- 05 16.66 04 13.33 15001 to 20000/- 05 16.66 07 23.33 Above 20001/- 4 13.33 2 6.66 Total 30 100% 30 100%
Table - 6 Distribution of subjects based on Number of siblings N=60 Number of siblings Experimental group Control group Frequency (f) Percentage (%) Frequency (f) Percentage (%) One 02 6.66 06 20 Two 16 53.33 14 46.66 More than two 12 40 10 33.33 Total 30 100% 30 100%
Table - 7 Distribution of subjects based on Area of Residence N=60 Area residence Experimental group Control group Frequency (f) Percentage (%) Frequency (f) Percentage (%) Urban area 15 50 14 46.66 Rural area 15 50 16 53.33 Total 30 100% 30 100%
Table - 8 Distribution of subjects based on religion N=60 Religion Experimental group Control group Frequency (f) Percentage (%) Frequency (f) Percentage (%) Hindu 16 53.33 14 46.66 Muslim 05 16.66 06 20 Christian 06 20 05 16.66 Others (if yes; specify) 03 10 05 16.66 Total 30 100% 30 100%
Table no 9 Analysis of post-test and post-test knowledge score of level of anxiety among hospitalized children in experimental by using frequency, percentage Level of Anxiety Pretest Post Test Frequency (f) Percentage (%) Frequency (f) Percentage (%) Mild 10 33.33% 18 60% Moderate 09 30% 07 23.33% Severe 11 36.66% 05 16.66%
Table no 10 Analysis of post-test and post-test knowledge score of level of anxiety among hospitalized children in control group by using frequency, percentage Level of Anxiety Pretest Posttest Frequency (f) Percentage (%) Frequency (f) Percentage (%) Mild 07 23.33% 17 56.66% Moderate 08 26.66% 07 23.33% Severe 15 50% 06 20%
TABLE NO. 11 Analysis of effectiveness of origami crafts by using “t” of test anxiety reduction N=60 TEST Mean Mean% SD Mean diff Paired t value Df/Critical value Significance Pretest 62.1 49.25 16.97 18.06 18.06 59/2.66 <0.001 Posttest 48.91 72.25 15.45
TABLE NO. 12 Analysis of compare the pre and post-test level of anxiety among hospitalized children in Experimental group TEST Mean Mean% SD Mean diff Paired t value Df/Critical value Significance Pretest 59.93 55 16.82 11.73 11.62 59/2.66 <0.001 Posttest 48.2 41.2 15.12
TABLE NO. 13 Analysis of compare the pre and post-test level of anxiety among hospitalized children in control group TEST Mean Mean% SD Mean diff Paired t value Df/Critical value Significance Pretest 49.63 42 15.74 14.63 14.06 59/2.66 <0.001 Posttest 64.63 75 16.84
Table no 14 Chi-square analysis to find out association between the pretest knowledge score with their socio-demographic N=60 S. No. Socio demographic variables Pre-test Total Chi- square value Df Inference Mild Moderate Severe 1 Age group (years) 17 17 26 60 2.78 2 Not significant 2 Gender 17 17 26 13.48 2 Significant 3 Birth order of child 17 17 26 7.21 6 Not Significant 4 Family type 17 17 26 14.24 6 Significant 5 Religion 17 17 26 7.45 6 Not significant 6 Financial background 17 17 26 10.21 6 Not Significant 7 Number of siblings 17 17 26 18.67 4 Significant 8 Area of residence 17 17 26 9.05 2 Significant
DISCUSSION This chapter discusses the findings of the study to assess the effectiveness of origami crafts on test anxiety reduction among children in selected hospital Raipur. In order to achieve the objective of the study survey approach was adopted. A non-probability purposive technique was used to select the sample the data was collected from 60 sample.
OBJECTIVE To assess the pre-test and post-test level of anxiety among hospitalized children in experimental and control group To determine the effectiveness of Origami in reducing anxiety level of hospitalized children in experimental group. To compare the pre and post-test level of anxiety among hospitalized children in control group. To compare the post-test level of anxiety among hospitalized children in experimental and control group To find the association between pre-test level of anxiety among hospitalized children in experimental and control group with selected demographic variables.
HYPOTHESIS H : null hypotheses H 1 : there will be significant with association between pre-test level of anxiety among hospitalized children in experimental and control group their selected socio-demographic variables.
ORGANIZATION OF FINDINGS The data were presented under following section: SECTION – I Distribution of study subjects according to sociodemographic variables using frequency and percentage. SECTION – II Analysis of post-test and post-test knowledge score of level of anxiety among hospitalized children in experimental and control group by using frequency, percentage, mean, mean percentage and SD. SECTION – III Analysis of effectiveness of origami crafts by using “t” of test anxiety reduction. SECTION – IV Analysis of compare the pre and post-test level of anxiety among hospitalized children in Experimental group
Analysis of compare the post-test level of anxiety among hospitalized children in experimental and control group SECTION – V Chi-square analysis to find out association between the pretest knowledge score with their socio-demographic. SECTION – A The finding of the study has been discussed with reference to objectives and hypothesis with finding of other studies. In the present study socio-demographic detail of 60 subject were done using percentage analysis, in related to age Table1: Depicts that out of experimental group 30 participated in the present study, n=18 (60%) belonged to the age group below 6-8 years, n=12 (40%) in 9-10 years. Control group 30 participated in the present study, n=16 (53.33%) belonged to the age group below 6-8 years, n=14 (46.66%) in 9-10 years.
Table 2(fig. 3.2) out of experimental group 30 subjects involved in the current study, n=20 (66.66%) were males and n=10 (33.33%) were females and control group 30 subjects involved in the current study, n=13 (43.33%) were females and n=17 (56.66%) were males. Table 3 (fig 3.3) the experimental group belong that is 16.66% who had participated in the study were first child, 26.66% were third child, 50% participate were second child and only 6.66% had fourth birth order of child. And the control group belong that is 26.66% who had participated in the first child, 20% were third, 40% participate in the study were second and only 13.33% had fourth birth order of the child. Table 4 (fig 3.4) the experimental group belong that is 50% who had participated in the belong were nuclear family, 40% were joint family, 3.33% participate in the belong to extended family, 6.67 participate in the belong to separated family and the control group belong that is 46.66% who had participated in the belong were nuclear family, 43.33% were joint family, 6.66% participate in the belong to extended family and 3.33% participate in the belong were separated.
Table 5 (fig 3.5) the experimental group belong that is 33.33% who had participated in the study were income below 5000/-, 20% were 5001-10000/-, 16.66% participate in the study were income 10001-15000 and 15001-20000, only 13.33% had income above 20001/-. And the control group belong that is 36.33% who had participated in the study were income below 5000/-, 16.66% were 5001-10000/-, 13.33% participate in the study were income 10001-15000 and 23.33% participant income 15001-20000, only 6.66% had income above 20001/-. Table 6 (fig3.6) the experimental group belong that is 6.66% who had participated in the were one number of siblings, 53.33% were two, 40% participate in the more than two number of siblings and the control group belong that is 20% who had participated in the were one number of siblings, 46.66% were two, 33.33% participate in the more than two number of siblings
Table 7 (fig3.7) the experimental group belong that is 50% who had participated in the study were area of residence urban and rural area and the control group belong that is 53.33% who had participated in the study were rural area, 46.66% were urban area. Table 8 (fig3.8) Elicits that majority of the participate 53.33% were Hindu, 16.66% were Muslim, 20% were Christian and 10 were other. And control group majority of the participate 46.66% were Hindu, 20% were Muslim, 16.66% were Christian and other
SECTION -B The first objective assesses the pre-test and post-test level of anxiety among hospitalized children in experimental and control group. Table9 (Figure3.9): Depicts that among 30 subjects of experimental group in pretest 10 (33.33%) mild level of anxiety, 09 (30%) are having moderate, 11(36.66%) have a severe level of anxiety and post-test 18 (60%) mild level of anxiety, 07 (23.33%) are having moderate, 05(16.66%) have a severe level of anxiety Table 10 (Figure3.10): Depicts that among 30 subjects of control group in pretest 07 (23.33%) mild level of anxiety, 08 (26.66%) are having moderate, 15 (50%) have a severe level of anxiety and post-test 17 (56.66%) mild level of anxiety, 07 (23.33%) are having moderate, 06(20%) have a severe level of anxiety
SECTION – C The second objective was to find out to effectiveness of Origami in reducing anxiety level of hospitalized children in experimental group. Table 11, and fig no3.11 Revealed that increase the knowledge as calculated “t’ value is 18.06 greater than table value 2.66 at p<0.001 level of confidence. So, the H1 hypothesis (There will be significant difference between in pre and post test score regarding regarding anxiety reduction .) is accepted. SECTION - D The Third objective was found out the compare the pre and post-test level of anxiety among hospitalized children in control group. Table 12, and fig no3.12 Revealed that reduce the anxiety level as calculated “t’ value is 11.62 greater than table value 2.66 at p<0.001 level of confidence. Table 13, and fig no3.13 Revealed that reduce the anxiety level in control group as calculated “t’ value is 14.06 greater than table value 2.66 at p<0.001 level of confidence.
SECTION – E The four objective was found out the compare the pre and post-test level of anxiety among hospitalized children in Experimental group. 13, and fig no3.13 Revealed that reduce the anxiety level in control group as calculated “t’ value is 14.06 greater than table value 2.66 at p<0.001 level of confidence. SECTION – F The fifth objective was found out the association between pre-test level of anxiety among hospitalized children in experimental and control group with selected demographic variables.
Table 14 shows that there is significant association While the chi - square value of gender, family type, number of siblings, area of residence 13.48, 14.24, 18.67, `respectively which is more than tabulated value 12.59, 9.49,5.99 at the degree of freedom 6,4,2 So H1 hypothesis is accepted with regards to knowledge . Hence there is no significant while the chi- square value of age in year, birth order of child, religion, 2.78 and 7.21 and 7.45 an association between above stated socio demographic variables with pretest knowledge regarding anxiety reduction among child So H2 hypothesis is rejected with regards to knowledge.
SUMMARY The chapter deal with discussion of finding of the study. It includes discussion of the finding under different section such as distribution of subject according to sociodemographic variables, association between child in hospital and sociodemographic variables.