Ruhul_ppt_Dengue_Fever[1][1].pptx .dengue

presentation of dengue

1. T ITLE Nurses’ Knowledge Regarding Preventive Measures of Dengue Outbreak at 250 Bedded General Hospital,Thakurgaon.

2. Md.Ruhul Amin Roll: 202103374006 Registration No: 202103374006 Session : 20 20- 20 2 1 Monowara Nursing College,Thakurgaon B.Sc in Nursing E xamination , 202 4 Presented by

3. Shabuj Sarkar Nursing Instructor, Md.Sumon Islam Nursing Instructor Monowara Nursing College,Thakurgaon . Supervised by:

4. INTRODUCTION AND JUSTIFICATION Dengue fever (DF) is a mosquito-borne viral infection causing a severe flu-like illness and, sometimes causing a potentially lethal complication called severe dengue transmitted by bites of Aedes aegypti and Aedes albopictus mosquito ( Heymann DL,2019).

5. Dengue fever was first observed in Bangladesh in 2000, claimed 93 deaths in that year. After 3 years the deaths have gradually decreased to almost zero. However, it struck again in 2018, killed 26 and affected 10,148 people. The previous highest of affected people prior to 2018 was 6,232 in 2002( Alam and Helemul , 2019).

6. The 2019 dengue outbreak in Bangladesh is a nationwide occurrence of  dengue fever  in  Bangladesh  that began primarily on April 2019 and still ongoing. According to  Directorate General of Health Services  (DGHS), 14 people have died and 19,513 people have been affected as of 1 August 2019,(bdnews24.com,2019) majority of whom are children(Health Bulletin:DGHS,2019) Although other sources are reporting the death toll has already passed 50.(bdnews24.com,2019) On 1 August 2019, DGHS confirmed the outbreak affecting all  districts of the country (Azeem and Masud,2019). Nurses play an important role in health care system in both institutionalized settings and community care centers. So the nurse should have wide knowledge about all diseases especially infectious diseases like dengue fever, one of the most important tropical diseases of humans in the world.

7. Research Question What are the level s of knowledge regarding management of dengue fever among nurses ' in 250 bedded General Hospital,Thakurgaon ?

8. Research Objectives General objective The overall objective of this study is to assess of knowledge regarding management of dengue fever among nurses in 250 Bedded General Hospital, Thakurgaon.

9. To identify the socio-demographic characteristics of the respondents. To assess the level of nurses knowledge regarding management of dengue fever. Specific Objectives

10. Variables used in the study A. Independent variables : Age Academic qualification Professional qualification Marital Status Economic Status Lenghth of service B. Dependent variable Nurses ’ Knowledge

11. The researcher reviewed 9 articles to cover this following contents: Concepts of dengue fever Risk factor/causes of dengue fever Spread of dengue fever Complications of dengue fever Management of dengue fever Prevention of dengue fever LITERATURE REVIEW

12. Type of Study/Study Design: Study Design was a descriptive type of cross sectional study. Place of Study: The study place was Rangpur Medical College Hospital, Rangpur. Study Population: Study Population was the Nurses who are working at Rangpur Medical College Hospital, Rangpur. Duration of Study: The duration of the study was 6(January 2025 to June 2025) months. Place of Data Collection: Place of Data Collection was different word Rangpur Medical College Hospital, Rangpur. Sample Size: The sample was 50 nurses who are working at Rangpur Medical College Hospital, Rangpur. METHODOLOGY

13. Sampling Technique: Sampling technique was purposive sampling technique. Data Collection Instrument: Semi-Structured questionnaire was used as a data collection instrument. Part A:Demographic data from (1-7) question. Part B:Nurses knowledge about dengue fever (1-10) questions. Data Collection Procedures: Self Administered questionnaire was used for data collection. Data Analysis Procedure: The collected data was analyzed by using SPSS ( Statistical package for soci al sciences) version 21 with the help of guide teacher.

14. Sample size is estimated by using YAMANE’S formula. Sample size was 50. [n=N/]{(1+N(e)^2} e=error margin 0.05 n=1000/{1+1000 x (0.05)2} n=sample size (50) =285.71 N=Population (1000)

15. Ethical clearance was obtained from the research committee of Monowara Nursing College,Thakurgaon. Permission was obtained prior from the authority of 250 Bedded General Hospital, Thakurgaon . Consent will be taken prior from the nurses who are willing to participate in the study. Ethical Consideration:

16. RESULTS Table. 1: Socio demographic information of the respondents . Variable Parameter No. Percentage (%) Age <30years 30-40years 40-50years >50years 16 18 11 5 32 36 22 10 Gender Male Female 7 43 14 86

17. Marital status Single Married 6 44 12 88 Academic qualification S. S.C H.S .C Graduate 17 29 4 34 58 8 Professional qualification Diploma in nursing with midwifery B.Sc. in nursing/PHN MPH/M.Sc. in nursing 27 18 5 54 36 10 Continue…….

18. Length of service <5yrs 5-10yrs 11-15yrs 16-20yrs >20yrs 6 17 11 12 4 12 34 22 24 8 Monthly income <30000 30000-40000 40000-50000 >50000 13 19 14 4 26 38 28 8 Continue…….

19. SL. No Question Option Yes No Possible Score Actual Score 1 What is dengue fever? a. Dengue is a mosquito born viral disease which is caused by bite of Aedes agypty b. It is viral disease transmitted by female mosquito . c. Dengue fever is caused by bite of Cules b. Dengue fever is viral disease caused by Anopheles mosquito. e. Dengue fever is a bacterial disease 44 42 46 45 30 6 08 04 05 20 1 0.828 2 What are the type of dengue? a.DENV1 b.DENV2 c.DENV3 d.DENV4 e.DENV5 30 32 30 28 25 20 22 20 22 25 1 0.58 Table 2: Nurses’ knowledge regarding dengue fever(Multiple questionnaire

20. SL. No Question Option Yes No Possible Score Actual Score 3 Which organism is responsible for dengue infection a.Parasite b worm c.Fungus d.Bacteria e.Virus 32 36 27 23 22 18 14 23 27 08 1 0.56 4 What are the symptoms of dengue fever? a.Headache b.Muscle pain c.Retro orbital pain d.Bleeding manifestation e.Fever 30 28 22 24 22 20 22 28 26 28 1 0.504

21. SL. No Question Option Yes No Possible Score Actual Score 5 What are the diagnostic tests involved in diagnosing dengue fever? a.CBC b.NSI c.IgM d.X - ray e.Urine R/E 38 26 25 40 36 12 24 25 10 14 1 0.66 6 What should be the mode of treatment? a.IV fluid rehydration b.P /C c.Anti -bacteria d.Anti viral e.Blood -transfusion 33 30 36 28 38 17 20 14 22 12 1 0.66

22. SL. No Question Option Yes No Possible Score Actual Score 7 What are the nursing management of dengue fever? a.Monitoring of blood pressure b.Observe haemorrhage manifestation c.Maintain fluid volume d.Maintain body temperature e.Monitoring urin output 33 28 32 34 28 17 22 18 16 22 1 0.62 8 What are the complications of dengue fever? a.Dengue shock syndrome b.Dengue haemorrhagic fever c.Low level platelet d.Headache e.Shock 30 28 32 26 25 20 22 18 24 25 1 .564

23. SL. No Question Option Yes No Possible Score Actual Score 9 What are the prevention of dengue fever? a.Frequently change the water in flower vases b.Disposing solid waste products c.Using bed net d.Using mosquito coil e.Appling 28 30 32 25 26 22 20 18 25 24 1 0.564 10 What advice should give to the dengue patient during discharge a.Do not take aspirin b.Drink plenty of fluids to prevent rehydration c.Rest as directed d.Apply insecticides e.Follow up with health care provider 36 25 30 30 30 14 25 20 20 20 1 0.612

24. Overall knowledge of management of dengue fever Total items: 10 Sample size: 50 In this study 10 items were taken to assess the level of knowledge of respondents.It was calculated from summing the total score ranged from 1-10.Where knowledge measured by Higher level of knowledge (8-10), Modarate level of knowledge (4-7/, and Low level of knowledge (1-3/.

25. Complete Result The result of this study founded score was 6.15 that means Moderate level of knowledge regarding management of dengue fever. Higher level of knowledge (8-10) Moderate level of knowledge (4-7) Low level of knowledge (1-3) 6. 15

26. Conclusion and Recommendation The results of this study showed that the larger proportion of staff nurses demonstrated a moderate level of knowledge towards Dengue fever.There is a need for similar studies to be done and elsewhere in the world to better understand the gaps. It is also recommended that workshops regarding dengue fever prevention be prepared for the first line health care providers including guidelines preparation. And should continue to strengthen the surveillance system including assessment of the need of health facilities with provision of the necessary resources to manage dengue patients .

27. Limitation There were some limitation in this study- Short duration Student Researcher Financial Problem

28. Referrences Khan, et al.(2024). Knowledge and awareness regarding dengue fever among nurses in Saidu Teaching Hospital, Swat. National Journal of Life and Health Science, 3(1). Gubler , D. J. (2022). Dengue and dengue hemorrhagic fever. Clinical Microbiology Reviews, 11(3), 480-496. Gubler , D. J. (2018). Dengue. In Epidemiology of arthropod-borne viral diseases (pp. 223-260).