effectiveness of amla juice with elemental iron among adolescent girls on iron deficiency anaemia

150 Pages·2015·4.04 MB·English

EFFECTIVENESS OF AMLA JUICE WITH ELEMENTAL
IRON AMONG ADOLESCENT GIRLS ON IRON
DEFICIENCY ANAEMIA IN GOVT. MANOHARA
SCHOOL AT SELLUR, MADURAI

M.Sc (NURSING) DEGREE EXAMINATION
BRANCH – IV COMMUNITY HEALTH NURSING

COLLEGE OF NURSING
MADURAI MEDICAL COLLEGE, MADURAI - 20

A dissertation submitted to
THE TAMILNADU Dr. M.G.R. MEDICAL UNIVERSITY,
CHENNAI – 600 032.
In partial fulfillment of requirement for the degree of
MASTER OF SCIENCE IN NURSING

APRIL – 2015
CERTIFICATE

This is to certify that this dissertation titled, “ EFFECTIVENESS OF
AMLA JUICE WITH ELEMENTAL IRON AMONG ADOLESCENT GIRLS
ON IRON DEFICIENCY ANAEMIA IN GOVT. MANOHARA SCHOOL AT
SELLUR,MADURAI.” is a bonafide work done by Mrs.V. ANUSUYA, M.Sc (N)
Student, College of Nursing, Madurai Medical College, Madurai - 20, submitted to
THE TAMILNADU DR.M.G.R. MEDICAL UNIVERSITY, CHENNAI in partial
fulfillment of the university rules and regulations towards the award of the degree of
MASTER OF SCIENCE IN NURSING,BRANCH IV, COMMUNITY HEALTH
NURSING, under our guidance and supervision during the academic period from
2013—2015.

Mrs.S.POONGUZHALI, M.Sc (N), CAPTAIN Dr.B.SANTHAKUMAR, M.Sc(F.Sc),
M.A., M.B.A., Ph.D., M.D(F.M),PGDMLE, Dip.N.B(F.M)
PRINCIPAL, DEAN,
COLLEGE OF NURSING, MADURAI MEDICAL COLLEGE,
MADURAI MEDICAL COLLEGE, MADURAI-20.
MADURAI-20.
EFFECTIVENESS OF AMLA JUICE WITH ELEMENTAL
IRON AMONG ADOLESCENT GIRLS ON IRON
DEFICIENCY ANAEMIA IN GOVT. MANOHARA
SCHOOL AT SELLUR, MADURAI

Approved by Dissertation committee on………………………………

Professor in Nursing Research

Mrs.S.POONGUZHALI, M.Sc (N), M.A,M.B.A., Ph.D
Principal,
College of Nursing,
Madurai Medical College,
Madurai.

Clinical Specialty Expert
Mrs.R.AMIRTHAGOWRI, M.Sc (N),
Lecturer in Nursing,
College of Nursing,
Madurai Medical College,
Madurai.

Medical Expert
Dr.M.SALEEM, M.D (Community Medicine),
Associate Professor,
Institute of Community Medicine,
Madurai Medical College,
Madurai.

A dissertation submitted to
THE TAMILNADU DR.M.G.R. MEDICAL UNIVERSITY,
CHENNAI- 600 032.
In partial fulfillment of the requirement for the degree of
MASTER OF SCIENCE IN NURSING

APRIL 2015
CERTIFICATE

This is to certify that the dissertation entitled “EFFECTIVENESS OF
AMLA JUICE WITH ELEMENTAL IRON AMONG ADOLESCENT GIRLS
ON IRON DEFICIENCY ANAEMIA IN GOVT. MANOHARA SCHOOL AT
SELLUR, MADURAI.” is a bonafide work done by Mrs. V. ANUSUYA, College
of Nursing, Madurai Medical College, Madurai - 20 in partial fulfillment of the
university rules and regulations for award of MASTER OF SCIENCE IN
NURSING, BRANCH IV, COMMUNITY HEALTH NURSING, under my
guidance and supervision during the academic year 2013 - 2015.

Name and Signature of the Guide

Mrs.R.AMIRTHAGOWRI, M.Sc (N),
Lecturer in Nursing,
College of Nursing,
Madurai Medical College,
Madurai.

Name and Signature of the Head of Department

Mrs.S.POONGUZHALI, M.Sc (N), M.A,M.B.A., Ph.D
Principal,
College of Nursing,
Madurai Medical College,
Madurai.

Name and Signature of the Dean

CAPTAIN Dr. B. SANTHAKUMAR, M.Sc (F.Sc), M.D, (F.M), PGDMLE,
Dip. N.B (F.M),
Dean,
Madurai Medical College,
Madurai.
ACKNOWLEDGEMENT

“I will praise you, O Jesus, with my whole heart,
I will tell all your marvellous works,

Drops of water make an ocean. Although bricks give the structure of the
house, proper foundation makes it strong. A thesis, however, insignificant it is, can
seldom be claimed as the work of an individual. There have been persons who stood
beside all my efforts to successfully complete my study.
I praise and thank God Almighty for his abundant grace, kindness, care and
blessings showered upon me throughout the study. I, the investigator of this study,
owe my sincere thanks and gratitude to all those who have contributed towards the
successful completion of the endeavour.
My sincere thanks to Captain Dr.B.Santhakumar, M.Sc
(F.Sc).,MD(F.M).,PGDMLE, Dip. ND (F.N) Dean, Madurai Medical College,
Madurai, for granting me permission to conduct the study in this esteemed
institution.
Truly admitting I have no words in my dictionary to express my inner feeling of
inefficient indebtedness towards my research guide Mrs.S.Poonguzhali, M.Sc (N),
M.A, M.B.A, Ph.D., Principal, Department of Medical Surgical Nursing, College Of
Nursing, Madurai Medical College, Madurai, who endowed me an opportunity to work
under the shadow of his able supervision. Her inspiration, guidance, keen observation and
amazing perspicacity throughout my research were really a great essence for the
completion of this work. Without her help and insights, this endeavour might have never
been come into shape.
I feel opportunistic to express my debt of gratitude to my subject Guide
Mrs.R.Amirthagowri, M.Sc(N)., Lecturer , College Of Nursing, Madurai Medical
College, Madurai for her meticulous and logical approach in solving problems.
I also wish to express deep sense of gratitude to Mrs.G.Selvarani M.Sc (N).,
Faculty in Nursing, College of Nursing, Madurai Medical College, Madurai for her advices,
healthy discussions and valuable suggestions at the time of need, her innovative ideas
and giving me a wide exposure of the latest technologies existing in the current topic
assigned to me.
My special thanks also extend to Mrs. N. Rajalakshmi . M.Sc.(N) and all
faculties of college of Nursing, Madurai medical college, Madurai for their
guidance and support for the completion of my study.
My Sincere thanks to Dr.M.Saleem, M.D (Community Medicine),
Associate Professor, Institute Of Community Medicine for his generous support,
keen interest, valuable corrections, guidance to translate this study into illustration.
I express my deep sense of gratitude to for his valuable suggestions and fruitful
discussions throughout this whole work. I would like to express my thanks MR. MANI
for his patient help in statistical analysis.
I express my thanks to Mr.S.Kalaiselven, M.A, B.I.L.Sc., Librarian,
College of nursing, Madurai Medical College, Madurai, for his cooperation in
collecting the related literature for this study.
I also wish to express deep sense of profound gratitude to It gives me immense
pleasure and privilege to thank to Mr. Paul Jeyakumar, Correspondant limited to
granting me permission to conduct the study in his school and give his expert opinion
and useful feedbacks, support throughout this period.
My affectionate thanks to my lovable family members and friends, it would
not have been possible to complete this thesis without the support, patience and
endurance during the course of the study.
My deep he artful gratitude and sincere thanks to all the Adolescent girls who
remained as my study samples in spite of their routines and extend their fullest co-
operation.
ABSTRACT

Title : Effectiveness Of Amla Juice With Elemental Iron Among Adolescent
Girls On Iron Deficiency Anaemia In Govt. Manohara School At Sellur,
Madurai. Objectives : To assess the level of iron deficiency anemia among
adolescent girls; To evaluate the effectiveness of amla juice with elemental iron
among adolescent girls on iron deficiency anemia; To find out the association
between the level of iron deficiency anaemia among adolescent girls with their
selected socio demographic variables. Hypotheses : There is a significant difference
between pre and post test level of iron deficiency anaemia among adolescent girls ;
There is a significant association between the level of iron deficiency anaemia
among adolescent girls with their selected socio demographic variables.
Methodology: The conceptual framework was based on Wiedenbach’s Helping art
in clinical theory. Pre experimental one group pre-test - post test design was used &
40 subjects were selected by purposive sampling. The study was conducted at
Government Manohara School at Sellur, Madurai. After obtaining an informed
consent from their parents, Pre test was done by using self administered questionnaire
and anaemia symptoms were assessed with observation check list and estimation of
haemoglobin by cell count method in the clinical laboratory before and after
intervention. Results : The mean pre test mean score was increased from 9.35 to
10.11. the ‘t’ value 6.05 was much higher than the table value at 0.001( pre set level
of significance was 0.05). Conclusion: The study concluded that amla juice with
elemental iron was effective on increasing the haemoglobin level among adolescents
girls.
TABLE OF COTENTS
CHAPTER CONTENTS PAGE
I INTRODUCTION 1
1.1 Need for the study 9
1.2 Statement of the problem 15
1.3 Objectives 15
1.4 Research Hypotheses 16
1.5 Operational definitions 16
1.6 Assumptions 17
1.7 Delimitation 17
1.8 Projected outcome 17
II REVIEW OF LITERATURE 18
PART A
2.1 Review of literature related to Prevalence of iron
19
deficiency anemia among adolescent girls
2.2 Review of literature related to Factors and
23
symptoms of iron deficiency anemia
2.3 Review of literature related to iron deficiency
26
anemia and changing dietary behaviors
PART B Conceptual framework 39
III RESEARCH METHODOLOGY 44
3.1 Research Approach 44
3.2 Research design 44
3.3 Research Variable 45
3.4 Research Setting 45
3.5 Population 45
3.6 Sample 46
3.7 Sample size 46
3.8 Sampling technique 46
3.9 Criteria for Sample selection 46
CHAPTER CONTENTS PAGE
3.10 Development of the tool 47
3.11 Description of the tool 47
3.12 Content Validity 48
3.13 Reliability of the tool 48
3.14 Pilot study 49
3.15 Procedure for data collection 49
3.16 Plan for data analysis 50
3.17 Production of human subjects 50
3.18 Schematic representation of research study 51
IV DATA ANALYSIS AND INTERPRETATION 52
V DISCUSSION 84
VI SUMMARY, CONCLUSION, IMPLICATIONS
92
RECOMMENDATIONS AND LIMITATIONS
6.1 Summary of the study 92
6.2 Conclusion 95
6.3 Implications 96
6.4 Recommendations 98
REFERENCES 99