International Journal of Clinical Biochemistry and Research

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Online ISSN: 2394-6377

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International Journal of Clinical Biochemistry and Research (IJCBR) open access, peer-reviewed quarterly journal publishing since 2014 and is published under auspices of the Innovative Education and Scientific Research Foundation (IESRF), aim to uplift researchers, scholars, academicians, and professionals in all academic and scientific disciplines. IESRF is dedicated to the transfer of technology and research by publishing scientific journals, research content, providing professional’s membership, and conducting conferences, seminars, and award more...

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Get Permission Khuntia and Thakur: The effect of video assisted teaching programme on knowledge regarding prevention and management of black fungus among staff nurse


Introduction

Being geographically close to India, Bangladesh is concerned about the alarming rise in COVID-19-related black fungus infections in India, which have a high fatality rate of nearly 50%. The death rate for mucormycosis, sometimes known as a black fungus infection, ranges from 46 to 96%, depending on the patient's underlying health.1 The large second wave of the COVID-19 epidemic has presented a challenge for the Indian healthcare system from this life-threatening new enemy.2 The fungus family Mucorales causes mucormycosis, which affects numerous bodily organs. This fungal opportunistic illness spreads quickly. Now, this unusual fungus has been infecting covid patients in India at higher rates than before.3

In India, the frequency of this black fungus infection among covid-19 and post-covid-19 patients is now on the rise.4 India reported 28,252 mucormycosis cases as of June 8, 2021. They had a history of covid-19 in 86.0% of them and diabetes in 62.3% of them. The true prevalence is thus expected to be substantially greater than the recorded instances, according to the health experts.5 Almost 70 times more cases of black fungus infection have been documented in India than in the rest of the world.6

Need of the Study

"Here, we already see two to three instances every week. The pandemic itself is a nightmare "The information was provided by her. Dr. Raghuraj Hegde, an eye surgeon in Bangalore in southern India, has a similar tale. In the previous two weeks, he has treated 19 patients with mucormycosis, most of them were young. Several of them were too ill for surgery, as you said. The severity and prevalence of this fungal illness during the second wave, as compared to a few instances during the first wave last year, have startled doctors, they add. Dr. Nair claims that over the previous two years, he has only encountered 10 instances in Bombay.7

Modern black fungus infections linked to COVID-19 are primarily of the rhino orbital cerebral kind, which clinically manifests around the nose, eye, and brain. Corticosteroid medication is presently recommended as a risk factor for black fungus infection in the treatment of COVID-19 patients with diabetes mellitus. According to a research, patients with COVID-19 were more likely to develop pulmonary mucormycosis because of their immunocompromised status. The pathogenesis of the black fungus comprises vascular thrombosis and subsequent tissue necrosis, both of which result in death rates of about 54%.

The best way to avoid contracting black fungus at COVID19 is to stay away from the risk factors. There is presently no vaccine for black fungus, even though COVID-19 immunisation has begun. Hence, to treat COVID-19-induced illness, early identification and therapy are crucial.8

Statement of the problem

A study to assess the effectiveness of video assisted teaching programme on knowledge regarding prevention and management of black fungus among staff nurse working in Durg Division Hospital C.G.”

Objectives of the Study

  1. To assess the pre test knowledge regarding prevention and management of black fungus among staff nurse working in Durg Division Hospital C.G.”

  2. To assess the post test knowledge regarding prevention and management of black fungus among staff nurse working in Durg Division Hospital C.G.”

  3. To assess the effectiveness of video assisted teaching programme on knowledge regarding prevention and management of black fungus among staff nurse working in Durg Division Hospital C.G.”

  4. To find out the association between pre test knowledge regarding prevention and management of black fungus and selected socio demographic variables among staff nurse working in Durg Division Hospital C.G.”

Assumptions

It is assumed that

  1. Knowledge on prevention and management of black fungus among staffnurse may prevent morbid condition of people.

Hypothesis

H1 - There will be significant difference between pre test and post test knowledge regarding prevention and management of black fungus among staff nurse working in Durg Division Hospital C.G.”

H2 - There will be significant association between pre test knowledge regarding prevention and management of black fungus and selected socio demographic variables among staff nurse working in Durg Division Hospital C.G.”

Research Methodology

Research approach

The phenomenological investigation is "the analysis of phenomena, often in a thorough and comprehensive manner, through the acquisition of rich narrative materials using a flexible research methodology."

The present research sought to assess the effect of a video-assisted training program on staff nurses' understanding of black fungus prevention and treatment at Durg Division Hospital C.G. A "quantitative research technique" was used to accomplish these objectives.

Research design

Research design is the description of methods and procedures for gathering the needed data. What information is to be collected from which sources by which procedures is specified in the project's overall operational framework.

The current study employs a "pre experimental one group pre-test and post-test" research method study.

The chosen Durg Division Hospital C.G. was the study's site in the current study.

Variables

Variables are traits or qualities of a person, idea, or circumstance that shift or change.

Independent variables

In the present study assess the effectiveness of video assisted teaching programme on knowledge regarding prevention and management of black fungus among staff nurse working in Durg Division Hospital C.G. were independent variables.

Dependent variables

In the present study to assess the knowledge regarding prevention and management of black fungus among staff nurse working in Durg Division Hospital CG is the dependent variables.

Sample

The sample of the present study is 60 staff nurse at selected Durg Division Hospital C.G

Sampling technique

Using the use of non-probability convenient sampling, a representative sample of staff nurses was chosen.

Sample size

In present study, 60 staff nurse at selected Durg Division C.G.

Inclusion criteria

  1. Staff nurse who are present at the time of data collection

  2. Staff nurse who are willing to participate in the study.

  3. Staff nurse who are knowing English language

Exclusion criteria

  1. Staff nurse who are not present at the time of data collection

  2. Staff nurse who are not willing to participate in the study.

  3. Staff nurse who are not knowing English language.

Pilot study

The study was aimed at to assess the effectiveness of video assisted teaching programme on knowledge regarding prevention and management of black fungus among staff nurse working in Durg Division Hospital C.G.” It was also designed to find out the feasibility of conducting the study and to decide on a plan of statistical analysis by Spearman Brown Proficiency; convenient sampling technique was used for selection of staff nurse.

Pilot study was conducted on 23.06.22 Following steps were adopted for the study:

  1. Permission was taken from, Director

  2. 6 subjects were selected by convenient sampling

  3. A self structured questionnaire was administered

  4. On an average, time taken by each subjects for completing the questionnaire was 20 minutes.

The study was conducted to measure the authencity of the tool strength and weakness of the tool. No significant problems were faced during pilot study.

Result

Frequency and Percentage distribution of staff nurse according to socio demographic variables.

Table 1

Frequency and percentage distribution of staff nurse according to age in years. (N=60)

Age in years

Frequency (f)

Percentage (%)

25-30

25

41.67

31-35

28

46.67

36-40

6

10

>40

1

1.67

Total

60

100

Table 2

Frequency and percentage distribution of staff nurse according to their religion

Religion

Frequency (f)

Percentage (%)

Hindu

43

71.67

Muslim

10

16.67

Christian

4

6.67

Others

3

5

Total

60

100

Table 3

Frequency and percentage distribution of staff nurse according to education status. (N = 60)

Education

Frequency (f)

Percentage (%)

GNM

27

45

B.sc Nursing

20

33.33

M.sc Nursing

10

16.67

Phd

3

5

Total

60

100

Table 4

Frequency and percentage distribution of staff nurse according to year of experience (N = 60)

Year of Experience

Frequency (f)

Percentage (%)

1-2

40

66.7

3-5

7

11.67

6-8

10

16.67

>8

3

5

Total

60

100

Table 5

Frequency and percentage distribution of staff nurse according to their monthly income

Income

Frequency (f)

Percentage (%)

<Rs 10000

5

8.33

10000-15000

6

10

Rs 15000-20000

15

25

>Rs 20000

34

56.67

Total

60

100

Table 6

Frequency and percentage distribution of staff nurse according to Source of previous knowledge

Source of previous Knowledge

Frequency (f)

Percentage (%)

Seminar, conference

32

53.33

Mass media

6

10

Health care personnel

4

6.67

Doctors, nurses

10

16.67

Journals, newspaper

8

13.33

Total

60

100

Table 7

Frequency and percentage distribution of staff nurses according to type of family

Type of Family

Frequency (f)

Percentage (%)

Nuclear

25

41.67

Joint

20

33.33

Extended

15

25

Total

60

100

Table 8

Frequency and percentage distribution of staff nurses according to gender

Gender

Frequency (f)

Percentage (%)

Female

56

93.33

Male

4

6.67

Total

60

100

Table 9

Frequency and percentage distribution of overall pre and post-test knowledge regarding prevention and management of black fungus among staff nurse

Knowledge

Pre test

Post test

Frequency (f)

Percentage (%)

Frequency (f)

Percentage (%)

Poor

29

48.33%

Average

27

45%

16

26.67%

Good

4

6.67%

44

33.33%

Total

60

100%

60

100%

Table 10

Mean percentage, Mean difference, and Mean difference percentage of overall pre and post-test knowledge among staff nurse. (N= 60)

Knowledge area

Mean knowledge score

SD

Mean percentage

t-value

p-value

Pre Test

8.3

1.76

55.33

12.74

4.17/P <0.0001

Post Test

12.2

1.17

81.33

Under pre-test the Mean of the scores was 8.3 (55.33%) under the Post- test the Mean was observed as 12.2 (81.33%).

Figure 1

Pyramid diagram showing the percentage distribution of mean percentage difference between pre and post -test knowledge

https://typeset-prod-media-server.s3.amazonaws.com/article_uploads/d68b53af-b72c-4e53-905a-78e2ad38f569/image/75db7356-30fe-4fe8-9493-24ff01c234e4-uimage.png

Table 11

Chi-square test findings shows the significant association between the pre-test knowledge and demographic variables

Socio demographic Variable

Critical Value at 0.05

Chi- Square

df

P value

Inferences

Age (in years)

12.59

6.26

6

P>0.05

Not significant

Gender

9.49

2.45

4

P>0.05

Not significant

Religion

12.59

6.82

6

P>0.05

Not significant

Education

12.59

21.56

6

P<0.01

significant

Year of experience

12.59

6.26

6

P>0.05

Not significant

Monthly income

12.59

7.33

6

P>0.05

Not significant

Source of information

16.89

8.92

12

P>0.05

Not significant

Conclusion

There is presently no vaccine for black fungus, even though COVID-19 immunisation has begun. Hence, to treat COVID-19-induced illness, early identification and therapy are crucial.

Source of Funding

None.

Conflict of Interest

None.

References

1 

K Ahmadikia SJ Hashemi S Khodavaisy MI Getso N Alijani H Badali The double-edged sword of systemic corticosteroid therapy in viral pneumonia: A case report and comparative review of influenza-associated mucormycosis versus COVID-19 associated mucormycosisMycoses2021648798808

2 

K Alekseyev L Didenko B Chaudhry Rhinocerebral mucormycosis and COVID-19 pneumoniaJ Med Cases2021123859

3 

OA Almohammed LA Aldwihi AM Alragas AI Almoteer S Gopalakrishnan NM Alqahtani Knowledge, Attitude, and Practices Associated With COVID-19 Among Healthcare Workers in Hospitals: A Cross-Sectional Study in Saudi ArabiaFront Public Health2021964305310.3389/fpubh.2021.643053

4 

AR Ananthaneni SB Undavalli RP Velagapudi VS Guduru Mucormycosis: an atrocious mate of patients with diabetesBMJ Case Rep20132013bcr2013009600

5 

S Basu J Andrews S Kishore Comparative performance of private and public healthcare systems in low- and middle-income countries: a systematic reviewPLoS Med201296e1001244

6 

DK Limbu RM Piryani AK Sunny Healthcare workers’ knowledge, attitude and practices during the COVID-19 pandemic response in a tertiary care hospital of NepalPLoS One20201511e0242126

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FE Ejeh AS Saidu S Owoicho NA Maurice S Jauro L Madukaji Knowledge, attitude, and practice among healthcare workers towards COVID-19 outbreak in NigeriaHeliyon2020611e05557

8 

G Fetansa B Etana T Tolossa M Garuma TT Bekuma B Wakuma Knowledge, attitude, and practice of health professionals in Ethiopia toward COVID-19 prevention at early phaseSAGE Open Med202190.1177/20503121211012220



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Article type

Review Article


Article page

14-18


Authors Details

Sudhir Kumar Khuntia*, Reena Thakur


Article History

Received : 07-03-2023

Accepted : 27-03-2023


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