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
Objectives of the Study
To assess the pre test knowledge regarding prevention and management of black fungus among staff nurse working in Durg Division Hospital C.G.”
To assess the post test knowledge regarding prevention and management of black fungus among staff nurse working in Durg Division Hospital C.G.”
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.”
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.”
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.
Sampling technique
Using the use of non-probability convenient sampling, a representative sample of staff nurses was chosen.
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:
Permission was taken from, Director
6 subjects were selected by convenient sampling
A self structured questionnaire was administered
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
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
Religion |
Frequency (f) |
Percentage (%) |
Hindu |
43 |
71.67 |
Muslim |
10 |
16.67 |
Christian |
4 |
6.67 |
Others |
3 |
5 |
Total |
60 |
100 |
Table 3
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
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
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
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
Type of Family |
Frequency (f) |
Percentage (%) |
Nuclear |
25 |
41.67 |
Joint |
20 |
33.33 |
Extended |
15 |
25 |
Total |
60 |
100 |
Table 9
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
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%).