“A Pre experimental study to assess the effect of Nurse Led

Intervention on knowledge regarding osteoarthritis and its

preventionamong perimenopausal women at selected
CHC Rewa (M.P.)”

Dissertation submitted in partial fulfillment

of requirement for the degree of
Master of Science in
MEDICAL SURGICAL NURSING

Submitted By
Ms. Sonal Puri

Guided By
Prof. Mr. Brijesh Mishra
M.Sc. Nursing (H.O.D.)

Madhya Pradesh Medical Science University Jabalpur

Session 2021
Saudamini Institute of Nursing & Research, Rewa (M.P.)
Recognized by I.N.C. (New Delhi)
Affiliated to Madhya Pradesh Medical Science University Jabalpur (M.P.)
DEGREE OF MASTER SCIENCE IN MEDICAL SURGICAL NURSING

CERTIFICATE BY THE PRINCIPAL

This is to certify that dissertation entitled “A Pre experimental study to

assess the effect of Nurse Led Intervention on knowledge regarding
osteoarthritis and its prevention among perimenopausal women at selected
CHC Rewa (M.P.)” is an above board research work done by Ms. Sonal Puri
under the guidance of Prof. Mr. Brijesh Mishra, M. Sc. Nursing
(H.O.D.)
The candidate has fulfill all the requirements of ordinance laid down by the
University for Master Degree Nursing (M.Sc. Nursing) in Medical Surgical
Nursing.

As per the recommendation of Guide and Co-guide.

So I forward this dissertation to Madhya Pradesh Medical Science University
Jabalpur.

Date: : : Signature of Principal

PLACE: Rewa Prof. Mrs. Suman Singh Parihar
Principal
Saudamini Institute of Nursing & Research
Rewa (M.P.)
 “A Pre experimental study to assess the effect of Nurse Led
Intervention on knowledge regarding osteoarthritis and its
preventionamong perimenopausal women at selected
CHC Rewa (M.P.)”

Dissertation is submitted to the Madhya Pradesh Medical Science University,

Jabalpur (M.P.) in partial fulfillment requirement for the degree of

MASTER OF SCIENCE IN
MEDICAL SURGICAL NURSING
By
Ms. SONAL PURI
Under the guidance of
Prof. Mr. Brijesh Mishra
M.Sc. Nursing (H.O.D.)
Saudamini Institute of Nursing & Research, Rewa(M.P.)

INTERNAL EXAMINER EXTERNAL EXAMINER

Madhya Pradesh Medical Science University, Jabalpur (M.P.)
Session 2021
 ACKNOWLEDGEMENT

The thesis hereby prepared is not the result of my effort but of collection of many around me. I have made a

considerable effort to acknowledgement the many reasons to whom I owe my gratitude.

Above all I am grateful to the almightily for his grace and blessing throughout my study

without which nothing could have possible.

Words seem inadequate in expressing the indebtedness that I feel toward Mrs. Usha

Tripathi, Chairman, Saudamini Institute of Nursing & Research Rewa, for her

immeasurable necessary & invaluable support, encouragement, and infinite help & for giving the

opportunity and providing all the facility in pursuing my studies.

I am grateful to Mrs. Suman Singh Parihar, Principal, Saudamini Institute of

Nursing & Research Rewa for her expert guidance and support and strength in completion of

this study

I am grateful Mr. Brijesh Mishra, Vice Principal, Saudamini Institute of Nursing &

Research for her expert guidance & support & strength in completion of this study.

I am grateful to Mrs. Manjula Sahu, M. Sc Nursing (Mental Health Nursing)

Saudamini Institute of Nursing & Research for her expert guidance and support and strength in

completion of this study

I extend my gratitude to Mrs. Roshni shukla (Assistant Professor), Ms. Pratibha singh

(Assistant Professor), Mrs. Reetu singh (Assistant Professor) & All the Teaching Faculty of

Saudamini Institute of Nursing & Research for their concern & guidance & support.
 My sincere thanks to the Office and Library Staff and all the faculty of Saudamini

Institute of Nursing & Research for extend their support during the study. I wish to convey my

gratitude to all the experts who have validated the tools & guided me in this study. I

acknowledge with pleasure the help of my colleagues for their kindly assistance & friendly

suggestions.

My heartfelt thanks to my Mother-Father without their constant prayers & help, I hardly

complete my research work.

I would never have been able to finish my thesis without the help and encouragement of

many significant people who contributed directly and indirectly in making this project

successful.

Thank you very much………

PLACE: REWA MR. SONAL PURI

DATE: M.SC. (N) FINAL YEAR
 INDEX

CHAPTER PAGE
CONTENT
NO. NO.

I. INTRODUCTION 1-14

 Introduction

 Background of the study

 Need of the study

 Statement of the problem

 Objectives of the study

 Hypotheses

 Operational definitions

 Assumptions

 Delimitations

 Theoretical framework

 Summary

II. REVIEW OF LITERATURE 15-27

1. Literature related to stress among school students

2. Literature related to exam stress among school
students.
3. Studies related to coping mechanism from exam

stress.

Summary
III. RESEARCH METHODOLOGY 28-41

 Research approach

 Research design

 Variables

 Research setting

 Population

 Sample

 Sampling technique

 Sample size

 Criteria for sample selection

 Development of tool

 Preparation of blue print

 Scoring interpretation

 Content validity of tools

 Reliability of tool

 Pilot study

 Data collection procedure

 Plan for data analysis

 Summary

IV. DATA ANALYSIS AND INTERPRETATION 42-66

 Organization and presentation of study findings
 Frequency and percentage distribution of demographic
variables
 Frequency and percentage distribution of pre-
interventional knowledge score
  Frequency and percentage distribution of post-
intervention knowledge score
 Comparison between pre-interventional and post
interventional knowledge score
 Association of pre- intervention knowledge score with
their selected demographic variables.
 Summary
V. 67-82
DISCUSSION, SUMMARY, CONCLUSION,

IMPLICATIONS, RECOMMENDATIONS AND

LIMITATIONS

 Summary

 Major finding of the study

 Implications

 Recommendations

 Limitations

 Summary

BIBLIOGRAPHY 82-92

ANNEXURES 93-111

A. Blue print

B. Tool

a) Demographic profile,

b) Structured knowledge questionnaire,

c) Answer key for structured questionnaire,

C. Letter seeking expert opinion for content validity of tool

D. Letter seeking permission to conduct pilot study

E. Letter seeking permission to conduct main study

F. Master code sheet of demographic variables

G. List of expert

H. Master Data Sheet

I. Formula Used To Calculate The Data

 LIST OF TABLES
PAGE
TABLE
TITLE
NO.
NO.
Score to assess the level of knowledge regarding stress for school
Table 3:1 37
students among school students.
Frequency and percentage distribution of selected demographic
Table.4.1 44
variables
Frequency and percentage distribution of the pre
Table.4:2 58
interventional Knowledge score

Table .4:3 Frequency and percentage distribution of the post interventional 60

knowledge score
Find out pre and post-interventional knowledge score
Table 4:4 62

Chi square value showing the association between pre-

Table 4.5 63
interventional knowledge score with selected demographic
variables.
 LIST OF FIGURES
FIGURE PAGE
FIGURE
NO. NO.

A schematic representative of theoretical framework for the

Figure 1.1 13
present study based on general system model (1985)

Figure-3.1.1 pre-experimental 0ne group pre-test, post-test design 29

Figure-3.1.2 Schematic Representation of Research 30

The bar graph showing percentage of distribution according

Figure-4:1 48
to the age

The pie graph showing percentage of distribution of subject

Figure- 4.1.2 49
according to gender.

The bar graph showing percentage of distribution of subject

Figure 4.1.3 50
according to number of siblings.

The cone graph showing percentage distribution of subject

Figure 4.1.4 51
according to education of father.

The pyramid graph showing percentage distribution of

Figure 4.1.5 52
subject according to education of mother.

The bar graph showing percentage distribution of subject

Figure 4.1.6 53
according to type of the family.
 The bar graph showing percentage of distribution of subject
Figure 4.1.7 54
according to monthly income of the family

The pie graph showing percentage of distribution of subject

Figure 4.1.8 55
according to residential area.

The pie graph showing percentage of distribution of subject

Figure 4.1.9 56
according to pervious knowledge about the topic.

The bar graph showing percentage distribution of subject

Figure4.1.10 57
according to source of information.

The diagram shown the Frequency and percentage

Figure 4.2 59
distribution of the pre- interventional knowledge score

The diagram shows the Frequency and percentage

Figure 4.3 61
distribution of the post-test interventional knowledge score