DFDFD

1. RESEARCH PROPOSAL
ON
POST DIALYSIS
HOME CARE MANAGEMENT
Guide :
Mrs. K. Kousalya Devi
M.Sc. N
Lecturer,
SPGCON, Tirupathi
Co-Guide :
Mrs. K. Indira
M.Sc. N
Nursing Tutor GR - II,
SPGCON, Tirupathi
Presented By :
Mrs. L. Suneetha
M.Sc. (N) Ist Year
SPGCON, Tirupathi

2. PROBLEM STATEMENT
Effectiveness Of Structured Teaching Program on
Knowledge regarding Post Dialysis Home Care
Management among clients undergoing Haemo-
Dialysis at S.V.R.R. Govt. Gen. Hospital, Tirupathi.

3. OBJECTIVES
 To assess the knowledge on post dialysis home care management
among clients undergoing haemo-dialysis at S.V.R.R. Govt. Gen.
Hospital, Tirupathi by conducting pre test.
 To assess the effectiveness of Structured Teaching Program on post
dialysis home care management among clients undergoing haemo-
dialysis by conducting post test
 To determine the association between the knowledge on post dialysis
home care management among clients with selected demographic
variables.
 To develop and distribute self information module on post dialysis home
care management.

4. Operational Definitions
Effectiveness
It refers to the significant increase in the level of knowledge on Post dialysis home care
management among clients undergoing haemodialysis
Structured Teaching Programme
It refers to systematically planned health teaching program with relevant content regarding post
dialysis home care management.
Knowledge
It refers to scores obtained by the clients undergoing haemodialysis at S.V.R.R.Govt. Gen.
Hospital, Tirupathi.
Post Dialysis
It refers to the Care required after the process of purifying blood of a person whose kidneys are
not working properly by the use of machine
Home care Management
It refers to the daily activity required to be performed by post dialysis clients to optimize their
health and to prevent complications . (activities such as care of vascular access, nutrition,, travel,
exercises, prevention of complications).
Clients
It refers to the personnel diagnosed as chronic renal failure undergoing haemodialysis in dailysis
unit at S.V.R.R.Govt. Gen. Hospital, Tirupathi.
Haemo dialysis
The process of purifying blood of the client whose kidneys are not functioning properly by the
use of machine.

5. Need for Study:
One of the global public health problems affecting 5-10% of world
population in general is Chronic Kidney Disease (CKD). Chronic
Kidney Diseases are evolving as a most important health threat. The
people suffering from kidney diseases finally require an expensive
and life-long Renal Replacement Therapy. Patients who suffer with
Chronic Kidney Disease have to be taken care at home for a longer
time before Kidney Transplantation and they depend on intermittent
dialysis and drugs tomaintain optimum health (Mukesh et al., 2015).
Almost 2.5 lakh people pass away of kidney failure in India every
year. It is the third largest assassin after malignancy and heart
disease (Tamilnadu Kidney Research Foundation, 2016). One of the
first technological innovations in medicine is dialysis. It is the only
treatment yet allows a patient with end stage kidney failure to live
long, healthy and productive lives. At present, about 2.4 million
people are alive on dialysis worldwide.
Contd…

6. Need for Study:
In India, dialysis is kept for the very rich, or to those lucky enough to be fit forfull
medical reimbursement. Everyone else faces crippling long term payment and moving
down into deep poverty. It is approximated that about 200,000 new patients develop End
Stage Renal Failure every year in India. Although around two-thirds of the starters to
withdraw and be condemned to death. Most of these patients are young, in the best part
of existence in their lives – family income producer or mistress of the house. Losing
them has overwhelming impact not only on the families but brings down the
productivity of entire society and cut downs the national income. As the size of the
middle class, and people with “disposable incomes” has grown up, the number of people
seeking – on staying on – dialysis is rising. Dialysis centres, till recently the guard of
large cities, are opening frequently even in small cities, thus bringing the treatment close
to patients homes. It is estimated that currently in India at about 100,000 patients are on
dialysis. India’s demand for dialysis is budding at a rate of 31%, compared to 6% in the
US and 8% in the rest ofthe world (Prof. Vivekanand., 2016).
Hence, the researcher intended to undertake the present study to assess the effectiveness
of Structured Teaching Programme on knowledge regarding post dialysis homecare
management among clients of Chronic Renal Failure patients undergoing haemo-
dialysis

7. Review of the Literature
Anagha P S et al (2022) conducted a study on ““A study to assess the effect of structured teaching
progamme on level of knowledge on selected aspects of home care management of patients
undergoing hemodialysis in selected wards of Jubilee Mission Medical College and Research
Institute, Thrissur”
The study was conducted among 30 patients undergoing hemodialysis. The research design was
pre-experimental one group pretest posttest design and sample was selected by purposive sampling
techniques. The tool used for the study had 2 section: Section A-Socio demographic and clinical
data variables; Section B-Structured knowledge questionnaire on selected aspects of home care
management of patients undergoing haemodialysis. Data analysis was done using differential and
inferential statistics.
On data analysis it reveals that 11(36.7%) belongs to the age group of 61-70 years. 23(76.6%)
samples are males, 29(96.66%) samples are married, 16(53.3%) sample have only primary
education, 7(23.3%) subjects have secondary education, 19(63.3%) are self employed, 7(23.3%) of
subjects go for daily wage, 22(73.3%) of subjects have income less than 5000,18(60%) subjects
have central venous catheter, 12(40%) subjects have AV fistula for dialysis. Most of the subjects
19(63.3%) are under treatment since 1 year ago and 22(73.3%) subjects have illness since 3 year
ago. 26(86.67%) subjects does not have family history of renal disease and 16(53.3%) subjects
have self knowledge about disease. In pretest about 15(50%) of samples have inadequate
knowledge, 11(36.6%) have moderate knowledge and 4(13.33%) have adequate knowledge. In post
test 27(90%) of samples have adequate knowledge and 3(30%) have moderate knowledge.
On comparison of pretest and post test knowledge it reveals that mean post test knowledge score
8(28.13%) was higher than mean pretest knowledge score 4(14.23%). Effectiveness of the health
education was tested by t test, which revealed that it was effective at p<0.01. There was no
significant association between pretest level of knowledge and selected socio demographic and
clinical data variables

8. Review of the Literature
Elangbam Anibala Devi, et al (2020) conducted a study on “To Evaluate the Knowledge and
Practice Regarding Home Care Management among Patient on Hemodialysis with Information
Education Communication (IEC) Module in Selected Hospitals of Pune City”
A quasi-experimental non-randomized pre-post-test control group design was used involving 40
patients of haemodialysis with AV fistula. After obtaining informed and written consent from the
patient, samples were selected using Non-Probability Purposive sampling technique and allocated
into two groups of 20 patients each in experimental and control group. Self-Structured questioner
was used for data collection. The data was analysed by using descriptive and inferential statistics.
The statistics used were frequency, mean, percentage, standard deviation and Fishers exact statistic.
The descriptive analysis was done to evaluate effectiveness of information education
communication on knowledge and practice regarding home care management among patient on
hemodialysis which shows that information education communication module is effective for
enhancement of knowledge and practice regarding home care management in experimental group
than in control group. In experimental group, the mean knowledge score was from 8.35(pre-test) to
13.15(post-test) with SD from 1.42(pre-test) to 0.99(post-test) and The mean practice score was
from 12.15(pre-test) to 13.8(post-test) with SD from 1.04(pre-test) to 0.52(post-test). The
demographic variable for knowledge and practice regarding home care management among patient
on haemodialysis are not significantly associated.
This concluded from the result of the study that information education communication (IEC)
module is having significant effect on knowledge and practice regarding home care management.
The demographic variable for knowledge and practice regarding home care management among
patient on hemodialysis are not significantly associated.

9. Review of the Literature
J. Roy et al (2017) conducted a study on “The effectiveness of structured teaching programme on
home based self-care among patients undergoing haemodialysis”. The methodology pre
experimental one group pre-test post-test design. The study was carried out on the dialysis unit of
NIMS hospital, Jaipur. 30 patients were conveniently selected for the study. The data collection
was done with the help of structured knowledge questionnaire and self-reported practice was
observed by 4 point Likert Scale. The statistical method for the demographic variables was
presented by using frequencies and percentages, Mean and standard deviation was used to describe
the knowledge and practice of patients undergoing haemodialysis, effectiveness of the STP was
analyzed using paired„t‟ test. Association between demographic variables with the knowledge and
practice scores of patients undergoing haemodialysis was tested using chi-square test.
Result revealed that the mean post-test knowledge score 18.8 was higher than mean pre-test
knowledge score 14.23. The computed„t‟ value 5.001 (p<0.05) showed that there was significant
difference between the mean pre-test and mean post-test knowledge score. The mean post-test
practice score 29.53 was higher than mean pre-test practice score 16.13. The computed„t‟ value
7.73 (p<0.05) showed that there was significant difference between the mean pre-test and mean
post-test practice score.
The study revealed that patient teaching followed by distribution of booklet on home based self-
care among patients undergoing haemodialysis is beneficial.

10. Methodology:
Research Approach : Quantitative Approach
Research Design : Quasi experimental research design
Research Setting : Dialysis unit at S.V.R.R. Govt. General
Hospital, Tirupathi
Sample : Clients undergoing haemodialysis at,
S.V.R.R. Govt. Gen. Hospital, Tirupathi
Sample Size : 100
Sample Technique : Purposive Sampling Technique
Data Analysis : Descriptive and inferential Statistics

11. THANK YOU