preparation of scientific session

2. PROBLEM STATEMENT
A Descriptive study to assess the knowledge regarding
complications and life style modification among the
clients in cardiology OPD at selected hospital, Nellore,
Andhra Pradesh.
J.Anusha,
Asst.Prof
Sree Narayana College Of Nursing
Nellore

3. INTRODUCTION

4. BACKGROUND OF THE STUDY
Heart is one of the most important vital organ in our body. It is
encased and cushioned in its own serous membrane, the
pericardium, lies in the middle meditational compartment of the
thorax between pleura cavities. It receives and pumps blood in the
body. Cardiac disease continues to rank first among all disease
categories and is the leading cause death in the United states.
Cardiovascular disease comprise of a group of disease of the heart
and the vascular system. The major condition are ischemic heart
disease, hypertension, cerebra vascular disease continues to be a
important health problem in many developing countries

5. NEED FOR THE STUDY
Heart disease are more in old age and children and women also. The
incidence increase after menopause and one in three women over age
61 has some from of coronary artery disease. It is also increase both
male and female octogenarians and non-ogenarian also will increase.
The forced or made the researcher to identify the existing
knowledge on lifestyle modification among cardiac patient.

6. The investigator has come across people with Cardiac disorders
and found that they were unaware about its riskfactors and
preventive measures. Educating the entire population is not
feasible; instead educating a specific set of population in the
society who are more vulnerable to get the disease would be more
useful. Therefore he investigator felt a genuine interest and
concern towards a Knowledge questionnaires on “complications
and life style modification of cardiac disorders” to enhance the
knowledge, so That they will be the future guides for coming
generations.

7. OBJECTIVES OF THE STUDY
To assess the knowledge regarding complications and lifestyle
modification among cardiac patients.
To find out association between knowledge of cardiac patients
with their selected demographic variables.

8. OPERATIONAL DEFINITIONS
Knowledge: In this present study knowledge refers to the level of
understanding of Cardiac patients regarding complications and
lifestyle modification of cardiac disorders as measured by their
correct responses to knowledge items of questionnaire.
Complications: In this study complications of cardiac disorders are
Heart failure, Heart attack, Stroke, Aneurism etc……….
Lifestyle modification: Education about modifiable risk factors
changes the patient’s attitude and health practice in relation to diet,
physical exercise, smoking cessation, stress management and helps to
prevent heart disease and to preserve life.

9. ASSUMPTION
Cardiac patients may have some knowledge on complications and
lifestyle modification of cardiac disorders.
DELIMITIONS
The study findings are limited to only attending cardiac OPD in
Narayana Medical College& Hospital.

10. REVIEW OF LITERATURE
SECTION-I Studies related to knowledge regarding complications of
cardiac problems.
SECTION-II Studies related to lifestyle modification regarding cardiac
problems
.

11. Studies related to knowledge regarding complications of cardiac
problems.
A descriptive study was conducted on complications of cardiac
disease. It aims to assess the knowledge people regarding
complications of cardiac disease .A sample of Eighty five
respondents were participated in the study. Forty-three percent of
the respondents belonged to middle age group (25-50 years),
(60.00%) were housewives and family occupation was farming
(76.67%).Pre and post-exposure.Knowledge of respondents was
found out and overall, gain in knowledge regarding Complications
of cardiac diseases was found to be high. Majority of the
respondents were now ready to follow the Measures regarding
cardiac complications.

12. Studies related to lifestyle modification regarding cardiac
problems
A quasi experimental study was conducted to evaluate the
effectiveness of planned teaching programme about life style
modification of cardiac disorders among employees of cement
factory bagalkot, Karnataka. Subjects were 50 selected 15 through
simple random sampling technique. One group pre-test post-test
design was used. Data was collected by means of a structured
interview schedule which was divided into 2 sections (socio-
demographic data and knowledge regarding prevention of cardiac
disorders).

13. It was proved that there was increase in the knowledge level of
employees after implementing planned teaching programme. Out
of 50 subjects 29(48%) of subjects had satisfactory knowledge,
20(40%) subjects had an inadequate and only 01(2%) had adequate
knowledge regarding prevention of cardiac disorders before
teaching programme. However after teaching programme
(posttest) about 45(90%) subjects had an adequate knowledge and
5(10%) subjects had satisfactory knowledge regarding prevention
of cardiac disorders. Hence, the researcher concluded that PTP was
scientific, logical and cost effective strategy to improve knowledge
of public regarding prevention of cardiac disorders.

14. A+ B+
Research approach: Quantitative approach .
Purpose of the study
to assess the knowledge regarding complications and life style modification among the clients in cardiology
OPD.
Study setting CARDIAC opd narayana hospital, nellore.
The urban community of israiel pet
Target population Cardiac patients
Accessible population People
attending Cardiac Opd
t
Sample size30clients in cardiology OPD. Sampling technique
Non probability convenience
sampling technique
Data collection instrument consist of
Socio-Demographic variables, knowledge questionnaire.
A
Data Analysis and Interpretation by using descriptive and inferential statistics
B
A
C D

15. Analysis and
interpretation

16. The data were organized and presented under following headings:
Section–I:
Frequency and percentage distribution of Cardiac patients
attending cardiology OPD based on their socio demographic
variables.
Section–II:
Frequency and percentage distribution of level of Knowledge
among cardiac patients attending cardiac OPD.
Section-III:
Mean and Standard Deviation of knowledge score among cardiac
patients.

17. Section–IV:
Association between the levels of Knowledge among cardiac patients attending
in cardiology OPD with their socio demographic variables.
SECTION – I
13
30 30
27
0
5
10
15
20
25
30
35
20-30 years 31-40 years 41-50 years 51-60 years
P
E
R
C
E
N
T
A
G
E
AGE IN YEARS

18. 20
80
0
10
20
30
40
50
60
70
80
90
Vegetarian Non
vegetarian
P
E
R
C
E
N
T
A
G
E
FOOD HABITS
73
27
0
10
20
30
40
50
60
70
80
Rural Urban
P
E
R
C
E
N
T
A
G
E
AREA OF RESIDENCE

19. 0
10
20
30
40
50
60
70
80
90
100
a.Regular b.Non regular
33
67
PERCENTAGE
EXERCISE
0
10
20
30
40
50
60
70
80
90
100
Non formal
education
Primary
education
Secondary
education
Higher
secondary
education
Graduate
and above
10
27
37
20
6
PERCENTAGE
EDUCATIONAL STATUS

20. 0
10
20
30
40
50
60
70
80
90
100
a)Alocohol b)Smoking c)Tobacco
43
17
40
PERCENTAGE
HABITS

21. SECTION-II
Frequency and percentage distribution of level of Knowledge among cardia
patients attending cardiac OPD.
0
5
10
15
20
25
30
A+ A B+ B C D
7
27
20
13
20
13
P
E
R
C
E
N
T
A
G
E
LEVEL OF KNOWELDGE

22. SECTION – III
Table – 11 : Mean and Standard Deviation of knowledge score among cardiac
patients.
Category Mean Standard Deviation
Knowledge 14.53 4.12

23. Table – 12: Association between the levels of Knowledge among cardiac
patients attending in cardiology OPD with their socio demographic
variables.
There is a significant association between the knowledge regarding
complications and lifestyle modifications among cardiac patients with
their socio demographic variables like food habits, are significant and
There is no significant association between age, religion, exercise,
educational status, occupation, habits, gender and area of residence.

24. DISCUSSION
The main aim of the study was to assess the knowledge regarding
complications and lifestyle modification among the clients in
cardiology OPD in Narayana Medical college Hospital Nellore. A
quantitative approach was used as Research design. The study was
conducted in Narayana Medical college hospital at Nellore district.
30 cardiac patients were selected by using non probability
convenience sampling technique. The findings were analyzed
through descriptive and inferential statistics. Discussion of the
findings were based on the objectives of the study.

25. Summary, conclusion, Limitations,
Implications and Recommendations
The study was conducted to assess the knowledge regarding
complications and lifestyle modification among the clients in cardiology
OPD in Narayana Medical college Hospital Nellore. This study would
help in developing a better knowledge regarding complications and life
style modifications among cardiac patients. A detailed review of
literature was collected to gain deeper insight in to the study. A review
related to the literature enabled the researcher to develop a methodology
for the study and plan for analysis of data in a most effective way.

26. A quantitative research approach and descriptive research design was
used for this study. The sample size was 30 cardiac patients. The non
probability convenience sampling technique was used for the selection
of object. The data was collected with the help of structured
questionnaire and finally data was analyzed by using descriptive and
inferential statistics.

27. Implications of the study to nursing
The findings indicates that there was definite need to suggest some
measures to be implemented by teaching institutions, administrators,
and researchers for the development of knowledge and attitude and
educate the public regarding complications and life style
modification of cardiac disorders.

28. RECOMMENDATION
Keeping in view the findings of the present study the following
recommendations were made.
A qualitative study on knowledge and attitudes and practices
regarding complications and lifestyle modification among cardiac
patients can be done.
A similar study can be carried out among Nurses and health
workers.
Focus group discussion can be undertaken to elicit the current
issues with regard to complications and lifestyle modification.

29. CONCLUSION
The study concludes that Cardiac patients attending in cardiology
OPD had moderate Knowledge regarding complications and life
style modification of Cardiac disorders.

30. Bibliography

31. 1. Joyce. M. Black et al. Medical surgical nursing. 8th ed. Elsevier
India Pvt. Ltd, U.P; 2011; 100-103
2. Suzanna C Smeltzer,Brenda Bare. Text book of medical surgical
nursing .10th ed.Lippincott Williams and Wilkins, 2018:554
3. N.A khan et al. Profile of cardiac disorder in kashmir,India. A five
year study. The Indian journal of chest disease and Allied sciences
2010;48(1)187-190.
4. B. Ganesh, S. Sushama,S. Monika. A case control study of
complications and lifestyle modification among cardiac disorders. In
Mumbai,India, Asian pacific journal of prevention of cardiac disorders
2019:12,357-362.
5. http://www.en.wikipedia.org/wiki/cardiac disorders
6. http://www.en.wikipedia.org/wiki/Prevention of cardiac disorders
7. Polit DF, Hungler BP. Nursing research, 6 th ed. Philadelphia; JB