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Journal of Biology, Agriculture and Healthcare www.iiste.org
ISSN 2224-3208 (Paper) ISSN 2225-093X (Online)
Vol.4, No.1, 2014
1
A Study to Assess the Knowledge Regarding Prevention of
Pneumonia among Middle Aged Adults in Selected Rural Areas of
Moodbidri with a View to Develop an Informational Booklet
YathiKumaraSwamyGowda 1*
, Dr.Ashok Nayak 2 *
.
1. Ph.D Scholar, Yenopoya University.Mangalore.
2. General Medicine, Srinivas institute of medical sciences and research centre.
* E-mail of the corresponding author: yathikumar1967@yahoo.com
Abstract
Introduction:Pneumonia is an inflammation of lung parenchyma caused by various micro-organisms including
bacteria, micro bacteria, Chlamydia micro plasma, fungi & parasites & viruses. It is usually associated with
upper respiratory tract infections
Methodology: The research design selected for this study was descriptive survey design. 60 middle age adults
were selected using non-probability purposive sampling technique. Study was conducted in selected rural areas
of moodbidri. The instrument used for the study was structured knowledge questionnaire.
Results: The result showed that most of the of the subjects (55%) had poor knowledge, 41.67% of the subjects
had average knowledge, 3.33% had good knowledge regarding prevention of pneumonia. the mean percentage of
level of knowledge is 40.66.
Conclusion: the study concluded that the knowledge regarding prevention of pneumonia among middle age
adults was low and there is a need to improve it.
Keywords: pneumonia, knowledge.
INTRODUCTION
Pneumonia is a highly prevalent and progressive disease associated with acute symptoms and caused
mainly by aspiration of the infected materials in to the distal bronchioles & alveoli. In the third world and among
the young and the middle aged, pneumonia remains a leading cause of death.1
The incidence of pneumonia is approximately 450 million people a year and occurring in all parts of the
world. It is a major cause of death among all age groups especially in middle aged persons (7% of worlds total
mortality rate). It occurs about 5 times more frequently in the developed world versus the developed world. In
India 43 million people are affected by pneumonia and more prevalent in women than men.2
Materials and methods
The research design adopted for the present study was descriptive survey design. The sample size for
the study was 60 middle aged adults who were selected by non-probability purposive sampling technique. The
tools used were demographic proforma and structured knowledge questionnaire . Reliability coefficient of the
knowledge questionnaire was tested using split half method following Spearman’s Brown Prophecy formulae.
The reliability of the structured knowledge questionnaire was found to be r (10) =0.80.
Data collection process
Formal written permissions were obtained from the authorities. The data was collected from 50 60
middle aged adults who met the study criteria. The samples were informed about the purpose of the study and
the consent was taken from them. The necencery instructions were given to each subject and tool was
administrated subjects. On various days the investigator contacted the study subjects and administered the data
collection tool individually. Both descriptive and inferential statistics were used to analyze the data collection.
Results:
The findings of the study revealed that most of the subject (55%) had poor knowledge, 41.67% of the
subjects had average knowledge and 3.33% had good knowledge.
Distribution of Knowledge on prevention of pneumonia among middle aged adults
n=60
Sl.No Knowledge level Frequency Percentage (%)
1. Poor 33 55
2. Average 25 41.67
3. Good 2 3.33
4. Very Good 0 0
Journal of Biology, Agriculture and Healthcare www.iiste.org
ISSN 2224-3208 (Paper) ISSN 2225-093X (Online)
Vol.4, No.1, 2014
2
Table 2: Mean median, mean percentage and standard deviation of knowledge scores.
N=60
The data presented in the Table 2 reveals that the mean percentage of level of knowledge is 40.66. Hence the
level of knowledge is poor among the middle aged adults.
Area-wise knowledge scores.
The data presented in figure 1 shows that minimum knowledge score was in the area of diagnosis, prevention
and management (35.61±1.67) which is followed by risk factors and etiology (43.5±1.43), clinical manifestation
(44±1.76), introduction to pneumonia (45.42±1.42) respectively.
0
10
20
30
40
50
60
70
80
90
100
C1
C2
C3
C4
45.42%
43.5%
44%
35.61%
P
e
r
c
e
n
t
a
g
e
Areas of Knowledge
Fig-2: 3 D cone diagram showing the area wise mean percentage of level of knowledge scores of subjects.
Max possible score Min score obtained Max score obtained Mean Median Mean % SD
30 4 24 12.2 30.5 40.66 3.618
Journal of Biology, Agriculture and Healthcare www.iiste.org
ISSN 2224-3208 (Paper) ISSN 2225-093X (Online)
Vol.4, No.1, 2014
3
Association between the knowledge score and selected demographic variables.
In order to find the association between the knowledge scores and selected demographic variables, the
following null hypothesis was stated.
There will be no significant association between the knowledge scores and selected
demographic variables.
Table 4a: Association between the knowledge scores and selected demographic variables.
n=60
Sl. No. Demographic data
Knowledge Score
X2
≤ Median (12) > Median (12)
1. Age in years
45-50 22 15
0.0551-55 6 8
56-60 7 2
2. Gender
Male 10 15
3.89*Female 23 12
3. Educational Status
Primary 25 17
0.08
Secondary 10 4
Pre University 0 3
Graduate 0 1
Post Graduate 0 0
Table value = 3.84, p< 0.05
Table 4b: Association between the knowledge scores and selected demographic variables.
N=60
Sl. No. Demographic data
Knowledge Score
X2
≤ Median (12) > Median (12)
4. Occupation
Coolie 10 12 2.50
Factory Workers 1 0
Agriculture 6 2
Professional 1 4
House Wife 5 7
Beedi Rolling 4 8
5. Area of residence
Crowded 13 20 0.93
Non crowded 14 13
6. Income in rupees
<5000 25 21 0.43
5001-10000 7 4
10001-15000 2 1
>15000 0 0
7. Previous knowledge regarding pneumonia
a. Yes 19 12 0.55
b. No 15 14
Table value = 3.84, p< 0.05
Discussion
The data presented in the Table 4 a & b shows that there was significant association between knowledge score
and selected demographic variables like gender.
The data presented in the Table 5 a & b shows that there was no significant association between practice score
and selected demographic variables like age in years, educational status, occupation, area of residence, monthly
income, previous knowledge of pneumonia.
Journal of Biology, Agriculture and Healthcare www.iiste.org
ISSN 2224-3208 (Paper) ISSN 2225-093X (Online)
Vol.4, No.1, 2014
4
Limitations
The study was confined to specific geographical area which imposes a limit on generalization.
The study did not use control group. Hence the results of the study must be generalized with caution as there
is threat to internal validity due to history.
Recommendations
A similar study can be replicated with different population.
A survey can be conducted to find the incidence and prevalence of pneumonia.
An experimental study can be conducted to determine the effectiveness of various therapies on
pneumonia.
Conclusion
In view of the magnitude of the problem, the prevalence of pneumonia in developing country is consistently high.
This indicates that there is need for health education campaign for the improvement of knowledge regarding
pneumonia to the community.
Acknowledgement
I thank my guide Dr.Ashok Nayak , General Medicine, Srinivas institute of Medical Sciences and research center
for his guidance, genuine concern, constant support and valuable contributions and suggestions throughout this
study. I am indebted to all participants of the study.
References
1. Black JM. Textbook of medical surgical nursing.6th ed, W.B Saunder’s company; 2008:2, 5.
2. Truestar Health Encyclopedia. Pneumonia. Available at: http://www.truestarhealth.com /Notes
/1196001.html. Accessed February 13, 2012.
3. Froes. F.Rev.Port Pneumol., analysis of incidence and mortality in hospitalized adult patients with
community acquired pneumonia from 1998 – 2000 in Portugal 2003 May – Jan 9 (3) 187 – 94.

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A study to assess the knowledge regarding prevention of pneumonia among middle aged adults in selected rural areas of moodbidri with a view to develop an informational booklet

  • 1. Journal of Biology, Agriculture and Healthcare www.iiste.org ISSN 2224-3208 (Paper) ISSN 2225-093X (Online) Vol.4, No.1, 2014 1 A Study to Assess the Knowledge Regarding Prevention of Pneumonia among Middle Aged Adults in Selected Rural Areas of Moodbidri with a View to Develop an Informational Booklet YathiKumaraSwamyGowda 1* , Dr.Ashok Nayak 2 * . 1. Ph.D Scholar, Yenopoya University.Mangalore. 2. General Medicine, Srinivas institute of medical sciences and research centre. * E-mail of the corresponding author: yathikumar1967@yahoo.com Abstract Introduction:Pneumonia is an inflammation of lung parenchyma caused by various micro-organisms including bacteria, micro bacteria, Chlamydia micro plasma, fungi & parasites & viruses. It is usually associated with upper respiratory tract infections Methodology: The research design selected for this study was descriptive survey design. 60 middle age adults were selected using non-probability purposive sampling technique. Study was conducted in selected rural areas of moodbidri. The instrument used for the study was structured knowledge questionnaire. Results: The result showed that most of the of the subjects (55%) had poor knowledge, 41.67% of the subjects had average knowledge, 3.33% had good knowledge regarding prevention of pneumonia. the mean percentage of level of knowledge is 40.66. Conclusion: the study concluded that the knowledge regarding prevention of pneumonia among middle age adults was low and there is a need to improve it. Keywords: pneumonia, knowledge. INTRODUCTION Pneumonia is a highly prevalent and progressive disease associated with acute symptoms and caused mainly by aspiration of the infected materials in to the distal bronchioles & alveoli. In the third world and among the young and the middle aged, pneumonia remains a leading cause of death.1 The incidence of pneumonia is approximately 450 million people a year and occurring in all parts of the world. It is a major cause of death among all age groups especially in middle aged persons (7% of worlds total mortality rate). It occurs about 5 times more frequently in the developed world versus the developed world. In India 43 million people are affected by pneumonia and more prevalent in women than men.2 Materials and methods The research design adopted for the present study was descriptive survey design. The sample size for the study was 60 middle aged adults who were selected by non-probability purposive sampling technique. The tools used were demographic proforma and structured knowledge questionnaire . Reliability coefficient of the knowledge questionnaire was tested using split half method following Spearman’s Brown Prophecy formulae. The reliability of the structured knowledge questionnaire was found to be r (10) =0.80. Data collection process Formal written permissions were obtained from the authorities. The data was collected from 50 60 middle aged adults who met the study criteria. The samples were informed about the purpose of the study and the consent was taken from them. The necencery instructions were given to each subject and tool was administrated subjects. On various days the investigator contacted the study subjects and administered the data collection tool individually. Both descriptive and inferential statistics were used to analyze the data collection. Results: The findings of the study revealed that most of the subject (55%) had poor knowledge, 41.67% of the subjects had average knowledge and 3.33% had good knowledge. Distribution of Knowledge on prevention of pneumonia among middle aged adults n=60 Sl.No Knowledge level Frequency Percentage (%) 1. Poor 33 55 2. Average 25 41.67 3. Good 2 3.33 4. Very Good 0 0
  • 2. Journal of Biology, Agriculture and Healthcare www.iiste.org ISSN 2224-3208 (Paper) ISSN 2225-093X (Online) Vol.4, No.1, 2014 2 Table 2: Mean median, mean percentage and standard deviation of knowledge scores. N=60 The data presented in the Table 2 reveals that the mean percentage of level of knowledge is 40.66. Hence the level of knowledge is poor among the middle aged adults. Area-wise knowledge scores. The data presented in figure 1 shows that minimum knowledge score was in the area of diagnosis, prevention and management (35.61±1.67) which is followed by risk factors and etiology (43.5±1.43), clinical manifestation (44±1.76), introduction to pneumonia (45.42±1.42) respectively. 0 10 20 30 40 50 60 70 80 90 100 C1 C2 C3 C4 45.42% 43.5% 44% 35.61% P e r c e n t a g e Areas of Knowledge Fig-2: 3 D cone diagram showing the area wise mean percentage of level of knowledge scores of subjects. Max possible score Min score obtained Max score obtained Mean Median Mean % SD 30 4 24 12.2 30.5 40.66 3.618
  • 3. Journal of Biology, Agriculture and Healthcare www.iiste.org ISSN 2224-3208 (Paper) ISSN 2225-093X (Online) Vol.4, No.1, 2014 3 Association between the knowledge score and selected demographic variables. In order to find the association between the knowledge scores and selected demographic variables, the following null hypothesis was stated. There will be no significant association between the knowledge scores and selected demographic variables. Table 4a: Association between the knowledge scores and selected demographic variables. n=60 Sl. No. Demographic data Knowledge Score X2 ≤ Median (12) > Median (12) 1. Age in years 45-50 22 15 0.0551-55 6 8 56-60 7 2 2. Gender Male 10 15 3.89*Female 23 12 3. Educational Status Primary 25 17 0.08 Secondary 10 4 Pre University 0 3 Graduate 0 1 Post Graduate 0 0 Table value = 3.84, p< 0.05 Table 4b: Association between the knowledge scores and selected demographic variables. N=60 Sl. No. Demographic data Knowledge Score X2 ≤ Median (12) > Median (12) 4. Occupation Coolie 10 12 2.50 Factory Workers 1 0 Agriculture 6 2 Professional 1 4 House Wife 5 7 Beedi Rolling 4 8 5. Area of residence Crowded 13 20 0.93 Non crowded 14 13 6. Income in rupees <5000 25 21 0.43 5001-10000 7 4 10001-15000 2 1 >15000 0 0 7. Previous knowledge regarding pneumonia a. Yes 19 12 0.55 b. No 15 14 Table value = 3.84, p< 0.05 Discussion The data presented in the Table 4 a & b shows that there was significant association between knowledge score and selected demographic variables like gender. The data presented in the Table 5 a & b shows that there was no significant association between practice score and selected demographic variables like age in years, educational status, occupation, area of residence, monthly income, previous knowledge of pneumonia.
  • 4. Journal of Biology, Agriculture and Healthcare www.iiste.org ISSN 2224-3208 (Paper) ISSN 2225-093X (Online) Vol.4, No.1, 2014 4 Limitations The study was confined to specific geographical area which imposes a limit on generalization. The study did not use control group. Hence the results of the study must be generalized with caution as there is threat to internal validity due to history. Recommendations A similar study can be replicated with different population. A survey can be conducted to find the incidence and prevalence of pneumonia. An experimental study can be conducted to determine the effectiveness of various therapies on pneumonia. Conclusion In view of the magnitude of the problem, the prevalence of pneumonia in developing country is consistently high. This indicates that there is need for health education campaign for the improvement of knowledge regarding pneumonia to the community. Acknowledgement I thank my guide Dr.Ashok Nayak , General Medicine, Srinivas institute of Medical Sciences and research center for his guidance, genuine concern, constant support and valuable contributions and suggestions throughout this study. I am indebted to all participants of the study. References 1. Black JM. Textbook of medical surgical nursing.6th ed, W.B Saunder’s company; 2008:2, 5. 2. Truestar Health Encyclopedia. Pneumonia. Available at: http://www.truestarhealth.com /Notes /1196001.html. Accessed February 13, 2012. 3. Froes. F.Rev.Port Pneumol., analysis of incidence and mortality in hospitalized adult patients with community acquired pneumonia from 1998 – 2000 in Portugal 2003 May – Jan 9 (3) 187 – 94.