A study to assess the effectiveness Of video assisted teaching program On knowledge and practice Regarding prevention and Management of extrapyramidal Symptoms among care givers of Schizophrenia patients in outpatient Department at trichy athma Hospital

Registration ID: IJNRD_223552

Published ID: IJNRD2406179

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Hema K

extrapyramidal symptoms, schizophrenia, care givers, video assisted teaching program

Background of the Study: Extra pyramidal side effects [EPS] commonly referred to as drug-induced movement disorders are among the most common adverse drug effects patients experience from dopamine-receptor blocking agent. A variety of movement phenotypes has since been described along the EPS spectrum, including dystonia, akathisia, and Parkinsonism which occur more acutely, as well as more chronic manifestation of tardive akathisia and tardive dyskinesia. This activity reviews the causes, pathophysiology, and presentation of EPS and highlights the role of the inter professional team in its management. Extrapyramidal symptoms [EPS] are symptoms that are archetypically associated with the extrapyramidal system of the brain’s cerebral cortex. When such symptoms caused by medications or their drugs, they are also known as extrapyramidal side effects [EPSE]. The symptoms can be acute (short-term) or chronic [long-term]. They include movement dysfunction such as dystonia (continuous spasms and muscle contractions), akathisia [may manifest as motor restlessness], Parkinsonism characteristic symptoms such as rigidity, bradykinesia [slowness of movement], tremor and tardive dyskinesia (irregular, jerky movement), extrapyramidal symptoms are a reason why subjects drop out of clinical trials of antipsychotics [the CATIE trail (clinical antipsychotic trials for intervention effectiveness), which include 1460 randomized subjects], 58 (27.2%) of those discontinuations were due to EPS. Statement of the Problem: A study to assess the effectiveness of video assisted teaching program on knowledge and practice regarding prevention and management of extrapyramidal symptoms among care givers of schizophrenia patients in outpatient department at Trichy Athma hospital. Objectives: 1. To assess the Pre-test and Post-test level of knowledge and practice regarding prevention and management of extrapyramidal symptoms among care givers of schizophrenia patients. 2. To evaluate the effectiveness of video assisted teaching on Extrapyramidal side effect among caregivers of schizophrenia patients 3. To compare pre test and post test knowledge and practice regarding prevention and management of extrapyramidal symptoms among caregivers of schizophrenia patients 4. The find out the association between the regarding Post-test level of knowledge and practice Prevention & management of extrapyramidal symptoms among care givers of schizophrenia patients with selected demographic variables Research Design: Pre experimental one group pre test and post test only design was used Setting: The study was conducted at Athma hospital in Trichy. Participants: 60 Care givers of Schizophrenia patient Method: Non Probability sampling technique Results: Frequency and percentage distribution of sample characteristics, out of 60 samples 37(60%) were in the age group 25-35 years, 11(18.3%) were 36 to45 years, 11(18.3%) were 46 to55 years and 1(1.7%) were above 56 years. According to sex 28(46.7%) male and 32(53.3%) female. According to religion, 48(80%) were belong to Hindu 3(5%) were Christian and 9(15%) were in Muslim. According to area of residence 39(65%)were urban and 21(35%)were in rural area. In regard to income of care giver, 5(8.3%) were 10-20 thousand, 39(65%) were 21-50 thousand, 16(26.7%) were in above 50 thousand. type 51(85%) were nuclear family and 9(15%) were in joint family. According to family in regard to education of caregiver 5(8.3%) and 13(21.7%) were studied formal, primary and secondary education, 27(45%) were studied higher secondary education and 15(25%) were graduate. In regard to occupation of care giver 4(6.7%) were government employee, 37(61.7%) were private employee, 10(16.7%) were business and 9(15%) were worked in coolie. According to exposure of previous knowledge 11(18.3%) yes and 49(81.7%) No. In regard to source of information 11(100%) were in health personnel. The mean pre test knowledge of subjects mean was 7.68(38%) and post test knowledge of subjects mean was 16.73(84%). The paired ‘t’ test was used to evaluate the effect of video assisted teaching program on knowledge on extrapyramidal symptoms. The ‘t’ value shows that 2730.35, P<0.05 level significant and <0.001 level highly significant. The mean pre test practice of subject mean was 6.28(42%) and the post test practice of subject mean was 13.41(89%). The paired ‘t’ test was used to evaluate the effect of video assisted teaching program on practice of extrapyramidal symptoms. The ‘t’ value shows that 24.547 , P<0.05 level significant and <0.001 level highly significant. It shows that association between pre test level of knowledge with selected demography variables, among the variables as consider with age(0.069>0.05) not associated, while we compare gender (0.577>0.05) not associated, it noted that religion (0.754>0.05) not associated, income of caregivers(0.631>0.05) not associated ,type of family(0.395>0.05) not associated, education of care giver (0.625>0.05) not associated, occupation(0.377>0.05) not associated, exposure of previous knowledge (0.601>0.05) not associated, and source of information (1>0.05) not associated. It shows that association between pre test practice with selected demography variables, among the variables as consider with age (0.227>0.05) not associated, gender(0.221>0.05) not associated, religion (0.807>0.05) not associated, residence (0.681>0.05) not associated, income (0.141>0.05) not associated, type of family (0.359>0.05) not associated, education(0.428>0.05) not associated, occupation (0.365>0.05) not associated, exposure of previous knowledge (0.778>0.05) not associated and source of information(1>0.05) not associated. Conclusion: From the findings of the study it can be concluded that, More care givers of schizophrenia patients had below average level of knowledge and practice in pre test but more care givers of schizophrenia patients had average level of knowledge and practice in post test regarding prevention and management of extrapyramidal symptoms The mean post test knowledge and practice scores were higher than the mean pre test knowledge and practice scores, it indicated that the video assisted teaching program on prevention and management of extrapyramidal symptoms among care givers of schizophrenia patients was more effective.

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Hema K (June-2024). A study to assess the effectiveness Of video assisted teaching program On knowledge and practice Regarding prevention and Management of extrapyramidal Symptoms among care givers of Schizophrenia patients in outpatient Department at trichy athma Hospital. INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT, 9(6), b802-b816. https://ijnrd.org/papers/IJNRD2406179.pdf

Volume 9 Issue 6, June-2024

Pages : b802-b816

Paper Reg. ID: IJNRD_223552

Published Paper Id: IJNRD2406179

Research Area: Health Science 

Author Type: Indian Author

Country: Pudukkottai, Tamilnadu, India

Published Paper PDF: https://ijnrd.org/papers/IJNRD2406179.pdf

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