A STUDY TO ASSESS THE EFFECT OF NURSING INTERVENTIONS REGARDING INTER COSTAL DRAINAGE CARE IN A VIEW TO PREPARE A PROTOCOL FOR NURSES.

A descriptive study was done to assess the effect of Nursing Interventions regarding Inter Costal Drainage Care in a view to prepare a protocol for Nurses’ The present study was done by using Survey Method to assess the effect of nursing interventions regarding inter costal drainage care. As per the ‘Dorothy Orem Self Care Deficit’, a conceptual framework was made. Samples were selected from the hospital by Non-Probability Purposive Sampling Method. The sample consisted of 60 patients. The study included demographic variable such as age, gender, duration of hospitalization, previous knowledge about disease condition. And observation check list and numerical pain scale. At the beginning of the research a survey was done and the patients with intercostal drainage care was introduced by the investigator. They were explained about the purpose of the study and were assured the about confidentiality of the information between the investigator and the respondent only. Everyday 10-15 samples were taken by the investigator before data collection the consent was taken from patients. Data was collected and analysed using Descriptive and Inferential Statistics. The level of significance was tested by using applied paired t-test for assessment of the effect of Nursing Intervention regarding inter costal drainage care on patients. Average pulse 74.2. T-values this 2.0, 2.0 freedom. p-values Researcher applied paired t-test for assessment of the effect of nursing intervention regarding inter costal drainage care on air leak. Average air leak was 4.4, 4.1, 3.8, 3.7 and 3.4. T-values for this comparison were 3.3, 5.2, 5.5 and 7.6 with 59 degrees of freedom. Corresponding p-values were small (less than 0.05), Nursing intervention regarding inter costal drainage care is proved to be significantly effective in reducing the air leaks.


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2. Those who were not willing to participate Description of Tool Part I: Socio demographic variables. Information on socio demographic variable of the subjects contains three items, which included Age, Gender, Duration of hospitalization, Previous knowledge of disease condition.

Part II: Observation check list.
Part III: Numerical Pain Scale.

Reliability
In this study, the reliability of the tool has been assessed by the bio-medical engineer of stethoscope and sphygmomanometer and reliability was assessed by using Inter rator Reliability Method. Cohen's Kappa test was used and reliability result was found 0.98.Hence, the tool is reliable.

Data collection procedure
Official permission was obtained from the authorites from the Dr. D. Y. Patil Hospital Sant Tukaram Nagar, Pimpri Chinchwad Pune 18. The data was collected at Dr. D. Y. Patil hospital for for 3 week period at data was collected for 5 days At the starting of the session they were explained about the purpose of the study and were assured about confidentiality of the information between the investigator and the respondent. The data collection was done for 5 days each Everyday 10-15 samples were taken by investigator. Before data collection the consent was taken from patients. After permission, investigator started the procedure for data collection. Each sample took 15-20 minutes for data collection. Data is collected from 60 sample.

Plan for data analysis:
The data obtained was analyzed using descriptive and inferential statistics based on objectives.
Results:-Section I: Description of samples (patients) based on their personal characteristics in terms of frequency and percentage The above graph showcases that, according to duration of hospitalization mostly 65% of them had hospitalization for 5 to 10 days, 11.7% of them had hospitalization for 1to 5 days and 23.3% of them were hospitalized for more than ten days.
The above graph showcases that, according to previous knowledge regarding disease condition mostily had 3.3% of them had previous knowledge of disease condition.

Section II
Analysis of data related to the effect of Nursing Intervention regarding Inter costal drainage care n =60         Tvalues for this comparison were 3.6, 5.9, 6.5 and 6.5 with 59 degrees of freedom. Corresponding p-values were of the order of 0.000 which are small (less than 0.05), Nursing Intervention regarding inter costal drainage care is proved to be significantly effective in improving the diastolic blood pressure of patients.      All of the patients showed drainage oscillation on day 1 through day 5.

Discussion:-
This chapter discusses the major findings of the study and reviews them in relation to findings from the results of other studies. The aim of this study was to assess the effect of nursing interventions regarding inter costal drainage care. It shows there is significant effect on inter costal drainage care. This indicates that the there is aeffect of nursing interventions on inter costal drainage care.

Nursing Practice
Improve the practices of inter costal drainage care is an issue about which there has been a growing concern throughout the hospital etc. The primary prevention consists of two major types of activities technological and cognitive. Cognitive activities encompass health education, which is an important nursing responsibility. Nurses working in various settings like hospitals, community health, should make use of the opportunity for providing the correct information regarding practices of Inter costal drainage care. The nurses working in hospital play an important role in education about the inter costal drainage care and early detection of future complications. The nurses can conduct various Inservice education and formulate various health educations programme in various settings in the hospital.

Nursing Education
With changing health care trends nursing education must emphasize primary health care approach focusing on prevention than cure and promotion of health. The education curriculum must include imparting knowledge about the use of various teaching strategies and principles for effective planned health education. Nowadays much importance is given to awareness and promotion of health than the curative aspects. As the needs of societ y are continuously changing newer components must be incorporated in the nursing curriculum. Nursing education must emphasize on primary prevention and rehabilitative aspects. The basic training of nurses in India includes teaching of certain units related to care of patients with inter costal drainage care. Theoretically the focus should be on theencouragement of the nursing interventions. The nursing teachers can use the result of the research study as an informative illustration for the students. Nursing education should help in inculcating values and a sense of responsibility in the students to educate them to care for inter costal drainage care. However,specialty oriented courses are offered at the master level. Training programmes for nurses, however, need to be improved, to meet the new demands and newtrends about the inter costal drainage care practices.

Nursing Administration
In the event of ever-changing disease manifestations, knowledge explosion, technological and ever growing challenges. The administrator has a responsibility to provide nurse with substantial continuing educational opportunities. This will enable the nurses in updating their knowledge, acquiring special skills and demonstrating high quality care by deputing them for in service education programs, special courses, workshops and conferences can be arranged and attended by nursing staff in the Hospital area. Necessary administrative support should be provided for the development of such educational materials. Nursing personnel should be motivated to devote their time for development of educational material such as posters, pamphlets, and planned health teaching programme for nurses to provide a better nursing care. There is a genuine need for continuing education for nurses, particularly for those who are working in hospital. As part of administration, the nurse administrator plays a vital role in educating nurses, and student nurses. The finding of the study should be used as a basis of in-service education programs for nurses so as to make them aware of the present problems

Nursing Research
Nursing research is an essential aspect of nursing as it uplifts the profession and develops new nursing norms and a body of knowledge. Another research has been added to the Nursing literature. Many studies have done on this similar study. The research design, finding and the tool can be used as avenues for further research.
There is a need for extensive and intensive nursing research in this area. The nurse researcher should be able to conduct the research on various aspects of awareness about maintenance of intercostals care , so as to generate more scientific data. Findings of this will provide baseline data about the inter costal drainage care, and strategies that can be adopted to educate people about encourage the exclusive effect of nursing interventions regarding inter costal drainage care and it can be used for further research.