EFFECTIVENESS OF INDIVIDUAL PLANNED TEACHING ON SELF-
ADMINISTRATION OF INSULIN FOR PATIENTS WITH
DIABETES MELLITUS, RECEIVING INSULIN
IN SELECTED HOSPITAL
AT BHUBANESWAR.
BY
MRS. SRIYASMITA NAYAK
Dissertation submitted to the Utkal University, Odisha
in Partial fulfilment of requirement for the Degree of
Master of Science in Nursing
Under the Guidance of
DR P. KANGESWARI, Ph.D. (N)
Principal
DEPT. OF MEDICAL SURGICAL NURSING
DRIEMS SCHOOL & COLLEGE OF NURSING
CUTTACK, ODISHA
2019-2021
EFFECTIVENESS OF INDIVIDUAL PLANNED TEACHING ON SELF-
ADMINISTRATION OF INSULIN FOR PATIENTS WITH DIABETES
MELLITUS, RECEIVING INSULIN IN SELECTED HOSPITAL AT
BHUBANESWAR.
NAME OF THE CANDIDATE : MRS. SRIYASMITA NAYAK
NAME OF THE GUIDE : DR P. KANGESWARI, Ph.D (N)
HEAD OF THE DEPARTMENT : DR. P. KANGESWARI, Ph.D.(N)
PRINCIPAL
DEPARTMENT : MEDICAL SURGICAL NURSING
Signature of the Internal Examiner : Signature of the External Examiner
Date: Date:
UTKAL UNIVERSITY, ODISHA
DECLARATION BY THE CANDIDATE
I hereby declare that this dissertation/thesis titled “EFFECTIVENESS OF INDIVIDUAL
PLANNED TEACHING ON SELF-ADMINISTRATION OF INSULIN FOR
PATIENTS WITH DIABETES MELLITUS, RECEIVING INSULIN IN
SELECTED HOSPITAL AT BHUBANESWAR" is a bonafide and genuine research
work carried out by me under the guidance of DR P. KANGESWARI, Ph.D (N)
Principal Cum HOD, DRIEMS School and College of Nursing, Cuttack, Odisha.
Signature of the Student
Date:
Place:
DRIEMS SCHOOL & COLLEGE OF NURSING,
TANGI, CUTTACK, ODISHA
CERTIFICATE BY THE GUIDE
This is to certify that the dissertation EFFECTIVENESS OF INDIVIDUAL
PLANNED TEACHING ON SELF-ADMINISTRATION OF INSULIN FOR
PATIENTS WITH DIABETES MELLITUS, RECEIVING INSULIN IN
SELECTED HOSPITAL AT BHUBANESWAR. is a bonafied research work done by
Sriyasmita , M.Sc. Nursing 2nd Year under my guidance in partial fulfilment of the
requirement for the degree of Master of Science in (Medical Surgical Nursing) from Utkal
University, Bhubaneswar, Odisha.
Signature and seal of the Guide
Date:
Place:
COPY RIGHT
DECLARATION BY THE CANDIDATE
` I hereby declare that the Utkal University, Odisha shall have the rights to preserve,
use and disseminate this dissertation/ thesis in print or electronic format for academic/
research purpose.
(Signature of the Student)
Date:
Place:
©Utkal University, Odisha
ACKNOWLEDGEMENT
“Lord said my grace is sufficient for you, for my strength is made perfect in weakness”.
First and foremost, I express my deep sense of gratitude to the Lord Almighty for his blessings
and mercies which enabled me to reach this step and complete my study without any
interruption.
The success of this study comes through the invaluable help, guidance and Contribution of
some of the faculties, seniors, friends and other well wishers. The Investigator recalls their
kindness with a grateful heart and is trying to express these gracious feelings in few words
flowing from within.
I wish to express my sincere thanks to Sj. Pramod Chandra Rath, Chairman, DRIEMS
Group of Institutions , Cuttack, for providing necessary facilities and extending support to
conduct this study.
I thank whole heartedly Dr. P.Kangeswari,Ph.D(N) voice-principal, DRIEMS College of
Nursing for her continuous support, constant encouragement and valuable suggestions helped
in the fruitful outcome of this study.
I also thanks Mrs. N. Premalata Devi, Vice Principal, DRIEMS College of Nursing for
her continuous support, constant encouragement and valuable suggestions helped in the
fruitful outcome of this study.
I deem it a great privilege to express my sincere gratitude of indebtedness to my esteemed
teacher, Vasantha Kumar Professor, Dept of MSN, DRIEMS College of Nursing, Cuttack
for his timely assistance and guidance in pursuing the study
I also thanks Ms. Rimi Sarkar, Dept of MSN, DRIEMS College of Nursing for her
continuous support, constant encouragement and valuable suggestions helped in the fruitful
outcome of this study.
I extend my sincere gratitude to Mrs. Soudamini Satapathy & Mrs. Lopamudra Panda,
Librarian, DRIEMS School & College of Nursing for extending necessary library throughout
the study.
Once again, I thank the Lord Almighty for his blessings, wisdoms and direction.
Finally, my whole hearted thanks and gratitude to one and all, that helped me on my way to
success.
Mrs. Sriyasmita
M.Sc. (N) 2nd Year
TABLE OF CONTENTS
CHAPTER TITLE PAGE
NUMBER
I INTRODUCTION
Background of the study
Need of the study
Problem statement
Objective of the study
Hypothesis
Assumption
Delimitation
Operational Definition
Conceptual framework
II REVIEW OF LITERATURE
III RESEARCH METHODOLOGY
Problem Statement
Objective of the study
Research Approach
Research Design
Setting of the study
Population
Sample
Sample size
Criteria for sample selection
Sample technique
Development & description of tool.
Schematic representation of the research design
Plan for data analysis
Summary
IV DATA ANALYSIS & INTERPRETATION
Problem statement
Objective of the study
Preparation of the data
Discussion, Summary, Conclusion, Implication
V
Bibliography
Annexure
LIST OF ABBREVIATIONS
1. AICU - Acute Intensive Care Unit
2. CAN - Cardiovascular Automatic Neuropathy
3. CHD - Coronary Heart Disease
4. DBKT - Diabetes Basic Knowledge Test
5. DKT - Diabetes Knowledge Test
6. DM - Diabetes Mellitus
7. FSI - Fear of Self Injection
8. FST - Fear of Self-Testing
9. HbA1c - Glycosylated haemoglobin
10. ICCU - Intensive Coronary Care Unit
11. ICU - Intensive Care Unit
12. IDDM - Insulin Dependent Diabetes Mellitus
13. IPT - Individual Planned Teaching
14. IV - Intravenous
15. NIDDM - Non-insulin Dependent Diabetes Mellitus
16. NUDS - National Urban Diabetes Survey
17. OPD - Outpatient Department
18. PTP - Planned Teaching Programme
19. QOL - Quality of Life
20. SC - Subcutaneous
21. SMBG - Self-Monitoring Blood Glucose
22. WBC - White Blood Cells
23. WHO - World Health Organisation
LIST OF TABLES
Table no Title Page No
1 Frequency and percentage distribution of subjects according to 38-39
sample characteristics.
2 Frequency and percentage distribution of subjects according to 41
their pre and post-test knowledge scores
3 Area-wise mean percentage and mean gain on pre-test and post- 43
test knowledge scores of diabetic patients
4 Range, mean, median and standard deviation of pre and post-test 44
knowledge score of diabetic patients on self-administration of
insulin
5 Frequency and percentage distribution of diabetic patients‟ level 45
of knowledge scores
6 Frequency and percentage distribution of diabetic patients 46
according to post-test ability scores
7 Frequency and percentage distribution of diabetic patients on 47
self-administration of insulin according to their pre and post-test
ability scores
8 Frequency and percentage distribution of performed activities in 49
the pre-test and post-test
9 Frequency and percentage distribution of less performed items of 51
activities in the pre and post-test
10 Frequency and percentage distribution of performed activities in 52
the area of preparation of articles
11 Frequency and percentage distribution of performed activities in 53
the area of “Method of insulin administration”
12 Frequency and percentage distribution of performed activities in 54
the area of “after care of the articles”
16 Mean, standard deviation of difference and „t‟ value on pre and 56
post-test knowledge score on self-administration of insulin
17 Area-wise paired „t‟ test showing the significant difference 57
between pre and post-test knowledge scores
18 .Mean, mean difference, SD difference and „t‟ value on pre and 58
post-test ability scores on self-administration of insulin\
LIST OF FIGURES
Figur Title Page No
e No
1 Conceptual framework on effectiveness of IPT to diabetic
patients on self-administration of insulin based on modelling and role
modelling theory by Erickson, Tomlin and Swain
2 Pre-test post-test design
3 The schematic representation of study design
4 Ogive representing pre and post-test knowledge scores of
subjects regarding self-administration of insulin
5 Bar diagram showing area-wise pre and post-test knowledge
scores of diabetic patients
6 Pie diagrams showing the distribution of diabetic patients level
of knowledge score
7 Frequency polygon showing the distribution of post-test ability
scores.
8 Frequency polygon showing the distribution of pre-test and post- 48
test ability scores of 12 diabetic patients who were on self
administration of insulin
9 Pyramid diagram showing area wise distribution of mean 55
percentage, pre-test, post-test ability scores.
LIST OF ANNEXURES
Sl Title Page no
No
1 Letter seeking formal permission to conduct the study
2 Letter granting permission for pilot study / main study
3 List of experts
4 Content validity
5 Consent form
6 Tool
7 Answer key
ABSTRACT
Background and objectives
Diabetes is one of the incurable but easily controllable diseases. It is a
chronic disease due to the impaired balance between glucose and insulin in the
body. Improper handling or administration of insulin is one of the common
reasons for uncontrolled diabetes and the occurrence of complications. These
complications cause major morbidity and mortality in patients with insulin
dependent DM.
Assessment and reinstruction for insulin injection technique is important
to improve glycemic control, not only for those with erroneous injection skill, but
also for those with apparently proper techniques. Individual planned teaching is
one of the effective teaching strategies, which can be used to improve the
knowledge and ability of the diabetic patient on self-administration of insulin.
Objectives:
The objectives of the study were:
1. To assess the knowledge on self-administration of insulin among patients
with DM before the IPT as measured by structured interview schedule.
2. To develop and validate the IPT.
3. To evaluate the effectiveness of IPT on self-administration of insulin for
patients with DM receiving insulin in terms of gain in knowledge and
ability score.
Key words
Effectiveness; individual planned teaching; self-administration of insulin; patients
with diabetes mellitus.
