A PILOT STUDY ON EFFECTIVENESS OF INTEGRATED COMMUNITY BASED NURSING INTERVENTION ON SELECTED PSYCHOSOCIAL PARAMETERS AMONG POST MENOPAUSAL WOMEN RESIDING IN SELECTED RURAL AREAS OF BAGALKOT DISTRICT

Abstract

Abstract

Background: Menopause is one point in a continuum of life stages for women and marks the end of their reproductive years. Menopause is a natural process that results from changing levels of estrogen, progesterone, and other hormones as woman get age. Most women experience menopause between the ages of 45 and 55 years as a natural part of biological ageing.

Objectives: To assess the level of depression, Anxiety and irritability scores among postmenopausal women and to evaluate the effectiveness of Integrated Community Based Nursing Intervention by comparing post interventional level of scores of depression, Anxiety and irritability between the experimental and control group of postmenopausal women. To find out the association between pre test level of depression, Anxiety and irritability scores with selected socio demographic variables of postmenopausal women.

Method: Quantitative evaluative approach was adopted for the present study, using true experimental pre-test post-test control group design. Sample size consist of 40 menopausal women i.e. 20 in experimental group and 20 in control group, residing in selected areas of Kadapati, Jamakandi taluk Bagalkot district. A non probability Purposive sampling techniques was used to select the samples for pilot study. The data was collected by using following tools. A structured questionnaire for assessing socio-demographic variables. Center for epidemiologic studies depression scale (CES-D) to assess the level of depression, General anxiety disorder-7(GAD-7) to assess the level of anxiety, Dr. Viviana mauas irritability questionnaires to assess the level of irritability among menopausal women, data was entered in MS excel sheet and transferred to SPSS 25 for analysis.

Results: Among 40 samples, majority of 12(60%) of the respondents belonged to the age group of 51-55 years and remaining 8(40%) of participants were belonged to age group of 45-50 years in experimental and control group. Majority 9(45%) were had primary education in experimental and control group. Majority 16(80%) were belonged to Hindu religion in experimental group 17(85%) were belonged to Hindu religion in control group. Majority 12(60%) were had one pregnancy in experimental group and 10(50%) were had one pregnancy in control group. Pretest scores among the experimental group, the depression scores mean scores was 24.50 with standard deviation ±7.08 and Control group depression mean score was 24.20 with standard deviation±7.16. After the implementation of intervention, Post test 1-Day 30 scores: among the experimental mean scores in day 30 was 20.25 with±5.63, Control group, the score mean was 24.15 with SD±7.02, In pretest, majority14(70%) were had mild level, each 3(15%) were had no depression and moderate level depression. In post test 1, posttest 2 and 3majority 14 (70%) were had mild level and 6(30%) were had no depression. Among the Experimental group, the anxiety mean scores at the time pretest was 9.95 with SD±2.99, Control group, the anxiety score mean was 10.50 with standard deviation ±3.96, Among the Experimental group, the anxiety scores mean scores in post test 1day 30 was 7.45 with standard deviation ±2.72, Control group, the score mean was 10.55 with standard deviation ±3.99. In experimental group pretest anxiety scores shown that majority10 (50%) were had moderate level, 8(40%) were had severe level and each 1(5%) were had very severe level of anxiety. In post test 1 majority14 (70%) were had moderate level, 4(20%) were had mild level and 2(10%) were had severe level of anxiety. In control group pretest and all posttests, majority15 (75%) were had moderate level, 3(15%) were had severe level and remaining 2(10%) were had mild levels of anxiety. Pretest level of irritability scores shown that majority15 (75%) were had moderate level, 3(15%) were had severe level and 2(10%) were had mild level of irritability. In post test 1 level of irritability scores shown that majority10(70%) were had mild level, 9(45%) were had moderate level and 1(5%) were had severe level of irritability. Control group pretest and all posttests shown that majority14 (70%) menopausal women had moderate level and each 3(15%) were had mild level and severe level of irritability.

Conclusion: After obtaining the results for the present study the researcher noticed that there was significant difference in depression, Anxiety and irritability level of scores found between among menopausal women after implementation of integrated community based nursing intervention. The study concluded that interventional programmes are beneficial for menopausal women to lead a healthy and quality of life.