A PRE EXPERMENTAL STUDY TO ASSESS THE EFFECTIVENESS OF A STRUCTURED TEACHING PROGRAM ON KNOWLEDGE REGARDING NECROTIZING ENTEROCOLITIS AMONG PRIMIGRAVIDA MOTHERS IN PEDIATRIC WARD OF SHRI MAHANT INDRESH HOSPITAL

Necrotizing Enter colitis (NEC) is the devastating disease that affects mostly the intestine of premature infants. The wall of the intestine is invaded by bacteria, which cause local infection and inflammation that can ultimately destroy the wall of the wall of the bowel. NEC can develop in any new born within 2 weeks after birth. However it is most common in pre mature infants.NEC can be staged into three groups, to guide appropriate treatment based on the work of Bell et al. . In general, stage I and II are managed medically whereas stage III is managed surgically.Trigger factors (i.e. prenatal hypoxia, mild infection or formula feeding) cause focal mild intestinal mucosal injury. In the presence of proliferation of commensal bacteria, local breakdown of mucosal barrier may cause entry of bacterial products (e.g. lipo polysaccharides, platelet-activating factor). Aim: The aim of the study was to assess the knowledge regarding necrotizing enterocolitis Method And Materials: A pre experimental study used to accomplish the objectives. Study was undertaken on 60 primigravida mothers in pediatric ward in Shri Mahant Indresh Hospital Dehradun by using convenient sampling technique. Participants were selected on the basis of inclusion and exclusion criteria Structure knowledge questionnaire , observation , pre test , post test were used to asses knowledge and practice. Conceptual Framework: Conceptual framework acts as a building blocks for study. In this study , modified General system theory was used as the investigator aim as to assess the pre test knowledge and post test knowledge regarding necrotizing enterocolitis. Result:There is highest percentage of primigravida mothers according to their Table and Graph shows the Age interval wise distribution of the study subjects. It is illustrated from table that the majority of the participant 26(43.3%) in were 26-30 year compare to another age interval in our study. The Area of Residence wise distribution of the study subjects. It is illustrated from table that the majority of the participant 26(43.3%) in were Rural compare to another Area of Residence in our study. The Monthly Income of Family wise distribution of the study subjects. It is illustrated from table that the majority of the participant 21(35.0%) in were >40000 compare to another Monthly Income of Family in our study. The Occupation wise distribution of the study subjects. It is illustrated from table that the majority of the participant 25(41.7%) in were Gov employee compare to another Occupation in our study. The First Language wise distribution of the study subjects. It is illustrated from table that the majority of the participant 49(81.7%) in were the Religion wise distribution of the study subjects. It is illustrated from table that the majority of the participant 49(81.7%) in were Hindu compare to another Religion in our study. the Education wise distribution of the study subjects. It is illustrated from table that the majority of the participant 23(38.3%) in were High School compare to another Education in our study. the Type of Family wise distribution of the study subjects. It is illustrated from table that the majority of the participant 40(66.7%) in were Nuclear compare to another Type of Family in our study. Table and Graph shows the Mode of Delivery wise distribution of the study subjects. It is illustrated from table that the majority of the participant 37(61.7%) in were Normal compare to another Mode Of Delivery in our study. the Pre Test Level wise distribution of the study subjects. It is illustrated from table that the majority of the participant 55(91.7%) in were Inadequate Knowledge compare to another Pre Test Level in our study. There is significant difference between the pre-test and post test score of knowledge questionnaires was demonstrated by using paired test and computed between pre test and post test knowledge score.