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International Journal of Pediatric Nursing

Volume  2, Issue 3, Sept - Dec 2016, Pages 121-129
 

Original Article

A Study to Assess the Effectiveness of Skill Training Programme on First Aid Management of Selected Fractures among School Children at Selected Government Schools, Tirupati

G. Jyothsna*, A. Padmaja**

*2nd year M.Sc (Nursing),**HOD Child Health Nursing, College of Nursing, Sri Venkateswara Institute of Medical Sciences (SVIMS), Alipiri Road, Tirupati. 517507 Andhra Pradesh.

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DOI: DOI: http://dx.doi.org/10.21088/ijpen.2454.9126.2316.2

Abstract

  Background:School children are a significant and important segment of the population. They need maximum attention in terms of their education, health, social and emotional development [1].The most severe fall­related injuries were fractures or open wounds [2]. Most common non­fatal injuries include fractured limbs, with 10–20 per cent of children involved in road traffic accidents [3]. It has been estimated that up to 25 per cent of children sustain injury every year, with 10 to 25 per cent of these injuries consisting of a fracture4.The WHO describes fractures as the most common category of unintentional injuries suffered by children below 15 years. Around 10­25 per cent of all pediatric injures are fractures [5]. Around one­third of all children suffer at least one fracture before the age of 17 and fracturesare the cause of 9 per cent of all injuries [6]. Objectives:To assess the knowledge, knowledge on practices and skills among school children regarding first aid management of fractures in experimental and control group.To evaluate the effectiveness of skill training programme on first aid management of fractures among school children in experimental and control group.To associate the relationship between demographic variables and knowledge, knowledge on practices and skills of school children on first aid management of fractures in experimental and control group. Methods: An experimental study involving 25 school children for experimental group and 25 school children for control group from 9th class were taken for the study. Pretest – posttest experimental and control group design was adopted for this study. Data were collected using a structured questionnaire. It included data regarding socio­demographic characteristics and questions pertaining to knowledge on first aid management of fractures, knowledge on practices on prevention of fractures and observational checklist (5­ point Likert scale) for skills on bandaging technique. Results: In an experimental group out of 25 students, 48%(12) have inadequate knowledge and moderately adequate knowledge in pretest and76%(19) have adequate knowledge inpost test. In control group out of 25 students, 64%(16) have inadequate knowledge in pretest and 52%(13) have inadequate knowledge in post test. In an experimental group, 44%(11) have inadequate knowledge on practices in pretest and 76%(19) have adequate knowledge on practicesin post test. In control group, 52%(13) have moderately adequate knowledge on practices in pretest and 48%(12)  have moderately adequate knowledge on practicesin post test. In an experimental group, 92%(32) have inadequate skillsin pretest and 48%(12) have adequate skills inpost test. In control group, 84%(21) have inadequate skillsin pretest and 72%(18) have inadequate skillsin post test. Conclusion: A majority of 9th class students among experimental group were having adequate and moderately adequate knowledge, knowledge on practices and skills and demographic variables were statistically significant, hence it can be concluded that, there is an improvement on level of knowledge, knowledge on practices and skills in post test in experimental group. 

Keywords: Skill Training Programme; First Aid; Fractures. 


Corresponding Author : G. Jyothsna*