8/13/2019 05_N028_22376

1/17

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES

BANGALORE, KARNATAKA.

PROFORMA FOR REGISTRATION OF SUBJECTS

FOR DISSERTATION

.

Ms.Jhansi.K

Firs !"ar M.S#. N$rsin%

O&s"ri#s an' G!na"#()(%i#a) N$rsin%

Year 2010-2011

EAST WEST COLLEGE OF NURSING

BEL Layout

Off Maga! Ma!" roa# $!%&'"eea( )o%t

Ba"ga*ore-+,0 01

RA.I$E GAN/I UNI$ERSITY OF EALT SCIENCES

BANGALORE# ARANATAA

8/13/2019 05_N028_22376

2/17

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES

BANGALORE, KARNATAKA

PROFORMA FOR RESGISTRATION OF SUBJECTS FOR

DISSERTATION

1.

NAME OF THE

CANDIDATE & ADDRESS

Ms. Jhans.!

I "#a$ M.S%. N$sn'

Eas( )#s( C*++#'# * N$sn'

-. NAME OF THE INSTITUTION

Eas( )#s( C*++#'# * N$sn'

/0 Ma'a R*a. BEL +a"*(,

Ban'a+*$#231,Ka$na(a!a

COURSE OF STUDY

AND SUBJECT

I "#a$ M.S%. N$sn'

O4s(#($%s an G"n#%*+*'%a+ N$sn'

5. DATE OF ADMISSION

TO COURSE

16276217

6. TITLE OF THE STUDY

8S+# Sh*9 *n Kn*9+#'# $#'a$n'

#a$+" '"n#%*+*'%a+ n:#s('a(*ns

a;*n'

8/13/2019 05_N028_22376

3/17

/. BRIEF RESUME OF THE INTENDED )ORK>

/.1 INTRODUCTION>

Aging is an inevitable natural process and there is no treatment for aging

process. Premenopausal women were defined as those women who had not yet reachedmenopause, but were experiencing menopause-related changes such as irregular

periods or hot flashes. Aging process in women differs from men in more than one

ways. Along with physical changes, there are several psychological and social changes

to be dealt with.1

Menopause is the word that immediately comes to the mind when we say

aging process in women. The womans life is divided into two phases premenopausal

and postmenopausal. The hormonal changes in the body invite many aging problems.

The body starts losing out on bone mass and muscle strength. These wea!ened bones

often result in osteoporosis and arthritis,The s!in becomes sun!en and sallow and

eventually, wrin!les begin to appear. The immune system is no longer able to produce

sufficient anti bodies, thereby ma!ing the body susceptible to various illnesses. Most

vital organs show diminished performance, which affects the entire health of the

woman."

Again# menopause is the bu$$ word psychological changes. The hormonal

changes during menopause bring about plethora of behavioral changes in a woman.

%motional insecurity haunts their mind due to the fear that since she is no longer

physically during aging process in women, their social life entirely depends upon their

own attitude towards life and most importantly their health. &ome women, due to their

poor health or some other reason, may completely shut themselves away from the

world. 'hile the other, more outgoing group, may engage themselves in community

activities or some hobbies and interests.. Thus, this period poses a golden chance for

them to live the life for themselves."

3

http://www.buzzle.com/articles/osteoporosis/http://www.buzzle.com/articles/arthritis/http://www.buzzle.com/articles/arthritis/http://www.buzzle.com/articles/arthritis/http://www.buzzle.com/articles/osteoporosis/

8/13/2019 05_N028_22376

4/17

The menopause normally occurs between the ages of () and )), although

occasionally women may undergo a premature menopause much earlier in their

reproductive lives. An *artificial menopause+ may be brought about by hysterectomy.'hen only the uterusis removed in a pre-menopausal woman, the cyclical changes

continue in theovariesand the subseuent decline of ovarian hormone secretion ta!es

its natural course. owever, if the ovaries are removed at the same time, which is often

advised in the late forties.

&ome of the /ommon problems of premenopausal women are0 ac!ache and

pelvic and 2oint pain, C*ns(

8/13/2019 05_N028_22376

5/17

important health concern, nearly half 5() percent6 of these women reported that

osteoporosis was not addressed during their last routine obstetrics and gynecological

visit.>

:.". NEED FOR STUDY0

Menopause is a term used to describe the permanent cessation of the primary

functions of the human ovaries0 the ripening and release of ova and the release of

hormones that cause both the creation of the uterine lining and the subseuent

shedding of the uterine lining 5a.!.a. the menses6. Menopause typically 5but not

always6 occurs in women in midlife, during their late (8s or early )8s, and signals the

end of thefertilephase of a womans life.=

Menopause literally means the ?end of monthly cycles? from the Greek word

pausis 5cessation6 and the root men- 5month6, because the word ?menopause? was

created to describe this change in human females, where the end of fertility is

traditionally indicated by the permanent stopping of monthly menstruation or menses.

Menopause is an unavoidable change that every woman will experience, assuming she

reaches middle age and beyond. 4t is helpful if women are able to learn what to expect

and what options are available to assist the transition, if that becomes necessary.

8/13/2019 05_N028_22376

6/17

of genitourinary tissue, increased stress, breast tenderness, vaginal dryness,

forgetfulness, mood changes, and in certain cases osteoporosis and@ or heart

disease.These effects are related to the hormonal changes a woman+s body is going

through, and they affect each woman to a different extent

.11

The research studies related to early gynecological condition is A study done

on the techniue, feasibility and early complications of ?ome pouch? urinary

diversion. Thirty-five consecutive patients affected by advanced or recurrent

gynecological cancers who reuired anterior or total pelvectomy entered the study.

Bebrile morbidity occurred in ": patients 5>(96. 'ound complications and pelvic

collection were found in > 5"896 and : 51>96 patients, respectively. This techniue

showed low rate of medical and early urologic complications. The simplicity of

performing the procedure and the reduced operating time are the best goals reached by

ome pouch techniue.1"

eddy, ani and others 5"8886 surveyed ">( adolescent school going girls in

Tirupati town of Andhra Pradesh to study awareness and perception about menarche,

and menstrual problems. "88 of the "" post menarcheal girls reported "" problems

experienced before menstruation. 3ysmenorrhoea 5bac!ache6 was felt by )89 of theadolescents prior to as well as during menstruation. ad odour of menstrual blood was

the prominent problem reported by )>9 of the adolescent girls. Profuse menstrual

bleeding was complained by 19 of the adolescent girls. /alf muscle pain was the

number one complaint felt prior to as well as during menstruation by more than a

uarter of the adolescent girls. Tiredness was the number two problem experienced

prior to the menstruation by "8.)9 of the adolescent girls and this complaint had

declined to :9 during menstruation. 4rritability was third in ran! reported by "8.)9

adolescent girls before and "1.9 girls during menstruation. 1)

&ince the pre menopausal women may have the ris! of certain gynecological

problems, it is essential to have !nowledge regarding gynecological problems and

protection of women health in menopausal period. Many studies revealed that the pre

menopausal women have limited !nowledge regarding the early gynecological

investigations. y considering these factors the researcher felt that there is need to

6

http://en.wikipedia.org/wiki/Genitourinary_systemhttp://en.wikipedia.org/wiki/Genitourinary_systemhttp://en.wikipedia.org/wiki/Osteoporosishttp://en.wikipedia.org/wiki/Osteoporosishttp://en.wikipedia.org/wiki/Osteoporosishttp://en.wikipedia.org/wiki/Genitourinary_systemhttp://en.wikipedia.org/wiki/Osteoporosis

8/13/2019 05_N028_22376

7/17

assess the !nowledge of pre menopausal women regarding early gynecological

investigations. Therefore selecting study was planned to underta!e.1:

/.0 CONCEPTUAL FRAME )ORK>

/onceptual framewor! is interrelated concept or abstractions that are

assembled together in some rational scheme by virtue of relevance to a common

theme, some time refer to as conceptual scheme./onceptual framewor! selected for the study is based CDeneral system theory

by Eudwingwen ertlanffy F1

8/13/2019 05_N028_22376

8/17

/.5 REVIE) OF LITERATURE0

eview of literature is a !ey step in research process. eview of literature is a

critical summary of research on a topic of interest generally prepared to put a research

problem in paper content to identify gaps and wea!ness on previous studies to 2ustify anew investigation.

ere, the investigator reviewed previous studies, related research and non-

research literature to broaden the understanding and gain insight into the problem

study. 4n this study the investigator gather total seven reviews of literature related to

present study.

The review of literature for the present study has been divided into the

following sections0

&tudies on !nowledge regarding gynecological investigations.

&tudies on advantages of gynecological investigations

&tudies on attitude of women to gynecological investigations

&tudies on gynecological investigations among premenopausal women.

S(#s *n !n*9+#'# $#'a$n' '"n#%*+*'%a+ n:#s('a(*ns>

The study was conducted on compare manifestations of somatic disturbances inearly pre menopause in women after physiological and surgical menopause. This

prospective study included :8 women, age (1-)) years. %xtrasistolyc heart excursion

was a common symptom in both study groups. An analysis of the body mass index

5M46 showed that the women in both groups were obese 5M4 J ")6. The lipids

analysis confirmed the predomination of hyperlipoproteinemia type 44a in the group

with physiologic menopause and type 44b after induced menopause. More intensive

follow-up in patients after surgical removing of the ovarian is necessary in order to

improve the uality of life in these patients.1>

8

8/13/2019 05_N028_22376

9/17

S(#s *n a:an(a'#s * '"n#%*+*'%a+ n:#s('a(*ns>

The study compares the preoperative morbidity and mortality rates of elderly

5J or K>8 years6 and younger 5L >8 years6 patients. The study cohort consisted of 1>1

women undergoing explorative laparotomy due to uterine or ovarian cancer.Participants were divided to 18= 5:."96 patients with uterine cancer and : 5:.=96

patients with ovarian cancer. /hronological age by itself should not be a

contraindication for the treatment of elderly women with gynecological malignancy

since it is a poor predicting factor for preoperative morbidity. 1 4t refers to the outcome of slide show in increasing the !nowledge

level among premenopausal women.

-. S+# sh*9> 4t means an audio-visual device which is use to give information about

early gynecological investigations.

. Kn*9+#'#> 4t refers to the amount of !nowledge the premenopausal women should

have regarding early gynecological investigations.

(. G"n#%*+*'%a+ n:#s('a(*n> 4t refers to the diagnostic examination procedures

related to Dynecological problems.

). P$# ;#n* women before attaining the menopause after the age of

()years.

11

8/13/2019 05_N028_22376

12/17

/.3 HYPOTHESIS>

H12There will be significant difference between the pre-test and post test !nowledge

score regarding early gynecological investigation methods among premenopausal

women.

H-2There will be significant association between the pre-test !nowledge score with

the selected socio demographic variables of the participants.

/.17ASSUMPTIONS>

1. Pre menopausal women may need to reinforce to go for early health chec! up

@. METHODOLOGY>

@.1 RESEARCH APPROACH0 Ouantitative evaluative approach.

@.- RESEARCH DESIGNS> Ouasi experimental one group pre test post testdesign.

@.0 SETTING>IP3 or ward in selected maternity hospitals at engaluru.

@.5 POPULATION> The population of the study will comprise all the pre

menopausal women who are attending IP3 or admitted in ward in a selected

maternity hospital, engaluru.

@.6 SAMPLING>pre menopausalwomen who fulfill the inclusion criteria.

@./ Sa;;K:8

@.@ SAMPLING TECHNIUE>Purposive sampling techniue.

@.?. SAMPLING CRITERIA>

In%+s*n %$(#$a>

12

8/13/2019 05_N028_22376

13/17

1. Pre menopausalwomen who are above (8 years of age.

". Pre menopausalwomen who are willing to participate in the study.

. Pre menopausal women who are attending IP3 or who are admitted in

maternity ward.

(. Pre menopausalwomen who can understand Qannada or %nglish language.

E%+s*n %$(#$a

1. Pre menopausal women who are critically ill.

@.3. TOOL FOR DATA COLLECTION>

T**+ 1>&ocio demographic data will be prepared by the investigator.

T**+ -> CA structured !nowledge uestionnaire on !nowledge regarding importance of

early gynecological investigation among premenopausal women will be prepared by

the investigator.H

>.18VARIABLES>

In# &lide show on !nowledge regarding early gynecological

investigations.

D# !nowledge of the pre menopausal women.

E($an#*s :a$a4+#s> as, age, sex, education, designation, ears of experience,

previous experience with gynecological disorders.

@.11. METHOD OF DATA COLLECTION>y interview method.

@.1-. M#(h* * a(a ana+"ss> The data collected will be analy$ed based on

ob2ectives and hypotheses by using descriptive and inferential statistics.

D#s%$

Breuency and percentage distribution will be used to describe the

demographic variables. Mean and standard deviation will be used to assess the

13

8/13/2019 05_N028_22376

14/17

!nowledge regarding early gynecological diagnosis method among women from

selected hospital.

In#$#n(a+ s(a(s(%s>

Paired*t+ test will be used to compare the pre and post test !nowledge regarding

early gynecological investigation methods among women from selected maternity

hospital and /hi - suare test will be used to associate pre test !nowledge with

selected demographic variables.

@.10DURATION OF DATA COLLECTION> : wee!s.

@. 15 PROJECTED OUT COME0 The study will improve the !nowledge

regarding early gynecological diagnosis method among women from selected hospital..

4t will be helping for women for early detection and !nowing about gynecological

problems.

>.1)DELIMITATION>The study is delimited to pre menopausal women.

@.1: 3oes the study reuire any investigations or interventions or other humans or

animalsR

Y#s

>.1>Has #(h%a+ %+#a$an%# 4##n *4(an# $*; "*$ ns(((*n

Y#s,copy enclosed.

14

8/13/2019 05_N028_22376

15/17

?. LIST OF REFERENCES>

1. Anderson CA'n'

8/13/2019 05_N028_22376

16/17

1. &M Mutiso , CCh+ 4$(h

8/13/2019 05_N028_22376

17/17

1