BACK GROUND OF THE STUDY

Menstruation is a phenomenon unlque to the female it is clear from the study findings.  Sympathetic and carefull handling of the goung girls experencing first menstruation is directly proportional to the health of the adolescents girls.

Early adolesance, the ages from twelre through sixteeen, is marked by two major changes in most teenagers lives. Pubertal maturation and the transition fomelementary to high school.  Both processes have profound and Often stressfull effect on the adolescent’s enriomment and personality in general (Hamburg, 1974).  The biologic markes of early adolescence is puberty, defined as the developmental phase of physical maturation of full reproductive Capacity.

The  Subject of menstruation is surrounded by superstitions, taboos, follelore and feelling of shane, embarassement and resentments.  The menstruating women is Considered unclean, and is not allowed to take part in normal daily activities in some communities

In addition to the subject menstruation, pubertal by greine is rarely discussed at home or in schools in most parts of world.  This problem is observed particularly in traditional and poorly educated families, which could be mainly due to cultural restrications, preventing sufficient information from reaching young girls. The combination of traditional culture and negative attitudes of school officials has had a strond impact on the discussion of the lack of sex education and related issues for youngsters in school, in the mass media, and wihtin the families, especially in the rural areas.

This has prevented the flow of aceurate and sufficient information regarding pubertal by grenie and care which has often led to supersitious perecptions and beliefs about care during menstruation and menstrual by greine in the rural areas.

NEED FOR THE STUDY

Menstruation is a normal Physiological Process.  It is not something that in noxious,  but rathera manifestation of womanhood. Only some of the girls are known about this point.

Pourselami Ostai (2002) Conducted a study on attitudes of female adolescent about dysmenorrhoea and menstrual hygine in Tehran Suburbs shows that 77% of subjects claimed that they had adequates knowledge of dysmenorihoea but only 30% of these practiced personal by grenie. Such as taking a both and used hygienice material.  About 33% of these subjects, avoided any physical activity or even mild excereise during menstrued period

Keeping this view, the investigator was interested to do a study on knowledge level regarding care during menstration among adolescent girls.

STATEMENT OF THE PROBLEM

A descriptive study to asses the knowledge regarding the care during menstruation among adolescents girls residing at penumur village

OBJECTIVE

To assess the knowledge regarding the care during menstruation among adolescent girls

OPERATIONAL DEFINITIONS

Knowlege : Information know by the samples regarding the care during menstruation

Adolescent girl: The period between puberty and the completion of physical growth, roughtly from 11 to 19 years of age.

Perberty: The period during which the secondary sex charactersies begin to develop and the capability of sexual reproducation is attained.

Menstrual Care: The care that shcould be taken by the women during their menstrual period.

ASSUMPTION

Adolesent girls may hare some knowledge regarding the care during menstruation

DELIMITATION

Sample size was 30

Period of Study was 1 week.

CHAPTER II

REVIEW OF LITERATURE

The task of reviewing literature involres the identification, selection of critical analysis and reporting of existing information on the problem chosen for the study.

Clam and Crough Stephen,(1999) had stated that review of literature helps to identify what is already known that in turn help in developing a broad comcepts into which the research problem will titin.  Main goal is the develop sound database that will contribute to future knowledge in development of nursing theory, education, practive and rescarch.

Pourselami Osati – Asbtiani f(2002) Conducted a study on Attitudes of female adolescent about dysmenorrhrea and menstrual hygiene in Tehran Suburbs.  In this descriptive study, 250 students were selected at Random Using a Cluster Random Sanpliny method.  The data were collected by applying a 44 item questionnaire.   The result showed that 77% of subjects claimed that they had adequate Knowledge of dysmenorrhoea but only 30% of them practiced personal hygrenie, such as taking both and ased hygianic matereail.  About 33% of these subjects avoided any physical activity or even mild esccerise during menstrual period.   Over 64% of the girls reported taking palliative medicine for their menstrual pairs without consulting a doctor, 15 % of subjects stated that dysmenorrhoea had interfered with there daily life activities and caused them to be absent from school.

A Dasgupta, M sarkar (2008) Conducted a study on menstrual hygenic  among 160 ado lescent girls In that 108 (67.5%) girls were aware about menstruation prior to attainment of menarehe.  Mother was the first informant regarding menstruation in the case of 60 (37.5%) girls.  One hundred  and thirty eight (86.25%)girls believed it as a physiological process. 78(48.75%) girls know the use of sanitary pad during menstruation. Regarding practies, only 18(11.25%) girls used both soap and water regarding restrictions practiced, 136(85%) girls practiced different restrictions during menstruation

Abioye – kuteyi EA (2000) Conducted a study on menstrual knowledge and practices amongest secondary school grils in the Nigeria.  The menstrual knowlege and practices of 352 randonly selected healthy Niganan school girls were studied.187(53%) had attarned menarche 40% of subjects were deficent in knowledge about  menstrucation.  Although menstrual knowledg was higher in post-menarcheal girls, 10% of these were totally ignorant about menses and 84% were not psychologically prepared for the first menses. The result shows that more adolescent girls (55%) were aware of menstruation before its initiation compared with baseline (35%). The practice of using ready made pads increased significanthy from 5% to 25% and reuse of cloth declined form 85% to 57%

A.K. Dongre, P.R. Deshmukh and B.S. Crarg(1998) Conducted & study on effect of community – based health education interventies on management of menstruel hygreni among rural indian adolescerst girls.  The result revealed   that there is a significant charges in the awarness and behavour of rural adolescent girls adolescent girls regarding managements of this monstrual hygrerie, and 66.3% used insanitary materil as menstrual absorbent.

Pourselams, Osati – Abstiani F (2001) Conducted a Study to asses the Knowledge, attitude, and behivcouir of adolescent girls about dysmenorrhea and menstral hygreni.  The samples of the study included 250 volunteer girl student selected at random from 20 high school is suburban district of the city of Tebran, using a cluster random sampling method.  The result indicate a need for development of a comprehensive school health education programme with strong family planning and puberly education components.  In addition at the commernity level, the mothers of young girls should be educated with appropriate, sufficent puberty by grenc and be empowere with necessary skills to communicated and transfer the obtained information to theis children

  1. Drakshayani Devi, P. Venkata Ramaiah (1994) Condueted a study on rural adolescent girls, which revealed the majonity of the girsl were having correct Knowledge about menstruction. Regarding the practices only 10 girls were using boiled and dried cloth as menstrual absorbent.  Through almost all 64 garls received adrise regarding menstrual hygrenie from different sources, some of their were practices on hygienic.  This shows that the mother of this girls were lacking of right knowledge and the same thing transforred to this offspring before bringing any change is menstrual practices they should be educated about the facts of menstruation and its physiological inpications

Elissa Koff, Jill Ricrdan and Karden sheinglod (1981) Conducted a study on preparation and prjor knowledge of intral menstrual expences.  The question waire was administered into 97 College aged women.  Most of the girls are knowledgable prjor to initail menstrual expeneries.

Elisabeth. H. Quist (1996) Condueted a study  on minstrual issues in adolescent with physical and developmental disabilities revealed that their is need for given information on hygienic issues, menstrual irregularities due to specific clinical cirumstaxes and treatment dilemmas associated with use of hormonal medication.

CHAPTER III

METHODOLOGY

The present study was designed to find out the knowledge of adolescent girls regarding the care during menstruation.  This chapter includes research approach and design, setting of the study.   Population sampling technique, sample, sample size, criteri for sample selection, variables, development of tool. Deseriptions of tool

RESEARCH APPROACH AND DESICON

Descriptive approach and design is considered appropriate to assess the knowledge regarding the care during menstruatin among adolescent girls in penumur village

SETTING OF THE STUDY

This Study was Carried out in penumur village.  The setting was selected on the basis of feasibility, in terms of cooperation offered by the adolesect girls

POPULATION

The Population was adolescent girls who were living in penumur village.

SAMPLING TECHNIQUE

Non probability convenient samling technique was adopted

 SAMPLE

Adolescent girls who are all living in penumur village.  Who met the inclusive criteria.

SAMPLE SIZE

Sample size was so adolescent girls in penumur village.

INCLUSIVE CRITERIA

Girls who belongs to the age group of 12-18 years.

Girls who speak, read or understand Telugu, Tamil or English.

Girls who are residing at penumur village

EXCLUSIVE CRITERIA

Grils who are having any upper and lower genital tract disease or pelric inflanmatory diseise

DESCRIPTION OF TOOL

The instrument used for the study consist of 2 section.  They are descibed below

Section A: Demographic data

Section B: Knowledge regarding the care during menstruation

Section A

Demographic data consist of age, ageat menarche education, marital status, family income.

Section B

Assessment of knowledge was done using multiple choice question prepared by the in restigator.  It consist of 20 questions related to knowledge on care during menstruation with total score of 20.

SCORE INTERPRETATION

Knowledge regarding the care during menstruation consist of 20 questions.  Every correct answer was given a score of ‘one’ and wrong answer was scored as Zero.  The total score was 20.

Percentage =  X100

75-100% – Adequate

74-50% – Moderate

<50% – Inadequate

PILOT STUDY

The pilot Study was conducted for 3 day among adolecent girls at penumur village A sample of 3 adolescent girls who met the inclusion interia were selected bynon probability conventent sampling method. Was used to test the reliability and it was 0.74 Durring the Pilot study, practicatility and feasibility of the instrument was cheked. No difficultis were faced by the investigater.

DATA COLLECTION PROCEDURE

Date collection procedure was started on Oct 6 completed on Oct 12.  The study was conducted for for a period of 1 week.  Adolescent girls residing at penumur village were selected as population for the study.

30 Samples were seleted by using non probabilityconvenient sampling method. It was collected through structored interview method.  The interview was conducted on individual basis, each girl look about 10-15 mil mts to answer the question.  The assessment of knowledge level was done for 30 adolescent girls.

PLAN FOR DATA ANALYSIS

The data obtained were analysed by using descriptive statistics.

DESCRIPTIVE STATISTICS

Frequency and percentage distribution was used to analyse the demographic varables and the knowledge level regarding the care during menstruation.

Mean and standard deriation was used to assess the knowledge level

 

DATA ANALYSIS AND FINDING

This Chapter deals with analysis of data collected from so sample to assess the knowledge regarding the care during menstruation among adolescent girls.  Thefinding were classified in the following sections.

Section A : Analysis of frequency and percentage distribution of demagraphic variables

Section B : Analysis of mean, standard deviation and percentage of knowledge regarding the care during menstruation among adolescent girls

Section C: Overall Knowledge of adolescent girls regarding the care during menstruation.

 

TABLE I : DISTRIBUTION OF DEMOGRAPHIC VARIABLES AMONG ADOLESCENTS GIRLS

S.No DEMOGRAPHIC YARIABLES FREQUENCY PERCENTAGE
1. Age in year

a)11-13

b)14-16

c)17-19

 

20

10

 

66.7

33.3

2. Age in Menarche

a)<12

b)12-15

c)>15

 

4

26

 

13.3

86.7

3. Education

a)Lliterate

b)Primary

c)Secondary

d)HigherSecondary

 

13

17

 

43.3

56.7

4. Marital Status

a)Married

b)Un Married

 

30

 

100

5. Family Income

a)< Rs 1000

b)Rs 1000-5000

C)>Rs 5000

 

5

18

7

 

16.7

60

23.3

 

TABLE 1 : SHOWS THE DISTRIBUTION OF DEMOGRAPHIC VARIABLES AMONG ADOLESCENT GIRLS

With regard to their age 20(66.7%) were between 14-16 years, 10(33.3%) were 17-19 years, none of the them were in 11-33 years. Regarding age at menarehe 4(13.3%) were <12years, 26(86.7%) were 12-15 years. Non of them are illiterate,  and primary education, 13(43.3%). Were having secondary educations, 17(56.7%) were graduates. Regarding marital status, 30(100%) were unmarried.  Considering this family income 5(16.7%) earn < 1000, 18(60%) earn Rs.1000-5000, 7(23.3%) earn > Rs.5000.

TABLE :2

DISTRIBUTION OF KNOWLEDGE LEVEL REGARDING THE CARE DURING MENSTRUATION AMONG ADOLESCENT GIRLS

Sl.No Knowledge Inadequate Knowledge(<50%) Moderate

(50-74%)

Adequate

(75-100%)

 

1. Knowledge regarding care during menstruation No % No % No %
8 26.7 16 53.3 6 3

 

TABLE II : SHOWS THE DISTRIBUTION OF KNOWLEDGE LEVEL REGARDING THE CARE DURING MENSTRUATION AMONG ADOLESCENT GIRLS

From the Table II, regarding the knowledge level on care during menstrucation 8 (26.7%) had inadequate knowledge, 16 (53.3%) had moderate knowledge, 6(20%) had adequate knowledge.

TABLE III: MEAN AND STABDARD DEVIATION AMONG ADOLESCENT GIRLS REGARDING THE CARE DURING MENSTRUATION

Sl. No. Knowledge Mean Standard Deruetuion
1. Knowledge level regarding  the care during meanstruation 11.3 2.67

 

Table shows the mean and standard deriation of level of knowledge regarding the care during menstruation.  The mean score was 11.3 with standard deriation of 2.69.

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