College Of Nursing

Madras Medical College

Chennai-03

UNPUBLISHED
JOURNAL CRITIQUE
PRESENTED BY
D JAGADESWARI
MSc(nursing) I YEAR
CON,MMC

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 ABOUT THE ARTICLE
Journal Name - Dissertation

Publisher - Unpublished

Source - Tamilnadu M.G.R.Medical University

Author name - Sudha R

Month & year - October 2020

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INTRODUCTION
1. Hemophilia is a disorder of coagulation. Hemophilia A
and hemophilia B are due to the deficiency of factor VIII
and factor IX .Both are inherited as X-lined, males
usually exhibit the disease and female are carriers.

2. Prevalence of Hemophilia A is 1 in 5,000 male births

and that of Hemophilia B is 1 in 20,000. A study helps to
assess the impact of nurse led hemophilic management
protocol among clients with hemophilia. 3
 title
A STUDY TO ASSESS THE IMPACT OF
NURSE LED HEMOPHILIC
MANAGEMENT PROTOCOL AMONG
CLIENTS WITH HEMOPHILIA AT OUT
PATIENT DEPARTMENT,TERTIARY
CARE HOSPITAL, CHENNAI.
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 OBJECTIVE OF THE
STUDY
To assess the pre-test level of knowledge and
practice regarding hemophilic management
among clients with hemophilia.
To determine the impact of nurse led programme
To associate pre-test and post-test knowledge
and practice with selected demographic
variables.

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 Methodology
• Study setting – Hemophilia Out-patient, Rajiv Gandhi
Government General Hospital,Chennai.
• Study period - 20.01.2020 to 15.02.2020
• Study approach - quantitative approach
• Study design - Pre experimental One group pre test and
post test design
• Study population – Patients with Hemophilia
• Sample size - 60 samples were selected
• Sampling technique – Convenient sampling technique
• Prior permission from ethical committee was obtained

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 Inclusion CRITERIA

 Patients with hemophilia in day care center

Rajiv Gandhi Government General
Hospital,Chennai-03.
 Patients who are willing to participate.
 Patients who are available at the time of
data collection.
 Both male and female patients with
hemophilia.
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EXCLUSION CRITERIA
The study excludes hemophilic clients who are

• Patients with other comorbid illness.

• Not included children below 13 years.

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 Data collection
 The pre test was conducted by semi structured
questionnaires.
 Pre test knowledge and practice was assessed.
 After conducting the pretest, the nurse led hemophilic
management protocol on knowledge and practice of
patiients with hemophilia through the laptop and
pamphlet .
 The duration of teaching was 45 minutes to the client for
five consecutive days .
 The post test was conducted using the same question on
the 7th day of data collection period.
 Each day 3-4 hemophilic clients were assessed.
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RESULT
KNOWLEDGE SCORE VALUE
PRE-TEST MEAN SCORE 8.03
POST-TEST MEAN 14.63
SCORE

PRACTICE SCORE VALUE

PRE-TEST MEAN SCORE 15.70
POST-TEST MEAN SCORE 27.07

COMPUTED VALUE LEVEL OF

‘T’VALUE SIGNIFICANCE
PRE-TEST 22.51 P</=0.001
POST-TEST 27.98 P=0.001
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 DISCUSSION
• There is a significant difference between the pre-test
knowledge and practice score of hemophilic
management protocol among clients with hemophilia.
• There is a significant association between the mean
knowledge and practice scores of hemophilic
management protocol among clients with hemophilia
with their selected socio demographic variables.

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 CONCLUSION
This study says that adequate level of knowledge
in nurse led hemophilic management protocol of
hemophilia patients will helps to lead the quality of
life and prevents the further hemophilic
complications and its related consequences in their
life.

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 critique
CONTENT POSITIVE CRITIQUE NEGATIVE CRITIQUE

Title ---------- Study the experiences

Clearly written ,highlighting

Abstract the major features of the --------------
study

Introduction Clear,understandable -------------

Objectives Clearly mentioned --------------

Conceptual framework Clearly mentioned

Population Clearly mentioned Can be done in all age group

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contD
CONTENT POSITIVE CRITIQUE NEGATIVE CRITIQUE
METHODS
Appropriate procedures were
Protection of participants ------
followed
rights
Research design &research Appropriate can be done in mixed
tradition method
Population of interest is adequately
Can be done in larger
Sample and setting described. sample and longer
Sample size adequate
duration

Data collection Appropriate method of data

collection --------

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Cont…
CONTENT POSITIVE CRITIQUE NEGATIVE CRITIQUE

RESULTS: Data management and data analysis -----------

Data analysis methods are clearly described

Findings Mentioned clearly ------------

Interpreted within an appropriate frame of

DISCUSSION: reference Some were
Interpretation of the discussed with very
Discussed with prior studies
findings old studies
Consistent with the study limitations

Presentation Well written, well organized, sufficiently

detailed

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Thank you !
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