A Study to Assess the Effectiveness of Structured Teaching Programme on Knowledge Regarding Prevention of Coronary Artery Disease among the Patients with Diabetes Mellitus in S.C.B MCH Cuttack, Odisha
Keywords:Coronary artery disease (CAD), Prevention, Diabetes mellitus, Knowledge
Coronary artery disease is a condition in which the blood supply to the heart muscle is partially or completely
blocked.Diabetes mellitus has been well described as a cardiovascular risk factor in developed countries. In
the Framingham study, the incidence of cardiovascular disease among diabetic men was twice that among
nondiabetic men, and similarly was three times more elevated in diabetic women compared to nondiabetic
women. Diabetic subjects are known to have a two to four times increased CAD risk, and CAD has been
reported to occur two to three decades earlier in diabetic subjects as opposed to their nondiabetic counterparts.
Aim of the Study: Thepresent study was conducted to assess theeffectiveness of structured teaching
programme on knowledge regarding prevention of coronary artery disease among the patients with diabetes
mellitus in selected hospitals.
Methods: Evaluative approach. A one group pre test and post test (pre experimental) design was used
for study.Non Probability convenience sampling technique was used for selection of sample.60 diabetes
patients were selected as per availability and fulfillment of the preset criteria from selected hospital.
Results: The majority of pretest knowledge score of patients that is75% (45) has poor knowledge but
majority posttest knowledge score have 53.33% (32) have good knowledge. posttest mean value 23.98was
higher than the pretest mean value 11.56. The mean difference between pre and posttest was 12.42and the
z test value was 14.27at 5% level of significance which was highly significant.Chi square was calculated
to find out the association between post test knowledge scores of patients with diabetes mellitus with their
selected demographic variables. It was find that there was no significant association between post test
scores among patients with diabetes mellitus regarding prevention of CAD, when compared with age, sex,
educational qualification, religion, marital status, dietary habits, habits, history of high BP, history of high
cholesterol, previous knowledge of CAD. This indicates that the demographic variables have no effect on
posttest knowledge score of patients.
Conclusion: From the findings of the present study it is concluded that structure teaching programme
on knowledge regarding prevention of CAD among the patients with diabetes mellitus was effective for
improving the level of knowledge.
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