ST.

THOMAS COLLEGE OF NURSING, CHETHIPUZHA

CHAPTER-I
INTRODUCTION

“ You can’t do anything about the length of you life. But you can do something about
its width and depth’’ -Even Esar
Science is more advanced today and it mainly focuses on many discoveries
that will increase the life expectancy of human being. People flow with the stream of
modern civilization, but actually they are not realizing that they are loosing their
quality of life. Here comes the importance of this thought.
Each and everyone in a society can play a vital role in improving the width
and depth of life for that they should have adequate knowledge about the life
threatening diseases.
“Swine flu swipes Devastation Across the Nation. It is Now A Pandemic’’. 1
Swine flu is an infection caused by a virus, it is so named for the virus essentially
infects pigs. Humans do not normally get swine flu but human infections can result
from contact with infected pig. The virus is contagious and from the year 2008 the
prevalence of H1N1 has been increased. So it is essential to control the spread of the
disease to improve the quality of human life.

BACKGROUND OF THE STUDY

Swine flu (H1N1) according to reports is spreading thick and fast throughout
our country and people are getting panicky about its possible consequences. As in
most cases, ignorance & fear are the root causes of the unwarranted panic among the
public.
In case of swine flu unlike seasonal flu more than half of the hospitalization
and quarter of the deaths from are in young people under the age of 25 2. The vital
statistics shows that three are about 34115 confirmed cases in India and about 1646
deaths are reported .In Kerala there is about 195 cases of swine flu have been
reported. Pre-monsoon showers flowed by the arrival of south west monsoon in June
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

and July have only hastened the pace of spread of infections in Kerala according to
officials in the state Government.1

NEED FOR THE STUDY

H1N1 fever is the most common cause of increasing morbidity and mortality
rate in our state. Swine flu doesn’t often infect people and the rare human cases that
have occurred in the past have mainly affected people who had direct contact with
pigs. But the current outbreak is different3.
In most cases ignorance and fear are the root causes of the unwarranted panic
among the public. If they have adequate knowledge about its occurrence they can take
measures preventing it. Here poor sanitation, overcrowding, stagnant water etc, act
as a spreading cause f this disease4.
The health of the nation lies in the people of the society. Family is the basic
unit of the society. As housewives are the care taker of the family members she should
have adequate knowledge regarding the early management and preventive measures
of the health problems5. Thus arise a healthy family there by a healthy nation. So we
selected the housewives for our study to assess the knowledge regarding H1N1.fever.
Be aware; be well informed only we can stop the pandemic from spreading 6

STATEMENT OF THE PROBLEM

“ A descriptive study to assess the knowledge regarding H1N1 fever (swine flu)
among housewives in selected areas of Vazhappally Panchayat’’

OBJECTIVES.

1. To determine the prevalence of swine flu in selected areas of

Vazhappally Panchayat.
2. To determine the knowledge level of housewives regarding the H1N1
fever.
3. To assess the association between knowledge about swine flu and
selected demographic variables.
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

OPERATIONAL DEFINITIONS

Knowledge: Knowledge refers to awareness of housewives about H1N1 fever (swine

flu)
H1N1 fever: It is a respiratory disease caused by viruses (influenza virus) that infect
the respiratory tract resulting in sudden onset of fever, cough, sore throat.1
Housewives: Women who are taking care of their family.

HYPOTHESIS

H1: There is an association between knowledge regarding H1N1 fever and selected
demographic variables at 0.05 significance level.

DELIMITATIONS

1. The study is limited to a period of 2 weeks.

2. The study was limited to housewives willing to participate.
3. The study was limited to housewives who are able to read and write.
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

CHAPTER-II
REVIEW OF LITURATURE

Review of literature is an important step in research project. It helps to know

what was previously done, what method has been used by the researchers and how the
result of other research in their area can be combined to develop new knowledge.
Review of literature is a systematic identification, location, scrutiny and
summary of written materials, which contain information on research problem.
Review of literature is a critical summary of research on a topic of interest often
prepared to put a research problem in the context7.

The available literature was divided into the following headings:

1) Review of literature related to incidence and prevelance of H1N1 fever
2) Review of literature related to community attitudes, perception, anxiety
and behaviour pattern towards disease.
3) Review of literature related to risk factors of swine flu fever
4) Review of literature related to epidemiology.

REVIEW OF LITERATURE RELATED TO INCIDENCE AND

PREVALENCE OF H1N1 FEVER:

A study on H1N1 virus pandemic of 21st centuary and was conducted in

Canada from 10th December to 29th December.They took 700 samples for this study
using unstructured interview method and reveals that 15% of there total population is
affected with this pandemic of 21st centuary.8

A descriptive study on mortality due to H1N1 fever and influenza conducted

in selected hospitals of South America using structured questionnaire method reveals
that 3646 died out of 36115 confined cases.9
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

A descriptive study on out-break of H1NI among adult is conducted from 10 th

june to 5th august using structured interview method, and study reveals that H1N1
infection in Indian adult had the features similar to that of seasonal influenza 10.

LITERATURE REVIEW RELATED TO RISK FACTORES FOR

SWINE FLU FEVER

A descriptive study on risk factors of H1N1 fever and causes of mortality in

2007 to 2008 was conducted in selected areas of Mexico using structured questionare.
They took a sample size of 200 by convenience. Study reveals that the major risk
factors are lack of environmental hygiene ,poor health care system, and there is
marked association between cattle rearing as pigs ,incidence and mortality rate .11

LITERATURE REVIEW RELATED TO COMMUNITY

ATTITUDES, PERCEPTION, ANXIETY,AND BEHAVIOUR
PATTERN TOWARDS SWINE FLU.

A study on the community attitudes towards swine flu from May 2nd to29th
May through cross sectional survey in Mexico which reveals that society is very much
conscious about the recent epidemic disease.12
A descriptive study on the public perception, anxiety, and behavioural changes
in relation to swine-flu through cross sectional survey is from 8 February to
28thFebruary on a sample of 300 reveals the high anxiety level of the community13.

LITERATURE REVIEW RELATED TO EPIDEMIOLOGY

A cohort study on hutteric colony in Africa from 12th October to 18th

November on a sample of 60 each reveals that occurance of illness among humans
triggers swine.13
A study on how H1N1virus persist and spread in Switzerland from December 3
to 28 and reveals that poor hygien is a precipitating factor14.
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

REVIEW OF LITERATURE RELATED TO STUDY OF H1N1

VIRUS
An article on the new H1N1 virus ,which threatens to set off an influenza
pandemic is a mishmash of swine, human and bird flu gones down from two flu
strains that infected pigs. He stated that the disease could potentially spread through
virus shed in faeces. Flu virus are thought to be mainly transmitted through droplet
expelled with an infected person cough .2

LITERATURE REVIEW RELATED TO SYMPTOMATIC

MANAGEMENT OF THE SWINE FLU

An expert’s article on the management of symptoms of swine flu which stated

that swine flu begins with the symptoms of cold, and cough. First of all nose and
throat gets infected at the primary infection stage. He added that the best way to
control virus infection is to remove infection from nasal and throat region 15.

REVIEW OF LITERATURE RELATED TO HERBAL REMEDIES

An article on herbal remedies on swine flu says that shathavari,ashwagantha,

bala, naagbala, madhumalini were used for treatment and preventive purpose of swine
flu. The herbal medicine called pippaly was found to have special therapeutic affinity
to the mucosa of the respiratory tract. It can reduce the inflammation swelling and
excessive secretions in the lungs throat and nose 16.
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

CHAPTER-III
RESEARCH METHODOLOGY

Research is a an exhaustive intelligent searching for facts and their meaning

or implications with reference to a given problem. The methodology of research
indicate the general pattern to gather empirical data for the problem under
investigation 17.
Research methodology refers to investigation of the ways of obtaining
organizing and analyzing the data 7. Methodology address with the development,
validation and revaluation of research tools or methods.
This chapter discuss the methodology adopted for the study and includes
research approach, design, setting for the study, population, sample, sampling
technique, validity of tool and reliability, data collection procedure and plan for data
analysis.

RESEARCH APPROACH

The approach indicates the basic procedure for data collection. A research
approach may be used for the purpose of developing theory, identifying problems
with current practice, making judgment or doing 7.
The selection of approach depends upon purpose of study. The research approach
adopted for the present study was a quantitative approach.

RESEARCH DESIGN

Research design is the overall plan for addressing a research question,

including specifications for enhancing the studies integrity. It is a blueprint for the
conduct of a study that minimizes control over factors that could interfere with the
study desired outcome 17.The design must be appropriate to test the study hypothesis
or answer the research question.
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

In the present study a structured questionnaire will be used to collect the data
from the sample.

SETTING FOR THE STUDY

Setting is the physical location and condition in which data collection takes
place in a study 7.
The study was conducted in selected area of Vazhappally Panchayat which
includes Koonamthanam, chethipuzha, Sanketham.

POPULATION

Population is a complete set of individual or object that posses some common

characteristics of interest to the research.13 The population for the present study were
housewives.

SAMPLE AND SAMPLE SIZE

Sample is the subset of population that is selected for a study and members of
14
a sample are the subject The sample will posses all the characteristics of the
population.
In this study the sample is housewives from Chethipuzha, Koonamthanam and
Sanketham and the sample size is 60.

SAMPLING TECHNIQUE

Sampling is a process of selecting a portion of population to represent the

entire population 14
In our study Convenient sampling technique was used.

SAMPLING CRITERIA
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

Sampling criteria are the characteristics essential for the inclusion of target
population. The sample is selected from accessible population that meats these
sampling criteria. 13

INCLUSION CRITERIA

Housewives who are

• In age group of 20-60 Yrs
• Willing to participate in study
• Accessible to researcher

EXCLUSION CRITERIA

Housewives who are health professionals.

DEVELOPMENT OF THE TOOL

Research instruments or research tool area the dense used to collect data. The
instrument facilitates the observations and measurement of variables. The present
study was aimed to assess the knowledge level of housewives regarding H1N1 fever.
Survey method was used for assessing the knowledge. A structured questionnaire was
prepared after consultation with experts in the field of community medicine.

DESCRIPTION OF TOOL
The structured questionnaire for assessment of knowledge regarding H1N1
fever consists of 2 sections:-

Section A deals with demographic variables such as name, age , religion,

education, income, occupation, family status, socioeconomic condition, mode of
treatment, source of information

Section B consists of 40 multiple choice questions on meaning, causes,

clinical manifestations, management prevention and complications of H1N1 fever.
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

SCORING
There are 40 questions having 3 options for each question.
Each correct answer was given a score of one make each and wrong answer
given as zero. So the total score of section B is 40. Grading was also done based on
the marks obtained.
The knowledge level was categorized as follows.
 <50% - Poor knowledge
 50 - 65% - Average knowledge
 65 - 80% - Good knowledge
 80 - 100% - Excellent.

VALIDITY OF THE TOOL

Validity refers to whether an instrument adequately measure, what is supposed

to measure.14 Content validity is the degree to which the items in an instrument
adequately represent the Universe of content for the concept being measured .
The content validity was verified by 2 expert in filed of medicine (Dr.Jamuna
Varghese medical support of taluk Hospital, dr. Gopakumar ) and also by our research
guide for its adequacy.
Suggestion of experts is incorporated into the tool and was modified before
conducting the pilot study.

RELIABILITY OF THE TOOL

Reliability is the degree of consistency or dependability with which an

instrument measures the target attribute.14 The reliability of the tool was tested by split
half method using Karl Pearson’s correlation coefficient, and Spearman Brown
Prophecy formula. The reliability of the tool was found to be 0.81. This indicates that
tool was reliable.
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

PILOT STUDY

14
It is a small variation or trial random in preparation for major study. The
function of the pilot study is to obtain information for improving the project and for
assessing the feasibility. Reliability was confirmed through pilot study.

Pilot study was conducted on 31-07-2010 among 6 hours in Chethipuzha

community (Vakkachanpady). The pilot study was reliable and no problems are arised
during the pilot study.

DATA COLLECTION PROCESS

Data collection is the precise, systematic gathering of information relevant to

the research purpose for the specific objective, question or hypothesis of a study.14
Before the actual collection of data, Permission was obtained from Director
of St.Thomas College of Nursing, Chethipuzha and Principal of ST.THOMAS
COLLEGE OF NURSING, CHETHIPUZHA for going forward with the study. We
also got Permission from Vazhappally Panchayat President Mr. M.C. Antony for
conducting the study in housewives and we given a questionnaire to them and made
them to answer independently in the presence of investigator. This assured that no
discussion was made between the samples during answering the questions. After
specific time questionnaire were collected.

TIME DURATION OF THE STUDY

We started our research work on 26-07-10. The pilot study was conducted in
Chethipuzha on 31-08-10 & 04-08-10. Duration of the study was 2 weeks that is from
26-07-10 to 07-08-10
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

PLAN FOR DATA ANALYSIS

Data will be analyzed using descriptive statistics that is to describe and

synthesize data. Frequency and percentage distribution table was used to assess the
level of knowledge and its association with demographic variables.
Inferential statistics was also used and data will be presented in the form of
tables and figures. Association will be analysed using chi-square test.

SUMMARY

This chapter dealt with research approach research design, setting of the
study, population, sample and sample size, sampling technique, Piolt study, data
collection process and plan for data analysis.
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

CHAPTER-IV
ANALYSIS AND INTERPRETATION

“Analysis is the process of organizing and synthesizing data so as to answer

research questions and test hypothesis”.14
Analysis enters into a research in one form or another from the very beginning.
Research mainly consists in general of two steps: The gathering of data and analysis
of this data. But no amount of analysis can validly extract from the data factors that
are not available.
Analysis of the data means studying the collected material in order to
determine the facts or meaning. It involves breaking down complex factors into
simple parts and managing them in order for the solid purpose of information. When
a researcher selects a problem and begins planning his study he at once think about
the analysis of the total problems in order to formulate a hypothesis that allows him to
start work on the problem stated. First he will engage in determining the factors
required for the study. The final analysis must be calculated in detail when places are
therefore gathering data.16
Statistical analysis helps researchers make sense of quantitative information.
Without statistic, quantitative data would be a chaotic mass of numbers. Statistical
procedures enable researches to Summarise, Organize evaluate Interpret and
Communicate numeric informations.17

The data analysis was organized and done under the following headings.
Section A : Distribution of sample according to demographic variables.
Section B: Assessment of knowledge
Section C: Association between knowledge and demographic variables.
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

SECTION I.
ASSESSMENT OF DEMOGRAPHIC VARIABLES
1. AGE OF THE HOUSE WIVES.

Table 1: Table showing distribution of sample according the age.

N=60
Age Frequency Percentage
20-30 4 6.67 %
30-40 19 31.67 %

40-50 17 28.33 %
50-60 20 33.33%

In the study 33.33% samples are under the age group 50-60 yrs, 31.4% under 30-40
Yrs, 28.33 % under the age group of 40-50 and 6.6% come under the age group of 20-
30.
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

2. RELIGION

Table.2: Table showing distribution of sample according the religion.

N=60
Religion Frequency Percentage
Hindu 9 15%

Christian 49 81.6%
Muslim 2 3.33%

In this study, 81.66% sample come under Christian Religion 15% are included
in Hindu and 3.33% under Muslim.
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

3. EDUCATION

Table 3: Table showing distribution os sample according to education.

N=60
Education Frequency Percentage
>S.S.L.C 6 10%

S.S.L.C 35 58.33%

> Degree 19 31.66%

In this study 58.33% sample were educated upto SSLC 31.66% have them or the
degree and 10% have less than SSLC.
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

4. MONTHLY INCOME

DISTRIBUTION OF SAMPLE ACCORDING THE MONTHLY

INCOME.

Table
N.60
Monthly Income Frequency Percentage
500-1000 12 20%

1001-2000 7 1167%

2001-3000 18 30%
>3000 23 38.33%

Monthly Income in Rs. Of the sample have family income between 2001-3000
monthly, 20% have the Income between 500-1000, 10.33% have income more than
3000 and 11.66% have income between 1001-2000.
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

4. OCCUPATION

DISTRIBUTION OF SAMPLE ACCORDING TO

OCCUPATION.

Occupation Frequency Percentage

Yes 10 16.64%

No 50 83.33%

In this study 83.33% of sample having occupation and 16.66% have no occupation.
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

5. WATER SUPPLY
DISTRIBUTION OF SAMPLE ACCORDING TO WATER SUPPLY.

Table No.
N.60
Water Supply Frequency Percentage
Well 52 36.67%
Public Well 2 3.33%
Public Tap 6 10%
Bore Well 0 0%

In this study 86.66% of sample have well for water supply 10% took water
from public Tap and 3.33% water from public well
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

6. CATTLES
DISTRIBUTION OF SAMPLE ACCORDING TO THE CATTLE REARING.

Table No. N.60

Cattle rearing Frequency Distribution
Yes 4 6.67%
No 56 93.33%
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

7. WASTE DISPOSAL.

DISTRIBUTION OF SAMPLE ACCORDING TO THE TYPE OF WASTE

DISPOSAL.

Table No.
N.60
Waste disposal Frequency Percentage
Pit 16 26.67%
Compost 4 6.67%
Others 40 66.7%

The findings reveals that 26.66% uses pit for the waste disposal, 6.66% uses
Compost & Mas of usese about 66.66% other technique for the waste disposal.
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

9. PREVALENCE

DISTRIBUTION OF SAMPLE ACCORDING TO PREVALENCE

Table No.
N.60
Frequency Percentage
Yes 0 0%
No 60 100%

There is no Prevalence of H1N1 fever in the specified areas of Vazhappally

Panchayat.
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

10. TREATMENT

DISTRIBUTION OF SAMPLE ACCORDING TO TREATMENT

Table No
No.60
Method of treatment Frequency Percentgae
Ayurveda 2 3.33%
Allopathy 56 93.67%
Homeopathy 2 3.33%
Others 0 0%

The reveals that 93.66% of the sample use allopathy for their treatment
3.33% of the sample use Ayurveda and Homeopathy treatment.
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

11.SOURCE OF HEALTH INFORMATION

DISTRIBUTION OF SAMPLE ACCORDING TO SOURCE OF
INFORMATION

Table No.
N.60
Source of Information Frequency Information
Television 26 43.33%
PHC 9 15%
Newspapers & Magazines 25 41.67%
Internet 0 0%

In this study 43.33% of samples are getting information from television, 41.66%
are from newspapers and magazines 15% are from PHC and study revealed that
no housewife’s are depending on internet as a source of information
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

SECTION-2
ASSESSMENT OF KNOWLEDGE
Table 2 a
N.60
Grading Number of Housewife’s Percentage
Poor 10 25%
Average 32 77.5%
Good 15 37.5%
Excellent 4 10%

35-50 poor knowledge

50-65 Average knowledge
65-80 Good Knowledge
80-95 Excellent

Finding reveals that only 10% have excellent knowledge, 37.5% good
knowledge, 77.5% have average knowledge and the remaining 25% have poor
knowledge.
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

SECTION-3

ASSESSMENT OF ASSOCIATION BETWEEN

KNOWLEDGE AND DEMOGRAPHIC VARIABLES.

Table: 3a
N.60
Variable CHI-SQUARE Significance
Age 7.8274 Not Significant
Education 3.8442 Not Significant
Monthly Income 29.71 Significant at 0.05
Religion 17.540 Significant at 0.05
Occupation 99.345 Significant at 0.05
Source of Information 4.4415 Not Significant

Level of significance at 0.05 level

 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

SUMMARY AND CONCLUSIONS.

INTRODUCTION.

This chapter deals with the following headings.

Summary of the entire study

Conclusion of the topic
Limitations of the study
Suggestions and recommendations for improving the study and nsg implications.

SUMMARY

Swine flu is spreading thick and fast throughout the world. The virus spreads
through the air and the infection normally begins with the respiratory organs. The
major cause of this fast spreading is lack of awareness about its among the
community. As a care giver in the 1st part of community ie. Family, housewife’s
can play a major role in its prevention.

The study reveals assessment of knowledge level in housewife’s about H1N1

fever in specified areas of Vazhappally Panchayat.

The objectives of the study were:-

o To assess the prevalence of swine flu in selected areas of Vazhappally

Panchayat

o To assess the knowledge about the H1Ni fever among housewives

o To assess the association between knowledge about swine flu and selected
demographic variables.

Research approach selected for the study was descriptive method. The tool for
the study was a structured questionnaire. Pilot study was conducted in
Chethipuzha community on 31-7-2010 by randomly selecting 6 samples from the
area. Based on pilot study the mainstudy was conducted in Konnamthanam,
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

Sanketham, Vakkachanpadi and in Chethipuzha Community. It was comnducted

on 60 samples by random selection.

The study took 2 weeks to complete. The major findings of the study were
presented under 3 sections.
Section 1 : Distribution of sample according to demographic variables.
Section 2 : Assessment of Knowledge
Section 3 : Association between knowledge and demographic variables.

SECTION 1:-

1) Age:- Among the 60 samples 6.6% were in 20-30 yrs,, 31.4% are 30-40 yrs,
23.33% are included in 40-50 yrs and 33.33% are in between 50-60 yrs.

2) Religion:- 81.66% of samples are Christians 15% are Hindus and 3.33% are
Muslims.

3) Education:- About 10% are educated <SSLC 58.33% are and 31.66% in
were collegiate.

4) Monthly Income:- About 20% have 500-1000, 11.66% have 1000-2000. 30%
have 2001-3000 and 13.33% have a monthly income of more than 3000.

5) Occupation- From the 620 samples 50% are employed and the remaining have
no any job.
6) Water Supply: Source of watersupply for 86.66% are from well, 33.33% are
from public well, 10% are using public tap and no one from bore well.

7) Cattle rearing:- In the study only 6.66% have cattle rearing and the remaining
have no such activities.

8) Waste disposal:- Waste disposal of 26.66% are through pit, 6.66% are by
other methods.

9) Incidence of H1N1 :- There is no prevalence of H1N1, in the selected samples.

 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

10) Type of Treatment:- The 3 types of treatment for majority of the are allopathy
(93.66%), 3.33% are following Ayurvedic and Homeopathy respectively.

11) Source of Information: Source of Information of 43.33% samples was TV,

41.66% are newspaper, 15% are from PHC and no one using internet.

SECTION 2:-

The present study revealed that among the 60 samples, only 10% have
excellent knowledge 31.5% have good knowledge 11.5% have average knowledge
and 25% have poor knowledge.

SECTION 3:-

There is a significant association between knowledge and 3 of the selected 6

variables namely income, occupations Religion.

CONCLUSIONS
From the findings of the study it can be concluded that among 60 Samples
10% have excellent knowledge, 37.5% have good knowledge, 77.5% have average
knowledge and 25% have poor knowledge. That is majority of housewives have only
moderate relationshio between knowledge and 3 of the selected variables namely,
income, Religion and occupation

IMPLICATIONS.

Investigators study can be applied in various nsg aspects . It can be divided to:-
 Nursing Service
 Nursing Education
 Nursing Administration
 Nursing Research
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

Nursing profession is a service to the people. Nursing services can be provided

by helping the people to maintain their health, or by imparting knowledge regarding
various aspects through health education.

As in most cases, ignorance and fear are the roof causes of the unwarranted
panic among the public.

Nurses can import knowledge regarding the causes, symptoms and preventive
measures among the housewives through heath education.

Nurses can conduct awareness programmes at community level.

NURSING ADMINISTRATION:-

Based on the study result nurses can increase the service by improving the
administration study (help in improving) the nsg administration at community.

Community health nurse, or junior public health nurse can plan various in
service education programme for the community people, especially housewives for
improving their knowledge and education to the students.

NURSING EDUCATION:-

Nursing educatiojn plays an important rote in preparing nurses for ensuring the
well being of the people.

Nurses should have through knowledge regarding the emergence of new

diseases as H1N1 fever and about cts early detection, treatment and preventive
measures

 Nursing educators can update their knowledge and also search for
advancement made for the prevention and management of H1N1 fever.
 Nursing students can organize health education programme for housewives at
community level
 Nursing students can conduct seminars, symposium or other health education
programmes the ill effects of H1N1 fever and its preventive measures.
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

NURSING RESEARCH:-

Study opens the wide doors towards

 Some interventional studies can be done on the effectiveness of health

education regarding the H1N1 fever
 Studies can be conducted regarding the influence of hygienicmeasures
in preventing H1N1 fever.
 Develop strategies for educating the housewives about the H1N1 fever.
 Studies can be conducted bout the effectiveness of vaccination to
prevent H1N1 fever.

RECOMMENDATIONS:-

 Studies can be conducted on a large scale.

 Health education programmes can be conducted in the community to
make them aware about the disease.
 A comparative study between urbah and rural population can be done
regarding the knowledge of H1N1 fever.
 An experimental study can be conducted offer the implementation of
interventions as health education to assess the knowledge. Can assess the
practice attitude of community.

LIMITATIONS OF THE STUDY :-

o Study is limited to 60 sample

o Study is limited to selected areas of Vazhappally panchayat
o No educational programmes or materials are given
ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA
 ST.THOMAS COLLEGE OF NURSING, CHETHIPUZHA

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