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AN EXPERIMENTAL STUDY TO ASSESS THE EFFECTIVENESS

OF EVENING PARTIAL BATH ON QUALITY OF SLEEP

PATTERN AMONG IMMOBILIZED ORTHOPEDIC

PATIENTS AT GGSMC&H, FARIDKOT,

PUNJAB

A thesis submitted for the partial fulfillment of the requirement for the
degree of

MASTER OF SCIENCE IN NURSING


(Medical-Surgical Nursing)
(Orthopedic Nursing)
MAY 2019

RAMAN KUMARI
UNIVERSITY COLLEGE OF NURSING
BABA FARID UNIVERSITY OF HEALTH SCIENCES
FARIDKOT-151203, PUNJAB, INDIA
CERTIFIED THAT THIS IS THE BONAFIDE WORK

Of

RAMAN KUMARI

at the

University College of Nursing

A thesis submitted for the partial fulfillment of the requirement for the degree of

MASTER OF SCIENCE IN NURSING


(Medical-Surgical Nursing)
(Orthopedic Nursing)
of

BABA FARID UNIVERSITY OF HEALTH SCIENCES

FARIDKOT, PUNJAB

MAY 2019

` Prof. H.C.L.Rawat
Professor and Principal
M. Sc. (Child Health Nursing)
University College of Nursing
B.F.U. H. S.
Faridkot, Punjab, India
CERTIFICATE BY SUPERVISOR

This is certified that Ms. Raman Kumari has carried out a study titled "An experimental
study to assess the effectiveness of evening partial bath on quality of sleep pattern
among immobilized orthopedic patients at GGSMC&H, Faridkot, Punjab” is the original
work conducted under our guidance and supervision at the university college of nursing, Baba
Farid University of health sciences, Faridkot, Punjab, for the partial fulfillment of the
requirement for the degree of Master of Science in Nursing (Medical-Surgical Nursing)

Guide Co-Guide
Mr. Anil Kumar Dr. Kevin Khatri
Lecturer Assistant professor
University College of nursing GGMCH, Faridkot
DECLARATION

I hereby declare that the dissertation entitled “An experimental study to assess the
effectiveness of evening partial bath on quality of sleep pattern among immobilized
orthopedic patients at GGSMC&H, Faridkot, and Punjab” submitted for partial
fulfillment of the requirement for the degree of Master of Science in Nursing (Medical-
Surgical Nursing), is my original work.

RAMAN KUMARI
M. Sc. (N) Final Year
University College of Nursing
Baba Farid University of Health
Sciences, Faridkot,
Punjab, India
ACKNOWLEDGEMENT

First and foremost, I would like to thank Almighty God for giving me the strength, knowledge,
ability and opportunity to undertake this research study and to persevere and complete it
satisfactorily. Without his blessings, this achievement would not have been possible. No
endeavors are completed in isolation and likewise, this thesis is a product of efforts and
blessings of many noble persons around me.
I convey my personal and individual heartfelt thanks to all those who have been associated
with the present study and have contributed to it in one way or the other.
I express my sincere thanks & owe my debt of gratitude to my esteemed guide Mr. Anil Kumar
Lecturer, UCON, Faridkot, for his guidance, critical evaluations of the work, encouragement,
kind attitude, understanding and continued support that was extended in every phase of work.
My ideas and visions were rounded and polished in the touchstone of his experience and
wisdom, thanks to which the thesis took its present shape.
I do express my deep sense of appreciation and heartfelt thanks to my co-guides Dr. Kevin
Khatri, Associate professor, GGSM&CH Faridkot.
I would like to acknowledge with respect and gratitude the sincere help and guidance of my
esteemed teacher Prof. H.C.L Rawat, Principal, University College of Nursing, Faridkot for
his guidance, valuable suggestions, keen interest and consistent encouragement throughout
the completion of this study.
I acknowledge my sincere gratitude to statistician Mr. Baltej Singh for his expert advice in
analyzing the data.
My heartfelt thanks to all participants included in the study and I am greatly indebted for
their patience and cooperation during the study.
I wish to express my appreciation and gratitude to all the panel members and experts, who
helped me, build inroads into this arduous research and investigations.
Finally, my special and huge appreciation to my life, my husband Mr. Satnam Singh, I pride
myself in having words for everything, but he truly shut me up when it comes down to
describing how much I appreciate the efforts he has put into giving me all that I now have. He
is the reason where I am today.
I donot have enough words to express my love and feeling for my family, their prayer, moral
support, love, affection and constant encouragement which kept my working spirit alive.
I am extraordinary fortunate in having very cooperative, my dear friend Navjot Kaur she is
such a great blessing. The value of moral support provided by her during the phase of stress
and strain shall be beyond the capacity of my pen. I am thankful to my friends Ms Gaganpreet
Kaur and Mrs. Amanpreet Kaur Pabla for the stimulating discussions, for the sleepless nights
we were working together before deadlines. They were always a good companion throughout
my study. I express a deep sense of gratitude and love for their support, strength, and help
and for everything.

RAMAN KUMARI
ABSTRACT

INTRODUCTION: - Sleep is the basic human need for all individuals it helps to restoration
of functions, refreshing the ideas and feeling well after awakening but the sleeping pattern are
disturbed in hospitalized patients specially immobilized patients. So many therapies are
available for improve the sleep quality but all therapies are not provided to the hospitalized
patients. This study was undertaken to assess the effectiveness of partial evening bath among
immobilized orthopedic patients at GGSMC&H, Faridkot, and Punjab

AIM: - Aim of the study was to assess the effectiveness of partial evening bath among
immobilized orthopedic patients at GGSMC&H, Faridkot, and Punjab

MATERIAL & METHODS: - Experimental approach with two group pre and post test
design was used. Conceptual framework for the study was adopted from Ludwig Von
Bertalanffy (1968) General System model. Sampling with random assignment, 35 subjects
were selected in experimental and 35 in control group. Subjects in experimental group had
received partial evening bath intervention. The standardized scales VSH sleep was used to
assess the quality of sleep. Descriptive statistics and Independent & paired t- tests, chi-square
were used to analysis data.

RESULTS: The result revealed that there was significant reduction in disturbance of sleep
score from the 1st day of intervention in experimental group. The independent t test value was
found to be statistically significant at p value <0.05 for disturbance of sleep score in
experimental group

CONCLUSION: - partial evening bath is noninvasive, non-pharmaceutical and effective


method to reduce disturbance of sleep in immobilized orthopedic patients
RECOMMENDATIONS: Evening partial bath is very highly effective in reducing
disturbance of sleep and improve the effectiveness of sleep, so more nurses and nursing
students and care givers should be allocated in orthopedic ward to provide intervention of
evening partial bath.

KEY WORDS: Partial evening bath, effectiveness, immobilized orthopedic patients.


TABLE OF CONTENT
S.NO. Name of Chapter Page no.
1. 1 INTRODUCTION 1-8
Background of the study
The need for the study
Problem statement
Objectives of the study
Hypothesis of the study
Operational Definitions of terms used in the study
Conceptual framework
2. 2 REVIEW OF LITERATURE 9-18
Related to disturbance of sleep
Related to intervention for the effectiveness of sleep
Related to the development of VSH sleep scale
3. 3 METHODOLOGY 19-27
Research approach
Research design
Study setting
Study population
Sample and Sampling technique
Tool and technique Intervention
Ethical consideration
Pilot study
Procedure for data collection
Data analysis
Summary
4. 4 ANALYSIS AND INTERPRETATION 28-43
5. 5 DISCUSSION 44-48
Major findings
Discussion
6. 6 SUMMARY, CONCLUSION IMPLICATION 49-52
AND RECOMMENDATION
7 REFERENCES 53-56
LIST OF ANNEXURES

Annexure Title of the annexure Page no.

I Approval of plan of thesis 1

II Permission to conduct a pilot study 2

III Letters to experts for establishing the content validity of research 3

data collection tool

IV List of experts 4

V Participant information sheet 5

VI Certificate for tool validation in Punjabi 6

VII Consent form in English 7

VIII Consent form in Punjabi 8

IX Research tool 9-11

XI Key to Master sheet 12-14

XII Master sheet 15-16


LIST OF TABLES

Table no. Title of the table Page no.


1. Frequency and percentage distribution of study subjects according 29
to socio-demographic variables
2. Frequency and percentage distribution of study subjects according 32
to clinical variables
3. Mean score and standard deviation of quality of sleep among 35
experimental and control group before intervention
4. Comparison of mean sleep score of disturbance of sleep in 37
experimental and control on pre-test and day 3rd
5. Comparison of mean sleep score of the effectiveness of sleep in 39
experimental and control on pre-test and day3
6. Comparison of mean sleep score of compensatory sleep in 41
experimental and control on pre-test and day3
LIST OF FIGURES

Table no. Title of the table Page no.


1. Conceptual framework based on Ludwig von Bertalanffy system 8
model theory

2. Study flow chart 26

3. Comparison of mean sleep score of disturbance of sleep in 38


experimental and control on pre-test and day 3rd
4. Comparison of mean sleep score of the effectiveness of sleep in 40
experimental and control on pre-test and day3
5. Comparison of mean sleep score of compensatory sleep in 42
experimental and control on pre-test and day3
LIST OF ABBREVIATIONS

BFUHS Baba Farid University of Health Sciences

GGSMH Guru Gobind Singh Medical College

VSH Verran Snyder Halpern sleep scale