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APPENDIX-I

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  • APPENDIX-I

  • APPENDIX-II

  • APPENDIX-III

    LETTER TO THE EXPERT FOR CONTENT VALIDITY OF TOOL.

    To

    Subject: Experts opinion and suggestion for the content validity of the tool

    Respected Sir/Madam,

    I, Jasmine Kaur, student of M.Sc. Nursing in Khalsa College of Nursing, Amritsar, request

    you to give your expert opinion and suggestions for modification and improvement of part 1

    (socio-demographic profile) tool to be used in research study. I have selected under

    mentioned topic for research project, to be submitted to BFUHS for the partial fulfillment of

    University requirement of Master of Nursing degree.

    A Quasi-experimental Study to assess the effectiveness of Early Ambulation on

    Involution of Uterus among Postnatal Mothers admitted in selected Hospitals of

    Amritsar, Punjab.

    Objectives:

    1. To assess pre-interventional involution of uterus in experimental and control group among

    postnatal mothers.

    2. To assess post-interventional involution of uterus in experimental and control group among

    postnatal mothers.

    3. To compare pre-interventional and post-interventional involution of uterus in experimental

    and control group among postnatal mothers.

    4. To determine the association of post-interventional involution of uterus in experimental

    and control group among postnatal mothers with selected demographic variables.

    Therefore, I humbly request you to kindly validate the tool.

    Thanking you in anticipation.

    Yours sincerely,

    Jasmine Kaur

    M.Sc. Nursing,

    Khalsa College of Nursing

    Amritsar, Punjab.

  • APPENDIX-IV

    LIST OF EXPERTS

    1. Mrs. Neelam Hans Professor & Principal Khalsa College of Nursing,

    Amritsar.

    2. Dr. Amanpreet Kaur Professor Khalsa College of Nursing,

    Amritsar.

    3. Mrs. Monika Dogra Reader Khalsa College of Nursing,

    Amritsar.

    4. Mrs. Sandeep Kaur Lecturer Khalsa College of Nursing,

    Amritsar.

    5. Mrs. Sudha Lecturer Khalsa College of Nursing,

    Amritsar.

    6. Ms. Sarbjot Kaur Lecturer Khalsa College of Nursing,

    Amritsar.

    7. Mrs. Mamta Lecturer Khalsa College of Nursing,

    Amritsar.

    8. Mrs. Parminder Kaur Lecturer Khalsa College of Nursing,

    Amritsar.

    9. Mrs. Sukhjinder Kaur Lecturer Khalsa College of Nursing,

    Amritsar.

    10. Ms. Tarandeep Kaur Lecturer Khalsa College of Nursing,

    Amritsar.

    11. Mrs. Yashpreet Kaur Lecturer Khalsa College of Nursing,

    Amritsar.

    12. Ms. Amandeep Kaur Lecturer Khalsa College of Nursing,

    Amritsar.

  • 13. Mrs. Meenu Sharma Lecturer Khalsa College of Nursing,

    Amritsar.

    14. Ms. Neeraj Gill Lecturer Khalsa College of Nursing,

    Amritsar.

    15. Mr. Jaspreet Singh Clinical Instructor Khalsa College of Nursing,

    Amritsar.

    16. Mr. Sumit Kumar Clinical Instructor Khalsa College of Nursing,

    Amritsar.

    17. Ms. Amandeep Kaur Clinical Instructor Khalsa College of Nursing,

    Amritsar.

    18. Ms. Bhawna Gupta Clinical Instructor Khalsa College of Nursing,

    Amritsar.

    19. Ms. Loveleen Kaur Clinical Instructor Khalsa College of Nursing,

    Amritsar.

    20. Ms. VKSK Priyanka Kavuluru Clinical Instructor Khalsa College of Nursing,

    Amritsar.

  • APPENDIX-V

    CONSENT FORM

    Dear Respondent,

    I am conducting a research study to assess the effectiveness of Early Ambulation on

    Involution of Uterus among Postnatal Mothers admitted in selected Hospitals of Amritsar,

    Punjab.

    I need your help and would appreciate if you would spend some time to help me in

    completing this research tool. I assure you that information given by you will be kept

    confidential and will be used for research purpose only.

    If you are interested and willing to participate, kindly sign the consent form.

    Signature:

  • sihmqI Pwrm

    ipAwry pRqIvwdI

    mYN pMjwb dy AMimRqsr dy hspqwlW iv`c b`cy dy jnm qoN bwAd

    mwvW au~qy jldI qurn-iPrn dw b`cydwnI dy Gtx au~qy pRBwv dw jwiezw lYx leI ie`k Koj

    AiDAYn kr rhI hW[

    mYN quhwfI shwieqw cwhuMdI hW Aqy mYN Awp dI pRsMsw

    krWgI jykr qusIN Awpxw kuJ smW myrI ies Koj nUM pUrw krn leI k`Fogy[ mYN

    quhwnUM ivSvws idvwauNdI hW ik Awp jI v`loN id`qI sUcnw nUM pUrI qrHW gupq

    r`iKAw jwvygw Aqy Koj dy kMm Aqy mh`qv leI hI vriqAw jwvygw[

    ih`sw lYx leI sihmq hW[

    dsqKq

  • APPENDIX-VI

    TOOL FOR DATA COLLECTION

    PART-I

    Socio-Demographic Profile

    DATE: TIME:

    1. Age (in years)

    a. 19-22

    b. 23-26

    c. 27-30

    d. 30 & above

    2. Education

    a. Illiterate

    b. Primary

    c. Secondary

    d. Graduate & above

    3. Occupation

    a. Home-maker

    b. Self-employee

    c. Private employee

    d. Government employee

    4. Parity

    a. Primipara

    b. Mutipara

    5. Body mass index (Kg/m2)

    a. Below 18.5

    b. 18.5-24.99

    c. Above 25

  • Part- II

    Involution Measuring Scale (J. Dyana Sathya 2011)

    S. NO. INVOLUTION OF UTREUS Score

    1. 0-0.5 cm below the umbilicus 0

    2. 0.5-1 cm below the umbilicus 1

    3. 1-1.5 cm below the umbilicus 2

    4. >1.5 cm below the umbilicus 3

    Total score for all three days

    Maximum score: 9

    Minimum score: 0

    Criterion Measures

    Level of involution Scores Grade

    Mild Involution 0-3 0

    Moderate Involution 4-6 1

    Good Involution 7-9 2

  • APPENDIX-VII

    PROTOCOL FOR DATA COLLECTION

    EARLY AMBULATION PROCEDURE GUIDE

    I. PREPARATORY PHASE:

    1. Develop IPR with patient.

    2. Explain the importance of early ambulation after cesarean section.

    3. Check vital signs.

    4. Keep the foot step near bedside if needed.

    5. Keep the extra pillows ready for patient to sit before and after ambulation.

    6. Make the floor clean and dry.

    7. Check the patient well groomed and adequately clothed.

    8. Loosen the urobag and it is kept below hip level.

    10. Identify additional person to support the patient while walk.

    II. INTERVENTION (ACTION) PHASE:

    A. Turning and Sitting

    1. Give semi-reclining position to patient for 5 minutes.

    2. Assist patient by supporting back and shoulder.

    3. Bring patient legs to the edge of the bed.

    4. Allow feet to rest on foot stool.

    5. Check blood pressure of patient to note features of orthostatic hypotension or for dizziness/

    drowsiness and pain.

    B. Standing and walking:

    6. Instruct the patient to slowly stand on the foot stool.

    7. Give support with assistance on either side of the patient.

    8. Make the patient climb down from the foot step gradually.

  • 9. Provide assistance and ambulate the patient for 10 minutes.

    III. POST AMBULATION PHASE:

    1. Bring the patient back to her room.

    2. Make the patient to sit on the bed for a while.

    3. Slowly put legs of patient on the bed.

    4. Provide semi-reclining position to the patient.

    5. Connects the drains back in position (urobag).

    6. Continue and maintain the IV infusion.

    7. Check the condition of the patient (free from dyspnea, hypotension and dizziness)

  • APPENDIX-VIII

    LIST OF STATISTICAL FORMULAE

    1. Mean (X) = X

    N

    2. Standard Deviation (S.D) = (X-X)2

    N

    3. Chi Square

    (O E) 2

    2 = E

    df = (c - 1) (r - 1)

    4. ANOVA (F) = Mean of sum of squares between the groups

    Mean of sum of squares within the groups

    5. Paired t test = d n

    S.E

    6. Unpaired t test = (X1 X2 )

    S.E

  • APPENDIX-IX

  • APPENDIX-X

    MASTER SHEET

    Experimental Group

    Subject Age (in

    years)

    Education Type of

    Family

    Nature of

    Work

    Parity Body mass

    index

    (Kg/m2)

    Pre-test

    Score

    Post-test

    Score

    Exp 1 b c a a b b 1 5

    Exp 2 a b b b b c 0 4

    Exp 3 a c a a a b 1 4

    Exp 4 a c b b b b 0 3

    Exp 5 a c b a a b 1 4

    Exp 6 b b a b a b 1 5

    Exp 7 a d b a b c 0 4

    Exp 8 a b b a b c 1 5

    Exp 9 a c a b b b 0 4

    Exp 10 c c b a a b 1 7

    Exp 11 a c b a b c 1 4

    Exp 12 a c a a a b 1 3

    Exp 13 b c a a a c 1 6

    Exp 14 a c b b b c 0 3

    Exp 15 b b a a a c 1 6

    Exp 16 a c b b b b 1 5

    Exp 17 a c b a a c 1 4

    Exp 18 b d a a b c 1 6

  • Subject Age (in

    years)

    Education Type of

    Family

    Nature of

    Work

    Parity Body mass

    index

    (Kg/m2)

    Pre-test

    Score

    Post-test

    Score

    Exp 19 a c b b a b 0 5

    Exp 20 a c b b a c 1 4

    Exp 21 b c b a a c 1 6

    Exp 22 a c a b b b 1 5

    Exp 23 a c b a b b 1 4

    Exp 24 b c b a a b 1 8

    Exp 25 c c a a a c 1 7

    Exp 26 a c b a a c 0 4

    Exp 27 b c a b b b 1 6

    Exp 28 b b b b b b 1 6

    Exp 29 a c a a b b 1 5

    Exp 30 a c a a a b 1 4

    Control Group

    Subject Age (in

    years)

    Education Type of

    Family

    Nature of

    Work

    Parity Body mass

    index

    (Kg/m2)

    Pre-test

    Score

    Post-test

    Score

    Con 1 a b a a b b 0 3

    Con 2 b c b a b b 1 3

    Con 3 a c a a b b 0 3

    Con 4 a c a a a b 1 3

    Con 5 b c b a a b 1 3

    Con 6 a c a b b c 0 4

    Con 7 b d b a a c 1 3

  • Subject Age (in

    years)

    Education Type of

    family

    Nature of

    work

    Parity Body mass

    index

    (Kg/m2)

    Pre-test

    score

    Post-test

    score

    Con 8 b c b b b c 1 3

    Con 9 a c a b b b 0 4

    Con 10 a c b a a c 1 3

    Con 11 c c a b a c 1 4

    Con 12 a c b a a c 1 3 Con 13 b c a b a c 1 4

    Con 14 a c b a a c 1 3

    Con 15 b b a b a b 1 3 Con 16 b c b a a b 1 4

    Con 17 b c b b b b 1 4

    Con 18 b c a a a b 0 4

    Con 19 b c b a a c 1 3

    Con 20 c d b b b b 1 5

    Con 21 a c a a a c 0 3

    Con 22 b c a b a c 0 4

    Con 23 a b b a a b 1 4

    Con 24 b c a b b c 1 5

    Con 25 c c a b b c 0 5

    Con 26 a c a b a b 1 4

    Con 27 b c b b a c 1 3

    Con 28 a c b a b c 1 4

    Con 29 b c a a a b 1 3

    Con 30 a b a b b b 1 5


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