A Study: A Quasi Experimental Study to Assess the effectiveness of Steam Inhalation with Tulsi Leaves and Turmeric powder to relieve the symptoms of Common cold among the children in selected community area of Nerchowkdistt. Mandi (H.P)

Kamari Nisha¹, Mehra Pallavi², Phur Lhamu Tamang³, Priyanka³,

Priyanka Kumari³, Palvi Thakur³

¹Vice Principal, Abhilashi College of Nursing, Mandi (H.P)

²Associate Professor, Abhilashi College of Nursing, Mandi (H.P)

³B.Sc. (N) Students, Abhilashi College of Nursing, Mandi (H.P)

*Corresponding Author E-mail: lhamuphur0@gmail.com

ABSTRACT:

Children’s health reflects the National health and wealth. Respiratory diseases are very often found in children’s especially in school children’s. It is one of the leading causes of mortality and mortality in young Children. India has 440 million children and about 27 million children are born each year in India. But nearly 2 million of them do not live to the age of 5. Acute respiratory infections are leading cause of child mortality (30%) in India. Hence the study “A Quasi experimental study to assess the effectiveness of steam inhalation with tulsi leaves and turmeric powder to relieve the symptoms of common cold among children in selected community areas at, District, Mandi (H.P.).The study was conducted at community area of Nerchowk Distt. Mandi. TheNerchowk was nearby 180 children in the community area. Among them total number of children selected were 40. The children were selected for study by simple random sampling technique. The checklist was use to assess the effectiveness of tulsi leaves inhalation with turmeric powder for relieving common cold. The data collected was analyzed was done with Descriptive Statistics and Inferential Statistics. The result of study depicts that among 40 children, 20 children were in Experimental group and 20 children were in Control group. The result of study depicts that in pre-test symptoms of common cold among Experimental group children, out of 20 children majority of 14(70%) have moderate cold, 6(30%) of them have severe cold and none of them have mild cold. In comparison to control group, out of 20 children majority of 13(65%) have moderate cold, 7(35%) of them have severe cold and none of them have mild cold and in post-test symptoms of common cold among Experimental group children, out of 20 children majority of 16(80%) have mild cold (1-6), 4(20%) of them have moderate cold and none of them have severe cold. In comparison to control group, out of 20 children majority of 17(85%) have moderate cold, 3(15%) of them have severe cold and none of them have mild cold. The findings of the study showed that the mean score of pre-test and post-test assessment on symptoms of common cold among the children in experimental and control group. The mean score of experimental group pre- test 12.05 (SD= 1.468) and post-test 2.95(SD= 3.762) respectively. In control group the mean score of pre-test 11.950(SD=1.276) and post test 11.90(SD=1.165 respectively.It means after assessment of effectiveness of steam inhalation with tulsi leaves and turmeric powder the symptoms of common cold among the children are improved.

KEYWORDS: effectiveness, tulsi leaf, turmeric, steam inhalation.

INTRODUCTION:

Respiratory disorders are as common in children as it is in adults. A systematic history taking coupled with a physical examination is necessary for arriving at a diagnosis. Respiratory disorder includes abnormal breathing patterns, altered sensorium, convulsions, cyanosis and inability to drink, sweating, hypotonia, repeated vomiting, dehydration and paralysis.¹

Common cold is a frequent illness in childhood and is usually caused by infection of the upper respiratory tract with adenovirus, influenza, rhinovirus or respiratory syncytial viruses. These are spread by droplet infection.²

Respiratory illnesses are common in children under 5 years of age. Most children will develop 3 to 8 episodes of cold or respiratory illnesses in a year. Most cases are mild but about one-third of all hospitalizations in this age group are due to respiratory problems including asthma and pneumonia.³

Children’s health reflects the National health and wealth. Today’s children are tomorrow’s citizens. A well developed child contribution to the National welfare and children are the priceless resources of the Nation. Children are an embodiment of our dreams and hopes for the future. They are the most vulnerable group in the society.⁴

Nearly 2 million under five children die from acute respiratory tract infection and most of the children in developing countries. The incidence of lower respiratory tract infection is high and cause 19% to27% hospitalization of children under the age of 5 year in the USA. Acute respiratory infections counted for 67% of all morbidity in India.⁵

Respiratory diseases are very often found in children’s especially in school children’s. It is one of the leading causes of mortality and mortality in young Children. India has 440 million children and about 27 million children are born each year in India. But nearly 2 million of them do not live to the age of 5. Acute respiratory infections are leading cause of child mortality (30%) in India. WHO (2009) report stated that children below five years of age suffer about 5 episodes of ARI per child per year. ARI is responsible for about 30-40% of Visits to health care facilities and for about 20-40% admission to hospitals.

NEED OF THE STUDY:

The common cold is a contagious viral infection of the upper respiratory tract. A large variety of viruses are associated with common cold and that is why the body does not seem to be developing immunity against them. It commonly infects school-going children and the incidence of cold lessens with age. It is normal for a child to have old around eight or more times a year. This is because there are hundreds of different viruses and young children are meeting each one of them for the first time.

The common cold is the most common types of infectious diseases. In children, it is estimated that each child in the United States experiences two to four respiratory infections annually. The morbidity of these infections is measured by an estimated 75 million physician visits per year, almost 150 million days lost from work, and more than $10 billion In costs for medical care. Serotypes of the rhinoviruses account for 20 to 30 percent of episodes of the common cold. However, the specific causes of most upper respiratory infections are undefined. Pneumonia remains an important cause of morbidity and mortality for non-hospitalized adults despite the widespread use of effective antimicrobial agents.¹¹

A study conducted on etiology of acute respiratory infections in children’s in tropical southern India. Nasopharyngeal secretions and throat swab specimens from 809 children less than 6 years old with acute Respiratory Infections were examined for the presence of virus of viral antigen. Blood was cultured for the presence of bacteria in selected cases of Respiratory Infections viruses were detected in 163(49%) of 331 children with Respiratory Infections Bacteria were isolated from 27(18%) of the 147 children for whom blood cultures were done.

MATERIALS AND METHODS:

RESEARCH DESIGN:

The research design is the architectural backbone of the study. The research design adopted for this study was A Quasi -experimental repeated measure design in which the researcher can periodically observes the subject and experimental treatment is administered between two of the observation.

RESEARCH VARIABLES:

1. Dependent variable:

The dependent variable is the effect of the independent variable and cannot exist by itself. In this study the dependent variable is symptoms of common cold.

2. Independent variables:

The independent variable is the variable that stands alone and not dependent on any other. In this study the independent variable is steam inhalation with tulsi leaves and turmeric powder.

3. Demographic variables:

In this study the demographic variable includes child age, gender, duration of illness, residential area, information and source regarding common cold, type of family, religion, education, occupation and monthly income of child`s family.

POPULATION:

The population is referred to as the entire set of individuals having the common characteristics. In this study target population are all the children with common cold residing in community area Nerchowk and target population are the children who are available at home.

TARGET POPULATION:

The target population is the group of individuals that the intervention intends to conduct research in and draw conclusion from. Here, the target population are children residing in Karehri, Soyra and Ratti areas of distt Mandi.

SAMPLE :

Sample is a small subset of a population, selected to participate in the study. The samples selected for this study are children (6-14) years having symptoms of common cold at village Soyra Distt Mandi (H.P).

SAMPLING TECHNIQUE:

Sample in this study were selected by using convenient sampling technique.

DEVELOPMENTAL AND DESCRIPTIVE TOOLS:

Demographic variables, observation checklist, structure questionarie, procedure,

FINDINGS:

Findings related to demographic variables-

· 40% of the children were 12-14 years of age group in experimental group and 35% were also 12-14 years of age group in control group.

· 75% children were female in experimental group and 60% were male in control group.

· All 100% children are belongs to rural area in experimental and control group.

· 50% children from 2-3 days are suffering from common cold in experimental group and 85% children from 2-3 days are suffering from common cold in control group.

· 35% children’s father were do private job in experimental group and 55% children’s father were do private job in control group.

· 45 children’s mother was home maker in experimental group and 65% children’s mother was home maker in control group.

· 35% children are those whose family is getting Rs 5000-10000 in experimental group and 45% children are those whose family is getting Rs 5000-10000 in control group.

DISCUSSION:

The first objective of the study was to assess the pre-test symptoms of common cold among the children of experimental and control group:

The findings of the study showed that in pre-test symptoms of common cold among Experimental group children, out of 20 children majority of 14(70%) have moderate cold, 6(30%) of them have severe cold and none of them have mild cold. In comparison to control group, out of 20 children majority of 13(65%) have moderate cold, 7(35%) of them have severe cold and none of them have mild cold.

The second objective of the study was to assess the post-test symptoms of common cold among the children of experimental and control group:

The findings of the study had showed that in post-test symptoms of common cold among Experimental group children, out of 20 children majority of 16(80%) have mild cold (1-6), 4(20%) of them have moderate cold and none of them have severe cold. In comparison to control group, out of 20 children majority of 17(85%) have moderate cold, 3(15%) of them have severe cold and none of them have mild cold.

Third objective of the study was to compare the pre-test and post-test assessment on symptoms of common cold among the children in experimental and control group:

The findings of the study showed that the mean score of pre-test and post-test assessment on symptoms of common cold among the children in experimental and control group. The mean score of experimental group pre-test 12.05(SD= 1.468) and post-test 2.95(SD= 3.762) respectively. In control group the mean score of pre-test 11.950(SD=1.276) and post test 11.90(SD=1.165 respectively. It means after assessment of effectiveness of steam inhalation with tulsi leaves and turmeric powder the symptoms of common cold among the children are improved.

CONCLUSION:

The presents study was undertaken to assess the effectiveness of steam inhalation with Tulsi leaves and Turmeric powder to relieve symptoms of common cold among children.40 children were selected by probability simple random sampling. The findings of the study have been discussed with reference to the objective, hypothesis, and with findings of the other studies.

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