Lithium has a narrow therapeutic index, and many factors can upset the balance between lithium concentration that are well tolerated and therapeutic and those that produce side effects or toxicity and also stigma related to lithium among patients is leading to them receiving the wrong treatment and ending up admitted to hospital unnecessarily because their condition is not as well controlled as it could be. It is thus imperative that person taking lithium be educated about signs and symptoms of toxicity, and so it is the responsibility of the nurses to make the patients and their relatives understand the benefits and effectiveness related to lithium therapy, since lithium is a potent agent for the control of psychiatric disorder, it is safe and effective if monitored carefully, drug side effects usually dose related and management of acute intoxication is done with gastric lavage, sodium replacement and haemodialysis. Upgraded and improve knowledge lead to better compliance or adherence to this drug and helps in prevention of relapse among patient. The aim of the study was to assess the effectiveness of planned teaching programme on knowledge regarding lithium therapy. A pre-experimental one group pre-test post-test design was used to assess the effectiveness of planned teaching programme on knowledge regarding lithium therapy among basic B.Sc. Nursing third year students of State College of Nursing, Dehradun, Uttarakhand. A total 50 students of basic B.Sc. nursing third year were selected through convenience non-probability sampling technique. The data was collected through self-structured questionnaire on components of lithium therapy. The tool was developed in two parts, the first part deal with the 5 questions of demographic variable and the part two consist of 34 knowledge questions on varicose veins. Results show that out of 50 samples, majority of students 32 (64%) was having inadequate knowledge, 18 (36%) had moderate knowledge and no one have adequate knowledge. Pre-test mean score was 12.96 with 3.84 SD. After administering planned teaching programme 27 (54%) samples had adequate knowledge, 23 (46%) had moderate knowledge and no one had inadequate knowledge the post test mean score was 24.26 with 4.20 SD with a mean difference of 11.3 evident from paired “t” value of 13.86 at 49 df at 0.05 level of significance. The chi- square depicts that previous information about lithium therapy is associated with the pre test knowledge score. The study concluded that planned teaching programme was effective in increasing the knowledge regarding lithium therapy among basic B.Sc. nursing third year students. On the basis of the finding, it is recommended that educational programmes regarding lithium therapy should be organized for students at the time of commencement of their training and before sending them to clinical area and regular teaching materials can be provided to all the health care staff with specifying the aspects related to lithium toxicity management.
lithium therapy, effectiveness, knowledge, planned teaching programme, B.Sc. Nursing third year students
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