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PRIMARY
SCHOOL
CHILDREN
IN
SELECTED
URBAN
SUBMITTED BY:
MR. MALLIKARJUNA.P
1 ST YEAR M.Sc. NURSING
SHRIDEVI COLLEGE OF NURSING
TUMKUR-572106.
2008-09
1
MR. MALLIKARJUNA.P
1 YEAR M.Sc NURSING,
SHRIDEVI COLLEGE OF
NURSING, LINGAPPA,
SIRA ROAD, TUMKUR.
14.06.2008
OF
PLANNED
TEACHING
PROGRAMME
ON
KNOWLEDGE
AND
OF
PRACTICE
health problems, more commonly dental caries. The higher concentration of health care
facilities in urban areas of India prevents the rural population from receiving proper health
care service in developing countries including India.
Adding to this, illiteracy, poverty and overgrowing population made it difficult to
render better health care services to all. Hence prevention seems to be the only solution in
promoting the oral health and thereby the overall health.4
Health habits if thought early would last throughout the life. Oral health helps to
maintain the health state of all the structures like lips, teeth, gum, tongue and palate, good
oral hygiene emphasis on cleanliness and moisturizing of mouth structures. It gives a sense
of well-being and also stimulates appetite. Brushing and flossing and rinsing mouth could
maintain good oral hygiene. Brushing clears the teeth of food particles. Plaque & bacteria.5
areas, where as rural children the caries were significant in the age of 8, 10,and 12 years . 7
The dental health education is a cost effective method for promoting oral health and
ultimately the general health is only the best place for the promotion of oral health, where
all children irrespective of their socio-economic status or ethnicity can be reached.8
Approximately 35% of pediatric population visits the dentist yearly among them most
after the occurrence of some dental problems.9
Dental check-up of more 2000 school children in Vadodara city shows that abnormally
larger number of children from Vadodara suffered from various serious dental ailments
mostly due to lack of knowledge and lack of personal hygiene. 10
A study conducted on school children in Amrithsar city. It was observed that 49.9%
male & 45.9% female children were suffering with dental caries hence awareness must be
brought among the children, regarding their dietary habits and bad effects of sticky diet
must be brought to their notice11
India being a developing country, poor oral hygiene is a common problem of rural and
urban areas and is all due to low socio-economic background, Poverty ignorance and
negligence or poor knowledge of oral hygiene. Investigators own observation during his
experience in community posting was revealed poor oral hygiene among the school
children.
Hence the investigator felt that by doing this kind of study, will focus on prevailing
problems of oral health and findings help to develop effective teaching programme in order
to modify the practices and behaviour of school children; So that the general health related
complications among the future adults may be prevented leading to healthy generations.
low incidence of dental decay, a relatively limited group, called high risk decay
group; a higher incidence of the pathology than the standard one. The study
concluded that, in a multiracial society, as ours, it is important to carry out an
effective screening in order to recognize different categories of patients through
simple questions inserted in the patients case history. 14
4. Grimoud AM et al, (2005) Conducted the study along with multidisciplinary team
members from hospital, national education and local council sector and led a cariefree smile education campaign in Toulouse. The main aim of this study was two
fold, (1). To teach children how to manage their rontine oral hygiene while giving a
positive image to health care hence the carie-free smile theme chosen by the team.
(2) To promote an awareness campaign targeting professionals in the education,
12,000 children in the age groups of 5-10 years from 76 public and private school,
36 kindergarten and primary school leisure centers, 6 holiday centers participated in
the study. The team product back-up material in the form of posters, booklets and
stickers. The study revealed disparities in oral hygiene practices according to
residential area and appreciated the importance of early provision in the school
curriculum as well as the value of accomplishing this health education task in the
daily exercise of their profession.15
5. Farsi JM, et al (2004) :- conducted a study to assess the knowledge, attitude and
practice regarding oral health among Saudi school students in Jeddah city, revealed
that 87.7% knew the tooth brush helps prevent periodontal diseases. Only 33.1%
knew that using dental floss helps in preventing periodontal disease. Females used
brushing and flossing more than males. He conclude that knowledge, attitude, and
behaviour concerning periodontal health among young sandi school students living
in Jeddah city are in need of improvement.16
6. Simon C, et al (2003) Conducted the study on assessment of the oral health status
of school children in Addis Ababa; The oral health status of school children who
are 12 years and above, A total of 1736 study subject were selected through a multi7
stage sampling produce from three different categories of schools ( Private, public
and government). The prevalence of dental caries was determined to be 21.1% and
it was found to increase significantly with increasing age, high consumption of
sweets, and in those who do not clean their teeth regularly. Periodontal disease
affected more than half (53.4%) of the study subject was significantly higher in
males, and those with poor oral hygiene. The study revealed that health education
programmes, about health and practices of adequate oral hygiene should be
promoted in school through integration into the school curriculum and services.17
7. Hartono (2002) : - performed a study among primary school children regarding the
effectiveness of oral health education programme at primary school level. The
result indicated that the time spent and effectiveness of brushing were significantly
increased among children who had undergone the training.18
8. Bal C.S(2001) :- Performed a study on school going children of Amrithsar
city.1050 children in the age group of 3-14 Years were examined. It was observed
that 49.9% male and 45.9% female children were suffering from dental caries. In
this study, the relation of occurrence of dental caries with vegetarian and nonvegetarian foods socio-economic conditions of the children, maintenance of oral
hygiene, method of oral hygiene, frequency of taking sweets and habit of mouth
wash were observed and recorded.11
9. Al-Banyan R,A et al(2000) : Surveyed oral health of 5-12 year old school children
of National Guard Employees in Riyadh, Saudi Arabia, to assess the oral health and
preventive practice among children on sample of 272.An examination was assessed
using the debris index and gingival index. The study revealed that a high level of
oral disease and poor oral hygiene in the study population and a need for
therapeutic preventive intervention .19
STATEMENT OF THE PROBLEM:A study to assess the effectiveness of planned teaching programme on
knowledge and practice of oral hygiene among primary school children in selected
urban Government school at Tumkur.
8
6.3. OBJECTIVES OF THE STUDY:The Objectives of the study are:1. To assess the level of knowledge regarding oral hygiene among urban primary
school children.
2. To observe the performance of brushing technique among urban primary school
children.
3. To find out the association between the knowledge and practice of oral hygiene
with selected Socio-Demographic variables.
4.
6.4. OPERATIONAL DEFINATION: ASSESSMENT:It is the organized, Systematic and continuous process of collecting data
about pretest and post test knowledge from primary school children regarding oral
hygiene.
EFFECTIVENESS:Refers to gain in knowledge as determined by significant difference in pre
test and post-test knowledge scores.
PLANNED TEACHING PROGRAMME:Refers to the systematic organized instruction and discussion. Which are
prepared to educate a group of subjects.
KNOWLEDGE:Refers to information about the functions of the teeth, healthy and unhealthy
practices related to cleaning and care of the teeth oral care as measured by correct
responses given by respondents to questions.
PRACTICE:9
6.5 RESEARCH HYPOTHESES:H1: There is a significant difference between the pre and post test knowledge scores and
practice of urban primary school children regarding oral hygiene.
6.7. DELIMITATIONS:
The study is limited to children studying in 5th 6th and 7th standard in
selected Government Urban primary school at Tumkur.
10
6.9. VARIABLES:Research variables are the concepts at various levels of abstraction that are
entered manipulated and collected in a study.
Independent variable : Planned Teaching Programme
Dependent variable: Knowledge and performance of the bruching technique as
measured by an Observation checklist.
2. Secondary source : The data will be collected from research articles already
carried out by other researches.
7.1.1. RESEARCH DESIGN
A pre-experimental research method was chosen for the study to assess the
effectiveness of Planned Teaching Programme on knowledge and practice regarding
oral hygiene. The research design used in this study was one group pre-test and
post-test.
7.1.2. RESEARCH APPORACH
An evaluative research approach will be used.
7.1.3. RESEARCH SETTING
The study will be conducted at selected urban Government school at
11
Tumkur.
7.1.4. POPULATION
In this study population consist of 100 primary school children at selected
urban Government school at Tumkur.
Assurance will be given to the study subjects on the confidentially of the data
collected from them.
8. LIST
OF
REFERENCES
(VANCOUVER
STYLE
FOLLOWED)
1. MC Donald ER, Avery RD, Dentistry for the Child and Adolescence. 5 th edition.
St.Louis: The CV Mos by Company 2000. P-143-145.
2. Oral health for healthy life. World Health Magazine 1994.P.47.
3. Park K : Text Book of preventive and social medicine. 17th edition, Jabalpur; M/S
Banarsidas Bhanot ; 2003 P-379.
4. Curson MEJ. Robert Kodnes pediatric operative dentistry. St louis: Lippin cott
company: 1996.P.245-49.
5. Damle SG.A Text of pediatric dentistry 2nd edition. New Delhi Arya (medical)
publishing house : 2002. P-302-306.
6. Kay E, Locker DA. Systematic Review of Effectiveness of health Promotion aimed
at improving oral health . community Dental health , 1998;15;132-144.
7. prasad K.N Dental caries and periodontal diseases among school children between
8-12 years. Indian journal of pediatrics. 1997.P.31-37
8. Erica R oliveria, Marendran, S.Williamson, D,(2000) oral health knowledge,
Attitutes and preventive practices of third grade school children American
Association of pactiatric Dentistry (3) 395-399
9. Love your Teeth. Nursing Journal of India. May 2000. p.11-13.
10. Indian Express 1998 August 6.
11. Bal C.S Incidence of dental caries in school going children of Amritsar city. Journal
of conservative dentistry. 2001.p.22-24.
12. Macnab Aj, Rozmus J, collaborative school based oral health programme. Rural
Remote Health.2008 Apr-jun, 8(2), 882 Equb 2008 Apr 23.
14
13. Shidara EK, Mcglothlin JD, A oral health status of school children in a primary
school in Rural Cambodia. International Journal of Dental Hygiene. 2007
Aug,5(3),165-73.
14. Cerulli Mariani .G, Favaretti .F, oral hygiene habits and attitudes in a school
population in L Aquila (Italy). Europ Journal of pactiatric Dentistry. 2006 Sep,
7(3),135-41.
15. Grimoud AM, Verchere AC, a dental health educational programme, Archieves
pediatric 2005 Jan,12(1), 28-33.
16. Farsi JM, Farghaly MM, Farsi N. oral health knowledge attitude and behaviour
amoung Saudi school students in Jeddah city. Journal of Dentristry, 2004
Jan,32(1),47-53.
17. Simon C, Tesfaye F, Berhane Y. Assessment of the oral healthstatus of school
children in Addis Ababa. Ethiop Medicine Journal, 2003 Jul,41(3),245-56.
18. Hartono SW, Lambri SE, Van palenstein. Effectiveness of primary school based
oral health education in west Java, Indonesia, International Dental Journal, 2002
June, 52(3),137-43.
19. Al-Banyan RA, Echeverri EA. Oral health Survey of 5-12 year old children of
National Guard Employed in Riyad, Saudi Arabia. Journal of pediatric Dentistry.
2000.p.45-46.
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9.
10.
11.
11.2. Signature
11.4. Signature
11.6. Signature
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12.
12.2. Signature
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