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APPENDIX-IAPPENDIX-II . . I. 3. Yours sincerely. To ………………………… ………………………… Subject: Expert‟s opinion and suggestion for the content validity of the tool Respected Sir/Madam. Therefore. . Nursing in Khalsa College of Nursing. Jasmine Kaur M. “A Quasi-experimental Study to assess the effectiveness of Early Ambulation on Involution of Uterus among Postnatal Mothers admitted in selected Hospitals of Amritsar. To assess post-interventional involution of uterus in experimental and control group among postnatal mothers.Sc. Jasmine Kaur. To compare pre-interventional and post-interventional involution of uterus in experimental and control group among postnatal mothers. Amritsar.APPENDIX-III LETTER TO THE EXPERT FOR CONTENT VALIDITY OF TOOL. to be submitted to BFUHS for the partial fulfillment of University requirement of Master of Nursing degree. I humbly request you to kindly validate the tool. I have selected under mentioned topic for research project. Khalsa College of Nursing Amritsar. 2. To determine the association of post-interventional involution of uterus in experimental and control group among postnatal mothers with selected demographic variables. To assess pre-interventional involution of uterus in experimental and control group among postnatal mothers.Sc. student of M. Punjab. Thanking you in anticipation. 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. Punjab. Nursing.” Objectives: 1. 4. Sarbjot Kaur Lecturer Khalsa College of Nursing. Mrs. Amritsar. 10. Ms. 2. Yashpreet Kaur Lecturer Khalsa College of Nursing. Amritsar. Mrs. Neelam Hans Professor & Principal Khalsa College of Nursing. 11. 5. 8. Mrs. Mamta Lecturer Khalsa College of Nursing. Amritsar. Parminder Kaur Lecturer Khalsa College of Nursing. Tarandeep Kaur Lecturer Khalsa College of Nursing. Amritsar. Sudha Lecturer Khalsa College of Nursing. Ms. Amritsar. Dr. Mrs. 3. 9. Mrs. 12. Sukhjinder Kaur Lecturer Khalsa College of Nursing. Mrs. Amanpreet Kaur Professor Khalsa College of Nursing. Mrs. Amritsar. 6. Amritsar. 7. Sandeep Kaur Lecturer Khalsa College of Nursing. Amritsar. Mrs. . Amritsar. Amritsar. Amandeep Kaur Lecturer Khalsa College of Nursing.APPENDIX-IV LIST OF EXPERTS 1. Monika Dogra Reader Khalsa College of Nursing. 4. Ms. Amritsar. Amritsar. 14. Amandeep Kaur Clinical Instructor Khalsa College of Nursing. Mrs. Amritsar. Jaspreet Singh Clinical Instructor Khalsa College of Nursing. Neeraj Gill Lecturer Khalsa College of Nursing. 19. Loveleen Kaur Clinical Instructor Khalsa College of Nursing. VKSK Priyanka Kavuluru Clinical Instructor Khalsa College of Nursing. Amritsar. Amritsar. Amritsar. 15.13. 20. Amritsar. Mr. Ms. Amritsar. . Bhawna Gupta Clinical Instructor Khalsa College of Nursing. Sumit Kumar Clinical Instructor Khalsa College of Nursing. Mr. Ms. Amritsar. Ms. 16. Ms. Ms. Amritsar. 17. 18. Meenu Sharma Lecturer Khalsa College of Nursing. I assure you that information given by you will be kept confidential and will be used for research purpose only. I need your help and would appreciate if you would spend some time to help me in completing this research tool. Signature: . kindly sign the consent form. Punjab.APPENDIX-V CONSENT FORM Dear Respondent. If you are interested and willing to participate. 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. 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 . Occupation a. Government employee 4. 18. Body mass index (Kg/m2) a. Primary c. Home-maker b. Education a. Age (in years) a. 19-22 b.5 b. Private employee d. Primipara b. Mutipara 5. Illiterate b. Parity a. Graduate & above 3. Self-employee c. 23-26 c.99 c.APPENDIX-VI TOOL FOR DATA COLLECTION PART-I Socio-Demographic Profile DATE: 1. 27-30 d. Above 25 TIME: . Below 18.5-24. Secondary d. 30 & above 2. >1. 0.5 cm below the umbilicus 0 2.5 cm below the umbilicus 2 4. 0-0.5-1 cm below the umbilicus 1 3. INVOLUTION OF UTREUS Score 1. 1-1. Dyana Sathya 2011) S. NO.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 .Part.II Involution Measuring Scale (J. PREPARATORY PHASE: 1. Explain the importance of early ambulation after cesarean section. Standing and walking: 6. 6. 4. II. 4. 10. Allow feet to rest on foot stool. 8. Keep the extra pillows ready for patient to sit before and after ambulation. 5. 3. Check blood pressure of patient to note features of orthostatic hypotension or for dizziness/ drowsiness and pain. Instruct the patient to slowly stand on the foot stool. 7. Assist patient by supporting back and shoulder. Bring patient legs to the edge of the bed. B. 3. 7. 2. Keep the foot step near bedside if needed. Make the floor clean and dry. 5. Turning and Sitting 1. Check vital signs. Give semi-reclining position to patient for 5 minutes. Develop IPR with patient. Make the patient climb down from the foot step gradually. Give support with assistance on either side of the patient. Identify additional person to support the patient while walk. Loosen the urobag and it is kept below hip level. Check the patient well groomed and adequately clothed.APPENDIX-VII PROTOCOL FOR DATA COLLECTION EARLY AMBULATION PROCEDURE GUIDE I. 8. . 2. INTERVENTION (ACTION) PHASE: A. POST AMBULATION PHASE: 1. Make the patient to sit on the bed for a while. 5. 7. 6. Slowly put legs of patient on the bed. Provide assistance and ambulate the patient for 10 minutes. Continue and maintain the IV infusion. III. Bring the patient back to her room. 2. Connects the drains back in position (urobag).9. 4. 3. Check the condition of the patient (free from dyspnea. Provide semi-reclining position to the patient. hypotension and dizziness) . Standard Deviation (S. Paired „t‟ test = d √n S.APPENDIX-VIII LIST OF STATISTICAL FORMULAE 1. ANOVA (F) = Mean of sum of squares between the groups Mean of sum of squares within the groups 5. Chi Square (O – E) 2 χ2 =  E df = (c .1) 4.1) (r .D) = ∑ (X-X)2 N 3.E 6. Mean (X) = ∑X N 2.E . Unpaired „t‟ test = (X1 – X2 ) S. APPENDIX-IX . APPENDIX-X MASTER SHEET Experimental Group Subject Age (in years) Education Type of Family Nature of Work Parity Exp 1 Exp 2 Exp 3 Exp 4 Exp 5 Exp 6 Exp 7 Exp 8 Exp 9 Exp 10 Exp 11 Exp 12 Exp 13 Exp 14 Exp 15 Exp 16 Exp 17 Exp 18 b a a a a b a a a c a a b a b a a b c b c c c b d b c c c c c c b c c d a b a b b a b b a b b a a b a b b a a b a b a b a a b a a a a b a b a a b b a b a a b b b a b a a b a b a b Body mass index (Kg/m2) b c b b b b c c b b c b c c c b c c Pre-test Score Post-test Score 1 0 1 0 1 1 0 1 0 1 1 1 1 0 1 1 1 1 5 4 4 3 4 5 4 5 4 7 4 3 6 3 6 5 4 6 . Subject Age (in years) Education Type of Family Nature of Work Parity Exp 19 Exp 20 Exp 21 Exp 22 Exp 23 Exp 24 Exp 25 Exp 26 Exp 27 Exp 28 Exp 29 Exp 30 a a b a a b c a b b a a c c c c c c c c c b c c b b b a b b a b a b a a b b a b a a a a b b a a a a a b b a a a b b b a Body mass index (Kg/m2) b c c b b b c c b b b b Pre-test Score Post-test Score 0 1 1 1 1 5 4 6 5 4 1 1 0 1 1 1 1 8 7 4 6 6 5 4 Control Group Subject Age (in years) Education Type of Family Nature of Work Parity Con 1 Con 2 Con 3 Con 4 Con 5 Con 6 Con 7 a b a a b a b b c c c c c d a b a a b a b a a a a a b a b b b a a b a Body mass index (Kg/m2) b b b b b c c Pre-test Score Post-test Score 0 1 0 1 1 0 1 3 3 3 3 3 4 3 . Subject Age (in years) Education Type of family Nature of work Parity Con 8 Con 9 Con 10 Con 11 Con 12 Con 13 Con 14 Con 15 Con 16 Con 17 Con 18 Con 19 Con 20 Con 21 Con 22 Con 23 Con 24 Con 25 Con 26 Con 27 Con 28 Con 29 Con 30 b a a c a b a b b b b b c a b a b c a b a b a c c c c c c c b c c c c d c c b c c c c c c b b a b a b a b a b b a b b a a b a a a b b a a b b a b a b a b a b a a b a b a b b b b a a b b b a a a a a a a b a a b a a a b b a a b a b Body mass index (Kg/m2) c b c c c c c b b b b c b c c b c c b c c b b Pre-test score Post-test score 1 0 1 1 1 1 1 1 1 1 0 1 1 0 0 1 1 0 1 1 1 1 1 3 4 3 4 3 4 3 3 4 4 4 3 5 3 4 4 5 5 4 3 4 3 5 .