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  • TITLE
  • CERTIFICATE
  • DECLARATION
  • CONTENTS
  • ACKNOWLEDGEMENT
  • I. INTRODUCTION
  • INTRODUCTION
  • Need and Significance of the Study
  • Objectives of the Study
  • Hypotheses
  • II. SECTION-A THEORETICAL OVERVIEW
  • SECTION-A
  • THEORETICAL OVERVIEW
  • Stress and Anxiety
  • Effect of Stress
  • Measurement of Stress and Anxiety
  • Coping with Stress and Anxiety
  • Stress Management Techniques
  • II. SECTION-B REVIEW OF STUDIES
  • I. The Extent of Stress and Anxiety
  • II. Post-Operative Complications of Cardiac Surgery
  • III.Need for Psychological Interventions
  • IV.Effect of Psychological Interventions
  • III. METHODOLOGY
  • Design of the Study
  • Sample
  • Criteria for the Section of Sample
  • Table 4.1: Age-wise distribution of the sample
  • Table 4.2: Sex-wise classification of the sample
  • Table 4.3: Distribution of the sample based on educational qualifications
  • Table 4.4: Distribution of the sample based on monthly income
  • Table 4.5: Distribution of sample based on type of surgery
  • Tools
  • 1. Stress Check List (SCL)
  • Scoring
  • 2. State-Trait Anxiety Inventory (STAI)
  • Reliability
  • Split-half Reliability
  • Validity
  • Scoring
  • 3. Post-Operative Complication Check List (POCCL)
  • Administration and Scoring: -
  • 4. The Stress Management: Programme
  • 1. Breathing Exercises (BE)
  • Diaphragmatic Breathing Exercises (DBE)
  • Pursed Lip Breathing (PLB)
  • Steps Followed in Pursed Breathing
  • 2. Guided Somato Psychic Relaxation (GSPR)
  • Technique of GSPR
  • Steps Followed in GSPR
  • Physical Relaxation-Steps Used
  • Relaxation of Mind
  • Instructions for Coming out of Relaxation
  • Information Module
  • Section A: - Information Regarding Pre-operative Preparation
  • A. Physical Preparations
  • B. Physiological Preparations
  • C. Psychological Preparations
  • D. Legal Preparation
  • Section B: - Instructions while Transferring Patients to Operating Room
  • Section C: - Post-operative Management
  • Post-Operative Complications
  • Procedure
  • Pilot Study
  • The following conclusions were drawn from the pilot study
  • Final Study
  • Analysis of Data
  • IV. RESULTS AND DISCUSSION
  • RESULTS AND DISCUSSION
  • Hypotheses
  • Table 5.1: Means, standard deviations, and t value of stressbrforr and after cardiac surgery in the experimentalgroup (N=50)
  • Table 5.2: Means, standard deviations and t value of stateanxiety before and after cardiac surgery in thevxpcrimental group (N = 50)
  • Table 5.4: Means, standard deviations and t value obtained bythe experimental and control groups in the postoperativestress
  • Table 5.5: Means, standard deviations and t value obtained bythe experinlental and control groups in post-operativestate anxiev
  • Table 5.6: Means, standard deviations and t value obtained bythe experimental and control group in post-operativetra~ta nxiety
  • Table 5.7: Mean, standard deviation, and t value obtained by therxprr~mental and control groups in post-operativecompl~cations
  • DISCUSSION
  • V. SUMMARY AND CONCLUSION
  • SUMMARY AND CONCLUSION
  • Statement of the Problem
  • Objectives of the Study
  • Hypotheses
  • Methodology
  • Sample
  • Tools
  • Procedures
  • Final Study
  • Statistical Analysis of the Data
  • Results
  • FINDINGS OF THE STUDY
  • Implications of the Study
  • Limitations of the Study
  • Suggestions for Further Research
  • BIBILIOGRAPHY
  • APPENDICES
  • STRESS CHECK LIST
  • MAHATMA GANDHI UNIVERSITY, KOTTAYAM Answer Sheet -Stress Check List
  • THE STATE ANXIETY INVENTORY Answer Sheet
  • APPENDIX V POST OPERATIVF COMPLICATIONS
  • The State Trait Anxiety inventory