APPENDIX-I

APPENDIX-II

APPENDIX-III
LETTER TO THE EXPERT FOR CONTENT VALIDITY OF TOOL.
To

Subject: Experts opinion and suggestion for the content validity of the tool
Respected Sir/Madam,
I, Jasmine Kaur, student of M.Sc. Nursing in Khalsa College of Nursing, Amritsar, 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. I have selected under
mentioned topic for research project, to be submitted to BFUHS for the partial fulfillment of
University requirement of Master of Nursing degree.
A Quasi-experimental Study to assess the effectiveness of Early Ambulation on
Involution of Uterus among Postnatal Mothers admitted in selected Hospitals of
Amritsar, Punjab.
Objectives:
1. To assess pre-interventional involution of uterus in experimental and control group among
postnatal mothers.
2. To assess post-interventional involution of uterus in experimental and control group among
postnatal mothers.
3. To compare pre-interventional and post-interventional involution of uterus in experimental
and control group among postnatal mothers.
4. To determine the association of post-interventional involution of uterus in experimental
and control group among postnatal mothers with selected demographic variables.
Therefore, I humbly request you to kindly validate the tool.
Thanking you in anticipation.
Yours sincerely,
Jasmine Kaur
M.Sc. Nursing,
Khalsa College of Nursing
Amritsar, Punjab.

APPENDIX-IV
LIST OF EXPERTS
1. Mrs. Neelam Hans

Professor & Principal

Khalsa College of Nursing,
Amritsar.

2. Dr. Amanpreet Kaur

Professor
Khalsa College of Nursing,
Amritsar.

3. Mrs. Monika Dogra

Reader
Khalsa College of Nursing,
Amritsar.

4. Mrs. Sandeep Kaur

Lecturer
Khalsa College of Nursing,
Amritsar.

5. Mrs. Sudha

Lecturer
Khalsa College of Nursing,
Amritsar.

6. Ms. Sarbjot Kaur

Lecturer
Khalsa College of Nursing,
Amritsar.

7. Mrs. Mamta

Lecturer
Khalsa College of Nursing,
Amritsar.

8. Mrs. Parminder Kaur

Lecturer
Khalsa College of Nursing,
Amritsar.

9. Mrs. Sukhjinder Kaur

Lecturer
Khalsa College of Nursing,
Amritsar.

10. Ms. Tarandeep Kaur

Lecturer
Khalsa College of Nursing,
Amritsar.

11. Mrs. Yashpreet Kaur

Lecturer
Khalsa College of Nursing,
Amritsar.

12. Ms. Amandeep Kaur

Lecturer
Khalsa College of Nursing,
Amritsar.

13. Mrs. Meenu Sharma

Lecturer
Khalsa College of Nursing,
Amritsar.

14. Ms. Neeraj Gill

Lecturer
Khalsa College of Nursing,
Amritsar.

15. Mr. Jaspreet Singh

Clinical Instructor
Khalsa College of Nursing,
Amritsar.

16. Mr. Sumit Kumar

Clinical Instructor
Khalsa College of Nursing,
Amritsar.

17. Ms. Amandeep Kaur

Clinical Instructor
Khalsa College of Nursing,
Amritsar.

18. Ms. Bhawna Gupta

Clinical Instructor
Khalsa College of Nursing,
Amritsar.

19. Ms. Loveleen Kaur

Clinical Instructor
Khalsa College of Nursing,
Amritsar.

20. Ms. VKSK Priyanka Kavuluru

Clinical Instructor
Khalsa College of Nursing,
Amritsar.

APPENDIX-V
CONSENT FORM

Dear Respondent,
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,
Punjab.
I need your help and would appreciate if you would spend some time to help me in
completing this research tool. I assure you that information given by you will be kept
confidential and will be used for research purpose only.
If you are interested and willing to participate, kindly sign the consent form.

Signature:

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quhwnUM ivSvws idvwauNdI hW ik Awp jI v`loN id`qI sUcnw nUM pUrI qrHW gupq
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APPENDIX-VI
TOOL FOR DATA COLLECTION
PART-I

Socio-Demographic Profile
DATE:
1. Age (in years)
a. 19-22
b. 23-26
c. 27-30
d. 30 & above
2. Education
a. Illiterate
b. Primary
c. Secondary
d. Graduate & above
3. Occupation
a. Home-maker
b. Self-employee
c. Private employee
d. Government employee
4. Parity
a. Primipara
b. Mutipara
5. Body mass index (Kg/m2)
a. Below 18.5
b. 18.5-24.99
c. Above 25

TIME:

Part- II
Involution Measuring Scale (J. Dyana Sathya 2011)

S. NO.

INVOLUTION OF UTREUS

Score

1.

0-0.5 cm below the umbilicus

2.

0.5-1 cm below the umbilicus

3.

1-1.5 cm below the umbilicus

4.

>1.5 cm below the umbilicus

Total score for all three days

Maximum score: 9
Minimum score: 0

Criterion Measures
Level of involution

Scores

Grade

Mild Involution

0-3

Moderate Involution

4-6

Good Involution

7-9

APPENDIX-VII
PROTOCOL FOR DATA COLLECTION
EARLY AMBULATION PROCEDURE GUIDE
I. PREPARATORY PHASE:
1. Develop IPR with patient.
2. Explain the importance of early ambulation after cesarean section.
3. Check vital signs.
4. Keep the foot step near bedside if needed.
5. Keep the extra pillows ready for patient to sit before and after ambulation.
6. Make the floor clean and dry.
7. Check the patient well groomed and adequately clothed.
8. Loosen the urobag and it is kept below hip level.
10. Identify additional person to support the patient while walk.
II. INTERVENTION (ACTION) PHASE:
A. Turning and Sitting
1. Give semi-reclining position to patient for 5 minutes.
2. Assist patient by supporting back and shoulder.
3. Bring patient legs to the edge of the bed.
4. Allow feet to rest on foot stool.
5. Check blood pressure of patient to note features of orthostatic hypotension or for dizziness/
drowsiness and pain.
B. Standing and walking:
6. Instruct the patient to slowly stand on the foot stool.
7. Give support with assistance on either side of the patient.
8. Make the patient climb down from the foot step gradually.

9. Provide assistance and ambulate the patient for 10 minutes.

III. POST AMBULATION PHASE:
1. Bring the patient back to her room.
2. Make the patient to sit on the bed for a while.
3. Slowly put legs of patient on the bed.
4. Provide semi-reclining position to the patient.
5. Connects the drains back in position (urobag).
6. Continue and maintain the IV infusion.
7. Check the condition of the patient (free from dyspnea, hypotension and dizziness)

APPENDIX-VIII
LIST OF STATISTICAL FORMULAE

1. Mean (X) = X
N

2. Standard Deviation (S.D) =

(X-X)2
N

3. Chi Square
(O E) 2

2 =
E

df = (c - 1) (r - 1)

4. ANOVA (F) = Mean of sum of squares between the groups

Mean of sum of squares within the groups

5. Paired t test =

d n
S.E

6. Unpaired t test = (X1 X2 )

S.E

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