Effect of Implementing Nursing Protocol on clinical Outcomes of Acute Non- variceal Upper Gastrointestinal Bleeding Patients | ||
| Tanta Scientific Nursing Journal | ||
| Volume 28, Issue 1, March 2023, Pages 290-306 PDF (638.79 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/tsnj.2023.285674 | ||
| Authors | ||
| Sanaa Saber Mohamed1; Warda Ramadan Abouzied2; Eman Mamdouh Aziz Soliman3; Ragaa Dahi Mohamed4 | ||
| 1Lecturer of Critical Care & Emergency Nursing, Faculty of Nursing, Sohag University, Egypt. | ||
| 2Lecturer of Critical Care & Emergency Nursing, Faculty of Nursing, South Valley University, Qena, Egypt. | ||
| 3Lecturer of Critical Care & Emergency Nursing, Faculty of Nursing, Assuit University, Egypt | ||
| 4Lecturer of Critical Care & Emergency Nursing, Faculty of Nursing, Sohag University, Egypt | ||
| Abstract | ||
| Background: One of the most common reasons for hospitalization, morbidity, and mortality related to digestive illnesses is Non-variceal upper GIT bleeding. Despite the improvement in the field, management of patients with Non- variceal Upper Gastrointestinal Bleeding (NVUGIB) has become more challenging due to comorbidities and complex therapies. This study aimed to evaluate the effect of implementing nursing care protocol on clinical outcomes of non variceal upper gastrointestinal bleeding patients. Design: A quasi-experimental research design was used. Setting: Gastroenterology Intensive care unit at Sohag University hospital, Upper Egypt. Sample: A convenient sample of 80 adult (male and female) patients was included. Tools: Three tools were utili - NVUGIB assessment sheet, Tool II: Nursing NVUGIB care protocol and Tool III: Clinical outcome evaluation tool. Results: Illustrate that most common cause of non-variceal upper GIT bleeding in studied patients was peptic ulcer followed by Gastritis, 50% of study& 45% of control group were using NSAID before coming to hospital. In relation to mortality risk using Rockall score on 1st day of admission about half of study and control group were at high risk for mortality, while at 3rd day 52.5% in study group were at low risk. Conclusion: the implementation of nursing protocol for patients with NVUGIB improves patients' clinical outcomes and decrease rate of complication occurrence. Recommendations: Provide Gastroenterology intensive care unit with clear, illustrative nursing care protocols and booklets for management of patient with Non-variceal upper GIT bleeding. | ||
|
Statistics Article View: 241 PDF Download: 615 |
||
