Effect of Implementing Nursing Protocol on clinical Outcomes of Acute Non- variceal Upper Gastrointestinal Bleeding Patients

Mohamed, Sanaa Saber; Abouzied, Warda Ramadan; Soliman, Eman Mamdouh Aziz; Mohamed, Ragaa Dahi

doi:10.21608/tsnj.2023.285674

Effect of Implementing Nursing Protocol on clinical Outcomes of Acute Non- variceal Upper Gastrointestinal Bleeding Patients

Document Type : Original Article

Authors

¹ Lecturer of Critical Care & Emergency Nursing, Faculty of Nursing, Sohag University, Egypt.

² Lecturer of Critical Care & Emergency Nursing, Faculty of Nursing, South Valley University, Qena, Egypt.

³ Lecturer of Critical Care & Emergency Nursing, Faculty of Nursing, Assuit University, Egypt

⁴ Lecturer of Critical Care & Emergency Nursing, Faculty of Nursing, Sohag University, Egypt

10.21608/tsnj.2023.285674

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.