Effect of Nursing Instructions on Clinical Outcomes for Patients Undergoing Upper Gastrointestinal Endoscopy

Helba, Kholoud Mustafa; Abdelaziz, Amany Lofty; Selim, Mahmoud Farouk; Salem, Fatma A.

doi:10.21608/tsnj.2024.351226

Effect of Nursing Instructions on Clinical Outcomes for Patients Undergoing Upper Gastrointestinal Endoscopy

Document Type : Original Article

Authors

¹ Master student at Medical Surgical Nursing, Faculty of Nursing, Tanta University Egypt 2Demonstrator of Medical Surgical Nursing, Faculty of Nursing, Tanta University Egypt

² Professor of Medical Surgical Nursing, Faculty of Nursing, Tanta University Egypt

³ Prof of Medical and Liver disease, Faculty of Medicine, Tanta University Egypt

⁴ Assist Prof of Medical Surgical Nursing, Faculty of Nursing, Tanta University Egypt

10.21608/tsnj.2024.351226

Abstract

Background: Esophagogastroduodenoscopy is gold standard procedure for detecting upper
gastrointestinal disorders.Aim:this study was conducted to evaluate the effect of nursing
instructions
on clinical outcomes for patients undergoing upper gastrointestinal
endoscopy.Design:Quasi experimental research design was utilized.Setting : the study
conducted at New Surgeries Hospital affiliated of Tanta University Hospitals.Subject: It
consisted of purposive sample of 60 Upper endoscopy patients who selected and divided into
two equal groups.Tools:Three tools used in this study for data collection:Tool I:Patients'
Assessment Structured Interview.Tool II:Patient’s Knowledge Assessment Questionnaire
regarding Upper Gastrointestinal Endoscopy.ToolIII:Patients'Clinical Outcomes Assessment
Tool composed from three parts: Part A: Tolerance Assessment Sheet;Part B: State Trait Anxiety
Inventory.The Part C:Post endoscopy Patients' Observation for risks of Complication
Checklist.Results:there were statistical significant improvement in total knowledge level study
group had high level of knowledge(76.7) while control group had (16.7%).state anxiety score
immediately post giving nursing instructions, about more than half(63.3.0%)of control group had
sever level of anxiety compared to the minority of study group (10.0%).after giving nursing
instructions to study group.Conclusion: Implementation of nursing instructions had a positive
impact on clinical outcomes. Recommendations: Educational Program should be implemented
as a routine nursing care for patients undergoing upper endoscopy procedure.