Effect of Secondary Prevention Educational Guidelines on Patients’ Clinical Outcomes Post Endoscopic Ligation of Esophageal Varies
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 3
Abstract
Esophageal Variceal bleeding (EVB) is a life-threatening condition that requires a team approach with defined stepwise management post endoscopic ligation. Role of the nurse is essential in raising awareness and providing education as a secondary prevention for promoting the patients' health and prevents complications. Aim: This study aimed to evaluate the effect of secondary prevention educational guidelines on patients' clinical outcomes post endoscopic ligation of esophageal varices. Study design: A quasi experimental design was utilized. Subject: A purposive sample of 100 patients with esophageal varices after endoscopic ligation. The study subjects were divided equally into two groups (study and control group). Setting: The study was conducted at Eldemerdah hospital /Cairo/Egypt. Data collection tools: 1) Interview questionnaire, 2) Patients’ clinical outcomes assessment tool. Results: The present study revealed that, there were no statistically significant differences between two groups regarding satisfactory level of knowledge and their clinical outcomes pre-guidelines intervention. While, there were statistically significant differences between two groups post- and follow up guidelines intervention regarding knowledge, means of Hg and RBCs and fatigue. Moreover, there were statistically significant differences between two groups follow up guidelines intervention regarding means of all vital signs except diastolic blood pressure, readmission and recurrent bleeding. Conclusion: Application of secondary prevention guidelines had significant positive effect on clinical outcomes of patients after endoscopic ligation of esophageal varices at follow up. Recommendations: Further researches are replication of the current study on a larger probability sample is recommended to achieve generalization of the results and wider utilization of the designed secondary prevention educational guidelines.
Authors and Affiliations
Naglaa Elsayed Mahdy, Asmaa Mohamed Khorais, Ramy Samir Abdelhamid
Keywords
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- EP ID EP436295
- DOI 10.9790/1959-0703070520.
- Views 119
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