Effects of upper gastrointestinal bleeding care bundle on selected outcomes among surgical patients in the Tertiary Care Hospital

Authors

  • กาญจนา ขุ่มด้วง คณะพยาบาลศาสตร์ มหาวิทยาลัยขอนแก่น
  • Donwiwat Saensom

Keywords:

upper gastrointestinal bleeding, care bundle, selected outcomes

Abstract

This quasi-experimental research was conducted to study the effects of using the upper gastrointestinal bleeding care bundle (UGIB-CB) on selected outcomes among surgical patients. Study subjects were 146 UGIB patients admitted to the surgical department of a tertiary hospital. The comparison group consisted of 73 patients who were cared with the hospital routine while 73 patients of the experimental group received care with UGIB-CB. The study outcomes included clinical outcomes and human resource outcomes. Research instruments consisted of the UGIB-CB assessment form, nurse’s adherence to UGIB-CB form, and nurse’s satisfaction in using UGIB-CB form. Descriptive statistics were used to obtain frequencies, percentages, means and standard deviations.  Independent t-test, Chi-square and Relative risk were used to analyze the effects of UGIB-CB outcomes.

          The results showed that patients in the experimental group were 1.75 times more likely to receive esophagogastroduodenoscopy (EGD) on-time, compared to the comparison group (RR = 1.75, 95% CI 1.26-2.44). They also had higher average urine output in the first 24 hours (97.18 ml. for experimental and 82.53 ml. for comparison group, p .03).  Registered nurses who implemented the UGIB-CB reported a very high level of protocol adherence (95.89%) and expressed a high level of satisfaction in using the care bundle (82.93%).  Results from this study indicated that the UGIB-CB is feasible and effective in helping patients to have on-time EGD and achieving good clinical outcomes. 

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Published

2020-12-26

How to Cite

1.
ขุ่มด้วง ก, Saensom ด. Effects of upper gastrointestinal bleeding care bundle on selected outcomes among surgical patients in the Tertiary Care Hospital. JNSH [Internet]. 2020 Dec. 26 [cited 2022 Jul. 7];43(4):72-83. Available from: https://he01.tci-thaijo.org/index.php/nah/article/view/243828

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Section

Research Article