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