Abstract
Background and study aim: Gastrointestinal (GI) endoscopy is an important method for diagnosis and treatment. Endoscopes are complex and reusable devices. Understanding infection control in the context of endoscopy is important in reducing the transmission of infection. The infection control intervention program considers the most effective and important for improving nurses' knowledge and practice regarding infection control measures for patients with esophageal varices during endoscopy. This study aim to evaluate effect of nurses intervention regarding infection control measures for patients with esophageal varices during endoscopy at Zagazig University Hospitals. Subjects and Methods: A quasi experimental design was used in this study. The study was conducted in endoscopy units at Zagazig University Hospitals. The study sample all available endoscopy nursing staff. The study lasted from the beginning of Jun 2017 to the end March of 2018. Results: Revealed that, slightly more than half of nurse's were in the age group of more than 40 years with mean age Mean±SD 38.7 ± 10.7 years and had more than 10 years of experience. There was improvement in total level of nurses' knowledge 0.0% pre nursing intervention increased to 100% post nurses intervention and practice regarding infection control Mean±SD 9.8±3.7 pre nursing intervention increased to Mean±SD 96.2±0.7 post nurses intervention with highly statistically significant difference between pre and post program regarding to infection control. Conclusion: It can be concluded that the implantation of health intervention program had improved nurse's knowledge and practice regarding endoscopy infection control. Continuous intervention infection control training programs are recommended in endoscopy units.
Highlights
Portal hypertension is a common clinical syndrome, distinct by a pathologic raise in the portal venous pressure, in which the hepatic venous pressure gradient (HVPG) is increased overhead standard values (1-5 mmHg)
The eighth portion of our results demonstrated that there were highly statistically significance of practice level regarding post procedure: endoscope handling: ensure that the insertion tube is not coiled too tightly when handling the endoscope, position the control knobs upright, especially if the endoscope is placed on a counter, transport the endoscope using both hands, for endoscopes with flexibility adjustment, ensure the insertion tube is set to maximum flexibility, disinfected scopes are properly hung and dried away from dirty reprocessing areas with pre and post of implementation of intervention program (p≤ 0.001)
Based on the results of the present study, the following can be concluded: There is improvement in total level of nurses' knowledge, and practice regarding caring for patient with esophageal varices during endoscopy and infection control when comparing with pre and post implementation of intervention program
Summary
Portal hypertension is a common clinical syndrome, distinct by a pathologic raise in the portal venous pressure, in which the hepatic venous pressure gradient (HVPG) is increased overhead standard values (1-5 mmHg). When the HVPG increases exceeding 10 mmHg, problems of portal hypertension can arise This value characterizes the threshold for defining portal hypertension as being clinically weighty and plays a crucial role in the transition from the preclinical to the clinical phase of the disease [1,2,3].Esophageal variceal bleeding could cause shock, various infections like pneumonia, peritonitis, and bloodstream infection when left untreated [4]. The infection control intervention program considers the most effective and important for improving nurses' knowledge and practice regarding infection control measures for patients with esophageal varices during endoscopy.
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