Background: Nursing care must be systematized and individualized to promote integral care to the Inflammatory Bowel Disease (IBD) patients, in order to cope with all the patients needs. All the health careers must be aware of the specificities of the disease in order to obtain satisfactory results such as acceptance of the disease, medical therapy adherence, maintenance of clinical remission as well as reduction of complications like hospitalization, surgical interventions and mortality. Therefore, all these actions could improve the quality of life of these patients. The health education process has as its main goal contribute with the improvement of services for general population and the IBD nurse specialist has a key role in this complex process of patient education and patient care. Objectives: To assess disease-related knowledge among general hospital nurses before and after the educational intervention and to evaluate the effects of this action on the studied population.
Methods: A transversal, descriptive and comparative study was conducted. The sample was composed of 32 general hospital nurses from the Hospital das Clínicas da Faculdade de Medicina de Botucatu, São Paulo/Brasil. A IBD specific test was applied in two moments: before and after the educational intervention. The test was consisted of 3 topics: concept of IBD, nursing care and use of biological therapy. Each topic was ranked from 0 to 100 points. The educational intervention was composed by a theoretical and practical IBD course ministered by a multidisciplinary team (physicians, nurses, dieticians and psychologist) with duration of 20 hours. Statistical analysis: descriptive.
Results: Twenty-nine nurses and 3 nursing technician were included in the study. The mean time of experience in nursing practice was 9.6y (±4.8y). Most part of the subjects (66%) was in contact with IBD patients and 56% reported to have knowledge about biological therapy. It was observed a rise of knowledge after the educational intervention about the concept of the disease (60.71±28.95 vs 75.93±22.45), nursing care (28.57±32.31 vs 42.59±38.49) and biological therapy (58.93±30.39 vs 75±20.8). The personal security in administering biological therapy increased from 40% to 83% after the educational intervention. The assessment of the impact of the course regarding the participants' knowledge was effective, with mean 8.79 (±1.11), being zero the absence of impact and ten high impact.
Conclusions: The knowledge about IBD was considered average among these professionals assessed and the educational intervention was effective in the increase of this disease-related knowledge.