الفهرس 
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Abstract
Background: Esophagogastroduodenoscopy is a gold standard procedure for detecting upper gastrointestinal disorders. Aim: to evaluate the effect of nursing instructions on clinical outcomes for patients undergoing upper gastrointestinal endoscopy.Design:Quasi experimental research. Setting : the study conducted at New Surgeries Hospital affiliated to Tanta University Hospitals ,Ministry of Higher Education,Egypt. Subject: consisted of convenience sample of 60 Upper endoscopy patients who selected and divided into two equal groups ,Control group received hospital routine care and Study group received nursing instructions by the researcher.Tools:Three tools used in this study for data collection:Tool I:Patients’ Assessment Structured Interview.Tool II:Patient‘s Knowledge Assessment Questionnaire regarding Upper Gastrointestinal Endoscopy. Tool III: Patients’Clinical Outcomes Assessment Tool composed from three parts: Part A: State Trait Anxiety Inventory.Part B:Tolerance Assessment Sheet. Part C:Post endoscopy Patients’ Observation for risks of Complication Checklist.Result:there were improvement in total knowledge level study group had high level of knowledge(76.7) while control group had (16.7%).state anxiety score immediately post giving nursing instructions, about more than half(63.3.0%)of control group had sever level of anxiety compared to the minority of study group (10.0%).after giving nursing instructions. It was noted that control group had poor tolerance (56.7%) compared to in study group had good tolerance(76.7%),There were highly statistical significant differences regarding risks of complications between both groups p value (<0.001**). Conclusion: Implementation of nursing instructions had a positive impact on clinical outcomes. Recommendations: Educational Program should be implemented as a routine nursing care for patients undergoing upper endoscopy.