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Evaluation of a Self-Management Program for Gastroesophageal Reflux Disease in China
Wenhong Xu1, Changxian Sun, Zheng Lin
1Wenhong Xu, MN, RN, is Co-Chief Nurse, Gansu Provincial Cancer Hospital, Gansu, China. Changxian Sun, MN, is Lecturer, Jiangsu Vocational Institute of Commerce, Nangjing, China. Zheng Lin, MN, RN, is Professor, The Nursing School of Nanjing Medical University, and is Professor, Nursing Department, The First Affiliated Hospital of Nanjing Medical University, Nangjing, China. Lin Lin, PhD, is Professor, Department of Gastroenterology, The First Affiliated Hospital of Nanjing Medical University, Nangjing, China. Meifeng Wang, BN, RN, is Co-Chief Nurse, Department of Gastroenterology, The First Affiliated Hospital of Nanjing Medical University, Nangjing, China. Hongjie Zhang, PhD, is Professor, Department of Gastroenterology, The First Affiliated Hospital of Nanjing Medical University, Nangjing, China. Yulei Song, MN, RN, is Experimentalist, Nursing Experimental Center, School of Nursing, Nanjing University of Chinese Medicine, Nangjing, China.
Abstract:
Gastroesophageal reflux disease is a chronic disease with a high incidence worldwide. The various symptoms have substantial impact on the quality of life of affected individuals. A long-term self-management program can increase the ability of patients to make behavioral changes, and health outcomes can improve as a consequence. This study's aim was to evaluate the effectiveness of a self-management program for gastroesophageal reflux disease. A total of 115 patients with gastroesophageal reflux disease were allocated to the experimental group and the control group. The former received self-management intervention along with conventional drug therapy, whereas the latter received standard outpatient care and conventional drug therapy. After the clinical trial, the control group also received the same self-management intervention. The levels of self-management behaviors, self-efficacy, gastroesophageal reflux disease symptoms, and psychological condition were compared. Those in the experimental group demonstrated significantly higher self-efficacy for managing their illness, showed positive changes in self-management behaviors, and had comparatively better remission of symptoms and improvement in psychological distress. The program helped patients with gastroesophageal reflux disease self-manage their illness as possible.
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