Analysis the effect of diaphragm biofeedback training on patients with gastroesophageal reflux disease

doi:10.3877/cma.j.issn.2095-8765.2023.01.010

Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition) ›› 2023, Vol. 10 ›› Issue (01): 50-55. doi: 10.3877/cma.j.issn.2095-8765.2023.01.010

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Analysis the effect of diaphragm biofeedback training on patients with gastroesophageal reflux disease

Jing Yan, Yuan Jiang, Jian Wang, Yongkang Wang, Wusiman Ababokeli, Zhi Wang

Department of Minimally Invasive Surgery, Hernia and Abdominal Wall Surgery, People's Hospital of Xinjiang Uygur Autonom ous Region, Urumqi 830001, China
Department of Minimally Invasive Surgery, Hernia and Abdominal Wall Surgery, People's Hospital of Xinjiang Uygur Autonom ous Region, Urumqi 830001, China;Clinical research center for Gastroesophageal Reflux Disease and Weight Loss Metabolic Surgery, People's Hospital of Xinjiang Uygur Autonom ous Region, Urumqi 830001, China
Department of Minimally Invasive Surgery, Hernia and Abdominal Wall Surgery, People's Hospital of Xinjiang Uygur Autonom ous Region, Urumqi 830001, China;Clinical research center for Gastroesophageal Reflux Disease and Weight Loss Metabolic Surgery, People's Hospital of Xinjiang Uygur Autonom ous Region, Urumqi 830001, China;Research Institute of General and Minimally Invasive Surgery, People's Hospital of Xinjiang Uygur Autonom ous Region, Urumqi 830001, China;Medical Research and Transformation Center of People's Hospital of Xinjiang Uygur Autonom ous Region, Urumqi 830001, China
Clinical research center for Gastroesophageal Reflux Disease and Weight Loss Metabolic Surgery, People's Hospital of Xinjiang Uygur Autonom ous Region, Urumqi 830001, China;Research Institute of General and Minimally Invasive Surgery, People's Hospital of Xinjiang Uygur Autonom ous Region, Urumqi 830001, China
Clinical research center for Gastroesophageal Reflux Disease and Weight Loss Metabolic Surgery, People's Hospital of Xinjiang Uygur Autonom ous Region, Urumqi 830001, China
Department of Minimally Invasive Surgery, Hernia and Abdominal Wall Surgery, People's Hospital of Xinjiang Uygur Autonom ous Region, Urumqi 830001, China;Clinical research center for Gastroesophageal Reflux Disease and Weight Loss Metabolic Surgery, People's Hospital of Xinjiang Uygur Autonom ous Region, Urumqi 830001, China;Research Institute of General and Minimally Invasive Surgery, People's Hospital of Xinjiang Uygur Autonom ous Region, Urumqi 830001, China

Received:2022-11-19 Online:2023-02-15 Published:2023-11-07

Abstract

Abstract:

Objective

To investigate the effect of diaphragm biofeedback training on improving symptoms and quality of life in patients with gastroesophageal reflux disease (GERD).

Methods

From June 2020 to June 2022, 83 patients with GERD who were admitted to our hospital in laparoscopy and abdominal hernia surgery were selected and randomly divided into control group (n=41) and research group (n=42) according to different nursing interventions; The control group treated with ordinary therapy and routine nursing health guidance intervention, while the research group was given diaphragm biofeedback training and humanistic nursing intervention on the basis of routine drug treatment and health guidance in the control group; Both groups were treated for 8 weeks. GERD symptom score (GERDQ questionnaire), quality of life assessment (SF-36), self-rating anxiety scale (SAS), self-rating depression scale (SDS) and Pittsburgh sleep quality index (PSQI) were collected before and after treatment in the two groups, and the effects of the two groups on improving the symptoms and quality of life of GERD patients were compared and analyzed. The curative effect of the two groups were evaluated according to the diagnosis and treatment standards agreed by chinese experts on GERD.

Results

Compared with those before treatment, GERD symptom score, SAS score, SDS score and PSQI score were significantly decreased in both groups after treatment (P<0.05), and quality of life (SF-36 score) was significantly increased in both groups (P<0.05). Compare to control group, the improvement of the above indicators in the study group markedly significant (P<0.05); It is suggested that the diaphragm biofeedback training nursing intervention can significantly improve the GERD symptoms and improve the occurrence of depression, anxiety and sleep disorders. Compared with the control group, the apparent and total effective rates of the study group were significantly higher than those of the control group; The inefficiency was significantly lower than that of the control group (P<0.05).

Conclusion

Diaphragm biofeedback training and personalized nursing intervention have a significant effect on GERD, which is worthy of further clinical application.

Key words: gastroesophageal reflux disease, diaphragm biofeedback training, questionnaire, symptoms, quality of life

Jing Yan, Yuan Jiang, Jian Wang, Yongkang Wang, Wusiman Ababokeli, Zhi Wang. Analysis the effect of diaphragm biofeedback training on patients with gastroesophageal reflux disease[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2023, 10(01): 50-55.

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References 20

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组别	例数	年龄（岁）	性别（男性/女性）	BMI（kg/m²）	病程（年）
对照组	41	45.19±7.18	23/18	25.30±3.31	1.58±0.49
研究组	42	44.59±6.57	25/17	24.95±3.16	1.56±0.51
χ²/t值		0.397	0.100	0.489	0.157
P值		0.692	0.752	0.626	0.875

组别	例数	年龄（岁）	性别（男性/女性）	BMI（kg/m²）	病程（年）
对照组	41	45.19±7.18	23/18	25.30±3.31	1.58±0.49
研究组	42	44.59±6.57	25/17	24.95±3.16	1.56±0.51
χ²/t值		0.397	0.100	0.489	0.157
P值		0.692	0.752	0.626	0.875

组别	例数	GERD评分		SF-36评分		SAS评分		SDS评分		PSQI评分
组别	例数	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后
对照组	41	16.12±1.93	8.36±1.66^*	68.34±7.18	82.39±6.46^*	63.26±5.06	45.36±4.04^*	61.41±3.70	46.36±3.98^*	14.15±2.42	8.29±1.22^*
研究组	42	15.80±2.21	7.35±1.22^*	67.23±8.55	91.16±4.80^*	61.67±5.24	36.09±3.70^*	62.97±4.64	35.64±3.27^*	15.07±2.45	5.71±1.02^*
t值		0.686	3.142	0.635	-7.027	1.414	10.902	-1.691	13.406	-1.728	10.412
P值		0.495	0.002	0.527	<0.001	0.161	<0.001	0.095	<0.001	0.088	<0.001

组别	例数	GERD评分		SF-36评分		SAS评分		SDS评分		PSQI评分
组别	例数	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后
对照组	41	16.12±1.93	8.36±1.66^*	68.34±7.18	82.39±6.46^*	63.26±5.06	45.36±4.04^*	61.41±3.70	46.36±3.98^*	14.15±2.42	8.29±1.22^*
研究组	42	15.80±2.21	7.35±1.22^*	67.23±8.55	91.16±4.80^*	61.67±5.24	36.09±3.70^*	62.97±4.64	35.64±3.27^*	15.07±2.45	5.71±1.02^*
t值		0.686	3.142	0.635	-7.027	1.414	10.902	-1.691	13.406	-1.728	10.412
P值		0.495	0.002	0.527	<0.001	0.161	<0.001	0.095	<0.001	0.088	<0.001

组别	例数	显效	有效	无效	总有效率
对照组	41	15（36.58）	22（53.66）	4（9.75）	37（90.24）
研究组	42	25（59.52）	16（38.09）	1（2.38）	41（97.62）
Z值		-2.236
P值		0.025

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