Nursing Teaching Scheme on Remedial Compliance and Symptoms among Patients with Gastro-oesophageal Reflux Disease: A Quasi-experimental Study

Abstract

Background: Gastroesophageal Reflux Disease is among the most common conditions affecting the digestive system. A nursing teaching scheme for gastroesophageal reflux disease patients is important as it provides comprehensive information and guidance to help patients manage their condition effectively. Objectives: This study's objective was to evaluate the effect of a nursing teaching scheme on patient compliance and symptoms of gastroesophageal reflux disease. Methods: The research design was Quasi-experimental (one group pretest-post-test). A total of 60 patients were chosen as a purposive sample from the AL-Rajhi Liver Hospital's medical outpatient clinics at Assiut University, Egypt. The data was gathered using a structured interview questionnaire, the Mediterranean Diet Adherence Screener, the Morisky Medication Adherence Scale, and the Gastro-oesophageal Reflux Disease Questionnaire. Results: The total mean score of medication adherence levels increased from 2.08± 2.09 pre-teaching scheme to 5.88± 1.77 and 7.40±1.09, respectively, at one- and three-months post-teaching scheme, with p-value < 0.001 and significant statistical differences. The overall mean score for Mediterranean diet adherence levels significantly improved, rising from 6.97±1.72 before the nursing teaching scheme to 11.15± 1.46 and 12.87± 1.27, respectively, one and three months after the nursing teaching scheme. There was a significant inverse correlation between patient medication compliance and GERD symptoms severity at the one- and three-month post-nursing teaching scheme. Conclusion: The study results showed the effectiveness of a nursing teaching scheme in improving patients' compliance and symptoms of gastroesophageal reflux. Therefore, the study recommends the teaching scheme be incorporated as part of the medical management approach.