Application of Hufu Tongbian scraping combined with PDCA cycle nursing in patients with gastroesophageal reflux disease
Objective To explore the effect of Hufu Tongbian scraping combined with PDCA cycle nursing on patients with gastroesophageal reflux disease.Methods A total of 150 patients with gastroesophageal reflux disease admitted to Nanjing Hospital of Chinese Medicine from June 2020 to June 2022 were selected.They were divided into a control group and an observation group using a digital randomization method,with 75 patients in each group.The control group received PDCA cycle nursing intervention,while the observation group received PDCA cycle nursing combined with Hufu Tongbian scraping intervention.The nursing effect before and after intervention was compared between the two groups.Results After 4 and 8 weeks of intervention,the scores of the Self-Rating Anxiety Scale,Self-Rating Depression Scale,and Reflux Disease Questionnaire in the observation group were lower than those in the control group,and the scores of the Short Form-36 Health Survey in the observation group were higher than those in the control group(all P<0.05).After 4 and 8 weeks of intervention,the levels of the tumor necrosis factor-α and high-sensitivity C-reactive protein in the observation group were lower than those in the control group,while the levels of motilin and gastrin in the observation group were higher than those in the control group(all P<0.05).After 8 weeks of intervention,the above scores and indicators in both groups were better than those before and after 4 weeks of intervention(all P<0.05).Conclusion The intervention of Hufu Tongbian scraping combined with PDCA cycle nursing for patients with gastroesophageal reflux disease can effectively alleviate their clinical symptoms and psychological status,improve the levels of serum inflammatory factors and gastrointestinal hormones,and improve their quality of life.