How to deal with gastric reflux in your daily life -Nurses intervention

Phase 4

Not yet recruiting

• Conditions: Gastro-esophageal reflux disease without esophagitis,

• Registration Number: CTRI/2023/07/055541
• Lead Sponsor: Neha Gill

Brief Summary

**Researchprotocol:**

**Nurse initiatedpatient care package:**

**Nurse-led intervention** includes a complete package of instructions andpractice based activities that would be taught to the patients showingsymptomatic GERD.

1.     It involves counselling the patientregarding lifestyle modifications in day to day life, which includes

1)      Dietarymodifications like:

a.       Lowfat diet: counsel patients to avoid unsaturated fatty acids like ghee, dalda, meatand eggs, on a daily basis.

b.      Highfiber diet: counsel them to eat food rich in fiber like oats, whole grain,spinach, fruits etc.

c.       Donot eat street food which is unhygienic or spicy, or leftover food.

d.      Donot drink too much of beverages(tea or coffee) and soda in a day. Not more than2-3cups/day.

2)      Adviceand encourage patients for smoking cessation

3)      Dailyactive and passive exercises should be carried out 2hrs before or after themeal.

4)      Advicethe patient to maintain atleast 3hrs gap between meal time and sleeping time toavoid regurgitation of the gastric content.

 2.     Demonstration ofprocedures like

**a.** **Diaphragmaticbreathing:** it is also known as abdominal breathing. It includes varioussteps that need to be taught to the patient and he/she is advised to do thisexercise for 10mins/day.

Ask the patient to

**i.**Sit back or liedown in a comfortable space.Closeyour eyes.

**ii.**Place one hand on the chest andother on the abdomen. The upper hand should not be moved while inhaling.

**iii.**Take a deep breath though nose asif you are smelling a rose for about 4seconds, feel the expansion of theabdomen and not the chest.

**iv.**Hold the breath for 2 seconds

**v.**Exhale slowly through mouth bypursed-lip technique, or by blowing the candle technique for 6seconds.

**vi.**Repeat it for 5-10 mins for 4-5times /day

**b.****Differentsleeping postures:**

–     Demonstratethe patient about how the head of the bed is elevated at 30’.

–     Leftlateral position is recommended to reduce the acidic reflux.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-01-08
• Last Update Posted: 2023-07-23

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 90

Inclusion Criteria

All clinically diagnosed patients of GERD Patients who are willing to participate.

Exclusion Criteria

• Patients with prior esophageal surgery.
• Patients having other serious medical conditions along with GERD such as esophageal stricture, barrett’s metaplasia, peptic ulcers, oesophageal cancer.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
to assess the effect of intervention on the intensity and frequency of the symptoms of gastroesophageal reflux disease	At baseline, 6weeks and 12weeks

Secondary Outcome Measures

Name	Time	Method
–Effect on Proton pump inhibitor usage among patients with GERD.	outcomes will be assessed at baseline, 6weeks & 12weeks

Trial Locations

Locations (1)

Post Graduate Institute of Medical Education and Research (PGIMER) Chandigarh; 🇮🇳 Chandigarh, CHANDIGARH, India

Post Graduate Institute of Medical Education and Research (PGIMER) Chandigarh

🇮🇳Chandigarh, CHANDIGARH, India

Dr Shruti

Principal investigator

8437748011

shrutipgi2011@outlook.com