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Prevention and Management of Gastroesophageal Reflux Diseases (GERD) and Peptic Ulcer Diseases (PUD’s) Among Bhutanese Refugees Utilizing Personalize Patient Education

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dc.contributor.advisorDr. Kalpana Poudel-Tandukar, PhD, MPH, MPHC, CGM
dc.contributor.advisorDr. Pamela Aselton, PhD, MPH, FNP-BC
dc.contributor.authorPaudel, Sharada
dc.contributor.departmentUniversity of Massachusetts Amherst
dc.contributor.departmentDoctor of Nursing Practice
dc.contributor.departmentPost Master's DNP Completion
dc.date2024-01-22T14:10:58.000
dc.date.accessioned2024-04-26T19:34:38Z
dc.date.available2024-04-26T19:34:38Z
dc.date.issued2019-01-01
dc.date.submittedMay
dc.description.abstractBackground: Bhutanese refugees in the United States frequently suffer from gastrointestinal diseases especially gastroesophageal reflux disease (GERD)and peptic ulcer disease (PUD) which may impact on their quality of life. Purpose: This DNP Project utilized individualized patient education to help improve knowledge on prevention and management of GERD to decrease exacerbations. Methods: Three sessions of individualized live patient education with 15 Bhutanese refugee patients living in Western Massachusetts were provided. Pre and post intervention surveys on patient's symptoms, quality of life, degree of patient knowledge about disease and self-care management and number of ambulatory care visits utilizing the GERD Impact Scale (GIS) questionnaire. Result: Statistically significant improvements were noted in overall symptoms and quality of life (5.25 points), knowledge scores (2.40 points) and number of ambulatory care visit (0.66 visit). The percentage of patients reported daily experiencing burning sensation on chest or behind the breast bone, pain on chest or behind the breast bone and sore throat or hoarseness was decreased by 53.3%, 26.67% and 33.3% respectively. Moreover, there was 62.5% decrease in ambulatory care visits. Conclusion: This culturally tailored individualized patient education program helped promote patient's knowledge on disease process, risk factors and self-care management of GERD and PUD. It was also helpful in reducing short term and long-term complications of GERD and PUD, increasing quality of life and decreasing ambulatory care visits among Bhutanese refugee population living in Western Massachusetts.
dc.identifier.doihttps://doi.org/10.7275/14397222
dc.identifier.urihttps://hdl.handle.net/20.500.14394/37885
dc.relation.urlhttps://scholarworks.umass.edu/cgi/viewcontent.cgi?article=1206&context=nursing_dnp_capstone&unstamped=1
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/
dc.source.statuspublished
dc.subjectBhutanese Refugees
dc.subjectgastroesophageal reflux disease (GERDS)
dc.subjectpeptic ulcer disease (PUD)
dc.subjectlanguage
dc.subjectcultures
dc.subjectNursing
dc.titlePrevention and Management of Gastroesophageal Reflux Diseases (GERD) and Peptic Ulcer Diseases (PUD’s) Among Bhutanese Refugees Utilizing Personalize Patient Education
dc.typeopen
dc.typearticle
digcom.contributor.authorisAuthorOfPublication|email:spaudel@umass.edu|institution:University of Massachusetts Amherst|Paudel, Sharada
digcom.identifiernursing_dnp_capstone/183
digcom.identifier.contextkey14397222
digcom.identifier.submissionpathnursing_dnp_capstone/183
dspace.entity.typePublication
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