Comparison of Functional Dyspepsia and Early Chronic Pancreatitis

Effect of caregiver intervention nursing based on two-factor theory on compliance behavior and symptom improvement in children with functional dyspepsia

BACKGROUND

Functional dyspepsia (FD) is a clinically common functional gastrointestinal disease, and its occurrence is closely related to eating habits and psychological characteristics. Since the children are too young to master self-care skills, it is particularly important for them to receive caregiver intervention nursing based on two-factor theory.

AIM

To explore the effect of caregiver interventional care based on two-factor theory on compliance behavior, sleep quality, and family satisfaction in children with FD.

METHODS

The clinical data of 100 children with FD treated at our hospital from January 2019 to December 2020 were included in this retrospective study, and they were divided into either a control group or a study group according to the order of filing, with 50 cases in each group. Both groups were given routine nursing care, and the study group was additionally given caregiver interventional care based on two-factor theory. The intervention lasted for 2 wk. The medical compliance behavior, symptom improvement, family satisfaction, anxiety degree before and after intervention, sleep quality, and family function were compared between the two groups.

RESULTS

The rate of compliance with medicine, diet, sleep, and mood in the study group was higher than that in the control group (P < 0.05). After 2 wk of intervention, the scores of separation anxiety, fear of physical injury, panic disorder, and generalized anxiety (P < 0.05), the scores of sleep resistance, sleep anxiety, daytime sleepiness, and delayed falling asleep (P < 0.05), the scores of family-intra-family systemic relationship, family-individual relationship, and family-social unit relationship (P < 0.05), and the scores of belching, epigastric pain, epigastric distension, and early satiety (P < 0.05) were significantly lower in the study group than in the control group (P < 0.05). Satisfaction with family functioning was higher in the study group than in the control group (92.00% vs 74.00%, P < 0.05).

CONCLUSION

Caregiver intervention nursing based on two-factor theory can help children with FD establish compliance behaviors, reduce anxiety, control clinical symptoms, improve sleep quality, and improve family satisfaction.

Early diagnosis of chronic pancreatitis

Chronic pancreatitis is one of the most challenging disorders from the perspective of its early diagnosis and effective treatment. Within the last decade, the diagnosis of early chronic pancreatitis has been firmly introduced into the practice of gastroenterology. The delineation of this form as an initial stage of chronic pancreatitis is based on the need in early and effective treatment that could cease the progression of the disease and reduce the possibility of its complications. The diagnostic criteria of chronic pancreatitis have been described in details in the literature; however, specifics of the diagnosis in its early stage have been scarcely highlighted. Chronic pancreatitis is commonly diagnosed with a number of imaging techniques (they can show abnormalities in morphology of the pancreas), as well as laboratory tests (showing functional organ deficit). However, morphological and imaging techniques are insufficient for the diagnosis of the early chronic pancreatitis. A new integral strategy towards early diagnosis seems necessary, that would consider not only the morphology, but also potential etiology, risk factors of the disease and its complications in patients with suspected chronic pancreatitis. The review of the literature presents the definition of the early pancreatitis and discusses the potential of imaging techniques and functional tests in its diagnosis. An adequate strategy for the diagnosis of the early pancreatitis is formulated, based on an individual patient characteristic with suspected early chronic pancreatitis, namely, risk factors, clinical manifestations, imaging results and serological biomarkers.

CLINICAL SIGNS AND QUALITY OF LIFE ANALYSIS IN THE PATIENTS WITH HYPOTHYREOSIS AND CHRONIC PANCREATITIS

OBJECTIVE

Aim: To analyze the clinical condition and evaluate the quality of life of patients with a comorbid course of Ht and CP and patients with isolated CP based on the results of testing according to the GSRS and SF-36 questionnaires.

PATIENTS AND METHODS

Materials and methods: Were examined 62 patients with comorbid course of Ht and CP. The comparison group consisted of 48 people with isolated CP, the control group consisted of 30 healthy people, comparable in age and sex. The average age of all patients was (51.4±26.7) years. Two questionnaires were used in the study: the GSRS (Gastrointestinal Symptom Rating Scale) questionnaire was used to assess the severity of gastroenterological symptoms and QoL, and the general SF-36 questionnaire was used to assess the clinic and health status.

RESULTS

Results: Analyzing the data of the GSRS questionnaire, it was found that in patients with a comorbid course of Ht and CP, reflux, pain and dyspepsia syndromes took the leading place in the clinic of the disease (p>0.05). They should be considered as the main factor in reducing the quality of life in patients with a comorbid course of Ht and CP. According to the GSRS questionnaire, the comorbidity of Ht and CP caused a complication of the clinical condition compared to patients with isolated CP of a gastroenterological patient: according to the scale of gastric reflux - by 48.57%, according to the scale of dyspepsia - by 35.84%, diarrhea - by 26.94%, constipation - by 19.93%, abdominal pain - by 40.81% (p<0.05). As a result of the study, a significantly lower level of quality of life was established in patients with a comorbid course of Ht and CP.

CONCLUSION

Conclusions: It has been proven that the quality of life of patients with a comorbid course of Ht and CP was significantly lower compared to that of isolated CP (the total difference between groups on all scales of the GSRS questionnaire was 33.59% (p<0.05)). According to the SF-36 questionnaire, the overall quality of life of patients with a comorbid course of Ht and CP, compared to the group of patients with isolated CP, was reduced by 34.9% and 20.9% on the scales of physical and psychological health (р<0, 05).