TREATMENT OF NON-ULCER DYSPEPSIA IN PRIMARY HEALTH CARE
УПРАВЛЕНИЕ НЕЯЗВЕННОЙ ДИСПЕПСИИ В ПЕРВИЧНОМ ЗДРАВООХРАНЕНИИ
Abstract
The objective of the paper is to provide quality improvement in primary care for the patients suffering from non-ulcer dyspepsia. The research was based on the healthcare audit which has been carried out in Kutaisi′s family medicine Centre. According to the medical auditing, it can be concluded, that the treatment process for the patients with non-ulcer dyspepsia needs to be improved. The study showed that the criterion for cutting down on fatty and spicy food consumption totaled to 50 % (P<0,05) which means that the standard deviation is high. In this respect, it’s expedient to strengthen teamwork in health care, raise awareness and educate patients about the problems. The research also revealed that the consumption of alcohol, tea, coffee, chocolate didn’t satisfy the requirement of the standard and mounted up to 48 % (P<0,05); this can only be explained by the perfunctory attitude the patients showed towards these issues. However, family physicians had always provided professional medical advice in the medical maps regarding these factors. In addition, it’s imperative to modify the risk factors for the patients with non-ulcerative dyspepsia (nicotine, body mass index, etc.) It’s necessary to inform the medical staff about the results of the medical auditing and then conduct a re-audit to assess the effectiveness of the measures taken.
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References
ი.ქაროსანიძე, თ.გაბუნია, ვ.დობორჯგინიძე - საოჯახო მედიცინა//თბილისი, 2001, 341გვ.
www.moh.gov.ge
Dyspepsia – proven Gerd, CKS – clinical knowledge Summaries, 2008, http://cks.libray.nhs.uk
Role of endoscopy in the management of Gerd. The American Society for gastrointestinal Endoscopy 2007. Volume 66, N02
Gastroesophageal Reflux Disease in Adults. Armstrong D, Marshall G.K., Ehiba, N, Enns, R, Fallone, et al (2005 January) Canadian consensus conference on the management of gastroesophageal reflux disease in adults: Update 2004. Canadian journal of gastroenterology 19 (1) 15-35.
Management of dyspepsia and heartburn New Zeeland Guidelines Group, 2004.