Altwigry Abdulrahman Mohammed, Almutairi Majed Saud, Ahmed Masood
Medical Intern, College of Medicine, Qassim University, Saudi Arabia.
Department of Anatomy and Histology, College of Medicine, Qassim University, Saudi Arabia.
Int J Health Sci (Qassim). 2017 Apr-Jun;11(2):59-64.
Gastroesophageal reflux disease (GERD) is the most common upper gastrointestinal disorder encountered in the elderly patient. It is highly prevalent worldwide with a prevalence of 10-20% in the western world. The health-related quality of life (HRQL) is lower in individuals with GERD than in the general population and is comparable to that in individuals with other chronic diseases. It has a considerable impact on the quality of the patient's life through its symptoms and economically by following consultation procedures and medical care. A few studies have been done in Saudi Arabia using general population as subject and have reported a very high prevalence.
(1) Estimation of gastro GERD prevalence among school teachers in Qassim region. (2) To assess the impact of GERD symptoms on teacher's daily life activity. (3) To compare prevalence and risk factors of GERD between age-groups and gender.
A cross-sectional study that was conducted among 200 school teachers selected by multi-stage stratified random sample method in Qassim region during 2015. A reliable and valid self-administered GERD questionnaire for diagnosis of GERD was used. GERD-HRQL questionnaire was used to assess the impact of GERD on the patient's life quality. Data were analyzed using Statistical Package for Social Sciences Version 20.0; Chi-square was used to test the association between GERD and sociodemographic data.
The total number of the participants was 200 with an equal male to female ratio. 55% (116/200) of the participants reported with GERD. 53 point 5% of these (62/116) were female and 46.6% (54/116) were male. The commonest age group was 31-40 years with 45.5% (91/200) participants. 13/200 (6.5%) participants were smokers, of which only 15.9% were female. 41 point 3% (48/116) of the GERD +ve participants were having blood group O +ve 7.8% (9/116) of GERD participants reported symptoms which affected their daily life activity.
This study revealed a prevalence of GERD symptoms among 58% of school teachers. 7 point 8% of GERD participants reported symptoms which affected their daily life activities. These data indicate a need for a comprehensive approach to managing the GERD and related diseases and a more intensified level of awareness about GERD symptoms and its complications. In addition, a health care and preventive measure may be implemented to tackle the problem among school teachers.
胃食管反流病（GERD）是老年患者中最常见的上消化道疾病。它在全球范围内高度流行，在西方世界的患病率为10% - 20%。GERD患者的健康相关生活质量（HRQL）低于普通人群，与其他慢性病患者相当。它通过症状对患者生活质量产生相当大的影响，并在经济上因后续的咨询程序和医疗护理而产生影响。沙特阿拉伯已经开展了一些以普通人群为研究对象的研究，并报告了非常高的患病率。
（1）估算卡西姆地区学校教师中胃食管反流病的患病率。（2）评估GERD症状对教师日常生活活动的影响。（3）比较不同年龄组和性别的GERD患病率及危险因素。
2015年在卡西姆地区采用多阶段分层随机抽样方法选取200名学校教师进行横断面研究。使用一份可靠且有效的用于诊断GERD的自填式问卷。GERD - HRQL问卷用于评估GERD对患者生活质量的影响。数据采用社会科学统计软件包20.0进行分析；卡方检验用于检验GERD与社会人口统计学数据之间的关联。
参与者总数为200人，男女比例相等。55%（116/200）的参与者报告患有GERD。其中53.5%（62/116）为女性，46.6%（54/116）为男性。最常见的年龄组是31 - 40岁，有45.5%（91/200）的参与者。13/200（6.5%）的参与者吸烟，其中女性仅占15.9%。41.3%（48/116）的GERD阳性参与者血型为O型阳性。7.8%（9/116）的GERD参与者报告有影响其日常生活活动的症状。
本研究显示58%的学校教师存在GERD症状。7.8%的GERD参与者报告有影响其日常生活活动的症状。这些数据表明需要采取综合方法来管理GERD及相关疾病，并且需要提高对GERD症状及其并发症的认识水平。此外，可实施医疗保健和预防措施来解决学校教师中的这一问题。
