بشرى سمير محيريث الشمري

مجال
التميز

تميز دراسي  و
بحثي

البحوث المنشورة

البحث (1):

عنوان البحث:

Outcome And Quality Of Life Of Elderly
Patients Admitted To The Intensive Care Unit: A Literature Review

رابط إلى البحث:

Click here 

تاريخ النشر:

30/08/2018

موجز عن البحث:

The ageing of the global population become
a dramatic phenomenon due to a decline in mortality and fertility rate. There
has been a significant rise in the probability of survival to an older age,
with a significant increase in the total number of older people expected to
increase extremely. Intensive care unit and critical care patients not only
look to ensure survival and avoid associated complications, but also look to
return to the pre-admission level of function. Furthermore, elderly patients
who are found to survive critical illness sometimes require advanced care
through nursing homes. In light of this view, there is a need to understand
the short-term and long-term outcomes of intensive care unit admission for
elderly patients. The aims of this literature review were to examine the
intensive care unit and critical care related outcomes of the elderly and to
identify the differences in the requirements and provisions linked to such
care. Through the review 20 articles were selected by rigorous methodology.
The review findings show that short term mortality is strongly linked to age.
Most studies show significant increase in the long-term rate of mortality.
This identifies the need to assess the impact upon of secondary outcomes such
as quality of life and activities of daily life. Evidences also show that
comorbidity, length of stay (LOS), sepsis as well as surgery can impact
mortality outcomes. Most of the studies indicate low recovery of overall
quality of life (QoL) and activity of daily life (ADL) after intensive care
unit (ICU) admission. Therefore, this review contends that the rationale for
admitting the elderly to the ICU and the rationale for assessing outcomes
should not be restricted to short-term outcomes but also be extended to
longterm outcomes. In addition, the benefits of an ICU admission are not
clear when it comes to patients aged 80 years and older who have been
hospitalised for medical reasons or unplanned surgery. There are two
reasonable options available for these patients. This can be promoted through
the policy of admitting to an acute care for the elderly or a regular ward
instead of the ICU as well as admission of selected patients to the ICU along
with the promotion of efforts to make sure that the ICU discharge is rapid. 

البحث (  2):

عنوان البحث:

An Exploration Of Symptom Burden
And Its Management, In Saudi Arabian Patients Receiving Haemodialysis, And
Their Caregivers: A Mixed Methods Study Protocol

رابط إلى البحث:

Click
here

تاريخ النشر:

09 July 2019

موجز عن البحث:

Background: Globally
10% of the population worldwide are affected by chronic kidney disease (CKD),
making it one of the most prevalent chronic diseases. Several studies have
highlighted that the symptoms of CKD have a significant impact on patients. A
number of symptoms, including fatigue and depression, are associated with
poor patient health, increased risk of hospitalisation and mortality.
Physical and emotional symptoms often remain under-recognised and largely
untreated; however, patients often create a variety of self-management
strategies to meet the challenges of these symptoms. There is a lack of
knowledge regarding symptom burden and the experiences of patients receiving
haemodialysis (HD) and their caregivers, particularly in Saudi Arabia,
therefore, this study aims to explore symptom burden and its management
amongst patients receiving HD in addition to caregiver burden.

Method: A
mixed methods, sequential, explanatory design consisting of two phases: phase
1 involves a cross-sectional study design with a planned convenience sample
size of 141 patients who will be recruited from King Khaled hospital, Saudi
Arabia. Thirty-two physical and psychological symptoms will be measured using
the Chronic Kidney Disease-Symptom Burden Index (CKD-SBI). Additionally, 130
caregivers will complete the Arabic version of the Zarit Burden Interview
(ZBI-22) to identify the level of burden in the caregivers of patients on
maintenance HD. Phase 2 of the study is a qualitative descriptive design
involving semi-structural interviews with 15 eligible patients currently
receiving HD. The selection of participants for interviews will be based on
the patients’ total CKD-SBI scores with five individuals recruited from the
lowest, median and highest percentiles. Additionally, 15 caregivers of the
patients to be interviewed, will also be recruited and interviewed.

Discussion: This
study focuses on a wide number of physical and psychological symptoms
experienced by patients receiving HD. It will also focus on the effective
management strategies patients employ to help reduce their perceived
symptoms. Burden in caregivers of patients receiving HD will also be
explored. Furthermore, the association between symptom burden and caregiver
burden will be investigated. Findings from this study will provide evidence
to help health care providers to develop effective interventions to assess
and manage symptoms in patients receiving HD.

المؤتمرات العلمية:

المؤتمر (1):

عنوان المؤتمر:

Inaugural Doctoral Collaboration
Conference          

تاريخ الإنعقاد:

02/05/2019

مكان
الإنعقاد:

Belfast.UK

طبيعة المشاركة:

Paper presentation

عنوان المشاركة:

Living With The Burden Of
Hemodialysis In Saudi Arabia: Evaluation By Patients And Caregivers Using A
Cross Sectional Study 

ملخص المشاركة:

Hemodialysis
patients experience multiple symptoms. 
Patients
with ESRD experience a similar degree of symptom distress to cancer patients
(Sepúlveda, 2002). These symptoms are often under-recognized and
untreated. The
main barriers to symptom management is that health care providers are unaware
of patient symptoms (Feldman et al 2013). The main aim of this study is to
explore symptom burden of patients receiving HD and their informal
caregivers.

المؤتمر (2):

عنوان المؤتمر:

UK Kidney Week 2019     

تاريخ الإنعقاد:

05/06/2019

مكان
الإنعقاد:

Brighton. UK

طبيعة المشاركة:

Poster
presentation

عنوان المشاركة:

Burden In Patients And Their
Informal Caregivers Living With HD In Saudi Arabia

ملخص المشاركة:

Introduction: Haemodialysis
patients experience many challenges associated with living with symptoms.

The aim of the study is to

·  Measure
symptom burden of patients receiving HD.

· Measure the
burden of informal caregivers.

· Explore the
association between symptom burden and caregiver burden.

Method: Across
sectional study design a convenience sample of 141 patients and 61 informal
caregivers recruited from King Khaled hospital, Saudi Arabia.

Thirty two physical and psychological
symptoms were measured using the Chronic Kidney Disease-Symptom Burden Index
(CKD-SBI).

The Arabic version of the Zarit Burden
Interview (ZBI-22) was used to identify the level of burden in caregivers of
patients on maintenance HD.

Results: The
mean age of patients on HD was 53±17 years, while for caregivers it was 36±12
years. 46% of the

Patients were female and 79% of caregivers
were female. The mean number of symptoms reported by patients was approximately10±5 from a total of 32 symptoms. A
positive correlation between total symptom burden and caregiver burden was
observed, Although it did not reach a statistically significant level P=.138.