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

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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

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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.