Eyad Alhelih - Academia.edu (original) (raw)
Papers by Eyad Alhelih
Background: Many studies have demonstrated that health related quality of life (HRQoL) improves, ... more Background: Many studies have demonstrated that health related quality of life (HRQoL) improves, on average, after coronary artery bypass graft surgery (CABGS). However, this average improvement may not be realized for all patients, and it is possible that there are two or more distinctive groups with different, possibly non-linear, trajectories of change over time. Furthermore, little is known about the predictors that are associated with these possible HRQoL trajectories after CABGS. Methods: 182 patients listed for elective CABGS at The Royal Melbourne Hospital completed a postal battery of questionnaires which included the Short-Form-36 (SF-36), Profile of Mood States (POMS) and the Everyday Functioning Questionnaire (EFQ). These data were collected on average a month before surgery, and at two months and six months after surgery. Socio-demographic and medical characteristics prior to surgery, as well as surgical and post-surgical complications and symptoms were also assessed. Growth curve and growth mixture modelling were used to identify trajectories of HRQoL. Results: For both the physical component summary scale (PCS) and the mental component summary scale (MCS) of the SF-36, two groups of patients with distinct trajectories of HRQoL following surgery could be identified (improvers and non-improvers). A series of logistic regression analyses identified different predictors of group membership for PCS and MCS trajectories. For the PCS the most significant predictors of non-improver membership were lower scores on POMS vigor-activity and higher New York Heart Association dyspnoea class; for the MCS the most significant predictors of non-improver membership were higher scores on POMS depression-dejection and manual occupation. Conclusion: It is incorrect to assume that HRQoL will improve in a linear fashion for all patients following CABGS. Nor was there support for a single response trajectory. It is important to identify characteristics of each patient, and those post-operative symptoms that could be possible targets for intervention to improve HRQoL outcomes.
Journal of The Saudi Heart Association, Apr 1, 2013
ABSTRACT Objective Postoperative pain control is one of the most important concerns for CABG pati... more ABSTRACT Objective Postoperative pain control is one of the most important concerns for CABG patients and is one of the most clinically challenging problems for health care providers. The authors investigated the effectiveness of a continuous LAI of bupivacaine at the sternotomy incision after CABG with regards to pain intensity, opioid analgesic requirements, and select clinical outcomes. Design This was a prospective, dual armed, randomized, placebo-controlled, double-blind clinical trial. Methods Patients (n = 108) undergoing CABG had continuous LAI catheters placed at the sternotomy. Pain intensity scores and opioid analgesic requirements were recorded from postoperative day (POD) 1–POD 3. Secondary outcome measures were duration of MV, initial ambulation, ICU and hospital LOS. Results Participants in all four groups were similar in demographic and clinical parameters. Patients in the treatment and control groups of both arms of the study reported comparable pain intensity scores on POD 1–POD 3. The total amount of opioid analgesia required during weaning from MV did not vary significantly between treatment Pain Management after Cardiac Surgery and control groups in either arm of the study. No statistically significant differences were found in the average time to first ambulation from bed to chair. Most patients in both arms of the study met step-down criteria within 24 h of surgery. The average postoperative hospital LOS was 4–5 days and did not vary statistically between groups. Conclusion The use of a continuous LAI at the sternotomy did not reduce postoperative pain intensity or opioid analgesic consumption in this study. It also did not have an effect on secondary clinical outcomes.
Middle East Journal of Nursing, Jun 1, 2018
Purpose: Children and adolescents with cancer experience multiple distressing symptoms during and... more Purpose: Children and adolescents with cancer experience multiple distressing symptoms during and after chemotherapy treatment. This study aimed at secondary analyzing of reported symptoms experienced by Saudi children and adolescents with cancer over multiple cycles of chemotherapy treatment, identifying the experiencing of similar symptom trajectories. Methods: Subjects were 130 Saudi children and adolescents recruited from four tertiary hospitals who completed the sociodemographic and clinical data sheet, Memorial Symptom Assessment Scale (MSAS 10-18) and Karnofsky Performance Status (KPS) Scale. Findings: Four discrete classes using latent class profile analysis were recognized: minimum distress (Class I), physical prominent distress (Class II), psychological prominent distress (Class III), and maximum distress (Class VI). Vomiting (M=0.88) was reported as the most distressing symptom in Class I, whereas lack of energy was the most prevalent distressing symptom in Class II (M=3.1). Subjects reported worrying (M=2.68) as the most distressing symptom in Class III of clustering, while lack of energy (M= 4.85) was reported to be the most prevalent in Class VI. Conclusion: Understanding antecedents and patterns of symptom trajectories may help practitioners to improve patients' care more efficiently, permitting refining of patient outcomes and inspiring a reduction in health care costs and utilization.
Clinical & Translational Oncology, Jul 22, 2015
ABSTRACT
Journal of Medicine and Medical Sciences, 2010
... Eyad M. Alhelih1, Danny M. Rabah2, Mostafa A. Arafa3 ... 2Associate Professor, Consultant Uro... more ... Eyad M. Alhelih1, Danny M. Rabah2, Mostafa A. Arafa3 ... 2Associate Professor, Consultant Urologist, Head of Urology Department, Princess Aljohara Alibrahim Cancer Research Center ( Prostate Cancer Research Chair) , King Khalid University Hospital, King Saud University ...
Madridge Journal of Nursing, 2018
Fatigue has proven to be a pivotal topic of research and an abstract concept to explore and, as s... more Fatigue has proven to be a pivotal topic of research and an abstract concept to explore and, as such, has led to debates about whether it will ever be possible to develop a theory concerning its causes, mechanisms, consequences, prevention and treatment. This cross-sectional descriptive study aims to validate a developed Arabic instrument to measure cancer treatment-related fatigue among Saudi children with cancer. The sample consisted of 100 pediatric oncology patients aging 8-12 years recruited from three large ambulatory hospitals in Saudi Arabia. Satisfactory approximations of internal consistency reliability (Cronbach's alpha) were decided upon for the developed instrument subscales: Fatigue (α =0.88), Effect of Fatigue (α =0.86), Compliance to Fatigue (α =0.71), and for Sense of Fatigue (α =0.50). Factorial validity was supported using principal components analysis with varimax rotation that accounted for 40% of the total variance. This validation study warrants using the developed instrument in the assessment of Saudi pediatric cancer patient's related fatigue. Yet, further validation is needed with other types of cancer and treatment.
Clinical and Translational Oncology, 2015
ABSTRACT
Journal of Education and Health Promotion, Nov 27, 2018
Oral care of hospitalized patients is an important measure that aims to maintain and promote the ... more Oral care of hospitalized patients is an important measure that aims to maintain and promote the health of oral and dental tissues. This study aimed to investigate nurses' attitudes and practices regarding oral care of hospitalized patients in Riyadh, Saudi Arabia. A cross-sectional, descriptive design was implemented. The research instrument was a self-administered questionnaire that was designed and distributed among 300 nurses working at five hospitals located in Riyadh. Totally, 226 questionnaires were completed (response rate: 75%). Almost all participants (97.8%) think that providing oral hygiene is an important element of patient care and 90.7% think that nurses need to update their oral care knowledge and skills. Only 46% of the nurses reported the presence of a policy for oral care at their hospital unit and 55.3% indicated that patients are assessed for oral health at their department. About 56.2% of participants did not receive training on oral assessment and provisio...
Objective. The present study aimed to identify the most common learning preferences among the nur... more Objective. The present study aimed to identify the most common learning preferences among the nursing students in Saudi Arabia and to investigate the associations of certain demographic variables with the learning preferences. Methods. All the undergraduate nursing students in the nursing college were requested to participate in this descriptive cross-sectional study. An Arabic version of the Felder-Silverman learning style model (FSLSM) questionnaire was used to examine the learning preferences among undergraduate nursing students. Results. A total of 56 (43%) completed questionnaires were included in the final analysis. Results of the present study indicate that the most common learning preferences among the nursing students were visual (67.9%), followed by active (50%) and sequential (37.5%) learning preferences. The verbal style was the least common learning preference (3.6%) among the nursing students. There was no association between gender and learning preferences ( > .05)...
Background Cancer patients under psychological distress have reduced compliance with treatment an... more Background Cancer patients under psychological distress have reduced compliance with treatment and prolonged hospitalizations. Identifying cancer patients who may be more likely to suffer from psychological distress over the disease trajectory is essential to targeting the proper interventions and providing the best care. In this descriptive cross-sectional study, we aim to assess the levels of emotional and physical distress, depressive symptoms, and social concerns of cancer patients undergoing radiotherapy treatment in Saudi Arabia. Methods A total of 148 cancer patients undergoing radiotherapy from five different public tertiary-level hospitals in Saudi Arabia participated in this study. The survey was conducted by a trained researcher from November 2015 through April 2016. The Psycho-Oncology Screening Tool was used to identify levels of distress of cancer patients undergoing radiotherapy. Emotional and physical distress, depressive symptoms, and social concerns in receiving ps...
Middle East Journal of Nursing, Jun 1, 2018
Purpose: Children and adolescents with cancer experience multiple distressing symptoms during and... more Purpose: Children and adolescents with cancer experience multiple distressing symptoms during and after chemotherapy treatment. This study aimed at secondary analyzing of reported symptoms experienced by Saudi children and adolescents with cancer over multiple cycles of chemotherapy treatment, identifying the experiencing of similar symptom trajectories. Methods: Subjects were 130 Saudi children and adolescents recruited from four tertiary hospitals who completed the sociodemographic and clinical data sheet, Memorial Symptom Assessment Scale (MSAS 10-18) and Karnofsky Performance Status (KPS) Scale. Findings: Four discrete classes using latent class profile analysis were recognized: minimum distress (Class I), physical prominent distress (Class II), psychological prominent distress (Class III), and maximum distress (Class VI). Vomiting (M=0.88) was reported as the most distressing symptom in Class I, whereas lack of energy was the most prevalent distressing symptom in Class II (M=3.1). Subjects reported worrying (M=2.68) as the most distressing symptom in Class III of clustering, while lack of energy (M= 4.85) was reported to be the most prevalent in Class VI. Conclusion: Understanding antecedents and patterns of symptom trajectories may help practitioners to improve patients' care more efficiently, permitting refining of patient outcomes and inspiring a reduction in health care costs and utilization.
Objective. The present study aimed to identify the most common learning preferences among the nur... more Objective. The present study aimed to identify the most common learning preferences among the nursing students in Saudi Arabia and to investigate the associations of certain demographic variables with the learning preferences. Methods. All the undergraduate nursing students in the nursing college were requested to participate in this descriptive cross-sectional study. An Arabic version of the Felder-Silverman learning style model (FSLSM) questionnaire was used to examine the learning preferences among undergraduate nursing students. Results. A total of 56 (43%) completed questionnaires were included in the final analysis. Results of the present study indicate that the most common learning preferences among the nursing students were visual (67.9%), followed by active (50%) and sequential (37.5%) learning preferences. The verbal style was the least common learning preference (3.6%) among the nursing students. There was no association between gender and learning preferences (> .05). Conclusion. The present study concluded that the visual, active, and sequential styles are the commonest learning preferences among the nursing students. The nursing educators should emphasize the use of this information in their teaching methods to improve learning skills among the nursing students.
Madridge Journal of Nursing, 2018
Fatigue has proven to be a pivotal topic of research and an abstract concept to explore and, as s... more Fatigue has proven to be a pivotal topic of research and an abstract concept to explore and, as such, has led to debates about whether it will ever be possible to develop a theory concerning its causes, mechanisms, consequences, prevention and treatment. This cross-sectional descriptive study aims to validate a developed Arabic instrument to measure cancer treatment-related fatigue among Saudi children with cancer. The sample consisted of 100 pediatric oncology patients aging 8-12 years recruited from three large ambulatory hospitals in Saudi Arabia. Satisfactory approximations of internal consistency reliability (Cronbach's alpha) were decided upon for the developed instrument subscales: Fatigue (α =0.88), Effect of Fatigue (α =0.86), Compliance to Fatigue (α =0.71), and for Sense of Fatigue (α =0.50). Factorial validity was supported using principal components analysis with varimax rotation that accounted for 40% of the total variance. This validation study warrants using the ...
Journal of the Saudi Heart Association, Jan 4, 2013
Objective Postoperative pain control is one of the most important concerns for CABG patients and ... more Objective Postoperative pain control is one of the most important concerns for CABG patients and is one of the most clinically challenging problems for health care providers. The authors investigated the effectiveness of a continuous LAI of bupivacaine at the sternotomy incision after CABG with regards to pain intensity, opioid analgesic requirements, and select clinical outcomes. Design This was a prospective, dual armed, randomized, placebo-controlled, double-blind clinical trial. Methods Patients ( n = 108) undergoing CABG had continuous LAI catheters placed at the sternotomy. Pain intensity scores and opioid analgesic requirements were recorded from postoperative day (POD) 1–POD 3. Secondary outcome measures were duration of MV, initial ambulation, ICU and hospital LOS. Results Participants in all four groups were similar in demographic and clinical parameters. Patients in the treatment and control groups of both arms of the study reported comparable pain intensity scores on POD 1–POD 3. The total amount of opioid analgesia required during weaning from MV did not vary significantly between treatment Pain Management after Cardiac Surgery and control groups in either arm of the study. No statistically significant differences were found in the average time to first ambulation from bed to chair. Most patients in both arms of the study met step-down criteria within 24 h of surgery. The average postoperative hospital LOS was 4–5 days and did not vary statistically between groups. Conclusion The use of a continuous LAI at the sternotomy did not reduce postoperative pain intensity or opioid analgesic consumption in this study. It also did not have an effect on secondary clinical outcomes.
... Eyad M. Alhelih1, Danny M. Rabah2, Mostafa A. Arafa3 ... 2Associate Professor, Consultant Uro... more ... Eyad M. Alhelih1, Danny M. Rabah2, Mostafa A. Arafa3 ... 2Associate Professor, Consultant Urologist, Head of Urology Department, Princess Aljohara Alibrahim Cancer Research Center ( Prostate Cancer Research Chair) , King Khalid University Hospital, King Saud University ...
This exploratory study examined factors and decisional balance (DB) that influence participation ... more This exploratory study examined factors and decisional balance (DB) that influence participation in prostate cancer (PCa) screening in Saudi Arabia. The secondary purpose of the study is to develop the groundwork for future interventions to support at-risk men, to develop the health habit of getting a yearly prostate specific antigen (PSA) and digital rectal examination (DRE). The sample consisted of 500 Saudi men who resided in Riyadh area. Men completed two surveys and demographic data was also collected. The selected factors are demographic (age, race, marital status), structural (insurance coverage) and behavioral (screening history). No significant relationships were found for the factors and outcome for PSA, or DRE intent to screen. Further analysis utilizing Point Biserial Correlations for DB, factors and intent to screen with the PSA shows a result of a significant negative association between race and DB. A significant positive association was found for DB and having insura...
Health Qual Life …, 2006
Background: Many studies have demonstrated that health related quality of life (HRQoL) improves, ... more Background: Many studies have demonstrated that health related quality of life (HRQoL) improves, on average, after coronary artery bypass graft surgery (CABGS). However, this average improvement may not be realized for all patients, and it is possible that there are two or more distinctive groups with different, possibly non-linear, trajectories of change over time. Furthermore, little is known about the predictors that are associated with these possible HRQoL trajectories after CABGS. Methods: 182 patients listed for elective CABGS at The Royal Melbourne Hospital completed a postal battery of questionnaires which included the Short-Form-36 (SF-36), Profile of Mood States (POMS) and the Everyday Functioning Questionnaire (EFQ). These data were collected on average a month before surgery, and at two months and six months after surgery. Socio-demographic and medical characteristics prior to surgery, as well as surgical and post-surgical complications and symptoms were also assessed. Growth curve and growth mixture modelling were used to identify trajectories of HRQoL. Results: For both the physical component summary scale (PCS) and the mental component summary scale (MCS) of the SF-36, two groups of patients with distinct trajectories of HRQoL following surgery could be identified (improvers and non-improvers). A series of logistic regression analyses identified different predictors of group membership for PCS and MCS trajectories. For the PCS the most significant predictors of non-improver membership were lower scores on POMS vigor-activity and higher New York Heart Association dyspnoea class; for the MCS the most significant predictors of non-improver membership were higher scores on POMS depression-dejection and manual occupation. Conclusion: It is incorrect to assume that HRQoL will improve in a linear fashion for all patients following CABGS. Nor was there support for a single response trajectory. It is important to identify characteristics of each patient, and those post-operative symptoms that could be possible targets for intervention to improve HRQoL outcomes.
This study presents the experience of the Department of Applied Medical Sciences (AMS)-Riyadh Com... more This study presents the experience of the Department of Applied Medical Sciences (AMS)-Riyadh Community College-King Saud University in its way to achieve the international accreditation standards to ensure quality. The study is based on a three years experience (2008-2010). The following will be clarified, the list of criteria adopted by AMS to ensure quality and the procedures adopted by AMS to apply accreditation standards to ensure quality of outputs. The study followed the iterative descriptive approach in ...
Background: Many studies have demonstrated that health related quality of life (HRQoL) improves, ... more Background: Many studies have demonstrated that health related quality of life (HRQoL) improves, on average, after coronary artery bypass graft surgery (CABGS). However, this average improvement may not be realized for all patients, and it is possible that there are two or more distinctive groups with different, possibly non-linear, trajectories of change over time. Furthermore, little is known about the predictors that are associated with these possible HRQoL trajectories after CABGS. Methods: 182 patients listed for elective CABGS at The Royal Melbourne Hospital completed a postal battery of questionnaires which included the Short-Form-36 (SF-36), Profile of Mood States (POMS) and the Everyday Functioning Questionnaire (EFQ). These data were collected on average a month before surgery, and at two months and six months after surgery. Socio-demographic and medical characteristics prior to surgery, as well as surgical and post-surgical complications and symptoms were also assessed. Growth curve and growth mixture modelling were used to identify trajectories of HRQoL. Results: For both the physical component summary scale (PCS) and the mental component summary scale (MCS) of the SF-36, two groups of patients with distinct trajectories of HRQoL following surgery could be identified (improvers and non-improvers). A series of logistic regression analyses identified different predictors of group membership for PCS and MCS trajectories. For the PCS the most significant predictors of non-improver membership were lower scores on POMS vigor-activity and higher New York Heart Association dyspnoea class; for the MCS the most significant predictors of non-improver membership were higher scores on POMS depression-dejection and manual occupation. Conclusion: It is incorrect to assume that HRQoL will improve in a linear fashion for all patients following CABGS. Nor was there support for a single response trajectory. It is important to identify characteristics of each patient, and those post-operative symptoms that could be possible targets for intervention to improve HRQoL outcomes.
Journal of The Saudi Heart Association, Apr 1, 2013
ABSTRACT Objective Postoperative pain control is one of the most important concerns for CABG pati... more ABSTRACT Objective Postoperative pain control is one of the most important concerns for CABG patients and is one of the most clinically challenging problems for health care providers. The authors investigated the effectiveness of a continuous LAI of bupivacaine at the sternotomy incision after CABG with regards to pain intensity, opioid analgesic requirements, and select clinical outcomes. Design This was a prospective, dual armed, randomized, placebo-controlled, double-blind clinical trial. Methods Patients (n = 108) undergoing CABG had continuous LAI catheters placed at the sternotomy. Pain intensity scores and opioid analgesic requirements were recorded from postoperative day (POD) 1–POD 3. Secondary outcome measures were duration of MV, initial ambulation, ICU and hospital LOS. Results Participants in all four groups were similar in demographic and clinical parameters. Patients in the treatment and control groups of both arms of the study reported comparable pain intensity scores on POD 1–POD 3. The total amount of opioid analgesia required during weaning from MV did not vary significantly between treatment Pain Management after Cardiac Surgery and control groups in either arm of the study. No statistically significant differences were found in the average time to first ambulation from bed to chair. Most patients in both arms of the study met step-down criteria within 24 h of surgery. The average postoperative hospital LOS was 4–5 days and did not vary statistically between groups. Conclusion The use of a continuous LAI at the sternotomy did not reduce postoperative pain intensity or opioid analgesic consumption in this study. It also did not have an effect on secondary clinical outcomes.
Middle East Journal of Nursing, Jun 1, 2018
Purpose: Children and adolescents with cancer experience multiple distressing symptoms during and... more Purpose: Children and adolescents with cancer experience multiple distressing symptoms during and after chemotherapy treatment. This study aimed at secondary analyzing of reported symptoms experienced by Saudi children and adolescents with cancer over multiple cycles of chemotherapy treatment, identifying the experiencing of similar symptom trajectories. Methods: Subjects were 130 Saudi children and adolescents recruited from four tertiary hospitals who completed the sociodemographic and clinical data sheet, Memorial Symptom Assessment Scale (MSAS 10-18) and Karnofsky Performance Status (KPS) Scale. Findings: Four discrete classes using latent class profile analysis were recognized: minimum distress (Class I), physical prominent distress (Class II), psychological prominent distress (Class III), and maximum distress (Class VI). Vomiting (M=0.88) was reported as the most distressing symptom in Class I, whereas lack of energy was the most prevalent distressing symptom in Class II (M=3.1). Subjects reported worrying (M=2.68) as the most distressing symptom in Class III of clustering, while lack of energy (M= 4.85) was reported to be the most prevalent in Class VI. Conclusion: Understanding antecedents and patterns of symptom trajectories may help practitioners to improve patients' care more efficiently, permitting refining of patient outcomes and inspiring a reduction in health care costs and utilization.
Clinical & Translational Oncology, Jul 22, 2015
ABSTRACT
Journal of Medicine and Medical Sciences, 2010
... Eyad M. Alhelih1, Danny M. Rabah2, Mostafa A. Arafa3 ... 2Associate Professor, Consultant Uro... more ... Eyad M. Alhelih1, Danny M. Rabah2, Mostafa A. Arafa3 ... 2Associate Professor, Consultant Urologist, Head of Urology Department, Princess Aljohara Alibrahim Cancer Research Center ( Prostate Cancer Research Chair) , King Khalid University Hospital, King Saud University ...
Madridge Journal of Nursing, 2018
Fatigue has proven to be a pivotal topic of research and an abstract concept to explore and, as s... more Fatigue has proven to be a pivotal topic of research and an abstract concept to explore and, as such, has led to debates about whether it will ever be possible to develop a theory concerning its causes, mechanisms, consequences, prevention and treatment. This cross-sectional descriptive study aims to validate a developed Arabic instrument to measure cancer treatment-related fatigue among Saudi children with cancer. The sample consisted of 100 pediatric oncology patients aging 8-12 years recruited from three large ambulatory hospitals in Saudi Arabia. Satisfactory approximations of internal consistency reliability (Cronbach's alpha) were decided upon for the developed instrument subscales: Fatigue (α =0.88), Effect of Fatigue (α =0.86), Compliance to Fatigue (α =0.71), and for Sense of Fatigue (α =0.50). Factorial validity was supported using principal components analysis with varimax rotation that accounted for 40% of the total variance. This validation study warrants using the developed instrument in the assessment of Saudi pediatric cancer patient's related fatigue. Yet, further validation is needed with other types of cancer and treatment.
Clinical and Translational Oncology, 2015
ABSTRACT
Journal of Education and Health Promotion, Nov 27, 2018
Oral care of hospitalized patients is an important measure that aims to maintain and promote the ... more Oral care of hospitalized patients is an important measure that aims to maintain and promote the health of oral and dental tissues. This study aimed to investigate nurses' attitudes and practices regarding oral care of hospitalized patients in Riyadh, Saudi Arabia. A cross-sectional, descriptive design was implemented. The research instrument was a self-administered questionnaire that was designed and distributed among 300 nurses working at five hospitals located in Riyadh. Totally, 226 questionnaires were completed (response rate: 75%). Almost all participants (97.8%) think that providing oral hygiene is an important element of patient care and 90.7% think that nurses need to update their oral care knowledge and skills. Only 46% of the nurses reported the presence of a policy for oral care at their hospital unit and 55.3% indicated that patients are assessed for oral health at their department. About 56.2% of participants did not receive training on oral assessment and provisio...
Objective. The present study aimed to identify the most common learning preferences among the nur... more Objective. The present study aimed to identify the most common learning preferences among the nursing students in Saudi Arabia and to investigate the associations of certain demographic variables with the learning preferences. Methods. All the undergraduate nursing students in the nursing college were requested to participate in this descriptive cross-sectional study. An Arabic version of the Felder-Silverman learning style model (FSLSM) questionnaire was used to examine the learning preferences among undergraduate nursing students. Results. A total of 56 (43%) completed questionnaires were included in the final analysis. Results of the present study indicate that the most common learning preferences among the nursing students were visual (67.9%), followed by active (50%) and sequential (37.5%) learning preferences. The verbal style was the least common learning preference (3.6%) among the nursing students. There was no association between gender and learning preferences ( > .05)...
Background Cancer patients under psychological distress have reduced compliance with treatment an... more Background Cancer patients under psychological distress have reduced compliance with treatment and prolonged hospitalizations. Identifying cancer patients who may be more likely to suffer from psychological distress over the disease trajectory is essential to targeting the proper interventions and providing the best care. In this descriptive cross-sectional study, we aim to assess the levels of emotional and physical distress, depressive symptoms, and social concerns of cancer patients undergoing radiotherapy treatment in Saudi Arabia. Methods A total of 148 cancer patients undergoing radiotherapy from five different public tertiary-level hospitals in Saudi Arabia participated in this study. The survey was conducted by a trained researcher from November 2015 through April 2016. The Psycho-Oncology Screening Tool was used to identify levels of distress of cancer patients undergoing radiotherapy. Emotional and physical distress, depressive symptoms, and social concerns in receiving ps...
Middle East Journal of Nursing, Jun 1, 2018
Purpose: Children and adolescents with cancer experience multiple distressing symptoms during and... more Purpose: Children and adolescents with cancer experience multiple distressing symptoms during and after chemotherapy treatment. This study aimed at secondary analyzing of reported symptoms experienced by Saudi children and adolescents with cancer over multiple cycles of chemotherapy treatment, identifying the experiencing of similar symptom trajectories. Methods: Subjects were 130 Saudi children and adolescents recruited from four tertiary hospitals who completed the sociodemographic and clinical data sheet, Memorial Symptom Assessment Scale (MSAS 10-18) and Karnofsky Performance Status (KPS) Scale. Findings: Four discrete classes using latent class profile analysis were recognized: minimum distress (Class I), physical prominent distress (Class II), psychological prominent distress (Class III), and maximum distress (Class VI). Vomiting (M=0.88) was reported as the most distressing symptom in Class I, whereas lack of energy was the most prevalent distressing symptom in Class II (M=3.1). Subjects reported worrying (M=2.68) as the most distressing symptom in Class III of clustering, while lack of energy (M= 4.85) was reported to be the most prevalent in Class VI. Conclusion: Understanding antecedents and patterns of symptom trajectories may help practitioners to improve patients' care more efficiently, permitting refining of patient outcomes and inspiring a reduction in health care costs and utilization.
Objective. The present study aimed to identify the most common learning preferences among the nur... more Objective. The present study aimed to identify the most common learning preferences among the nursing students in Saudi Arabia and to investigate the associations of certain demographic variables with the learning preferences. Methods. All the undergraduate nursing students in the nursing college were requested to participate in this descriptive cross-sectional study. An Arabic version of the Felder-Silverman learning style model (FSLSM) questionnaire was used to examine the learning preferences among undergraduate nursing students. Results. A total of 56 (43%) completed questionnaires were included in the final analysis. Results of the present study indicate that the most common learning preferences among the nursing students were visual (67.9%), followed by active (50%) and sequential (37.5%) learning preferences. The verbal style was the least common learning preference (3.6%) among the nursing students. There was no association between gender and learning preferences (> .05). Conclusion. The present study concluded that the visual, active, and sequential styles are the commonest learning preferences among the nursing students. The nursing educators should emphasize the use of this information in their teaching methods to improve learning skills among the nursing students.
Madridge Journal of Nursing, 2018
Fatigue has proven to be a pivotal topic of research and an abstract concept to explore and, as s... more Fatigue has proven to be a pivotal topic of research and an abstract concept to explore and, as such, has led to debates about whether it will ever be possible to develop a theory concerning its causes, mechanisms, consequences, prevention and treatment. This cross-sectional descriptive study aims to validate a developed Arabic instrument to measure cancer treatment-related fatigue among Saudi children with cancer. The sample consisted of 100 pediatric oncology patients aging 8-12 years recruited from three large ambulatory hospitals in Saudi Arabia. Satisfactory approximations of internal consistency reliability (Cronbach's alpha) were decided upon for the developed instrument subscales: Fatigue (α =0.88), Effect of Fatigue (α =0.86), Compliance to Fatigue (α =0.71), and for Sense of Fatigue (α =0.50). Factorial validity was supported using principal components analysis with varimax rotation that accounted for 40% of the total variance. This validation study warrants using the ...
Journal of the Saudi Heart Association, Jan 4, 2013
Objective Postoperative pain control is one of the most important concerns for CABG patients and ... more Objective Postoperative pain control is one of the most important concerns for CABG patients and is one of the most clinically challenging problems for health care providers. The authors investigated the effectiveness of a continuous LAI of bupivacaine at the sternotomy incision after CABG with regards to pain intensity, opioid analgesic requirements, and select clinical outcomes. Design This was a prospective, dual armed, randomized, placebo-controlled, double-blind clinical trial. Methods Patients ( n = 108) undergoing CABG had continuous LAI catheters placed at the sternotomy. Pain intensity scores and opioid analgesic requirements were recorded from postoperative day (POD) 1–POD 3. Secondary outcome measures were duration of MV, initial ambulation, ICU and hospital LOS. Results Participants in all four groups were similar in demographic and clinical parameters. Patients in the treatment and control groups of both arms of the study reported comparable pain intensity scores on POD 1–POD 3. The total amount of opioid analgesia required during weaning from MV did not vary significantly between treatment Pain Management after Cardiac Surgery and control groups in either arm of the study. No statistically significant differences were found in the average time to first ambulation from bed to chair. Most patients in both arms of the study met step-down criteria within 24 h of surgery. The average postoperative hospital LOS was 4–5 days and did not vary statistically between groups. Conclusion The use of a continuous LAI at the sternotomy did not reduce postoperative pain intensity or opioid analgesic consumption in this study. It also did not have an effect on secondary clinical outcomes.
... Eyad M. Alhelih1, Danny M. Rabah2, Mostafa A. Arafa3 ... 2Associate Professor, Consultant Uro... more ... Eyad M. Alhelih1, Danny M. Rabah2, Mostafa A. Arafa3 ... 2Associate Professor, Consultant Urologist, Head of Urology Department, Princess Aljohara Alibrahim Cancer Research Center ( Prostate Cancer Research Chair) , King Khalid University Hospital, King Saud University ...
This exploratory study examined factors and decisional balance (DB) that influence participation ... more This exploratory study examined factors and decisional balance (DB) that influence participation in prostate cancer (PCa) screening in Saudi Arabia. The secondary purpose of the study is to develop the groundwork for future interventions to support at-risk men, to develop the health habit of getting a yearly prostate specific antigen (PSA) and digital rectal examination (DRE). The sample consisted of 500 Saudi men who resided in Riyadh area. Men completed two surveys and demographic data was also collected. The selected factors are demographic (age, race, marital status), structural (insurance coverage) and behavioral (screening history). No significant relationships were found for the factors and outcome for PSA, or DRE intent to screen. Further analysis utilizing Point Biserial Correlations for DB, factors and intent to screen with the PSA shows a result of a significant negative association between race and DB. A significant positive association was found for DB and having insura...
Health Qual Life …, 2006
Background: Many studies have demonstrated that health related quality of life (HRQoL) improves, ... more Background: Many studies have demonstrated that health related quality of life (HRQoL) improves, on average, after coronary artery bypass graft surgery (CABGS). However, this average improvement may not be realized for all patients, and it is possible that there are two or more distinctive groups with different, possibly non-linear, trajectories of change over time. Furthermore, little is known about the predictors that are associated with these possible HRQoL trajectories after CABGS. Methods: 182 patients listed for elective CABGS at The Royal Melbourne Hospital completed a postal battery of questionnaires which included the Short-Form-36 (SF-36), Profile of Mood States (POMS) and the Everyday Functioning Questionnaire (EFQ). These data were collected on average a month before surgery, and at two months and six months after surgery. Socio-demographic and medical characteristics prior to surgery, as well as surgical and post-surgical complications and symptoms were also assessed. Growth curve and growth mixture modelling were used to identify trajectories of HRQoL. Results: For both the physical component summary scale (PCS) and the mental component summary scale (MCS) of the SF-36, two groups of patients with distinct trajectories of HRQoL following surgery could be identified (improvers and non-improvers). A series of logistic regression analyses identified different predictors of group membership for PCS and MCS trajectories. For the PCS the most significant predictors of non-improver membership were lower scores on POMS vigor-activity and higher New York Heart Association dyspnoea class; for the MCS the most significant predictors of non-improver membership were higher scores on POMS depression-dejection and manual occupation. Conclusion: It is incorrect to assume that HRQoL will improve in a linear fashion for all patients following CABGS. Nor was there support for a single response trajectory. It is important to identify characteristics of each patient, and those post-operative symptoms that could be possible targets for intervention to improve HRQoL outcomes.
This study presents the experience of the Department of Applied Medical Sciences (AMS)-Riyadh Com... more This study presents the experience of the Department of Applied Medical Sciences (AMS)-Riyadh Community College-King Saud University in its way to achieve the international accreditation standards to ensure quality. The study is based on a three years experience (2008-2010). The following will be clarified, the list of criteria adopted by AMS to ensure quality and the procedures adopted by AMS to apply accreditation standards to ensure quality of outputs. The study followed the iterative descriptive approach in ...