scholarly journals Perioperative nutrition care and dietetic practices in the scope of bariatric surgery in Saudi Arabia using adapted protocols for evaluation

2021 ◽  
Vol 9 ◽  
pp. 205031212110361
Author(s):  
Elham Abbas Aljaaly

Objectives: This study evaluates the availability of perioperative nutritional care protocols and the practices of bariatric registered dietitians in Saudi Arabia. The primary outcomes of the study were conducted using an adapted American survey “with permission.” Methods: A cross-sectional survey of a selected 32 dietitians providing bariatric services completed a self-administered online questionnaire from 12 hospitals in Jeddah, Saudi Arabia. Results: All surveyed dietitians were females, mainly Saudi nationals (93.9%, n = 30), and accredited by the Saudi Commission for Health Specialties (93.8%, n = 30). Only 37.5% (n = 6) of the dietitians were specialized in bariatric surgery. Perioperative common practices of dietitians included a conduct of screening for nutrition risk before (44%, n = 14) and after surgery (62.5%, n = 20) and applied a nutrition management protocol that is mainly based on the application of nutrition care process (62.5%, n = 20). Dietitians (81%, n = 26) reported the importance of having standardized protocols for nutritional management of patients undoing bariatric surgery, where 69% (n = 22) confirmed the availability of pre-operative written protocols in hospitals and 75% (n = 24) confirmed the existence of post-operative protocols. Pre-operative practices included using approaches for weight loss before surgery, for example, very low and low-calorie diet. Dietitians (25%, n = 8) see two to ten patients per month. The sleeve gastrectomy procedure is the most often performed surgery. Conclusion: This is the first study to evaluate the perioperative nutrition care protocols and practices related to bariatric surgery in Saudi Arabia. Perioperative bariatric protocols are available, but some dietitians are not aware of their availability and contents. Researchers emphasize the importance of creating national protocols by the Saudi Credentials Body to standardize practices within the field.

Author(s):  
Hasan S. Alamri ◽  
Wesam F. Mousa ◽  
Abdullah Algarni ◽  
Shehata F. Megahid ◽  
Ali Al Bshabshe ◽  
...  

Objective: Little is known about the impact of Coronavirus (COVID-19) among the health care workers in Saudi Arabia. Therefore, the present study aimed to assess the psychological impact of COVID-19 among the health care workers. Methods: A cross-sectional survey was conducted from May till mid-July among 389 health care workers from government and private hospitals in Saudi Arabia. Data was collected using a pre-structured online questionnaire that measured adverse psychological outcomes, including the Patient Health Questionnaire-9 (PHQ-9) scale and the Generalized Anxiety Disorder 7-item (GAD-7) scale. The Pearson chi-square test was used to assess the distribution of depression and anxiety among health care workers. Results: A high level of anxiety was recorded among the health care workers, and 69.3% of health care workers below the age of 40 were found to have depression. There was a significant increase in depression among staff with chronic health problems (72.1% vs. 61.9%; p = 0.048). High anxiety levels were detected among young staff compared to others (68.7% vs. 43.8%; p = 0.001). Moreover, 82.1% of the female staff were anxious, as compared to 55.6% of the males (p = 0.001). Conclusions: We found increased prevalence of adverse psychological outcomes among the health care workers in Saudi Arabia during the outbreak of COVID-19. Therefore, there is a need for proper screening and development of corresponding preventive measures to decrease the adverse psychological outcomes.


2021 ◽  
Vol 8 ◽  
Author(s):  
Ameerah M. N. Qattan ◽  
Noor Alshareef ◽  
Omar Alsharqi ◽  
Naseem Al Rahahleh ◽  
Gowokani Chijere Chirwa ◽  
...  

Objective: This study aims to determine the acceptability of a COVID-19 vaccine among healthcare workers in Saudi Arabia and the factors affecting their intention to accept the vaccine.Methods: The study used data from an online cross-sectional survey that was conducted in Saudi Arabia between 8 December 2020 and 14 December 2020. This study employed bivariate and multivariable regression analyses. The bivariate was used to describe and tabulate the frequency of all the variables, including the sociodemographic characteristics, the risk perception and the acceptance of the COVID-19 vaccination and a chi-squared test of independence was calculated. Multivariable logistic regression models were employed to examine and identify the factors associated with an intention to have the COVID-19 vaccination and the factors associated with its immediate acceptance.Results: Of the total of 736 healthcare workers who began the online questionnaire, 673 completed it (a 91.44% completion rate). Among the study participants, 50.52% were willing to have the COVID-19 vaccine, of which 49.71% intended to have the vaccine as soon as it becomes available in the country, while 50.29% would delay until the vaccine's safety is confirmed. Being a male healthcare worker, perceiving a high risk of infection, and believing that the COVID-19 vaccine should be compulsory for all citizens and residents in the country increased the probability of intention to vaccinate against COVID-19 and the probability of accepting the COVID-19 vaccination as soon as possible.Conclusion: This study calls for more health-related education among healthcare workers to alleviate any fears that might be associated with the COVID-19 vaccine.


Pharmacy ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 160
Author(s):  
Alyaa M. Ajabnoor ◽  
Richard J. Cooper

Pharmacist prescribing is being increasingly undertaken to better use their skills and reduce the workload of existing prescribers such as doctors, often using formal processes to legitimate these activities. In developing countries like Saudi Arabia, however, pharmacists’ prescribing remains informal with no legislation or formal training and there is a lack of research and understanding into such practices. Therefore, we aimed to describe current pharmacist prescribing practices in Saudi Arabia and explore pharmacists’ views about pharmacists’ prescribing. This is a cross-sectional survey study using an online questionnaire of hospital pharmacists in Saudi Arabia about pharmacists’ prescribing, and associated views about prescribing legislation and barriers to implementing pharmacist prescribing. Over a quarter (28.5%) of pharmacists reported themselves as prescribers, 49% were following a collaborative prescribing model, 18% independent prescribing, and 33% were doing both. Ninety percent of prescribers reported confidence in prescribing the appropriate treatment and 92.3% perceived they will benefit from more prescribing training. Healthcare practice culture and pharmacist’s competency were identified as barriers. There is an overall support for pharmacists’ prescribing in Saudi Arabia among this sample of hospital pharmacists, with limitations in resources and the absence of standardized prescribing training being perceived as key barriers to pharmacists’ prescribing.


Author(s):  
Nora A. Althumiri ◽  
Mada H. Basyouni ◽  
Norah AlMousa ◽  
Mohammed F. AlJuwaysim ◽  
Nasser F. BinDhim ◽  
...  

Food allergies are a potentially life-threatening health issue, and few studies have determined their prevalence throughout Saudi Arabia. The main objective of our study was to estimate the prevalence and distribution of self-reported food allergies, and explore their association with other health conditions among adults in Saudi Arabia. This study was a nationwide cross-sectional survey conducted via phone interviews in June 2020. A proportional quota-sampling technique was used to obtain equal distributions of participants by age and gender across the 13 regions of Saudi Arabia. Self-reported food allergy, height, weight, health conditions, mental health status, and demographic variables were collected. Of the 6239 participants contacted, 4709 (75.48%) participants responded and completed the interview. Furthermore, 50.1% of the participants were female, with a mean age of 36.4 ± 13.5 years (18–90 years). The prevalence of food allergies was 19.7%. The most self-reported food allergies were egg, shellfish and shrimp, and peanuts, with a prevalence of 3.7%, 3.1%, and 3.0%, respectively. There was an association between the presence of food allergies and reported bariatric surgery, asthma, colon disease, and being at risk of depression. Bariatric surgery was significantly associated with lower likelihood of self-reported allergy (OR 1.69, 95% CI 1.22–2.34, p = 0.002). This study revealed, for the first time, a high prevalence of self-reported food allergies among adults in Saudi Arabia in a large nationwide sample, and food allergy association with bariatric surgery, asthma, colon disease, and being at risk of depression. This information is valuable for clinicians and policymakers, particularly in terms of food allergen labeling.


Geriatrics ◽  
2019 ◽  
Vol 4 (1) ◽  
pp. 23 ◽  
Author(s):  
Junko Ueshima ◽  
Keisuke Maeda ◽  
Hidetaka Wakabayashi ◽  
Shinta Nishioka ◽  
Saori Nakahara ◽  
...  

(1) Background: It is important to assess physical and nutritional status using the Comprehensive Geriatric Assessment (CGA). However, the correlation between the CGA usage and nutritional-related assessments remain unclear. This study aims to clarify the correlation between the CGA usage and other nutritional-related assessments. (2) Methods: We conducted a questionnaire survey on clinical use of CGA, assessment of sarcopenia/sarcopenic dysphagia/cachexia, and defining nutritional goals/the Nutrition Care Process/the International Classification of Functioning, Disability, and Health (ICF)/the Kuchi–Kara Taberu Index. (3) Results: The number of respondents was 652 (response rate, 12.0%), including 77 who used the CGA in the general practice. The univariate analyses revealed that participants using the CGA tended to assess sarcopenia (P = 0.029), sarcopenic dysphagia (P = 0.001), and define nutritional goals (P < 0.001). Multivariate logistic regression analyses for the CGA usage revealed that using ICF (P < 0.001), assessing sarcopenia (P = 0.001), sarcopenic dysphagia (P = 0.022), and cachexia (P = 0.039), and defining nutritional goals (P = 0.001) were statistically significant after adjusting for confounders. (4) Conclusions: There are correlations between the use of CGA and evaluation of sarcopenia, sarcopenic dysphagia, and cachexia and nutritional goals.


Author(s):  
Sameer Al-Ghamdi ◽  
Mansour Alajmi ◽  
Mohammed Ali Batais ◽  
Jamaan Al-Zahrani ◽  
Khaled K. Aldossari

Abstract Background: Family medicine practitioners (FMP) take care of a varied range of patients with undifferentiated conditions over a lifetime. Although it was incepted in Saudi Arabia in 1980, limited data exists on FMP. This paper explores what family physicians deem relevant. Methods: A cross-sectional survey was conducted among FMP in Saudi Arabia in 2018–2019 who responded to an online questionnaire that listed 20 activities usually done by FMP asking them to rate their meaningfulness on a 5-point Likert Scale, and select the top 3 they would like to spend the most and the least time on. Chi-square statistics were used to compare preference for time spent on these six activities by participant characteristics Results: Of the 415 survey participants, the majority were male (246) and had a Bachelor’s degree (176). The management of risk conditions, follow-up of chronic illnesses and running preventive health clinics were listed as most meaningful. The majority wished to spend more time on managing health risks, handling daily common complaints and follow-up of chronic illnesses and less time on terminal care activities (46.8%), emergency care (32.3%) and addiction medicine (23.4%). Bachelor’s degree holders wished to spend more time on emergency care compared to Diploma, Board-certified and Fellowship holders (63%, 21%, 10% and 5%, respectively; P = 0.01). Conclusions: The activities preferred by FMP align with prevailing disease epidemiology. Variations in preferences of ‘managing emergencies’ reflect the varied format of training. Training of FMP should be standardized and further studies investigate reasons for specific preferences.


2021 ◽  
Vol 8 (3) ◽  
pp. 78-87
Author(s):  
Khaleel I. Alyahya ◽  

The study aimed to assess the impact of awareness of citizens and residents in Saudi Arabia toward the home isolation and social distancing during lockdown that might decrease the outbreak of COVID-19, to measure the importance of social behavior to maintain the constant decline of COVID-19 cases and to determine if there is a difference in the level of awareness and behavior between citizens and residents in Saudi Arabia toward the governmental measures during the pandemic. We have adopted a cross-sectional survey design to investigate the impact of Saudi lockdown on blockade COVID-19 by using an anonymous online questionnaire. The targeted population of the study was Saudi citizens and non-Saudi residents of different ages. The collected data were entered into Microsoft Excel (version 2011) and analyzed by using the Statistical Package for Social Sciences (SPSS), version 23. The Chi-square test with 95% confidence intervals (CI) was used to examine significant associations between the socio-demographic characteristic of participants, their awareness, and their behavior towards the COVOD-19 pandemic. AP value of <0.05 was considered statistically significant. The total number of the current study participants was 1168. The majority (70.50%) were married males with children (73.50%). Three-quarters of the participants were equally distributed between the age groups of 30-39, 40-49, and 50-59 years old. Almost all (90.90%) of the participants have received higher education, 73.60% living in the central region, and in large and crowded cities (75.30%). More than half (58.50%) of the Saudi respondents know about the coronavirus from media sources, while for the non-Saudis, 54.50% are well informed regarding the virus. The results of the current study revealed that the majority of the population in the country believe in home isolation and social distancing for the COVID-19 blockade. Additionally, they also consider non-compliance to these measures as one the main factor for the disease outbreak. Most of the participants were committed to home isolation, social distancing, and personal protective measures including wearing masks, gloves, and avoiding face contact.


2021 ◽  
Vol 15 (1) ◽  
pp. 217-288
Author(s):  
Godwin O. Ovenseri-Ogbomo ◽  
Waleed Alghamdi

Purpose: To address the human resources challenge for the provision of low vision services in Saudi Arabia, this study sought to investigate the knowledge, attitudes, and practices of optometrists in Saudi Arabia regarding low vision services. The knowledge and attitudes to low vision services can influence the provision of low vision services by optometrists. Methods: A prospective cross-sectional survey of optometrists practicing in Saudi Arabia was undertaken using an online questionnaire designed to elicit the opinions of respondents. The online questionnaire was sent out to optometrists on the official mailing list of registered optometrists and those on the mailing list of the Saudi Society of Optometry. Results: Only 26.5% of the respondents correctly indicated the correct designation of low vision in terms of visual acuity. Although 95.8% indicated that optical low vision devices could help people with low vision, 81.6% reported that low vision devices were expensive, and 42.9% felt low vision practice was not profitable. Only 10.4% of respondents provide low vision services in their practice. Insufficient training in low vision care was the main barrier militating against the provision of low vision services. Conclusion: The pertinent finding in this study is that about a quarter of the respondents could correctly designate low vision in terms of visual acuity using the World Health Organization (WHO) definition. The study concluded that there was poor knowledge, attitudes, and practices of optometrists in Saudi Arabia regarding low vision, which has implications for the provision of low vision services by optometrists.


Author(s):  
Khawla Al-luhaidan ◽  
M. S. Prarthana

Introduction: Hijama (wet cupping therapy) is a form of traditional alternative medicine that has been in practice for thousands of years and was adopted by many different cultures. Hijama practice in the Arabic medical literature has been reported to treat many diseases differing in etiology and pathogenesis. The aim objective of this study was to determine the knowledge, attitude, and practice of Hijama among the Qassim population in Saudi Arabia. To create awareness regarding good practices and to assess the effectiveness of Hijama. Methods: This observational type of cross-sectional survey included 201 participants who were all practising Hijama and were from the Qassim region. Data was collected using the self-administered online questionnaire and entered in Excel and analyzed using EpiInfo7 statistical software.  Results: Most of the study participants were female 70%. About 39% of them have a bachelor's degree. 61% know Hijama contradictions. Hijama was performed by traditional healers in 14% of the participants and at Hijama centers by 64% of the participants. About 72% of the participants notice effectiveness by practising Hijama. Only 7% of them had suffered complications. Conclusion: The study revealed Hijama can be a simple effective economic alternative treatment that can be used to treat many ailments like back, shoulder, neck pain, headache and migraine pain. It is associated with a minimal side effect. There is still a need to create awareness among the people to go for clinical centres to perform Hijama. Future research is needed to support its therapeutic benefits.


Author(s):  
Samira M. Osailan ◽  
Adel Alenazi ◽  
Jasem A. Alburaih ◽  
Aseel F. Almuqbil ◽  
Nada N. Almansour ◽  
...  

Aims: To assess knowledge and attitude towards antibiotics prescription and antimicrobial resistance among dentist in Saudi Arabia. Study Design:  Cross-sectional, survey-based study. Place and Duration of Study: Sample: Saudi Arabia, between June 2020 and October 2021. Methodology: This is was a cross-sectional, survey-based study in Saudi Arabia. Data was collected using a predesigned self-administered online questionnaire. The survey was distributed to dentist and dental surgeons in Saudi Arabia. It included demographic data, Knowledge about antibiotics, Attitude towards antibiotics, prescription of antibiotics based on the clinical situation. Data were analyzed by the SPSS program, version 25 at a level of significance of 0.05.  Results: A total of 208 study participants completed the survey questionnaire. The results showed that the half of study participants females. Moreover, more than half of the study participants were bachelor’s degree. Additionally, 21.2% of the study participants earned dental internship. However, the least proportion had the master’s degree or higher (4.3%).91.8% of the study respondents were general dentist compared to 2.9% were oral surgeon and the least portion 1% was endodontist. Conclusion: The use of antibiotics inappropriately was common, and the drivers of inappropriate practices were found as young age, male sex, higher education, and a negative attitude regarding antibiotic use.


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