scholarly journals The use of hypnotics for primary insomnia in Saudi Arabia: a survey of patients’ experiences and perceptions

2020 ◽  
Author(s):  
Ali Dobia ◽  
Kath Ryan ◽  
Mohammed Abutaleb ◽  
Ahmed BaHammam ◽  
Alexander Edwards

Abstract Background: This study investigated the experiences and perceptions of Saudi patients with primary insomnia.Method: A cross-sectional design study (July 2019) using a self-administered questionnaire survey.Results: Sixty-eight patients with primary insomnia participated (53% male, 47% female; 60% were younger than 45 years and a majority had a university-degree education level). Of the respondents, 64.7% were dissatisfied with their knowledge of insomnia and 97% wanted more information about its treatment. Approximately 59% used prescribed sleep medicines from the first instance and only 6% were referred to a psychologist for counselling. Benzodiazepines and Z-drugs were prescribed for 16% and 19% of respondents, respectively. A majority of respondents were given antihistamines or over-the-counter herbs. While 60% of patients used medications for long periods, 87% were not involved in treatment decisions. For those on long-term use, 80% were not seen regularly by doctors and 93% were provided with no plan for medicine discontinuations. More than 60% of respondents said that sleeping pills were best for treating insomnia and 31% believed they are safe and would continue taking them. More than 45% would not prefer non-pharmacological treatments (e.g., counselling).Conclusions: Responses to the survey indicate a lack of knowledge about primary insomnia and its treatment among Saudi patients. Prescribing hypnotics is the most common treatment, non-pharmacological treatments are seldom used, and responses indicated inappropriate and long-term use of hypnotics. Patients should be better educated about insomnia and its treatment. Physicians should consider using non-pharmacological treatments and the Saudi Ministry of Health should develop country-specific guidelines.

2021 ◽  
Author(s):  
Ayman Al-Dahshan ◽  
Mohamad Chehab ◽  
Nagah Selim

Abstract Background: Although the internet can be a source of reassurance and clarification for expectant women, it ‎could cause concerns or feelings of worry when reading about pregnancy-related ‎information. The current research sought to assess the feelings of worry and perceived reliability towards online pregnancy-related information and the associated factors among expectant women attending antenatal clinics at primary healthcare centers in Qatar.Methods: A cross-sectional study design was employed. The participants were recruited through a systematic random sampling technique. ‎A self-administered questionnaire was used to collect data from the participants. Descriptive and analytic statistics were used when appropriate‎.Results: A total of 327 expecting women completed the questionnaire. Most participants were aged between 26-34 years (74.1%), held a college/university degree (76.4%), and multigravidas (73.1%). About one-third of the women ‎(31.2‎%) reported feeling worried due to something they read online. The participants coped with these feelings by consulting their antenatal care provider at the next appointment (51.0%) or by talking with relatives and friends (47.0%). Furthermore, most women (79.2%) considered online pregnancy-related information to be reliable or highly reliable. Holding a college/university degree, primigravidae, and having no children were factors significantly associated with a high perception of reliability of online health information.Conclusion: Although online pregnancy information caused feelings of worry for some pregnant ‎women, most women perceived such information to be reliable. Thus, antenatal care providers should be equipped to guide pregnant women on how to access high-quality web-based information.


2020 ◽  
Vol 5 (1) ◽  
pp. 91
Author(s):  
Dewi Fransisca ◽  
Yanwirasti Yanwirasti ◽  
Eliza Anas

<p><em>Injection contraception is one of the popular contraceptive methods, widely used by KB acceptors (40,88%). Second place is pill contraception (28,48%). </em><em>Depo Medroxyprogesteron Acetate (DMPA) is</em><em> one of the injectable contraceptives that is widely used kb acceptor.</em> <em>DMPA has several side effects include changes in serum lipid metabolism in the long-term use</em>. <em>This study aims to </em><em>the effect of the duration of the use </em><em>depo medroxyprogesterone acetate </em><em>on the levels of LDL and HDL</em><em>.</em> <em>The study was conducted in Lubuk Buaya Public Health and Laboratory of Biochemistry, Faculty of Medicine, University of Andalas Padang in September 2016 to January 2017. Type of study was observational using cross sectional design. Samples numbered 32 people, consisting of two groups of depo medroxyprogesterone acetate acceptor &gt; 3 years, depo medroxyprogesterone acetate acceptors &lt; 3 years.</em> <em>This samples was taken using consecutive sampling technique</em><em>.</em> <em>Blood was collected from the subject of research by intravenous and measured by</em><em> </em><em>Colorimetric Enzymatic Method (CHOD-PAP)</em><em> </em><em>for</em><em> </em><em>LDL and HDL.</em><em> </em><em>The average LDL in two groups study was 93.29 ± 22.83 mg/dl, 90.51 ± 18.22 mg/dl. The average HDL in the two groups study was 70,04 ± 16,4 mg/dl, 65,98 ± 9,7 mg/dl.</em><em></em></p>


2020 ◽  
Vol 7 (8) ◽  
pp. 1203
Author(s):  
Alhanof F. Alharbi ◽  
Asma M. Almutairi ◽  
Abeer E. Alrasheedi ◽  
Abdulrhman Aldukhayel ◽  
Sara M. Almutairi

Background: This study assessed the attitudes toward breastfeeding among mothers receiving healthcare services in Primary Healthcare Centers (PHCCs) in Buraydah, Saudi Arabia. It also examined the association between the mothers’ demographic characteristics and breastfeeding attitudes.Methods: This study utilized a descriptive cross-sectional design. A purposive sample of 415 breastfeeding mothers who were receiving healthcare services from the selected PHCCs during the conduct of the study were recruited in PHCCs in Buraydah, Saudi Arabia. A two-part self-administered questionnaire containing a demographic sheet and the Iowa Infant Feeding Attitude Scale (IIFAS) Arabic version was employed to collect data from the respondents. Descriptive and inferential statistics were used accordingly in data analyses.Results: The overall mean score of the women in the IIFAS was 60.50 (SD = 11.08), with individual scores ranging from 17.00 to 82.00. This finding implies good attitudes toward breastfeeding. Mothers who were divorced/widowed (M = 63.75, SD = 5.20) had significantly better breastfeeding attitudes than married mothers (M = 60.24, SD = 11.38). Mothers who were not working (M = 61.41, SD = 10.03) reported more positive breastfeeding attitudes compared with working mothers (M = 58.36, SD = 13.02).Conclusions: The mothers reported good attitudes toward breastfeeding, but expressed poor beliefs in some areas of breastfeeding. The present findings have implication to medicine, nursing, and healthcare policies.


2019 ◽  
Vol 7 ◽  
pp. 35-42
Author(s):  
Sudha Ghimire ◽  
Gyanu Maharjan ◽  
Binita Maharjan

Equality and freedom from discrimination are fundamental human right regardless of sexual orientation, gender identity. Despite a society that is moving forward in acceptance of differences, many young people still maintain uncomfortable and confused attitudes towards on-heterosexual lifestyles. Thus, this study was conducted to assess the perceived discrimination and problems faced by gender and sexual minorities in Kathmandu. Descriptive cross-sectional design and purposive sampling method was utilized to select sample. The study was conducted on Gender and sexual Minorities Forum Nepal, blue diamond society in Kathmandu from 17th July to 20 August 2018. Semi-structured self administered questionnaire was used to collect data, followed by some qualitative interview with selected participants. Among 112 respondents, almost half were gay, one third were transgender women and few were transgender men, lesbians and bisexuals. In work place more than half (69.1%) were verbally harassed, almost half (45.7%) were denied from job; one third (34.6%) were physically tortured. Majority of the respondents (80.5%) were verbally harassed in educational institutes, most of the respondents (91.7%) in public bathroom and public places, (84.6%) by police, almost half of all (49.4%) were physically tortured and (33.3%) were bullied in school. More than half (62.3%) were denied for house rent. Majority of the respondents (36.5%) accepted discrimination as a fact of life. Despite many supportive laws and provisions, LGBT people still face societal discrimination in Nepal. Thus, its humanitarian that sexual minorities are also a part of society and they have equal right to have dignified life.


2020 ◽  
Vol 70 (6) ◽  
pp. 115-120
Author(s):  
Malika Sabrina Yunifananda ◽  
Widjajalaksmi Kusumaningsih

Background: Stroke is the chief cause of long-term disability in the world. Predominantly, the disease is known as a degenerative disease on geriatrics age group, yet several studies have proven that incidence on productive ages are also increasing.  Objective: The study aimed to know whether there are any difference in Modified Shah Barthel Index (MSBI) score in different age group, geriatric and productive age group and to know independence score in daily activities based on age. Method: The study utilized the cross-sectional design and analytical observational method. Twenty five samples of chronic stroke patients was recruited and grouped into two groups productive and geriatric age group. MSBI score was calculated and compared between two groups.   Result: Bivariate analysis proves that there is a significant association between MSBI score and age of stroke patients on chronic phase (p=0.017). Discussion.  There is a significant association between age and MSBI score on stroke patients in chronic phase. Conclusion: There was a significance difference between productive and geriatric age with daily activities using MSBI in chronic stroke patients. The productive age group has a higher Modified Shah Barthel Index score than the geriatric age group.


2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Marcelus Tene ◽  
A. J. M. Rattu ◽  
Benedictus S. Lampus

Abstract: Problems that often arise in health centers are among others issues of medical and paramedical personnel performance which appear on the quality of work or the quality of service and achievement of the programs implemented at the PHC. Individual performance is related to the working person's behavior. Employee behavior will result in a positive long-term performance and increase the ability of personnel, or vice versa, causing a negative long-term performance and a decrease in the ability of personnel. This study aimed to determine the relationship between working stressors and employee performance at Tongkeina Health Center Manado. This was a descriptive analytical study with a cross sectional design conducted at the health center Tongkeina from August 2013 to November 2013. The results showed that there was a relationship between job condition, interpersonal relationship, and homework presentation with employee performance. Interpersonal relationship was the most dominant variable affected the performance of employees in the health center Tongkeina.Keywords: stressor, performanceAbstrak: Permasalahan yang sering muncul di Puskesmas antara lain masalah kinerja tenaga medis dan paramedis, yang nampak dari kualitas pekerjaan atau kualitas pelayanan dan hasil pencapaian program yang dilaksanakan Puskesmas. Kinerja individu berhubungan dengan perilaku bekerja seseorang. Perilaku pegawai akan menghasilkan kinerja jangka panjang yang positif dan peningkatan kemampuan personil, atau sebaliknya, menimbulkan kinerja jangka panjang yang negatif serta penurunan kemampuan personil. Penelitian iani bertujuan untuk menentukan hubungan antara stresor kerja dan kinerja pegawai Puskesmas Tongkeina Kota Manado. Jenis penelitian ini deskriptif analitik dengan pendekatan potong lintang. Penelitian dilakukan di Puskesmas Tongkeina, kecamatan Bunaken, Kota Manado pada bulan Agustus 2013 sampai November 2013. Hasil penelitian mendapatkan bahwa terdapat hubungan antara kondisi pekerjaan, hubungan interpersonal, dan tampilan pekerjaan rumah dengan kinerja pegawai. Variabel hubungan interpersonal yang paling dominan berpengaruh pada kinerja pegawai di Puskesmas Tongkeina.Kata kunci: stresor, kinerja


2021 ◽  
Vol 5 (4) ◽  
pp. 349
Author(s):  
Ervina Puspa Wahyu Angesti ◽  
Nining Febriyana

Background: 107,000 pregnant women in Indonesia experiencing anxiety while facing childbirth. A Research shows that anxiety is more experienced in Primigravida's pregnant women. Pregnant women anxiety can arise, especially in the third trimester until delivery. During the COVID-19 pandemic, pregnant women feel increasingly anxious because the virus spreads relatively easily. This study was aimed to analyze the relationship between the anxiety level and knowledge of pregnant women in the third trimester with readiness to face childbirth during the COVID-19 pandemic in Puskesmas Benowo and Tenggilis. Methods: This type of research was observational analytic with a cross-sectional design. The number of samples was 76 third trimester pregnant women suitable the criteria that is primigravida, physiologic pregnancy, not in a long-term medication and willing to be a respondent. The sampling technique was purposive sampling. The data was analyzed with Spearman’s Statistic test. Results: as many as 57.5% of respondents had severe anxiety with low readiness for childbirth and good knowledge of COVID-19. It was caused by the drug or vaccine for the Covid-19 that had not been found, and made pregnant women even more anxious and feared of something unwanted happening. Anxiety of pregnant women who were about to give birth greatly affected the readiness of the mother in preparing for childbirth, the more anxious pregnant women were, the less they would be prepared for laboring. The statistic analyze says that There was a relationship between the level of anxiety of third trimester pregnant women with readiness to give birth during the COVID-19 pandemic (p = 0.00), there was a relationship between the knowledge level with readiness to give birthd during the COVID-19 pandemic p = 0.012). Conclusion: There is a relationship between the Anxiety Level and Knowledge of Pregnant Women in the third trimester with Readiness for Childbirth during the COVID-19 Pandemic  


2016 ◽  
Vol 11 (2) ◽  
pp. 32
Author(s):  
Sri Setiasih ◽  
Bagoes Widjanarko ◽  
Tinuk Istiarti

ABSTRACTAnalysis Factors Affecting Selection Of Long-Term Contraception Method (Ltcm) Non Hormonal On Woman Of Fertile Couple (Pus) In Kendal By 2013; Women of fertile couple more than 30 years old have a higher risk factor for their health, including reproduction, which is expected they will use LTCM non-Hormonal. The purpose of this study is to analyze factors that related to the selection of LTCM Non-Hormonal in women of fertile couple in Kendal 2013. The type of this research is descriptive analytics and cross-sectional design with quantitative and qualitative approaches and the sample is 400 respondents from 20 districts in Kendal Regency. The qualitative sample is 6 respondents. The results showed a relationship between knowledge with selection of contraception method (p value = 0.034), there is a relationship between attitudes to the selection of contraception method (p value = 0.027), there is a relationship between support of birth control officer with selection contraception method (p value = 0.049), and there is a correlation between the availability of service of birth control with the selection of contraception method (p value = 0.011), there is no relationship between husband support to selection of contraception method (p value = 0835, and there is no relationship between religious leaders or community leaders on selection contraception method (p value = 0384). The most influential factor in the selection of LTCM non-hormonal is the attitude with OR 2,041.Keywords : selection of long term contraception, factor, affect


2021 ◽  
pp. 36-38
Author(s):  
Soumitra Mondal ◽  
Saikat Bhattacharya ◽  
Rahul Biswas

Background: Psychological stress is rapidly becoming an occupational health epidemic. COVID-19 pandemic has the potential to signicantly affect the psychological stress of healthcare workers (HCWs), who stand in the frontline of this crisis. It is, therefore, an immediate priority to monitor psychological stress in order to understand mediating factors and inform tailored interventions. The aim of this study is to elicit the prevalence of psychological stress among Health Care Workers in a municipality area during the Covid-19 outbreak. Methods: This observational & descriptive epidemiological study with cross-sectional design was conducted from August to September, 2020 eld level health workers actively involved in COVID-19 surveillance in urban areas. The sample size of 62 was calculated by 4PQL2 where P stands for prevalence of reference study. A predesigned, pretested self administered questionnaire containing validated General Health Questionnaire (GHQ-12) was used for data collection. The questionnaire was translated to two local languages i.e Bengali & hindi to so that participants can understand it by themselves. Findings:Atotal of 75 urban Health workers participated in the study and 68 of them properly completed the questionnaire.According to GHQ-12 score 47.2% are found to be stressed. Stress is signicantly higher in Muslim population & among widows. There is signicant correlation between GHG-12 score & per capita income but there is no signicant correlation with income contribution by the health worker. There is highly signicant association between stress & the perception of work place safety. It is also seen that those whose motivation of work is money only are signicantly more stressed than those who motivation is to perform some social work


2014 ◽  
Vol 8 (1) ◽  
pp. 6-11
Author(s):  
KVV Prasad ◽  
M Shodan ◽  
SB Javali

ABSTRACT Objective To Study knowledge and assess factors associated with knowledge towards dental-caries and malocclusion among Indian school-teachers. Methodology Cross-sectional design employed using self-administered questionnaire with personal-interview method. 215 schoolteachers were selected with response rate of 95.34%. Results 36.59% school-teachers have medium knowledge, 26.83% have good knowledge. 30 years above and with additional educational degrees have higher knowledge. Significant association observed between knowledge with education (p<0.05). However, multivariate stepwise-regression analysis showed impact of factors like education, gender and teaching experience significantly correlated to knowledge (R2=0.2296, p<0.05). Conclusion Schoolteachers need to be motivated to improve their awareness and knowledge about oral-health diseases, particularly younger-age groups, those with basic educational qualifications.


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