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Elhusein AM, Fadlalmola HA, Abedelwahed HH, Elshaikh AA, Banaga AE, Alrahman MHF, Abdelgadim NH, Mohammed IH, Abdalla AAA, Abdalla FAM, Abd Allah EM, Abbas NI, Alhujaili AD, Almkiy EA, Idress EA, Awadalkareem EM, Abdeldafie SY, Balusamy P, Mohamed RA, Aloufi RSM, Habiballa M, Abdelmalik MA, Alhejaili MM, Ibrahim IA, Masaad HK. Menopausal symptom management: Fezolinetant's varied doses provide effective relief for vasomotor symptoms in women - A meta-analysis of 3291 participants. Afr J Reprod Health 2024; 28:99-113. [PMID: 38583073 DOI: 10.29063/ajrh2024/v28i3.11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/08/2024]
Abstract
Menopause represents the physiological transition when a woman's reproductive period ends associated with a variety of symptoms, including vasomotor symptoms, such as night sweats and hot flashes. This systematic review and meta-analysis aimed to assess the effectiveness and safety of oral Fezolinetant for treating vasomotor symptoms associated with menopause. Five electronic databases were searched from their inception until May 2023. Via the Cochrane risk of bias tool, two reviewers assessed the studies' quality. The primary outcomes were a decrease in VMSs frequency and severity and safety outcomes at 4 and 12 weeks. Data were extracted and then analyzed using RevMan software. This meta-analysis included six trials with a total of 3291 women that compared Fezolinetant to a placebo in the treatment of menopausal VMSs. After 4 and 12 weeks of therapy, fezolinetant at 30 mg QD or 45 mg QD substantially decreased the frequency and severity of VMSs per 24 hours compared to placebo. Fezolinetant at 90 mg BID, 30 mg QD, or 45 mg QD did not show a significant difference in the rate of treatment-emergent adverse events (TEAEs), headache, and TEAEs leading to permanent discontinuation compared to placebo. Fezolinetant proves to be a successful and well-tolerated remedy for menopausal women suffering from VMSs. Notably, the 45 mg daily dosage over 12 weeks exhibited significant efficacy. Nonetheless, extensive future trials are necessary to ascertain its long-term safety, effectiveness, and relative potency compared to alternative VMS treatments like hormone therapy.
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Affiliation(s)
- Amal M Elhusein
- Nursing department, College of Applied Medical Sciences, University of Bisha, Bisha, Saudi Arabia
| | | | | | | | - Amel E Banaga
- Nursing College, Jazan University, Jazan, Saudi Arabia
| | | | | | | | | | | | | | - Nagwa I Abbas
- Nursing Department, College of Applied Medical Science, University of Hafr Al Batin, Saudi Arabia
| | | | - Egbal A Almkiy
- Department of Nursing, Faculty of Applied Medical Sciences Buraydah College, Kingdom of Saudi Arabia
| | - Eltayeb A Idress
- Nursing department, College of Applied Medical Sciences, University of Bisha, Bisha, Saudi Arabia
| | - Eltayeb M Awadalkareem
- Department of Nursing, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Saudi Arabia
| | - Selwa Y Abdeldafie
- Nursing Department, College of Applied Medical Science, University of Hafr Al Batin, Saudi Arabia
| | - Prema Balusamy
- Nursing Department, College of Applied Medical Science, University of Hafr Al Batin, Saudi Arabia
| | - Rasha A Mohamed
- Department of medical laboratory technology- college of medical applied sciences- Jazan university, Saudi Arabia
| | | | | | | | | | - Ibrahim A Ibrahim
- Department of Nursing Practice, College of Nursing, Um Alqura University, Saudi Arabia
| | - Huda K Masaad
- Nursing Department, College of Applied Medical Science, University of Hafr Al Batin, Saudi Arabia
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Abdelmalik MA, Alhowaymel FM, Fadlalmola H, Mohammaed MO, Abbakr I, Alenezi A, Mohammed AM, Abaoud AF. Global prevalence of needle stick injuries among nurses: A comprehensive systematic review and meta-analysis. J Clin Nurs 2023; 32:5619-5631. [PMID: 36841963 DOI: 10.1111/jocn.16661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Revised: 01/08/2023] [Accepted: 02/06/2023] [Indexed: 02/27/2023]
Abstract
BACKGROUND Nurses usually provide direct patient care. However, they account for the majority of healthcare workers (HCWs) injured by needles or other sharp objects. OBJECTIVES To assess the prevalence of needle stick injuries (NSI) among nurses worldwide; according to WHO regions, the socioeconomic development index (SDI) of countries, and the developmental status of individual countries, and in the Middle East. DESIGN Systematic review and meta-analysis. METHODS We searched PubMed, Scopus, and Web of Science databases. We calculated the pooled NSI prevalence estimates using a random-effect meta-analysis with the Comprehensive Meta-Analysis software. The report of the study was in accordance with the PRISMA 2020 statement. RESULTS The overall worldwide NSI prevalence pooled from our analysis was 40.97% (95% confidence interval [CI]: 31.29-50.63%, p = .00001). A subgroup analysis of NSI prevalence according to WHO regions revealed the highest prevalence in Southeast Asia (49.9%, 95% CI: [23.4-76.3%]) and the lowest in the United States of America (25.1%, 95% CI: [18.1-32.1%]), respectively. The pooled prevalence in developed and developing countries was 30.5% (95% CI: 27.3-33.8%) and 46.6% (95% CI: 33.7-59.5%), respectively. According to the SDI, NSI prevalence was highest in low-middle SDI countries (48.9% [95% CI: 30.7-67.2%]). CONCLUSION Our results showed a high NSI prevalence among nurses worldwide. Developing countries had a significantly higher NSI prevalence than developed countries, especially low-middle SDI countries. RELEVANCE TO CLINICAL PRACTICE This study highlighted the prevalence of NSI risk among nurses practising in clinical settings worldwide. The study findings suggest that continuous training programs should be implemented for nurses to enhance their knowledge, performance and attitude toward NSI prevention in clinical settings. NO PATIENT OR PUBLIC CONTRIBUTION Contributions from patients or the public are irrelevant because the purpose of this study was to examine the global prevalence of NSIs in nurses.
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Affiliation(s)
- Mohammed A Abdelmalik
- Department of Nursing, College of Applied Medical Sciences, Shaqra University, Shaqra, Saudi Arabia
- Faculty of Nursing, University of El Imam El Mahdi Faculty of Medicine and Health Sciences, Nursing, Kosti, Sudan
| | - Fahad M Alhowaymel
- Department of Nursing, College of Applied Medical Sciences, Shaqra University, Shaqra, Saudi Arabia
| | - Hammad Fadlalmola
- Community Health Nursing Department, Nursing College, Taibah University, Almadinah, Saudi Arabia
| | - Mohammaed O Mohammaed
- Department of Nursing, College of Applied Medical Sciences, Shaqra University, Shaqra, Saudi Arabia
| | - Ibrahim Abbakr
- Department of Nursing Practice, College of Nursing, Umm Alqura University, Mecca, Saudi Arabia
| | - Atallah Alenezi
- Department of Nursing, College of Applied Medical Sciences, Shaqra University, Shaqra, Saudi Arabia
| | - Almoez M Mohammed
- Department of Nursing, College of Applied Medical Sciences, Shaqra University, Shaqra, Saudi Arabia
- College of Medicine and Health Sciences, University of Sinnar, Sinnar City, Sudan
| | - Abdulaziz F Abaoud
- Department of Nursing, College of Applied Medical Sciences, Shaqra University, Shaqra, Saudi Arabia
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Fadlalmola H, Abdelmalik MA, Masaad HKH, Abdalla AM, Mohammaed MO, Abbakr I, Mohammed AM, Saeed AA, Beraima MA, Sambu BM, Osman AM, Elhusein AM, Habiballa M, Yousef H, Hamid H, Ali A, Ahmed N, Banaga A, Omer R. Efficacy of warm compresses in preserving perineal integrity and decreasing pain during normal labor: A systematic review and meta-Analysis. Afr J Reprod Health 2023; 27:96-123. [PMID: 37584913 DOI: 10.29063/ajrh2023/v27i4.11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/17/2023]
Abstract
The objective of the study was to assess the effect of warm compresses in preserving perineal integrity in women who delivered a single baby vaginally with cephalic presentation. We searched PubMed, Scopus, and the ISI Web of Science databases. Two researchers worked independently and conducted the study's search, selection, and extraction. We calculated the pooled risk ratio (R.R.)- for our categorical outcomes- and mean difference (M.D.)-for our continuous outcomes- using random or fixed-effect meta-analysis according to heterogenicity status. I2 test was used to detect heterogenicity. Studies were assessed for methodological quality using the Cochrane risk of bias assessment tool. Our study analyzed 13 controlled trials (n= 3947) to compare warm compresses versus not using it during vaginal delivery. The analysis revealed that warm compresses group had better outcomes regarding episiotomy, degree of perineal trauma (third and fourth degree), perineal trauma requiring suturing, and also in behavioral pain scales (severe muscle tense, being very restless, and constant grimacing) with the following R.R. and confidence intervals: (R.R.= 0.56, 95% C.I.[0.23, 1.37]), (R.R.= 0.69, 95% C.I.[0.54, 0.89], p= 0.004),( (R.R.= 0.37, 95% C.I.[0.18, 0.77], p= 0.004), and ( (R.R.= 0.42, 95% C.I.[0.23, 0.78], p= 0.006) respectively. We conclude that among primiparous women, warm compresses group showed better outcome in improving perineal comfort than a the good of women who did not receive warm compresses after delivery.
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Affiliation(s)
- Hammad Fadlalmola
- Taibah University, Nursing College, Community Health Nursing Department, Almadina Almonawar, Saudi Arabia
| | - Mohammed A Abdelmalik
- Department of Nursing, College of Applied Medical Sciences, Shaqra University, Shaqra, Saudi Arabia
- Faculty of Nursing,University of El Imam El Mahdi Faculty of Medicine and Health Sciences, Nursing, Kosti, White Nile, SD3
| | - Huda K H Masaad
- Applied Medical Science College, Nursing Department, Hafr Albatin University. Saudi Arabia
| | - Adel M Abdalla
- Prince sultan military college of health sciences, nursing department, Al Dhahran, Sudia Arabia
- Sinnar University, Faculty of Medicine & Health sciences, Nursing department, Sinnar city, Sudan
| | - Mohammaed O Mohammaed
- Department of Nursing, College of Applied Medical Sciences, Shaqra University, Shaqra, Saudi Arabia
| | - Ibrahim Abbakr
- Umm alqura University, College of Nursing, Department of Nursing Practice, KSA
| | - Almoez M Mohammed
- Department of Nursing, College of Applied Medical Sciences, Shaqra University, Shaqra, Saudi Arabia
- Sinnar University, Faculty of Medicine & Health sciences, Nursing department, Sinnar city, Sudan
| | | | | | - Binyameen M Sambu
- Department of Community Health Nursing and Health Care of Mass Gathering, Umm alqura university, KSA
- University of Gezira, Sudan, Faculty of Applied Medical Sciences, Nursing Department
| | - Abdalla Ma Osman
- Department of Community and Mental Health, College of Nursing, Najran University, Najran, Saudi Arabia
| | - Amal M Elhusein
- College of Applied Medical Science, Nursing Department, University of Bisha, Bisha, Saudi Arabia
- College of Nursing, Khartoum University, Khartoum, Sudan
| | | | - Huda Yousef
- Jazan University. College of Nursing, Saudi arabia
| | - Hawa Hamid
- Jazan University. College of Nursing, Saudi arabia
| | - Anwar Ali
- Jazan University. College of Nursing, Saudi arabia
| | | | - Amel Banaga
- Jazan University. College of Nursing, Saudi arabia
| | - Rasha Omer
- Jazan University. College of Nursing, Saudi arabia
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Alhowaymel FM, Abdelmalik MA, Mohammed AM, Mohamaed MO, Alenezi A. Knowledge, Attitudes, and Practices of Hypertensive Patients Towards Stroke Prevention Among Rural Population in Saudi Arabia: A Cross-Sectional Study. SAGE Open Nurs 2023; 9:23779608221150717. [PMID: 36643783 PMCID: PMC9834414 DOI: 10.1177/23779608221150717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Revised: 12/12/2022] [Accepted: 12/24/2022] [Indexed: 01/11/2023] Open
Abstract
Introduction Stroke is a significant health problem and is considered one of the leading causes of mortality and permanent disability worldwide. Hypertension is a primary risk factor for stroke. Thus, hypertensive patients' knowledge, attitudes, and practices (KAP) are essential in preventing stroke. Objective To examine hypertensive patients' KAP towards stroke prevention among rural population in Saudi Arabia. Methods The study utilized a cross-sectional design. The data were collected using a convenience sampling technique from hypertensive patients in the northwestern rural areas of Riyadh Province. A self-administered questionnaire was adapted from the Stroke Recognition Questionnaire (SRQ) and utilized to assess KAP towards stroke prevention among rural hypertensive patients. The STrengthening of the Reporting of OBservational studies in Epidemiology (STROBE) checklist was used to report the study. Results A total of 196 hypertensive patients participated in the study. The total mean scores categorization into three quartiles showed that most respondents had poor levels of KAP towards stroke prevention. Weak positive correlations were found between KAP of patients. There were statistically significant differences between respondents' attitudes and practices with their age, education, marital status, and occupational status. Discussion This study denoted poor levels of KAP towards stroke prevention among hypertensive patients living in rural areas. This study showed the importance of further considering rural population by which improving their health and quality of life. Extending health educational programs and behavior-changing strategies to rural areas is essential to increase hypertensive patients and general public awareness about their stroke prevention and other health-related concerns.
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Affiliation(s)
- Fahad M. Alhowaymel
- Department of Nursing, College of Applied Medical Sciences, Shaqra University, Shaqra, Saudi Arabia,Fahad M. Alhowaymel, College of Applied Medical Sciences, Shaqra University, Aldwadmi-Shaqra Road, Shaqra city, Riyadh Province 15572, Saudi Arabia.
| | - Mohammed A. Abdelmalik
- Department of Nursing, College of Applied Medical Sciences, Shaqra University, Shaqra, Saudi Arabia
| | - Almoez M. Mohammed
- Department of Nursing, College of Applied Medical Sciences, Shaqra University, Shaqra, Saudi Arabia
| | - Mohamaed O. Mohamaed
- Department of Nursing, College of Applied Medical Sciences, Shaqra University, Shaqra, Saudi Arabia
| | - Atallah Alenezi
- Department of Nursing, College of Applied Medical Sciences, Shaqra University, Shaqra, Saudi Arabia
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A. Fadlalmola H, A. Abdelmalik M, Kh. Masaad H, A. Mariod A, MA. Osman A, G. Osman E, I.Yousif K, M. Adam A, A. Ebrahim S, M. Elhusein A. Anxiety and Depression Among Sudanese Nurses During the COVID-19 Pandemic: A Cross-sectional Study. Sudan JMS 2022. [DOI: 10.18502/sjms.v17i4.12552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Background: While treating patients during a pandemic, nurses are at risk of mental health issues caused by the stress they face. This study aimed to examine the degree of anxiety and depression among Sudanese nurses throughout the coronavirus disease 2019 (COVID-19) pandemic and demographic features and their association with depression and anxiety. Methods: An online-based cross-sectional study was conducted on Sudanese nurses. Data were collected from eligible nurses using a three-part questionnaire: demographic questions, the generalized anxiety disorder-7 (GAD-7), and the major depression index (MDI). We used the Chi-square test and Spearman or point biserial correlation to assess the association between demographics, anxiety, and depression. Results: Two hundred and forty-six nurses from Sudan participated in this study. Around 69.5% of participants experienced mild to severe anxiety, while 26.4% revealed mild to severe depression. We found a significant association between depression and anxiety (P < 0.001). However, we did not find a significant association between depression or anxiety categories and the baseline characteristics of participants. Conclusion: Our study demonstrates high rates of anxiety and depression among Sudanese nurses throughout the COVID-19 pandemic. As we found no association between anxiety and depression with personal characteristics, psychological support should be given to all nurses’ categories as all of them nearly have the same risk for anxiety and depression.
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Alhowaymel F, Abdelmalik MA, Mohammed AM, Mohamaed MO, Alenezi A. Reported Side Effects of COVID-19 Vaccination among Adults in Saudi Arabia: A Cross-Sectional Study. SAGE Open Nurs 2022; 8:23779608221103208. [PMID: 35694214 PMCID: PMC9178992 DOI: 10.1177/23779608221103208] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Revised: 04/25/2022] [Accepted: 05/08/2022] [Indexed: 12/15/2022] Open
Abstract
Background The coronavirus disease 2019 (COVID-19) pandemic, caused by the severe acute respiratory syndrome coronavirus 2, is a major international crisis. Although vaccination is the only hope to end this pandemic, adverse effects attributable to vaccines are still being reported. Active surveillance is critical for generating near-real-time, high-quality evidence for potential safety hazards, allowing us to respond quickly to vaccination Purpose To investigate the prevalence of side effects following COVID-19 vaccination with Oxford–AstraZeneca among adults in northwestern Riyadh Province, Saudi Arabia. Methods This is a cross-sectional and community-based study performed among individuals who had received any type of COVID-19 vaccination. A convenience sampling method was used to collect data using an online survey. Results A total of 222 individuals responded to the survey, and the majority frequently reported both localized and systemic side effects after vaccination. The most reported side effects include pain at the site of injection, myalgia, headache, and fever. Some demographic factors were significantly associated with the reported post-vaccination side effects. Conclusion The most prevalent side effects experienced by individuals after receiving the COVID-19 vaccine were determined in this study. Prior to the administration of a vaccination, counseling programs should be established to help people understand and deal with the possible side effects, with a special focus on demographic differences.
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Affiliation(s)
- Fahad Alhowaymel
- Department of Nursing, College of Applied Medical Sciences, Shaqra University, Shaqra, Saudi Arabia
| | - Mohammed A. Abdelmalik
- Department of Nursing, College of Applied Medical Sciences, Shaqra University, Shaqra, Saudi Arabia
- Faculty of Nursing, University of ELImam EL Mhadai, Kosti City, Sudan
| | - Almoez M. Mohammed
- Department of Nursing, College of Applied Medical Sciences, Shaqra University, Shaqra, Saudi Arabia
- University of Sinnar, Sinnar City, Sudan
| | - Mohamaed O. Mohamaed
- Department of Nursing, College of Applied Medical Sciences, Shaqra University, Shaqra, Saudi Arabia
| | - Atallah Alenezi
- Department of Nursing, College of Applied Medical Sciences, Shaqra University, Shaqra, Saudi Arabia
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