منصة إيفاد العلمية

محمد عبدالكريم ادم عبدالمالك

إرسال رسالة

التخصص: التمريض الباطني الجراحي

الجامعة: كليات الريان

النقاط:

معامل الإنتاج البحثي

الخبرات العلمية

استاذ مساعد في كليات الريان
رئيس قسم وحدة الارشاد الاكاديمي جامعة شقراء - كلية العلوم الطبية التطبيقية

الأبحاث المنشورة

Nurses’ Awareness and Practice Toward Pain Assessment and Management as Fifth Vital Sign in Sudan: A Cross-sectional Study

المجلة: Sudan Journal of Medical Sciences

سنة النشر: 2024

تاريخ النشر: 2024-06-28

Abstract: Background: Pain is globally prevalent, affecting quality of life and driving most people to seek medical care. Nurses are essential for pain assessment and treatment. Adequate nursing awareness, attitudes, and skills are vital for optimal management. This study investigates nurses’ awareness and practice toward pain assessment and management as the fifth vital sign in Sudan. Methods: This study was a cross-sectional, hospital-based study. Convenience sampling was performed to collect information from nurses working at four government hospitals using a self-administered questionnaire 24 November 2020 and 18 April 2021. The study utilized descriptive and inferential statistics for data analysis. Results: A total of 393 registered nurses participated in this study. Most (66.7%) were women, 46.6% were aged 20–25 years, and 69.2% had a bachelor degree. More than half of the nurses had low awareness of pain assessment (51.7%) and management practices (53.7%). A weak positive correlation was observed between awareness and practice (r = 0.280, P = 0.000). Women nurses showed a higher awareness (204.80, P = 0.048). Nurses with a high level of education showed higher awareness (249.32, P = 0.031) and higher practice (272.00, P = 0.029). Nurses working in the critical care unit performed significantly better than others (234.61, P = 0.001). Conclusion: There is a low level of awareness regarding pain assessment and management practices. This study suggests the need for more research and training programs, especially for nurses with low educational levels.

Menopausal symptom management: Fezolinetant's varied doses provide effective relief for vasomotor symptoms in women-A meta-analysis of 3291 participants.

المجلة: African Journal of Reproductive Health

سنة النشر: 2024

تاريخ النشر: 2024-03-31

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. (Afr J Reprod Health 2024; 28 [3]: 99-113)

Knowledge, attitudes, and practices of hypertensive patients towards stroke prevention among rural population in Saudi Arabia: A cross-sectional study

المجلة: SAGE Open Nursing

سنة النشر: 2023

تاريخ النشر: 2023-01-08

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.

Global prevalence of needle stick injuries among nurses: A comprehensive systematic review and meta-analysis

المجلة: Journal of Clinical Nursing (JCN)

سنة النشر: 2023

تاريخ النشر: 2023-02-26

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. Keywords: different countries; needle stick injuries; nurses; prevalence; worldwide. © 2023 John Wiley & Sons Ltd.

Efficacy of warm compresses in preserving perineal integrity and decreasing pain during normal labor: A systematic review and meta-Analysis

المجلة: African Journal of Reproductive Health

سنة النشر: 203

تاريخ النشر: 2023-04-27

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 metaanalysis 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. (Afr J Reprod Health 2023; 27 [4]: 96-123).

Efficacy of daprodustat for patients on dialysis with anemia: systematic review and network meta-analysis

المجلة: Pan African Medical Journal

سنة النشر: 2024

تاريخ النشر: 2024-04-08

Abstract Chronic kidney disease (CKD) is commonly complicated by anemia. Treating dialysis-dependent patients with anemia, including daprodustat and other inhibitors of prolyl hydroxylase of hypoxia-inducible factor, recombinant human erythropoietin (rhEPO), and iron supplements. We conducted this study to test our postulation; daprodustat is superior to rhEPO and other conventional treatments respecting efficacy and safety parameters. We made systematic search through PubMed, Web of Science, Scopus, and Cochrane. Seven unique trials were eventually included for systematic review; six of them with a sample size of 759 patients entered our network meta-analysis (NMA). Daprodustat 25-30 mg was associated with the greatest change in serum hemoglobin (MD=1.86, 95%CI= [1.20; 2.52]), ferritin (MD= -180.84, 95%CI= [-264.47; -97.20]), and total iron binding capacity (TIBC) (MD=11.03, 95%CI= [3.15; 18.92]) from baseline values. Dialysis-dependent patients with anemia had a significant increment in serum Hemoglobin and TIBC and a reduction in serum ferritin, in a dose-dependent manner, when administered daprodustat.

Reported side effects of COVID-19 vaccination among adults in Saudi Arabia: a cross-sectional study

المجلة: SAGE Open Nursing

سنة النشر: 2022

تاريخ النشر: 2022-06-07

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. Keywords: side effects, post COVID-19 vaccination, public health, Saudi Arabia

Misconceptions and associated factors of COVID-19 infection among internally displaced persons in Sudan

المجلة: Journal of Public Health in Africa

سنة النشر: 2022

تاريخ النشر: 2022-07-17

Abstract Coronavirus disease 2019 (COVID-19) is a global public health threat that has spread rapidly and caused morbidity and mortality worldwide. Reducing the myths about infectious diseases is vital for controlling transmission. This study explored the level of misconceptions and associated factors of COVID-19 among internally displaced persons in Sudan. This study is a cross-sectional, descriptive design and community-based study. We collected the data using a self-administered questionnaire via the convenience sampling technique among internally displaced persons in the camps of Zalingei town in the central Darfur region of Sudan. The total mean score of the respondents’ misconception was 3.1725 (SD=0.59) with 63.2%, indicating moderate misunderstanding of COVID- 19. Multiple linear regression revealed the independent variables together had a significant impact on a misconception, F(14,116)=2.429, p<0.005. The regression model explains 22.7% of the variance in misunderstanding. Analysis of the influence of single factors on the dependent variable showed that people aged 31–40 years had significantly higher levels of misconception, 0.381 (t=2.116, p<0.037), than those aged over 60 years, and university graduates had considerably lower levels of misunderstanding, −0.061 (t=−2.091, p<0.03) than non-graduates. This study found a moderate level of misconception of COVID-19. Non-graduates had higher levels of misunderstanding than graduates. The results suggest that an education campaign should focus on people with low levels of education to correct their misconceptions regarding the prevention of COVID-19 infection. Key words: Misconceptions, factors, COVID- 19, internally displaced persons, Sudan

Anxiety and Depression Among Sudanese Nurses During the COVID-19 Pandemic: A Cross-sectional Study

المجلة: Sudan Journal of Medical Sciences

سنة النشر: 2023

تاريخ النشر: 2023-02-17

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.

Mohammed Abdelmalik [PDF] from ajol.info Effect of an Educational Program on Stakeholders’ Awareness About Risks of Cannabis Use in Sudan: A Quasi-Experimental Study

المجلة: Sudan Journal of Medical Sciences

سنة النشر: 2023

تاريخ النشر: 2023-04-05

Abstract Background: This study assesses stakeholders’ awareness level of Cannabis use and the effect of an educational program on their awareness in Kabkabiya city of Sudan. Methods: This quasi-experimental research was conducted using a pre- and posttest design between July and November 2018. A total of 203 stakeholders were recruited in the study using a convenience sampling technique. First, using a self-reported questionnaire, the pretest data were collected before the intervention. Then, the participants underwent an educational program intervention in the form of lectures and group discussions. At the end of the program, the participants were subjected to the posttest using the same questionnaire. Data were analyzed using descriptive and inferential statistics. Results: The results showed a poor to moderate level of awareness about Cannabis use among stakeholders. A statistically significant increase in the stakeholders’ awareness levels was found after the educational program intervention with a large effect size in awareness (z = –12.299, P = 0.001, r = 0.91). The results also showed that the participants who graduated from university had a significantly higher level of awareness than others at pre- and posttests stages (P =< 0.001). Conclusion: The educational program intervention effectively improved stakeholders’ awareness about the risks of Cannabis use. This study suggests providing ongoing health education for the public and focusing on individuals with lower educational levels to increase awareness of the risks of Cannabis use.

Impact of Educational Program on Nurses' Attitude Regarding Pain Management for Patients with Cancer at The National Cancer Institute of Gezira University

المجلة: Journal of Nursing Science Practice, Research and Advancements (e-ISSN: 2582-7847)

سنة النشر: 2022

تاريخ النشر: 2022-04-08

Abstract Background: Pain is one of the most common symptoms of cancer patients. The negative attitude of nurses is one of the barriers to effective pain management. Ineffective management of pain has adverse effects on complete aspects of a patient's life and unfortunate health outcomes. Aim of the study: Assessed the effectiveness of the training program on nurses' attitudes regarding pain management for patients with cancer. Methodology: A quasi-experimental study with a one-group pretest-posttest design. Setting: The study was instituted for research purposes at the National Cancer Institute of the University of Gezira, which lasted from 3-17 August 2018. Procedure: Data were collected from Sixty-one of nurses by a self-administered questionnaire before and after the educational program. Results: The results revealed that the overall mean score of nurses' attitudes at pretest was negative (1.8±0.731). After the program, the overall mean score improved in posttest one (2.85±0.92); posttest two (4.2±0.91), and posttest three (4.6±0.91). There were significant differences between the mean scores of pre-test, post-tests at p-value (p < 0.000). Conclusion: The education program has a positive effect on the improvement of nurses' attitudes regarding cancer pain assessment and management. Recommendation: Continuous education program suggested for nurses in oncology units to improve their attitude positively toward cancer pain management.

Knowledge and practice regarding coronavirus disease prevention (COVID-19) among internally displaced persons in camps in Central Darfur Region, Sudan

المجلة: Sudan Journal of Medical Sciences

سنة النشر: 2021

تاريخ النشر: 2021-07-01