Online ISSN: 2515-8260

Keywords : PHC


Assessment of Health Related Quality of Life among Patients Smoking attitudes attending Primary Health Care Centers in Makkah, Saudi Arabia (2019)

Saud Abdulhai Gari, Muhammed Musa Yahya Sufyani, Hisham Ali Abdo Ali, Amna Mahmoud Ibrahim Altakroni, Ahmed Abdul Rhman Ahmed ALQarni, Mazin Ibrahim Rasheedy, Ahmed Suwailem Saleem Almehmadi, Fatma Saleh Alharbi, Waleed Mohammed Omar Almahaily, Abdulrahman Saad Alsaedi

European Journal of Molecular & Clinical Medicine, 2019, Volume 6, Issue 1, Pages 274-287

Background
Smoking is now well established as a recognized cause of cancer, lung disease, coronary heart disease, and stroke; it is considered the single most important avoidable cause of premature morbidity and mortality in the world. Additionally, epidemiological studies have reported positive associations between smoking and psychiatric disorders. Several studies have found high rates of smoking among selected populations of persons with mental illness, whereas general population surveys have demonstrated a significant association between current smoking and psychiatric symptoms.
     The World Health Organization has reported that more than 4 million annual deaths are attributed to tobacco consumption; this is projected to be10 million annually in 2030. Conversely, smoking cessation reduces health risks and improves quality of life. In particular, the cumulative risk of dying of cancer, cardiovascular and lung diseases can be drastically reduced if smokers quit, even at an advanced age.Objective: To assessment the health-related quality of life (HRQL) among Patients Smoking attitudes attending smoking clinics Primary Health Care Centers in Makkah. Aim of the study Aim of the study: The study aimed at assessing the health related quality of life among Patients smoking attitudes attending smoking clinics Primary Health Care Centers in Makkah. Method: A cross-sectional descriptive stud conducted from January, 2019 to December, 2019 in four Primary Healthcare Centers (PHC)in Makkah, the Sample size of Patients Smoking Attitudes attending PHC. Our total participants were (80). Results: the specific medical diseases significantly associated with smoking were Musculoskeletal disorders and  Central nervous system diseases  were (P < 0.001 and=0.033 ) and X2 25.481and 3.554 with the Negative in age (25-35) of the patients was (66.67% and 11.11% ) while in Positive age patients was (33.33% and 83.33%) while all anther medical diseases no significantly associated with smoking .Conclusion . the health related quality of life among Patients smoking attitudes  attending Primary Health Care Centers in Makkah smokers with smoking history show significant impairment in the physical and mental domains of HRQL in comparison to never-smokers. Postgraduate studies, workshops and training are indeed necessary to help PHCPs' to understand the significance of the role they play in implementing SCC for patients, individuals, family and the community effectively.

THE ASSESMENT OF THE PREVALENCE AND ASSOCIATED RISK FACTORS OF OBESTIY AMONG TYPE II DIABETIC PATIENTS ATTENDING IN THE PRIMARY HEALTH CARE CENTER IN MAKKAH AL-MUKARRAMAH 2019

Majiedabdulmoghth A. Al Harby, KhaledEssam Sheikh, Ali Mansour Ali Ashgar, AmeenahMuallaSaad Alharbi, MajedAbdulghafour Mohammed Turkistani, Nasser Awn Abdullah Albarakati Naif Abdul RahmanKhader Al-Ghamdi, Yasser Bin Hassan Muhammad Sindi, Hassan Sfar Alzahrani, Muidh Mohammed Althagaf

European Journal of Molecular & Clinical Medicine, 2019, Volume 6, Issue 1, Pages 294-304

Background:
      Diabetes mellitus and obesity are key risk factors for long-term complications associated with type 2 diabetes mellitus. Previous studies have shown that the prevalence of diabetes mellitus and obesity is high in the KSA. However, none of these studies has focused on the investigation of diabetes mellitus and obesity in Makkah patients with type 2 diabetes mellitus. Obesity and diabetes mellitus are known to contribute directly or indirectly to the development of long-term complications of type 2 diabetes mellitus. Obesity is a serious public health concern all over the world. In KSA obesity is on rise and if proper intervention and preventive strategies were not adopted of obesity will prove fatal. Obesity among type 2 diabetic patients has proven to have adverse effects in management and control of diabetes and a considerable proportion of type 2 diabetic patients have been reported to be obese in different settings, which increase the risk of complications among them.
Aim of the study: To assesment of the prevalence and associated risk factors of obestiy among type II diabetic patients in the primary health care center in Makkah Al-Mukarramah 2019.
Method: A cross-sectional study was conducted at AL-Eskan PHC, among type II diabetic patients and obesity attending in the AL-Eskan PHC Makkah among a random sample of type 2 diabetic and obesity patients registered in the chronic disease clinic. Our total sample size will be 200 patients
. Results:  the majority of our participants were have increase BMI (obese) were constitutes (59.0 %), while normal BMI participants were constitute (40.0 %). the majority of our study are male’s gender in our study was (59.0%). the majority nationality Saudi was (87.0%)
Conclusion: Physical activity probably contains a larger role in promoting health in weighty populations than antecedently thought and should confer substantial reductions in sickness burden. Future analysis might examine prospectively whether or not increase in physical activity in unhealthy weighty adults will cause a healthier standing.

ASSESSMENT OF KNOWLEDGE AND ATTITUDES OF PATIENTS ATTENDING IN PRIMARY HEALTH CARE ABOUT THE SEASONAL INFLUENZA IMMUNIZATION AT MAKKAH AL-MOKARRAMAH 2019

Sabah Ali Alwahat, Ahmad Muhymeed Alqurashi, Maram Mofareh Alotaibi, Jamilah Hamid Almalky, Hussam saleh hassan heji Fouad Mohammed Alshehri, Adil Awad Mobark Allehyani, Talal Ghali Salman Alsehli, Yahya Ali Dosh, Eyad mohammed ali shelaiyah

European Journal of Molecular & Clinical Medicine, 2019, Volume 6, Issue 1, Pages 314-326

Background
seasonal influenzavaccination is essential for population health. However, despite its strong recommendation, studies indicated a low rate of vaccine response. Influenza is a serious disease that can cause hospitalization, intubation, and death in high-risk groups. Influenza complications are due to changes in the immune, respiratory, and cardiovascular systems. Patients  with an influenza infection are at increased risk of severe illness and complications and have a higher mortality and morbidity rate. Despite the significant role of seasonal influenza vaccination in preventing and minimizing the serious complications of influenza infection in patients, unsatisfactory compliance still exists for vaccination. Vaccination against influenza is the main way to reduce the substantial health burden that seasonal influenza causes, and is the primary tool to prevent influenza infection. The Advisory Committee on Immunization Practices at the US Centers for Disease Control and Prevention (CDC) recommended that all people above age 6 months receive the influenza vaccination annually unless contraindicated
. Aim of the study:To explore knowledge and attitudes of patients attending in Primary Health Care about the seasonal influenza Immunization at  Makkah Al-Mokarramah 2019.
Methods: This cross-sectional study was conducted among 200 participants from  health care centers in Makkah Al-Mokarramah city. A validated self-administered questionnaire was used. It includes questions on sociodemographic variables, knowledge, attitude, and vaccine response. during the September to December 2019.
 Results:the majority of participant (50.5%) have average of the knowledge towards seasonal influenza vaccination followed by (29.0%) of participant high while Range(3-9) and Mean ±SD(6.390±1.781), X225 P=0.001also shows the majority of participant (50.5%) have average of the knowledge towards seasonal influenza vaccination followed by (29.0%) of participant high while Range(3-9) and Mean ±SD(6.390±1.781), X225 P=0.001
Conclusion:The study showed poor knowledge and attitude toward seasonal influenza Immunization among patients and general population but a relatively accepted rate of vaccine response. Vaccination response was associated with knowledge, marital status, education, and age. This study recommends implementation of the health educational programs to increase the knowledge to the patients and general population.

COMMON REASONS FOR DRUG NONCOMPLIANCE IN PATIENTS WHO ARE ATTENDING OUTPATIENT CLINICS IN PRIMARY HEALTH CARE AT MAKKAH AL-MOKARRAMAH

Wassim Abdulrahman Alfattni, Mahfooz Naser Sroor Alshareef, Ibrahim Bakheet Faraj Aal El Sunni, Waleed Ateeq Alsubhi, Tareq Naser Sroor Alshareef, Fatimah Turki Hazem Alatyani Aisha Ayesh Alotaibi, Rawan Shaker Abdullah Alshareef, Hamza Ateeq Albishri, Radi Ati Abdullateef Alharbi, Mohammed Ateeq Alsubhi

European Journal of Molecular & Clinical Medicine, 2019, Volume 6, Issue 1, Pages 375-387

Background:
The compliance with standards in health services is non-negotiable as it is fundamental in improving KSA current poor health outcomes, restoring patient and staff confidence in the public healthcare system, achieving widespread sustainable development and providing basic quality healthcare in KSA. Despite the growing interest in understanding the a etiology of chronic diseases, limited studies exist on medication noncompliance, especially, among perturbing and rural dwellers in KSA. Barriers to medication adherence in patients can have significant differences that made researchers confute to conclude that medication adherence is required to be more explored, and then, beneficial interventions develop to decrease these barriers. Some of the main barriers to patient compliance with pharmacological therapy The barriers to medication adherence included four concepts, namely, lifestyle challenges, patient incompatibility, forgetting of medicine use, and no expert advice. These concepts are always present in the disease process and reduce the patients' efforts to achieve normal living and adhere to the medication. Medication non-adherence when patients don’t take their medications as prescribed is unfortunately fairly common, especially among patients with chronic disease.Most non-adherence is intentional patients make a rational decision not to take their medicine based on their knowledge, experience and beliefs There are many reasons for non-compliance with in patients for medication.
Aim of the study: To assessment of drug noncompliance among patients who are attending out patient's clinics in Primary Health Care Centers, Makkah, 2019 at Makkah Al-Mokarramah.
 Method:Across sectional descriptive study conducted among including Sample population consists of Saudi out patients aged 20-60 years attending to outpatient in selected primary health–care centers in Makkah Al-Mokarramah city, during the October to December, 2019, the Sample size of medical practitioners. Our total participants were (234).
Results:shows a statistically significant association socio-demographic (age, education, occupation, income) and Regular taking medication with (P-value <0.001) , respectively Chi-square (34.607, 72.638, 9.144, 32.151) Regarding gender shows no statistically significant association between gender and Regular taking medication with (P-value 0.364) , Chi-square (0.826).
 Conclusion: Recommendations to facilitate compliance with were described, which included implementation of effective management practices and allocation of adequate healthcare resources required to facilitate such compliance. ​The factors related to compliance may be better categorized as factors as the approach in countering their effects may differ. The study also highlights that the interaction of the various factors has not been studied systematically. Future studies need to address this interaction issue, as this may be crucial to reducing the level of non-compliance in general, and to enhancing the possibility of achieving the desired healthcare outcomes. Drug noncompliance not only includes patient compliance with medication but a lot of factors For example also with diet, exercise, or life style changes

ASSESSMENT OF THE PREVALENCE OF INFLUENZA IMMUNIZATION AMONG DIABETIC PATIENTS ATTENDING PRIMARY HEALTH CARE CENTER IN MAKKAH AL-MOKARRAMAH 2019

Raghad Jameel Alhajaji, Atef Mohammad Raffa, Turki Abdulqader Dawaji, Asmah Ali Miswak, Haneen Mohammad Alshanqity, Abdulrahman Ahmad Alshamrani Wael Abdulqader Gamloo, Juman Maid Albajaly, Fahad Abdulmukrem Alsulami, Raeed Mustafa Rommani

European Journal of Molecular & Clinical Medicine, 2019, Volume 6, Issue 1, Pages 394-405

Background:
      Influenza is a seasonal epidemic with main symptoms that include fever, cough and muscle aches. Fever is a big distinguishing component between a cold and influenza. Some other common symptoms which may or may not be seen with a cold as well are headache, chills, loss of appetite, fatigue and sore throat. diabetes, influenza is a significant burden on the healthcare systems. A significant issue and a significant big health concern happen every year is looking how we could mitigate and manage it and obviously take the burden off the health care system. Diabetic patients, as other chronic diseases patients, could catch the influenza infection, which is a respiratory infection caused primarily by influenza A and Influenza B. Diabetes Mellitus (DM) is a major health problem worldwide. It is a number of metabolic disturbances that is characterized and identified by the presence of hyperglycemia in the absence of treatment.
Aim of the study: to assessment of the Prevalence of Influenza Immunization among Diabetic Patients attending Primary Health Care Center In Makkah Al-Mokarramah,2019.
 Methods: A Cross-sectional analytical study was carried out in the city of Makkah among diabetic patients attending  Primary Health Care Center during  the October to December 2019, the Sample size patients participants.  Our total participants were (300).
Results: shows the majority of participant (39.5%) have average level of total attitude of diabetic patients towards seasonal influenza vaccination followed by (29.5%) of participant weak while Range(7-19) and Mean ±SD(13.065±3.822), X211.59 P=0.003.Conclusion: Undermining the effect of influenza and misconceptions on the effectiveness of the vaccine could much be improved by increasing awareness and knowledge, seasonal vaccination among diabetics in KSA is low. Level of knowledge and perception are the main barriers to vaccination. Health care provider’s advice may be an important key predictor of previous influenza vaccination and they should continue to educate and encourage all diabetics to get vaccinated for influenza at least once yearly.

PREVALENCE OF ELECTRONIC CIGARETTES USE AMONG HEALTH CARE PROVIDERS IN THE PRIMARY HEALTH CARE IN MAKKAH, 2019

Fayza Ramadan Hawsawi, Ahmad Zuhair Mashat, Hajer Gali Alharbi, Salwa Ali Hassan, Eman Hamed Allogmani, Adnan Abdulqader Qeder, Rushdi Hisun Alhakami Laila Abdo Barnawi,Kefah Mohammed Algamdi, Ahmad awadh Alkhdedi

European Journal of Molecular & Clinical Medicine, 2019, Volume 6, Issue 1, Pages 427-436

background: Most health care providers are aware of e-cigarettes, but the information is scarce regarding the magnitude of this newly emerged habit in Saudi Arabia, since introduction in the early 2000s, e-cigarette use has rapidly increased among adolescents worldwide. then adult  However, little is known about e-cigarette uptake among adolescents in Saudi Arabia. Tobacco smoking is highly prevalent in Saudi Arabia, and there is a need to reduce the resultant health burden via patient-oriented smoking cessation interventions. Primary care physicians (PCPs) have a significant role in providing counseling and advice to quit smoking.
World Health Organization (WHO) reported tobacco use as one of the biggest public health threats the world has ever faced. WHO report on the global tobacco epidemic, mentioned that in 2015, over one billion people smoked tobacco. This study aimed to assess Prevalence of Electronic Cigarettes Use Among health care providers in the Primary Health Care in Makkah, Although it is declining worldwide in many countries, the prevalence of tobacco smoking appears to be increasing in the Eastern Mediterranean Region
.Aim of the study
This study aimed to assess Prevalence of Electronic Cigarettes Use Among health care providers in the Primary Health Care in Makkah 2019.
methods:Cross-sectional descriptive study was carried out, including a random representative sample of health care providersin the Primary Health Care in Makkah.A self-administered validated questionnaire was adopted and modified. The Sample size of medical practitioners . Our total participants were (500)
Results: showed that the majority of the participant were (52.0%) smoker regarding smoking period the majority while <5 were (35.0%), Current use of e-cigarettes were(72.0%) and (30.0%) of the participant knew that the electronic cigarettes contain nicotine whereas 56.15% did not know if e-cigarettes contain nicotine or not. Most of the students (75.0%) thought that the electronic cigarette is harmful to health.
Conclusion:The prevalence of e-cigarettes smoking among health care providers in the Primary Health Care in Makkah. was found relatively high and most common reasons to smoke e-cigarettes were similar taste to conventional cigarettes, adequate nicotine, helping in control of smoking behavior, perceived less harmful effects than conventional cigarettes, and low cost. E-cigarettes have been tried and currently used by a considerable proportion of health care providers. Some associated factors were identified.

ASSESSMENT OF KNOWLEDGE OF ASTHMA AND RELATED SYMPTOMS IN SCHOOL-AGE CHILDREN ATTENDING THE PRIMARY HEALTH CLINIC IN MAKAH CITY IN SAUDI ARABIA 2019.

Muhannad Abdulhamid Almalk, Abdulmhosen Abdullah Allehyani, Asmaa Dakkel Najm Alsulami, Najlaa Eid FadelAllah Alharbi, Khlood Musalam Abbad Al harbi, Amal Mafarh Abdullah Al otaibi Badr Jaber Albeshri, Nawaf Saad M Alhusayni, Faisal Khalid Hamzah Alghamdi, Bandar Shabeb Almqati, Mamdouh Ahmad Albishri

European Journal of Molecular & Clinical Medicine, 2019, Volume 6, Issue 1, Pages 483-491

Asthma is a global problem, its prevalence varies among different countries and cities and age groups. In children, asthma is one of the most common chronic diseases and one of the leading causes of morbidity and mortality.Bronchial asthma is the most common chronic disease of childhood. In recent years a consistent increase in the prevalence of asthma has been reported from various regions of the world. Concomitantly, the social and economic impact of the disease is also increasing. Children with asthma face multiple challenges that encompass learning how to cope with. Bronchial asthma (BA) is a public health problem in all countries irrespective of their level of development, being generally under-diagnosed and undertreated, and most asthma-related death commonly occurs in low-income and lower-middle income countries .As for Saudi Arabia, it is estimated that more than 2 million Saudis have asthma and the percentages range from 8% to 25% in Saudi children. In 2004, the highest prevalence of asthma was reported by physicians in Saudi Arabia (25%).
Aim of the study:To Assessment of knowledge of asthma and related symptoms in school-age children attending the primary health clinic inMakah city in Saudi Arabia 2019.
Method:A cross-sectional study was conducted attending the primary health care centers in Makkah, Saudi Arabia. An asthma knowledge questionnaire was used to measure the knowledge. During the March to June, 2019, participants were (80).
Results:General knowledge about asthma the majority of participant had average information were (43.75%) while weak Knowledgewere (12.25%) the data ranged from (4-15) by (Mean± SD) (12.113±4.12), while Knowledge about associated aspects of asthma the majority of participant had average information were (67.5%) while weak Knowledgewere (12.25%) the data ranged from (5-10.) (Mean± SD), (6.387±2.75).
Conclusion: In conclusion, the screening methodology adopted in this study could be applied for all children at the beginning of the school year, being simple and noninvasive measure. The prevalence of asthma in school children in is greater than that reported from most developing countries and closer to the rates reported indeveloped countries. Avoidance of pet's ownership at home, improving social class and premarital counseling for atopic persons are all recommended

ASSESSMENT OF THE KNOWLEDGE OF EMERGENCY CONTRACEPTION AMONG MARRIED WOMEN ATTENDING ANTENATAL CLINICS, MAKKAH (2019)

AmalsaeedAmer saleh, Sana Ali barnawi, Funoon Omer Alansari, Nadeentalal khayame, ‏Afnan Adnan Abdullah Bukhari‏, ‏Ohoud Mohammed Alzahrani, ‏Ghadamohammad fallata Hanan Faisal Rashed Alharbi, ‏Maha Abdullah Alsharif, AishahAeyd Albarqi, Hadeel Khalid Hamed Alshanbari

European Journal of Molecular & Clinical Medicine, 2019, Volume 6, Issue 1, Pages 513-522

Background
     Contraception is an effective mean of Family Planning (FP) and fertility control, promotes maternal and child health. It is interesting to explore the perception and use of contraceptives among Saudi women. The usage of contraceptive has  a significant part in reducing fertility and control of population, which in turn is important for the development of the nation. Despite the advancements in current methods of contraception, unintended pregnancies are still widespread in the Kingdom of Saudi Arabia which adversely impacts the well-being and health of women and their families. Unintended pregnancies pose a major challenge to the reproductive health of young adults in developing countries. students are an important high-risk group in any society and emergency contraceptives can prevent unintended pregnancies and its consequences in this high risk group, contraception is unique among medical interventions in the breadth of its positive outcomes. An effective means of Family Planning (FP) and fertility control promotes maternal and child health.
Aim of the study: The study aimed to assessment the level of knowledge of emergency contraception among married women attending antenatal clinics, Makkah (2019).
Methods: cross sectional descriptive study has be conducted using saudi women who fulfilling the inclusion criteria, used to randomly select women from Primary Health Care Centers (PHCCs) in Makkah in Saudi Arabia . using a well-structured pretested questionnaire composed of four main parts to collect the data. Our total participants were (200).
Results: the majority of the participants answer the correct timing of emergency contraceptive pill (Within 5 days) were (86.0%)while IUD (Within 5 days) were (77.0%) while Total Knowledge regarding emergency contraceptive the majority of participants answer yes were (88.0%), regarding the ever using emergency contraception the majority of participants answer no were (75.0%).
Conclusion: In the light of the above results, there is an urgent need to improve the knowledge of Saudi women in age of fertility towards the use of modern contraceptives, low utilization was notices mainly due to religious concerns. Awareness programmers should be organized by the management on emergency contraception and other modern contraceptive methods.