Sleep patterns and predictors of poor sleep quality among Saudi commission residents in the Aseer region, Saudi Arabia before and during covid-19 pandemic.

Background: Sleep is an essential part of human physiology. Being a basic need for human well-being, adequate sleep is associated with good health and life quality for all individuals. Disorders of sleep may result in significant derangement in human functionality. Sleepiness among physicians affects not only their personal lives but also negatively impacts the lives of their patients. Method: This is an analytic cross-sectional study design conducted among 268 male and female Saudi commission residents working in public healthcare facilities in the Aseer region, Saudi Arabia. The study aimed to assess sleep patterns and determine predictors of poor sleep quality among Saudi commission residents of the Aseer region, Saudi Arabia. Result: The study reported that before COVID 19 pandemic, 85.1% of Saudi commission residents had poor sleep quality; however, during the pandemic, the percentage increased to 92.5% who showed poor sleep quality. Also, we found there was a significant association between different self-reported morbidities among Saudi commission residents and sleep disturbance (p < 0.05). Conclusion: The study revealed that the percentage of the Saudi commission residents had poor sleep quality during pandemic higher than before with significant difference, which indicates the relation between COVID 19 pandemic and sleeps quality among Saudi commission residents.

Adherence of heart failure patients to heart failure medications and its determinants in the Aseer region, Southern Saudi Arabia.

BACKGROUND: Heart failure is a complex clinical syndrome of cardiovascular disease. Heart failure occurs when the heart muscle is weakened and cannot pump enough blood to meet the body's needs for blood and oxygen. It is characterised by several attacks of dyspnoea, chest pain, orthopnea and pulmonary or systemic congestion. The heart inability to fulfill the demands of the body further failure of heart to pump the blood with normal efficiency. Lack of patients' adherence to their treatment may affect their clinical compensation. AIM: To assess the extent of assessing the level and predictors of medication adherence among patients with heart failure in the Aseer region. METHODOLOGY: A descriptive cross-sectional approach was used for targeting all registered heart failure patients attending the cardio clinic and chronic diseases clinic in Aseer region hospitals. Data were collected using a direct interview questionnaire that was developed by the researchers with the help of experts. Questionnaire included the patients' sociodemographic data, co-morbidities, disease-related data and drugs. RESULTS: The study included 151 patients diagnosed with heart failure. About 66% of the patients were above the age of 60 years and 62.3% were males. Exact of 47% of the cases had the disease for less than 3 years and 43.7% of the patients had the treatment for more than 3 years. About 49% of the patients forget to have their medication at least once while 34.4% had problems remembering to take your medication. Totally, more than half of the patients had poor medication adherence and only 7.3% had a high adherence rate. CONCLUSIONS AND RECOMMENDATIONS: In conclusion, the adherence rate for the patients' medication was poor due to forgetting to have the medications. Poor adherence was related more with single patients who are not working with poor income.