Ali Ibn Abitaleb Hospital Research Articles

Episiotomy and Its Complications

Objectives: This study aimed to evaluate the frequency of episiotomy and its early complications in natural vaginal delivery in the maternity ward of Ali Ibn Abitaleb (AS) Hospital in Zahedan from 2014 - 2016. Methods: In this cross-sectional study, which was conducted in 2017, the archives of women who gave birth between 2014 - 2016 were reviewed. Data were collected using information forms and analyzed by SPSS software. Results: Of 418 women were reviewed, the episiotomy rate was 54.5%; there was a significant association between parity and mother age with episiotomy rate. Moreover, 24-hour pain frequency, perineal rupture rate, hematoma rate was significantly higher in the episiotomy group. First- and fifth-minute Apgar of the neonates in the episiotomy group was significantly lower. Conclusions: In overall, the episiotomy rate was 54.5%, and there was a significant association between parity and mother age with episiotomy rate.

Comparison of the Effect of Lullaby and Kangaroo Care on Physiological Criteria during Heel Lance in Preterm Neonates at the Neonatal Intensive Care Unit

Background The painful procedure of drawing blood from the heel (heel lance) in the neonatal intensive care unit (NICU) is necessary for some diagnostic tests. However, it can have negative effects on the physiological criteria of preterm neonates. This study aimed to compare the effect of lullaby and kangaroo care on the physiological criteria of preterm neonates admitted to the NICU during heel lance.Methods This clinical trial study was conducted with a crossover design on 60 preterm newborns (30-36 weeks of gestation) admitted to the NICU at Ali ibn Abi Taleb Hospital, Zahedan, Iran, 2019. The neonates were randomly divided into two groups of lullaby and kangaroo care (n=30 each). In the former group, a lullaby was played for the neonates through headphones for 30 min, and in the latter group, the naked neonate was placed in the mother's arms for the same duration. Physiological criteria were recorded before (0 min), during (15 min), and after the procedure (30 min). The collected data were analyzed in SPSS software (version 22) using independent t-tests and Chi-square test.Results There was no statistically significant difference between the mean scores of gestation age of neonates in the lullaby (32.63±1.92) and kangaroo care (32.69±1.92) group (P=1.000). The results of the independent sample t-test showed that during the intervention, there was a difference between the mean pulse rate (P=0.015), respiration rate (P=0.003), and arterial oxygen saturation percentage (P<0.01) in preterm neonates. The two groups were significantly different in this regard. However, in the post-intervention stage, no statistically significant difference was observed between the mean pulse rate and respiration rate (P=0.60 and P=0.614, respectively).Conclusion Given the positive effect of kangaroo care on the physiological criteria of preterm newborns during heel lance, this non-pharmacological, low-cost, and available method could help nurses working in the NICU improve physiological criteria during heel lance.

The Effect of Family-Centered Educational Supportive Intervention on Parental Stress of Premature Infants Hospitalized in the NICU

Background: Premature birth and infant hospitalization in the neonatal intensive care unit (NICU) is stressful for parents; therefore, training and supporting couples with the aim of reducing stress are very important. Objectives: The present study aimed at investigating the effect of family-centered educational, supportive intervention on parental stress of premature infants hospitalized in the NICU. Methods: This quasi-experimental study was performed on the eligible parents of 80 premature infants admitted to the NICU ward of Ali-ibn Abitaleb Hospital in Zahedan, in two groups of 40 intervention and control. Samples were selected by convenience sampling and randomly divided into two groups. The intervention group received five sessions of a family-centered educational support program in five days, with an average of 60 minutes per session, and the control group received only routine training and care. Data were collected using the Parental Stress scale (PSS) questionnaire with approved validity and reliability before and after the end of educational interventions at discharge from the hospital. Data were analyzed by SPSS, version 22 using paired t-test, independent t-test, and chi-square. Results: Mean of parental stress scores of mothers and fathers of premature infants was not significantly different in the intervention and control groups before family-centered educational-supportive intervention (P &gt; 0.05), but after the intervention, the mean of parental stress scores of parents in the intervention group was significantly lower than the control group (P = 0.001). Conclusions: Family-centered educational supportive intervention has a positive and significant effect on reducing stress in parents of preterm infants admitted to NICU. Therefore, training and support of parents during the hospitalization of their infants is recommended.

Evaluation of Radiographic Findings in Children with Different Severity of Pneumonia Aged from 1 Month to 18 Years Old

Objectives: to evaluate the relationship between different chest X-ray (CXR) radiologic findings in pediatricpatients admitted with different severity of pneumonia. Material and methods: The present descriptiveanalyticalcross-sectional study took place in Ali Ibn Abitaleb Hospital (Zahedan, Iran). Every pediatricpatient with the clinical diagnosis of pneumonia enrolled and the study population was divided into nonsevere,severe, and very severe groups based on the world health organization criteria of pneumonia severity.The CXR findings of every pediatric patient were reported and the correlation between the radiologicfindings and disease severity was evaluated. Results: A total of 352 patients with a mean age of 22.63months enrolled and the majority of patients were male (212, 60.2%). The intensity of disease was nonseverein the majority of patients (279, 79.3%) and severe in 17.6%. There was a significant differencebetween disease severity groups in terms of age (p<0.001) and radiographic findings (p<0.001). There was asignificant relationship between severe disease and age (p=0.002, OR=0.964, 95% CI for OR: 0.942, 0.986).Moreover, there was a significant relationship between very severe disease and reticular pattern (p=0.042,OR=9.543, 95% CI for OR: 1.086, 83.886). Conclusion: The present study demonstrated that CXR findingsin children with pneumonia are correlated with disease severity and consolidation and reticular patterns arethe important findings indicating disease severity in children.

Comparison of the Effectiveness of Nursing Consultation and Guided Imagery-Based Training on Stress and Anxiety in Angiography Candidates: A Clinical Trial

Background: Despite the use of various pharmacological and non-pharmacological methods for reducing stress among patients, one of the most important nursing challenges is how to control anxiety and stress in patients undergoing coronary angiography. Objectives: The present study aimed to compare the effectiveness of nursing consultation and guided imagery-based training on the level of stress and anxiety in patients undergoing coronary angiography. Methods: The participants in this clinical trial included 60 angiography candidates, admitted to the coronary care unit (CCU) of Ali-Ibn Abi-Taleb Hospital in Zahedan, southeast of Iran, in 2019. The participants were selected using convenience sampling and randomly assigned to three groups: nursing consultation, guided imagery, and control groups. The instruments used to collect the data included a demographic information form and the Depression, Anxiety, and Stress scale (DASS-21). The questionnaires were completed by the participants in all three groups on the day of hospitalization and one hour before angiography. A guided imagery audio file was played one day before angiography for each participant in the nursing consultation group for a maximum of two hours. On the other hand, the guided imagery group, besides receiving routine care, listened to the same audio file for 30 - 45 minutes. However, the participants in the control group only received routine hospital training. The collected data were analyzed in SPSS version 25, using statistical tests, such as analysis of variance (ANOVA), Tukey’s post hoc test, analysis of covariance (ANCOVA), paired samples t-test, Fisher’s exact test, and chi-square test at a significance level of less than 0.05 (P &lt; 0.05). Results: After controlling for the significant effect of pretest scores, the results of ANCOVA test showed significant differences between the two intervention groups in terms of the mean scores of anxiety and stress after the intervention (P &lt; 0.001). Also, the mean scores of anxiety and stress decreased in the guided imagery and nursing consultation groups as compared to the control group. However, the two interventions were not significantly different in reducing anxiety and stress among patients undergoing coronary angiography (P = 1). Conclusions: In this study, nursing consultation and guided imagery interventions led to a reduction in the stress and anxiety of patients undergoing angiography. Although the two interventions showed no significant difference in terms of effectiveness, they had positive effects on the mental health of angiography candidates. Therefore, these techniques can be employed by nurses, depending on their ease of use and conditions, to reduce stress and anxiety among angiography candidates.

An Epidemiological Survey of Mortality among Patients Admitted in Ali Ibn Abitaleb Hospital in Rafsanjan, Southeast Iran, 2019

An Epidemiological Survey of Mortality among Patients Admitted in Ali Ibn Abitaleb Hospital in Rafsanjan, Southeast Iran, 2019

Frequency of Sick Building Syndrome and Its Related Factors in Nurses at Ali Ibn Abitaleb Hospital in Rafsanjan City 2018: A Cross-Sectional Study

Frequency of Sick Building Syndrome and Its Related Factors in Nurses at Ali Ibn Abitaleb Hospital in Rafsanjan City 2018: A Cross-Sectional Study

Comparison of the Three Methods of Syntocinon, Misoprostol, Transcervical Catheter Plus Syntocinon in Labor Induction

Abstract In this interventional study, 120 primigravid women with low bishop scores who visited the maternity room of Ali ibn Abitaleb Hospital in Zahedan (2014) were selected. Patients were randomly assigned to receive syntocinon, misoprostol, or transcervical catheter plus syntocinon. Variables including success rate and side effects were compared among the groups. The success rates in the syntocinon, syntocinon Group plus the trans-cervical catheter, and misoprostol groups were 72.5%, 77.5%, and 65%, respectively, showing no significant difference between the three groups (P = 0.711). The rates of drug adverse effects in the syncinosin, syncinosin plus trans-cervical catheter, and misoprostol groups were 7.5%,7.5%, and 2.5%, respectively. According to the obtained results, the three methods of syntocinon, misoprostol and transcervical catheter with syntocinon, which are low-risk and effective methods for cervical ripening, could be used to terminate pregnancy in primigravida women with low Bishop score before the initiation of labor induction.

Comparing the Effect of Breast Milk Odor and Incubator Cover on Nutritional Adequacy of Premature Infants: A Quasi-Experimental Study

Background: Premature babies face nutritional problems caused by underdevelopment and lack of coordination between sucking, swallowing, and breathing. Appropriate early interventions are needed to promote the nutritional adequacy of these infants. Objectives: This study was designed to compare the effect of breast milk odor and incubator cover on the nutritional adequacy of premature infants. Methods: A quasi-experimental study was conducted on 105 preterm infants aged 28 - 33 weeks who were admitted to the Neonatal Intensive Care Unit (NICU) of Ali Ibn Abi Taleb Hospital in Zahedan in 2018. The subjects were selected via convenience sampling and randomized into three groups: breast milk odor (BMO), incubator cover (IC), and control. Infants in the IC group were placed in an incubator for two hours before feeding. In the BMO group, a gauze soaked with breast milk was placed 1.5 cm away from the infant’s nose in the incubator, and a prescribed amount of milk was given by a syringe to the infant through the mouth. The amount of milk that the baby orally received in the first 10 min (nutritional adequacy) was recorded by a camera, and the results were compared in the three groups. Results: One-way analysis of variance showed a statistically significant difference between the control group and the two groups of incubator cover and breast milk odor (P &lt; 0.001) such that nutritional adequacy was lower in the control group than in the two other groups. Conclusions: Both the smell of breast milk and incubator cover improved the nutritional adequacy of premature infants and enabled them to orally receive more breast milk.

Early Effects of Hemodialysis on Pulmonary Function in Patients with End-Stage Renal Disease

Background: Renal failure may directly or indirectly influence pulmonary ventilation. Since hemodialysis can decrease the extra liquids, improvement in pulmonary function by decreasing liquids in the lungs is expected. Objectives: This study aimed to assess the effects of acute hemodialysis on spirometry parameters. Methods: A cross-sectional study was conducted among patients with end-stage renal disease who referred for hemodialysis to Ali Ibn Abitaleb Hospital of Zahedan City during 2016. Patient data including age, gender, and body mass index (BMI) were collected. Spirometry was performed one hour before and after hemodialysis, and spirometry parameters including vital capacity (VC), forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), FEV1/FVC, peak expiratory flow (PEF), forced expiratory flow between 25% and 75% FVC (FEF 25% - 75%) were measured. Results: A total number of 50 patients (30 men) completed spirometry. In men, there were a significant increase in FEV1 (mean difference = 0.217; P = 0.003) and FVC (0.298; P = 0.027) and a significant decrease in FEV1/FVC (-4.153; P = 0.038) after hemodialysis. In women, there was no significant change in the means of spirometry parameters. In addition, no significant relationship was found between PFT changes and BMI, weight change, or ultrafiltration volume. Conclusions: Our results showed that hemodialysis may improve pulmonary function tests in men. Studies with larger cohorts of patients are needed to derive valid effect estimates of hemodialysis on spirometry parameters with considering the role of chronic kidney diseases, various underlying diseases, different hemodialysis methods, and other related confounders.

Frequency of Congenital Heart Disease in Neonates with Extra Cardiac Anomalies

Background Diagnosis of congenital heart disease (CHD) in neonates with extra cardiac anomalies is effective in their clinical management and surgical outcomes. This study aimed to investigate the frequency of CHD in neonates with extra cardiac anomalies admitted to a neonatal intensive care unit (NICU). Materials and Methods This retrospective, descriptive study included all neonates with extra cardiac anomalies admitted to the NICU of Ali Ibn Abitaleb Hospital in Rafsanjan, Iran, from March 2016 until the end of September 2018. Data were collected through a researcher-designed checklist including demographic and disease information for neonates and their parents. The checklist was filled out according to the neonates’ medical records. Moreover, CHD was diagnosed using echocardiography. Finally, the data were analyzed using SPSS version 18. Results From the 58 neonates, 35 (60.35%) were boys and 23 (39.65%) were girls. The mean age of the neonates was 5.27±6.9 days. The prevalence of CHD in neonates with extra cardiac anomalies was 37.25% (n=19). The most prevalent CHD anomaly was PDA with a rate of 78.9%. The highest prevalence of CHD was associated with musculoskeletal (50%, n=6 from 12), and genitourinary (43.8%, n=7 from 16) abnormality, respectively. There was no statistically significant difference between the CHD and non-CHD neonates in terms of neonatal gender and parental characteristics. Conclusion This study shows that 37.25% of neonates with extra cardiac anomalies have CHD anomalies; thus, it is recommended to refer all neonates with extra cardiac anomalies for cardiac examination.

Factors Affecting Long-Survival of Patients with Breast Cancer by Non-Mixture and Mixture Cure Models Using the Weibull, Log-logistic and Dagum Distributions: A Bayesian Approach.

Background:Breast cancer is a top biomedical research priority, and it is a major health problem. Therefore, the present study aimed to determine the prognostic factors of breast cancer survival using cure models. Methods:In this retrospective cohort analytic study, data of 140 breast cancer patients were collected from Ali Ibn Abi Taleb hospital, Rafsanjan, Southeastern Iran. Since in this study, a part of the population had long-term survival, cure models were used and evaluated using DIC index. The data were analyzed using Openbugs Software. Results:In this study, of 140 breast cancer patients, 23 (16.4%) cases died of breast cancer. Based on the findings, the Bayesian nonmixture cure model, with type I Dagum distribution, was the best fitted model. The variables of BMI, number of children, number of natural deliveries, tumor size, metastasis, consumption of canned food, tobacco use, and breastfeeding affected patients’ survival based on type I Dagum distribution. Conclusion:The results of the present study demonstrated that the Bayesian nonmixture cure model, with type I Dagum distribution, can be a good model to determine factors affecting the survival of patients when there is the possibility of a fraction of cure. In this study, it was found that adapting a healthy lifestyle (eg, avoiding canned foods and smoking) can improve the survival of breast cancer patients.

Organizational Learning: The Missing Link to Promote Nurses' Professional Self-Efficacy.

Nurses are one of the important sources of organizational learning, and the main elements of knowledge transfer in hospitals. They can play a major role in the process of organizational learning. One of the factors affecting nurses' learning is self-efficacy. The aim of this study was to evaluate the association between organizational learning and professional self-efficacy among nurses. A cross-sectional study was conducted among 150 nurses in Ali Ibn Abitaleb Hospital in Zahedan City, Iran in 2018, selected by simple randomized sampling. Tools used were the Neefe Organizational Learning Questionnaire (Neefe, 2001), and Riggs and Knight's Self-Efficacy Questionnaire (1994). The results showed a significant positive correlation (p <0.05) between self-efficacy scores and the organizational learning dimensions of systems thinking, team learning, and shared vision. Linear regression analysis showed that these three dimensions of organizational learning predicted 16.1% of the professional self-efficacy variations. Organizational learning has a direct relationship with nurses' professional self-efficacy. Promotion of organizational learning characteristics in hospitals will enhance nurses' self-efficacy.

The Effect of Reduced Dialysate Temperature on Dialysis Adequacy of Diabetic Patients Admitted to Ali-Ibn Abitaleb Hospital, Zahedan: A Clinical Trial

Background: Given that diabetes is the most prevalent cause of end-stage renal disease (ESRD) and that dialysis adequacy is an important factor in the survival of diabetic patients, prognosis of these individuals is predicated according to adequate and standard hemodialysis. Objectives: The present study aimed at investigating the effect of lowering dialysate solution temperature on dialysis adequacy. Methods: This was a clinical trial, in which 32 qualified patients were studied. The subjects were chosen by convenience sampling from patients, who had referred to Ali-Ibn Abitaleb Hospital of Zahedan in spring, 2018. Each patient underwent hemodialysis twice, in which the solution temperature was reduced by one temperature from 37°C to 36°C. Except for the temperature decrease, other conditions were identical during the study. To evaluate the adequacy of dialysis in each session, blood samples of patients were examined before and after dialysis. Data were analyzed in SPSS 21 using descriptive statistics and dependent t-test. The significance level was set below 0.05. Results: The mean and standard deviation of age was equal to 60.2 ± 9.2 (year), duration of diabetes was 12.07 ± 7.25 years, duration of hemodialysis was 27.7 ± 21.8 (months), and weight gain between two sessions of dialysis was 1.6 ± 0.68 (kg). The mean and standard deviation of dialysis adequacy index equaled 1.14 ± 0.34 in the two cold sessions and 0.98 ± 0.20 in the routine session, suggesting significantly higher value in the cold sessions (P < 0.001). Conclusions: Administering cold dialysis solution (36°C) positively influences dialysis adequacy. Therefore, if patients are not medically prohibited from using the cold solution, cold dialysis solution should be prescribed to hemodialysis patients.

Prevalence of Celiac in Fertile Women Due to Unexplained Infertility

Introduction: Celiac disease is an immune response to a gluten-based diet that affects the small intestines of people with a genetic predisposition to disease. Celiac has intra intestinal and extra intestinal manifestations. In recent years, celiac and infertility have been considered. The present study examines the effect of celiac disease and its treatment on the menstrual cycle, pregnancy and menopause. In this study, we compared the prevalence of celiac disease in fertile women with infertile women in Zahedan. Materials and Methods: In this case control study, 150 patients with unexplained infertility from February 2016 to2017 referred to Infertility Clinic of Ali ibn Abitaleb Hospital in Zahedan (Iran), were included in the study. Total IgA and IgA TTG were evaluated. If TTG is positive, for confirmation of diagnosis, biopsy is performed from the distal part of the duodenum. In control group, 150 fertile women with two or more children with the same characteristics were studied. Results: Three patients with unexplained infertility (2%) were positive for TTG. Two of them (1/3%) were positive to celiac disease in small intestinal biopsy .None of the women in the control group had TTG positive (p=0.49). Discussion and Conclusion: It seems that some infertile patients with unexplained infertility suffer from celiac disease, but with a (p=0. 49) , it seems that celiac screening as a cause of infertility with unexplained cause needs more studies with larger sample size in Iran

Evaluation of Prevalence of Changes in Thyroid Functional Tests in Mole Hydatiforme

Introduction: Mole hydatiforme is the most common type of gestational trophoblast disease (GTD) and the aim of this study, is evaluation the frequency of changes in thyroid function tests in mole hydatidiform patients. Materials and Methods: In this retrospective study, 63 patients with mole hydatidiform who reffering to gynecology ward of Ali ibn Abitaleb Hospital in Zahedan from April 20 16 to March 20 17, were studied. Information such as age, gravidity and laboratory findings including thyroid function tests (TFT) and the presence or absence of clinical symptoms were recorded in the information forms and analyzed by SPSS software. Results: In this study, 63 patients with mole hydatidiform were studied. The mean age of the patients was 26.6 ± 7.7 years. The most common clinical manifestation of hyperthyroidism in patients with mole hydatiforme was tachycardia (39.7%). There was no relationship between age and gravidity with the hyperthyroid symptoms and thyroid function tests. Conclusion: Overall, the results of this study showed that 67% of patients with mole hydatidiform had reduced TSH and more than 50% of cases had increased free T3 and T4. There was no relationship between maternal age and gravidity with changes in thyroid functional test.

The mediator role of social phobia in the association between resiliency and job performance among nurses of Ali Ibn Abi Taleb hospital of Rafsanjan, Iran (2017)

The mediator role of social phobia in the association between resiliency and job performance among nurses of Ali Ibn Abi Taleb hospital of Rafsanjan, Iran (2017)

A study of people who attempted suicide referred to the emergency ward of Ali Ibn Abi Taleb hospital, Rafsanjan, Iran (2016)

A study of people who attempted suicide referred to the emergency ward of Ali Ibn Abi Taleb hospital, Rafsanjan, Iran (2016)

Insomnia and Restless Leg Syndrome in Patients Undergoing Chronic Hemodialysis in Rafsanjan Ali Ibn Abitaleb Hospital.

Background:Sleep is one of the most fundamental human needs; without any doubt sleep is even more essential for sick patients, especially for patients with chronic illnesses. Sleep disturbance may lead to anxiety and reduced quality of life. Restless leg syndrome (RLS) is a sensory-motor disorder accompanied by a strong desire to move the legs or other parts of the body, which can cause sleep disturbance. Its etiology is unknown, but increased urea and creatinine levels before dialysis, iron deficiency due to kidney failure and end-stage renal disease (ESRD) are mentioned as causes.Objectives:This study is designed to examine the prevalence of insomnia and restless leg syndrome in patients undergoing chronic hemodialysis in Rafsanjan Ali Ibn Abitaleb Hospital.Patients and Methods:In this study we used two questionnaires to evaluate the presence of RLS and insomnia in ESRD patients who were undergoing hemodialysis treatment as kidney replacement therapy.Results:According to our results, 54.5% of patients were diagnosed with RLS, and of those 65.2% and 42.9% were women and men, respectively. RLS is seen more often among patients with blood group type A, but this result was not statistically significant. There was a statistically significant correlation between RLS and a positive family history of RLS, between RLS and the number of hemodialysis treatments per week and also between RLS and the Insomnia Severity Index. Unlike previous studies, in this study we did not find any statistically significant correlation between RLS and biochemical factors such as serum iron, TIBC, BUN, creatinine, potassium, calcium and phosphorous levels.Conclusions:The frequency of RLS among our patients was remarkable and we conclude that all patients who are undergoing hemodialysis should be screened for RLS, which can assist in providing proper attention and treatment.