Munzur Rahman, Sofikul Islam, Ataul Haque, Mohammad Rajib Mahmud, Asadujjaman Azad, Mahfuzzaman, Abu Zahid Ph. D
iraetc j. nur. health care; 1(1) 1-7
DOI: https://doi.org/10.62469/ijnhc.v01i01.001
Background: Total Hip replacement is the standard therapy for hip ankylosis, which produces reduced hip mobility. This research aimed to use the Harris Hip Score (HHS) to analyze clinical findings and results of treatments for hip ankylosis. Methods: A multicentered-based, non-randomized quasiexperimental prospective study was performed in Rajshahi Medical College Hospital, Dhaka Medical College Hospital, Rajshahi, from January 2018 to December 2022.A total number of patients (N=77) with ankylosis in one or both hip joints, Electromyogram, and nerve conduction studies were taken from the hip abductor muscles before surgery, and HHS was calculated. Type of surgery and prosthesis, osteotomy required for the neck and trochanteric region of the femur, periprosthetic fracture, and the need to restore the acetabulum were studied in the patients. Postoperative complications such as infection and dislocation at 3, 6, and 12 months after surgery were examined, and then the HHS was calculated. Results: At the end of 04 years after surgery, the functional results were analyzed by SPSS 23.0. Seventy-seven patients (42 m/35 f) with a mean age of 36.71±11.78 years underwent total hip arthroplasty. Hip joint ankylosis was most commonly brought on by osteoarthritis of old age (20 cases) and avascular necrosis (13 cases). Twelve individuals had high conduction on electromyograms, while 65 patients had low conduction on nerve conduction examinations. We used the posterior approach in 55 patients (71.4%) and the lateral approach in 22 patients (28.6%). The periprosthetic fracture occurred in two patients, and 12 patients needed acetabular reconstruction. The standard prosthesis was used in 83.1% of patients. Nine patients were excluded after six months, and two patients were excluded after 12 months due to surgery complications. At the early stage, patients' HHS averaged 48.53±6.28; after 12 months, it had improved to 88.22±3.78 (P<0.001). Conclusions: Patients with ankylosed hips may benefit from total hip replacement, particularly in long-term follow-up. The absence of pre-and postoperative complications is necessary for evaluating successful outcomes.
Ahmed Masiha Jamil, Dr. Rahnuma Shirin
iraetc j. nur. health care; 1(1) 8-12
DOI: https://doi.org/10.62469/ijnhc.v01i01.002
Background: The prevalence of hyperuricemia (HU), which has been associated to the emergence of cardiovascular disease, high blood pressure, the metabolic syndrome, and diabetes mellitus (DM), is on the rise. Serum uric acid (SUA) elevations have been linked to an increased risk of hypertension and diabetes in many nations. However, this association has not been established in the Asia region. Objective: The aim of this study is interested in the frequency of HU and the connection between Hyperuricemia with diabetes patient. Methods: This cross-sectional study was conducted in the Department of Medicine Rajshahi medical college, Rajshahi. Three hundred-five patients with a recent diagnosis of diabetes were enrolled (212 men and 93 women). Following American Heart Association guidelines, all patients were classified as having normal or high blood pressure (140/90). Results: The average SUA level was 5.14± 0.073 mg/dl, with males having considerably greater levels than females (P<0.000). The patients' mean age, systolic blood pressure (SBP) and diastolic blood pressure (DBP) were 46.76 ±0.61 years, 130.6±1.06 mmHg and 84.11±0.63 mmHg, respectively. The overall prevalence of HU and hypertension was 12.13% and 44.59%, respectively. There was an increase in the prevalence of hypertension across the SUA tertile. SBP and DBP significantly increased across the SUA tertile (P<0.014 and <0.001, respectively). Conclusion: In Asia, this is the first study to investigate at the relationship between SUA and hypertension in diabetic people. Therefore, in newly diagnosed hypertensive diabetic patients, it is recommended to test SUA routinely to prevent HU and its related consequences.
Dr. Rahnuma Shirin, Ahmed Masiha Jamil
iraetc j. nur. health care; 1(1) 13-18
DOI: https://doi.org/10.62469/ijnhc.v01i01.003
This descriptive study focused on low-birth-weight (LBW) newborns' hospitalization during their first three days of life, with the aim of investigating common complications in these infants. The study was conducted at Rajshahi Medical College Hospital, Bangladesh, encompassing the period from July 2019 to June 2021. Written informed consent was obtained from the participants, and data were collected using a pre-designed proforma and analyzed using SPSS 26. Out of 1511 deliveries at the hospital, 565 newborns were identified as LBW, resulting in a prevalence of 37.4%. Among the LBW babies, 55.8% were male and 44.2% were female. During their initial hospitalization, 41.9% (237 out of 565) of LBW newborns experienced various immediate problems, either alone or in combination. The most prevalent complications among these admitted LBW newborns were jaundice (40.1%), birth asphyxia (25.7%), respiratory distress syndrome (RDS) (21.1%), hypothermia (19.8%), hypoglycemia (19.0%), congenital malformations (6.3%), necrotizing enterocolitis (NEC) (5.1%), and intraventricular hemorrhage (IVH) (4.2%). The study highlighted that major complications faced by these LBW infants were jaundice, birth asphyxia, hypothermia, hypoglycemia, RDS, and sepsis. These findings contribute to a better understanding of the health challenges faced by LBW newborns during their initial hospitalization, and they emphasize the importance of early detection and management of these complications to improve outcomes for these vulnerable infants.
Nasrin Sultana, A.H.M. Solaiman Ali
iraetc j. nur. health care; 1(1) 19-24
DOI: https://doi.org/10.62469/ijnhc.v01i01.004
Background: Exclusive breastfeeding is a critical aspect of infant care, promoting optimal health and development. Nurses play a crucial role in educating and supporting mothers in this practice. This study aimed to assess the knowledge of nurses regarding exclusive breastfeeding in the pediatric ward at Rangpur Medical College Hospital. Objectives: The study aimed to explore the level of knowledge among nurses regarding exclusive breastfeeding, including their understanding of its benefits, the timing and intervals of breastfeeding, and the prevention of associated complications. Materials and Methods: A descriptive correlational design was employed to collect data from a sample of 50 nurses working in the pediatric ward of Rangpur Medical College Hospital. A total of 50 nurses working in the hospital were included in the study. The researchers developed a questionnaire comprising two sections: a demographic questionnaire and a nurse's knowledge questionnaire on exclusive breastfeeding. Results: Fifty nurses were selected for the study, with age distribution as follows: 18% aged 21-30 years, 62% aged 31-40 years, and 20% aged 41-50 years. The nurses had varying lengths of service, with 62% serving for 1-10 years. Only 30% of nurses had received specialized training on breastfeeding the majority (84%) held a diploma in midwifery, while 14% had a B. Sc in Nursing, and 2% had an MPH/MSc. Regarding specialization in breastfeeding, 30% of nurses had completed a training course, while 70% had not. The results indicated that 38% of nurses had received complete exclusive breastfeeding training, and 62% had not. Conclusion: The study identified knowledge gaps among nurses regarding exclusive breastfeeding, emphasizing the need for comprehensive training to enhance their understanding of specific aspects. This will enable nurses to provide effective support and education to mothers in the pediatric ward.
Md. Abu Rayhan, Jannatun Nesa, Tanzina Islam
iraetc j. nur. health care; 1(1) 25-30
DOI: https://doi.org/10.62469/ijnhc.v01i01.005
Introduction: Pressure ulcers are localized cellular damages to the skin and underlying tissues caused by pressure, shear and frictional forces that typically prolong disease, delay restoration, may lead to infirmity and even death. The purpose of this study was to assess the nurse’s knowledge and practices with their perceived barrier regarding pressure ulcer prevention at Sylhet MAG Osmani Medical College Hospital Bangladesh. Materials and Methods: The present study employed a cross-sectional descriptive observational design with a sample size of 100 participants, who were purposively selected. Data collection involved the use of a pre-tested, self-administered, semi-structured questionnaire. Subsequently, the gathered data were analyzed using the Statistical Package for Social Science (SPSS) software version 22.0. Results: The observational study with 100 participants revealed that 61.0% of nurses had poor knowledge, 30.0% had good knowledge, and 9.0% had fair knowledge concerning pressure ulcer prevention. Regarding practice, 80.0
Molly Kundu, Momtaz Banu, Tanzina Islam, Sima Khatun, Nasrin Khatun, Anjuman Ara
iraetc j. nur. health care; 1(1) 31-35
DOI: https://doi.org/10.62469/ijnhc.v01i01.006
Background: This study evaluates nurses' comprehension of spore-bearing bacteria sterilization in operation theaters at Rajshahi Medical College Hospital. Ensuring sterility is vital for patient safety. Identifying knowledge gaps, the research aims to enhance nurses' infection prevention awareness, contributing to improved healthcare standards. Methods: A cross-sectional descriptive study design was employed to investigate nurses' knowledge about operation theater sterilization. Data was collected using a researcher-developed questionnaire consisting of socio-demographic and knowledge-related sections. The study was conducted from November 2014 to April 2015, fifty nurses were selected as participants, distributed across different age groups. Results: The findings revealed that the majority of participating nurses demonstrated a strong understanding of sterilization practices in the operation theater. Notably, 96% of respondents correctly answered questions related to spore-bearing bacteria and the sterilization process. Additionally, 100% of participants understood the importance of maintaining proper sterility before all operating procedures. The principles of autoclaving were comprehended by 96% of respondents, and 96% were knowledgeable about preparing trolleys to maintain aseptic techniques. The concept of sterilization was well-defined, with 100% understanding its significance, while only 40