Introduction: Hospitals have a very important role in responding to disasters. Since nurses are one of the largest group of the health team and play multi-roles in patient treatment, improvement of their knowledge and skills helps them to act better in disasters.The purpose of this study was to investigate the effect of a disaster management training program on the level of knowledge, attitude, and practice of nursing staffs. Methods: The present interventional study was conducted in Shahid Rahnemoon Hospital, Yazd, Iran in 2018. At first, 40 nurses were randomly selected and their level of knowledge, attitude, and practice was measured using the questionnaire of nurses’ preparedness in disasters. The questionnaire consisted of 72 items; The total attainable score was 132 in the questionnaire. Then, the disaster preparedness training program was implemented. The program was conducted in the form of a one-day workshop for eight hours. One month after the education program, the nurses' level of readiness, including their knowledge, attitude, and practice was re-evaluated using the same questionnaire. Data analysis was conducted by paired samples t-test using SPSS 22. Results: The results of the study showed that the mean score of nurses' knowledge increased from 14.23 to 21.30, the mean scores of their attitude increased from 62.20 to 71.67, and their performance mean score increased from 7.28 to 11.88. These differences were statistically significant (p <0.001). Furthermore, the total mean score of nurses’ readiness increased from 82.28 to 104.53, which was statistically significant (p <0.001). Conclusion: According to the results of the study, the educational program increased the nurses' preparedness containing their knowledge, attitude, and practice in responding to disasters. Consequently, continuous education courses on crisis and disaster management are necessary. The nurses are also recommended to participate in these courses to increase their readiness.

In the current study, we intended to measure pain associated with AVF cannulation and to compare the effectiveness of lidocaine spray and topical EMLA cream in controlling pain caused by venepuncture of AVF patients undergoing chronic hemodialysis. This study points out the need for an effective pain assessment before the AVF puncture, which can serve as a starting point for the elaboration of protocols for pain management in hemodialysis. We suggest experimental studies to compare different pharmacological and non-pharmacological approaches as alternatives to minimize pain.Please cite this paper as: Mirzaei S, Javadi M, Eftekhari A. Efficacy of application of eutectic mixture of local anesthetics and lidocaine spray in pain management of arteriovenous fistula cannulation in hemodialysis patients. J Renal Inj Prev. 2017;6(4):269-274.

Introduction: Restless leg syndrome (RLS) is a common sensory disturbance in hemodialysis patients causing mental disorders, sleep disturbances, and other problems. Objectives: This study compared the effects of massage and vibration on sleep quality and severity of symptoms of RLS in hemodialysis patients. Patients and Methods: This cross-over clinical trial was conducted on 80 hemodialysis patients with RLS who were assigned into two groups randomly. The first group received massage and the second group received vibration. Each group received the related intervention for one month three times per week each session lasting 10 minutes. One month after the first intervention, the interventions were changed in a cross-over design between the two groups. The severity of symptoms of RLS and sleep quality were assessed before and after interventions using the related questionnaire. Results: The means of severity of symptoms of RLS and sleep quality showed a significant improvement after both interventions of vibration and massage (P<0.001). Additionally, a significant difference was observed in the means of severity of RLS and sleep quality after interventions between two groups hence vibration exerted a greater effect on improving the symptoms of RLS and sleep quality in patients compared to massage (P=0.001). Conclusion: Our findings suggested that both vibration and massage reduce the mean of severity of RLS and improve sleep quality in hemodialysis patients, with vibration exerting a greater effect compared to massage.

No abstract

No abstract