Background: Depression and anxiety are common problems with multiple complications in hemodialysis patients. Objectives: This study aimed to compare the effect of acupressure and reflexology on anxiety and depression in hemodialysis patients. Methods: A clinical trial was carried out on 60 patients who had referred to the Special Patients Clinic, Zabol, between January and March 2017. Patients were randomly divided into three groups, acupressure group (n = 20), reflexology group (n = 20), and control group (n = 20). Data collection tools included the Spielberger State-Trait anxiety inventory (STAI) and the Beck depression inventory-II (BDI-II). Data were analyzed in SPSS-19 using descriptive and analytical statistics. Results: Before the intervention, there was no significant difference between the three groups in terms of depression (P = 0.051) and anxiety (P = 0.11). The comparison of the mean scores of depression and anxiety between the three groups after the intervention revealed a significant difference between the three groups in terms of both variables (P < 0.001). Statistical analysis indicated that the depression and anxiety scores differed significantly after the intervention between the two experimental groups and the control group (P < 0.001). Conclusions:The results demonstrated that acupressure and reflexology could have positive impacts on mitigating the patients' depression and anxiety. Thanks to the ease of application, these methods can be used by nurses to reduce anxiety and depression in patients undergoing hemodialysis.

Background: Intrahospital transfer of critical patients is due to diagnostic, therapeutic objectives or hospitalization in specialized units. This transfer could prompt cardiovascular, respiratory, and physical problems for patients with critical conditions. Objectives: The present study attempts to determine the impact of training nurses in regards to the use of safe transfer checklist on the quality of in-hospital transfer of critical patients. Methods: This quasi-experimental study was performed in two hospitals affiliated with Zahedan University of Medical Sciences between July and December 2018. Khatam Hospital and Ali ebne Abitaleb Hospital were selected as the control and intervention (checklist) groups, respectively. In the control hospital, 65 cases of intrahospital transfer were evaluated by observing the performance of the transfer team, and the researcher completed the checklist. Next, in the intervention hospital, the researcher organized a workshop on using the safe transfer checklist. After a month, 65 cases of intrahospital transfer in this hospital were monitored and the safe transfer checklist was completed. Data were analyzed in SPSS 22 using chi-square test and independent t-test. P < 0.05 was considered statistically significant. Results: The mean age of patients was 43.68 years in the control group and 47.95 years in the intervention group. The majority of patients (76.9% in the control group and 61.5% in the intervention group) were male. The mean score of intrahospital transfer quality was 11.21 ± 2.84 in the control group and 16.52 ± 2.08 in the intervention group. Independent t-test showed a significant difference between the two groups in terms of transfer quality (P < 0.001), with the intervention group scoring higher than the control group. Conclusions: Teaching nurses to apply the safe transfer checklist in moving critical patients inside the hospital can improve the quality of transfer, and, ultimately increase the safety of critical patients.