Background: Hemodialysis (HD) stands as the most commonly treatment approaches within the field of dialysis. Sleep disturbances are more common problem among HD patients and affect patients' clinical outcomes. Progressive muscle relaxation is a nursing intervention that can be administered to hemodialysis patients to reduce these problems. Aim: Evaluate the effect of progressive muscle relaxation technique on sleep quality among hemodialysis patients. Research design:The aim of this study was achieved through utilizing a quasi-experimental research design. Sample: 60 adult patients with chronic renal failure who were receiving hemodialysis at Minia University Hospital for Urology and Nephrology were chosen as a purposeful sample. Tools: The data collection process involved the utilization of two tools; Structured Interview Questionnaire Sheet and Pittsburg Sleeping Quality Index (PSQI). Results:The global PSQI , s mean score reduced immediately and post implementing the training program. Statistical significant differences were detected between the total PSQI mean score and age, residence, marital status, occupation and family income at the pretest. While at the immediate and posttests, statistical significant differences were observed between the total PSQI mean score age, marital status and educational level. Conclusion: It was concluded that progressive muscle relaxation effectively enhances the quality of sleep among patients receiving hemodialysis. Recommendation: Booster sessions could be conducted on intermittent periods after the first intervention to boost the long term effect of the training program.

Background: Depression is recognized as one of the major health threats in the 21st century. It is a maladaptive psychosocial phenomenon that can affect many areas of patients' lives and have a negative impact on their quality of life (QoL) and social support. Aim of the study: to assess social support and quality of life for patients with depressive disorders. Research design: A descriptive correlational research design was used to achieve the aim of the present study. Sample: A total convenient sample of 100 adult male and female depressed patients was included in the study sample. Setting: This study was carried out at outpatient clinic of Minia Hospital for psychiatric health and addiction. Patients who diagnosed as having organic brain diseases, mentally handicapped, substance abused were excluded from the study. Tools of data collection: The required data was collected through three tools. Sociodemographic Data Sheet, Interpersonal Support Evaluation List (ISEL) and Quality of Life Scale. Results: showed that 66% of depressed patient had low social support, while 50% of the depressed patients had low QOL level and there were statistical significance differences between education levels with QOL. Also, there were positive associations between QoL and social support & all its subscales except self esteem support. Conclusion: The current study showed that the highest percentage of the depressed patients had low social support and QOL. Recommendations: Establishing educational centers and hot lines for family awareness about the importance of social support and quality of life for depressed patients.

Background: Patients on hemodialysis suffer from a variety of stressors and psychological problems as sleep disorders and anxiety. Progressive muscle relaxation is one of nursing modalities that can be applied to patients undergoing hemodialysis to decrease these problems. Aim: Evaluate the effect of progressive muscle relaxation technique on anxiety and sleep quality among hemodialysis patients. Research design:The aim of this study was achieved through utilizing a pre-posttest quasiexperimental research design. Sample: 60 adult patients with chronic renal failure who were receiving hemodialysis at the Minia University Hospital for Urology and Nephrology were chosen as a purposeful sample. Tools: Structured Interview Questionnaire Sheet, Beck Anxiety Inventory and Pittsburg Sleeping Quality Index were utilized in this research. Results: The global mean score of anxiety and sleep quality levels reduced immediately and post implementing the training program. Statistical significant positive correlation was observed between the global sleep quality and anxiety scores at the pre, immediate and post training program. Conclusion: Progressive muscle relaxation technique is an efficient method to mitigate anxiety and enhance quality of sleep for patients receiving hemodialysis. Recommendation: A training program should be applied for nephrology nurses to equip them with adequate knowledge and skills regarding how to integrate progressive muscle relaxation technique in their daily care for relieving the psychological consequences and reliance on pharmacological treatments.