Aims and objectives: Hemodialysis is a main treatment for patients with renal failure. The improvement of dialysis adequacy is the most important factor in reducing complications and mortality in hemodialysis patients. This study was conducted to examine the effect of muscle relaxation on dialysis adequacy in patients on hemodialysis. Design and Methods: This randomized controlled clinical trial was performed on 90 hemodialysis patients in Khatam al-Anbia and Imam Ali hemodialysis centers in Zahedan, Iran in 2014. The participants were selected through convenience sampling and assigned to the control and case groups through stratified block randomization with the block size of quadripartite (23 blocks of 4 /quadripartite). The control group received routine therapeutic measures, and the case group were trained for Benson muscle relaxation in three sessions in addition to the routine therapeutic measures. The patients in the case group were requested to do relaxation exercises for 15-20 minutes twice a day for one month. The dialysis adequacy was measured using the z02 software of the Health Ministry before and after the intervention. The data were analyzed in SPSS21 software using Chi-square test, independent t test, Mann-Whitney test, Pearson's correlation coefficient, ANOVA, and ANCOVA at significance level lower than 0.05. Results: The results showed no significant difference between the two groups in terms of dialysis adequacy before the intervention (P = 0.818) although the difference was significant after the intervention (P = 0.003). Moreover, the dialysis adequacy significantly correlated with patients' age (P = 0.001), sex (P = 0.039), and occupation (P = 0.024). Conclusion: Regarding increased dialysis adequacy and its safety and ease of use, it is recommended that muscle relaxation be taught in hemodialysis wards.

Introduction nurses are responsible for taking care of the health of the general public. Nurses´ own health is among the important factors affecting the quality of patient care. Self-Rated Health (SRH) is one of the indicators used extensively in health research for the assessment of the health status of individuals. The present study was conducted to evaluate self-rated health and its relationship with general procrastination in nurses. Methods the present cross-sectional study was conducted in 2019 on 305 Iranian nurses selected by stratified random sampling. The relationship of self-rated health with procrastination was determined using an ordinal logistic regression analysis after adjustments for personal and occupational factors. Results self-rated health was poor/bad in 11.3% of the nurses, fair in 23.7%, good in 34.3% and excellent in 30.7%. After adjustments for personal and occupational factors, a significant relationship was observed between procrastination and self-rated health (OR=0.95; 95%CI 0.92, 0.98). Conclusion the results showed an unfavorable health status in nurses. Given the significant relationship between procrastination and poor self-rated health in nurses, it is essential to consider this relationship for improving nurses´ health.

Background: Anxiety is an unpleasant state of feeling agitation and pressure induced by the patient's fear of hospitalization, anesthesia or surgery. Objectives: The present study is aimed to compare the effects of dried extract of saffron and diazepam on soothing the preherniorrhaphy surgery anxiety. Patients and Methods:In this double blind clinical study, during 8 months, 102 patients were studied in 2012. all the patients in intervention group (n = 50) received 25 mg dried extract of saffron and participants in control group (n = 52) received 5 mg oral diazepam. Level of anxiety of the patients was measured using speillberger state-trait anxiety inventory (STAI) before intervention and 3 hours after administration (immediately after entering the surgery room) filled out by the patients. The patients in the two groups were compared concerning level of anxiety before/after intervention. The two groups of participants had almost equal demographic features.

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