Background: Hemodialysis (HD) treatment in patients with chronic kidney disease (CKD) is a long-term process, which cannot be sufficiently effective without the patient's own involvement and self-care activities. Objectives: The aim of this study was to disclose the effect of telenursing on self-care behaviors of patients undergoing hemodialysis at Ali Ibn Abitalib Hospital, affiliated with Zahedan University of Medical Sciences in 2019. Methods: In this clinical trial, 80 HD patients were chosen via convenience sampling and randomly assigned to the experimental and control groups. Data were collected using a demographic questionnaire and an 18-item scale assessing HD patients' self-care behaviors. The experimental group received a 12-week training program, which was held twice a week (each lasting 15 minutes). Follow-up was performed through phone calls during this period. On the other hand, the control group received only routine hospital instructions. The self-care questionnaire was completed before and 12 weeks after the intervention. The obtained data were analyzed in SPSS-22 using chi-square test, independent t-test, paired t-test, and ANCOVA. P values less than 0.05 were considered statistically significant. Results: A total of 80 subjects completed the study. Except for age, the two groups were not significantly different in terms of demographic variables. The mean score of self-care before the intervention was 24.40 ± 14.73 in the experimental group and 19.45 ± 14.11 in the control group. After the intervention, this score changed to 48.65 ± 9.19 in the experimental group and 20.40 ± 13.46 in the control group, suggesting a significant difference in self-care between the two groups. Conclusions: Telenursing promotes self-care in HD patients. Thanks to the availability of telephone and the low cost of training for this method, health authorities/policymakers and nurses can deploy telenursing to cultivate self-care behaviors in these patients.

Introduction: Due to the different complications caused by Henoch-Schonlein purpura and in order to prevent additional treatment costs for patients, we decided to investigate the clinical features of cases of Henoch-Schonlein purpura. Materials and Methods: In this descriptive cross-sectional study, 52 children in whom the diagnosis of Henoch-Schonlein purpura was confirmed were enrolled in the study from 2009 to 2016. The instruments of this research include a researcher-made questionnaire with two parts. The first part is related to demographic characteristics including age, sex and season of referral and the second part was related to morbidity such as various symptoms. Data were collected from patients’ records and interviews with families and were analyzed using SPSS V.22. Results: Out of 52 patients, 30 (57.7%) were boys and 22 (43.3%) were girls. The mean age of patients was 3.02 to 6.58 years. Autumn and winter had the most clients of Henoch-Schonlein purpura. One of the most common manifestations seen in most patients was cutaneous manifestations. There was no significant relationship between gender and clinical manifestations and seasons of the year with these manifestations (p> 0.05). The results showed that age was significantly associated with renal manifestations (P <0.05). Conclusion: The results of this study showed that the prevalence of Henoch-Schonlein purpura disease is higher in boys. Cutaneous manifestations were seen in most patients and in patients with renal manifestations, the mean age was higher and significant. Keywords: Henoch-Schonlein purpura, clinical manifestations, complications, gender, age