The quality of life (QOL) needs to be regularly assessed in hemodialysis patients. Hemodialysis patients suffer from average quality of life and survival. A descriptive research design was used, 96 respondents who had received haemodialysis treatment after completion of 1 month duration of hemodialysis in two different teaching hospital at Bharatpur, Chitwan. Data was collected by using standard tool Short Form-36 version2 through face to face structure interview schedule. The objective of study is to find out the quality of life (QOL) of haemodialysis patients. Various test such as one sample t-test, ANOVA test, independent t-test, Kruskal-Wallis test and Mann-Whittney U test, Pearson's correlation was applied. The findings showed that higher proportion of respondents were from 40-59 years (41.0%) and male (62.2%). The mean±SD was 57.45±16.25, 55.72±22.41 and 60.04±11.50 in overall QOL, physical and mental component summary respectively which was slightly above the average. All dimention and sub scale was satistically significant. Younger respondents had statistically significant with overall QOL (p<0.001) and physical component summary (p<0.001). Non diabetics had better in overall QOL (p=0.040) and physical component summary (p=0.033). Level of educational had also positive impact in overall QOL(p=0.010), physical (p=0.006) and mental component summary (p<0.001). Employment status (p=0.020) and sex (p=0.037) was also statistically significant with mental component summary. There was correlation between physical and mental component summary with overall QOL 0.970(p<0.001) and 0.698(p<0.001), and between the physical and mental component summary was 0.502(p<0.001). Below average score were seen in the general health (32.86±25.74) and vitality (41.53±13.98) sub scale. In order to improve quality of life family, physician, nurses and policy makers can use this finding.

Background: Stress and self-esteem are common issues that everyone has to cope with at some time in their lives and they could also affect other things going on in a person’s’ life. The objective of the study is to identify the stress and self-esteem among nursing students. Methods: A descriptive cross-sectional study was carried out among B.Sc. Nursing students, Chitwan Medical College. The data was collected by us­ing structured questionnaire within 2 weeks. Obtained data were analyzed using IBM SPSS version 16.0. Descriptive statistics (mean, frequency, percentage and standard deviation) and inferential statistics (chi-square and correlation) were used for data analysis. Results: Out of 116 respondents, 23.3%, 25.9%, 25.9% and 25.0% were from first, second, third and fourth year respectively. More than half i.e. 50.9% of the respondents had high stress. Respondents had faced higher (68.1%) in teacher related stress followed by peer stress 67.2% and self-inflict 66.0%. About 61.2% of the respondents had low self-esteem. There was higher stress in first year students then other. The fact is that as the academic year increases, students become more familiar to the learning environment and able to cope better. There was statistical significant as­sociation between stress among nursing students and habit of problem sharing (p=0.04). Conclusions: It is concluded that respondents have high level of stress and low level of self-esteem. Therefore, intervention for increasing self-esteem and decreasing stress should be conducted by the college administration.

Background: Stress is defined as “the non- specific physiologic response of the body to any demand made upon it. Stress is a state produced by a change in the environment that is perceived as a challenging, threatening or damaging to a person’s dynamic balance or equilibrium. This study tries to find out the stress among the hospitalized patients. Methods: A descriptive, cross sectional study design was used to find out the stress among the hospitalized patients of Chitwan Medical Col­lege Teaching Hospital, Chitwan. Purposive sampling technique was used. Structured interview schedule was used to collect the data. The data was edited, coded and analyzed using statistical package of social sciences (SPSS) version 16.0. Descriptive and inferential statistics was used to ana­lyze the data. Results: Out of 84 respondents, 52.4% respondents were female. Find­ings of the study revealed that more than half of the respondents 57.1% had high stress. So this study showed that the patients had high level of stress during hospitalization. The result also showed that there was sta­tistically significant association between level of stress and sex of the respondents (p=0.002), educational status (p=0.002), place of residence (p=0.01), sufficiency of family income (0.02), previous experience of hos­pitalization (p=0.03). The major stressors identified in this study were eco­nomic stressors, stressors related to family role, disease condition. The minor causing stressors were stressors related to professional behaviors of health personnel and hospital related stressors. Conclusions: Stress reduction activities such as counseling, warm environ­ment should be provided for the patients to enhance the quality of life by reducing stress.