Background: Non-adherence to treatment regimens can bring about negative effects on the quality of life of hemodialysis patients. Objectives: The present study was conducted to explore the relationship between compliance with treatment regimens and the quality of life in these patients. Methods: This descriptive-analytic study investigated 68 hemodialysis patients who had referred to Imam Khomeini Hospital of Zabol, Southeast of Iran. The subjects were chosen via convenience sampling. Data were collected using a demographic questionnaire, a self-constructed scale for treatment regimen compliance, and the kidney disease quality of life short form (KDQOL-SF). Descriptive statistics, Pearson correlation coefficient, and t-test were used to analyze the data by SPSS 22. Results: The results showed that 77% of patients moderately adhered to treatment regimens, and the mean quality of life in hemodialysis patients was 56.36 ± 17.41. Pearson correlation coefficient revealed a positive significant relationship between the quality of life and compliance with treatment regimens in the study population (P = 0.02). Conclusions: According to the findings of this study, it is recommended that appropriate educational programs should be designed to improve the quality of life in hemodialysis patients by encouraging their adherence to treatment regimens.

Background: Delivery is a major event that the vast majority of women experience during their lives with inevitable pain. Uncontrolled pain can prolong the labor process and cause multiple injuries to the mother and fetus. Thus, introducing measures to relieve labor pain, especially by noninvasive procedures, should be a priority in obstetrics and gynaecology.Objectives: This study aimed to compare the effect of hot and cold massage at spleen 6 (SP-6) on pain relief during active labor. Methods: This clinical trial was conducted in 2017 on 80 primiparous women who had referred to Amir Al-Momenin Hospital in Zabol, Iran. The subjects were randomly assigned to two groups of hot and cold massage. The effects of hot and cold massage (four sessions of 30 minutes) at SP-6 on pain relief were studied during the active labor before the intervention, 5 and 30 minutes after the start of the intervention, and 30 minutes after the end of the intervention. The results were compared between the two groups. A demographic form was used to collect demographic and midwifery characteristics and McGill Pain Questionnaire was adopted to evaluate pain intensity. Data were analyzed in SPSS V. 21 using descriptive and analytical statistics.Results: There was no statistically significant difference in the mean pain intensity between the two groups before the intervention (P = 0.606). Similarly, no significant difference was observed in terms of pain intensity between the two groups 4 minutes after the intervention (P = 0.248). However, 30 and 60 minutes after the end of the intervention, the reduction in pain intensity was significantly more in the cold massage group than in the hot massage group (P < 0.001). Conclusions:The results showed that cold massage at SP-6 significantly relieved labor pain more effectively than hot massage. Thanks to its low cost and non-specialized equipment, it is recommended that treatment teams utilize this method to help mothers experience less pain during their labor process.

Background: Thalassemia is one of the most prevalent genetic disorders with numerous physical and psychological side effects. Spiritual wellbeing and spiritual coping are important resources for dealing with the complications of chronic diseases. Objectives: The present study aimed at investigating the relationship between spiritual coping and spiritual wellbeing in patients with beta-thalassemia major in Zahedan in 2016.Methods: This descriptive-correlational study was conducted on 150 β-thalassemia major patients who referred to the Special Diseases Clinic of Ali Asghar Hospital of Zahedan in 2016. A convenience sampling was employed, and data collection tools included a clinical and demographic questionnaire and the Spiritual Coping and Wellbeing Questionnaire. The data were then analyzed by SPSS21 using statistical tests including Pearson's correlation coefficient, independent t test, and one-way variance analysis.Results: There was a positive significant relationship between the mean score of spiritual wellbeing (81.05 ± 30.79) and the mean score of spiritual coping (40.47 ± 11.81) in β-thalassemia major patients (P = 0.001). Conclusions:The improvement of spiritual coping entails boosting spiritual wellbeing. Given the positive impact of spiritual wellbeing on coping with symptoms in patients with chronic diseases, it is possible to promote the quality of life of these patients by enhancing their spiritual coping.

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Background: Thalassemia negatively affects key aspects of life and self-care behaviors. It is essential to promote self-care behaviors in patients with thalassemia in order to improve their functions and mitigate adverse effects. Objectives: In this context, the present study aimed to investigate the effects of self-care education on self-care behaviors of patients with major β-thalassemia based on Orem's model. Methods: This clinical trial investigated 60 patients with major β-thalassemia who had been admitted to Razi Hospital in Saravan, southeast of Iran, in 2017. The subjects were selected and randomly allocated to the control and experimental groups. A demographic questionnaire and a researcher-made self-care scale were used to gather data. The experimental group received individualand group-training for 5 sessions of 30 to 45 minutes, while the control group was presented with routine instructions. After one month, the questionnaires were completed again and the data were analyzed in SPSS 23 using chi-square test and independent t-test. Results: The results of this study showed that administering the self-care program enhanced three aspects of self-care, including mental health, physical activities, and therapeutic measures in patients with major β-thalassemia, but no improvement was observed in terms of nutrition after the intervention (P = 0.28). Conclusions: It is promising to undertake self-care interventions to improve self-care behaviors of patients with major βthalassemia.

Objective: Due to the increasing use and tendency to complementary therapies, they can be used to relieve pain and reduce anxiety and stress in patients. The aim of this study was to systematically review the effect of Reiki therapy on the control of pain, anxiety and stress. Methods: This is a systematic review. A search was conducted on clinical trials published from 2016 to 2019 in databases such as SID, MagIran, Pubmed, Nursing Consult, Elsevier, Scopus, Web of Science, Embase, and Google Scholar using the keywords Pain, Reiki, Anxiety, Stress, and Randomized Clinical Trial. Results: Initial search yielded 154 articles. Of these, 131 were excluded due to not meeting the inclusion criteria, and finally 23 eligible clinical trials were selected for analysis. Conclusion: The use of complementary therapies, including Reiki therapy, has different results in different people. It is recommended to perform various studies in different countries to evaluate the effectiveness of reiki therapy.