Scientific Journal of Nursing, Midwifery and Paramedical Faculty

Background & Aim: Hemodialysis is one of the alternative therapies in patients with end stage renal disease. Despite the vital role of hemodialysis in maintaining life, these patients face a lot of physical, mental and social problems. The hemodialysis status of patients in the long run is influenced by the adequacy of hemodialysis treatment and its analysis is particularly important in the management of patients. The present study was conducted to determine the adequacy of hemodialysis in hemodialysis patients in Sanandaj.
Materials & Methods: In this cross-sectional study, 143 patients undergoing hemodialysis referring to the dialysis ward of Tohid Hospital in Sanandaj city were selected by census. The data collection tool comprised of demographic characteristics and calculation, recording the value of the hemodialysis adequacy index (KT/V). All calculations were performed using SPSS 21 software using descriptive and inferential tests.
Results: The results of the study showed that the average total score of hemodialysis adequacy was 1.32±0.28. Patient hemodialysis adequacy was in a favorable situation (58%). Among all demographic variables, only gender had significant correlation with hemodialysis adequacy. In women, hemodialysis adequacy score was significantly higher than males (P=0.001).
Conclusion: The majority of hemodialysis patients had satisfactory hemodialysis adequacy. However, in 40% of hemodialysis patients, the adequacy of hemodialysis was ineffective. Therefore, it is recommended that a periodic assessment of the adequacy of hemodialysis in hemodialysis centers should be undertaken to investigate its underlying causes.

Background & Aim: Effective communication is one of the basic elements in nursing. Nursing theories are among the sources of guidance in this area. Peplau’s theory is one of the nursing theories which emphasize the importance of the nurse - patient relationship. The objective of this study was to investigate the application of the Peplau’s theory in clinical nursing practice.
Materials & Methods: The present study was a systematic review in which the keywords " Peplau, Interpersonal Theory, Peplau Nursing Theory" were searched in English in Web of Science, PubMed, and Scopus and in Persian in SID, Magi Ran and Iran Doc between January 2007 and August 2017. The initial comprehensive search resulted in 592 articles in all databases and after considering the inclusion criteria nine articles were finally chosen.
Results: The results showed the positive effect of the application of Peplau’s theory of interpersonal relations in reducing the stress of hemodialysis patients, increasing the satisfaction of patients in the cardiac care unit, reducing the anxiety of patients undergoing coronary artery bypass graft surgery, gaining the trust of patients with sexual and emotional abuse, promoting the health of pregnant women, reducing the harms of children with a parent in jail and increase patients’ cooperation in care.
Conclusion: considering of positive outcomes of the use of Peplau Nursing Theory in practice, it is suggested to consider the promotion of nurses’ awareness of this theory and its training and application in nursing.

Background and Aim: Agitation occurs in many patients hospitalized in medical centers. The use of physical restraints by the medical staff is one of the measures to prevent harm to patients and caregivers. Nursing students are one of the members of the medical staff in the future, and it is necessary to check their level of preparation for the proper use of physical restraints. Therefore, the present study was conducted with the aim of determining the knowledge and attitude of nursing students regarding the use of physical restraint in patients.
Materials and methods: The present study is of descriptive cross-sectional study type. Sampling was done by census method and was used to collect demographic information form and standard questionnaire of knowledge and attitude in the field of using physical restraints. SPSS version 16 software and independent t-tests, one-way analysis of variance and Pearson's correlation coefficient were used to analyze the data. The significance level of the data was less than 0.05.
Results: The attitude of the majority of participants was at an average level, however, only 19.7% of students had good knowledge about the use of physical restraints. Master's students had better knowledge than undergraduate students (P<0.005).
Conclusion: According to the results of the study, the state of knowledge and attitude of students is not favorable. Since nursing students are future nurses, it is necessary to consider corrective measures to improve their condition in the field of physical restraints.