Showing 56 results for Quality
Fatemeh Darabi, Mina Maheri,
Volume 28, Issue 2 (6-2022)
Abstract
Background & Aim: Identifying the factors affecting the quality of life in postmenopausal women will help to design and implement the quality of life-improving interventions tailored to these women’s needs. This study aimed to determine the relationship between the educational phase of the PRECEDE model and the quality of life among postmenopausal women.
Methods & Materials: The present cross-sectional study was conducted on 240 postmenopausal women in Asadabad in 2021. The data collection tool included demographic information, the menopause-specific quality of Life questionnaire (MENQOL), and a questionnaire based on educational phase constructs of the PRECEDE model about menopause and behaviors related to the control of menopause complications. Data were analyzed using the SPSS software version 16.
Results: The mean score of quality of life in the women was 72.72±23.15. Perceived self-efficacy (β=-0.367, P<0.001) and attitude (β=-0.155, P=0.009) were significant predictors of quality of life. The educational phase constructs of the PRECEDE model explained about 33.6% of the variance of quality of life among the postmenopausal women in Asadabad.
Conclusion: Educational phase constructs of the PRECEDE model are useful for identifying the factors affecting the quality of life in postmenopausal women, and designing educational interventions in this area. It is recommended promoting self-efficacy (to perform behaviors related to the control of menopause complications) and improving attitude toward menopause to be integrated into all educational interventions designed and implemented to improve the quality of life in postmenopausal women.
Kaveh Hamidian, Farahnaz Meschi, Mohammad Hossein Taghdisi, Mehdi Manouchehri,
Volume 28, Issue 4 (1-2023)
Abstract
Background & Aim: Irritable bowel syndrome (IBS) is a functional bowel disorder characterized by abdominal pain or discomfort and altered bowel habits and can significantly impair quality of life (QOL). Personality has an important effect on health-related quality of life. However, its effect on the quality of life of patients with irritable bowel syndrome is yet unknown. The present study was conducted with the aim of determining the relationship of quality of life with neuroticism, extroversion, conscientiousness, and their subcomponents in patients with irritable bowel syndrome.
Methods & Materials: This is a descriptive-correlational study. The studied population was IBS patients referred to a private gastrointestinal clinic in Tehran in 2021.The sample size was 223, and subjects were selected through the consecutive sampling method. The data were collected using NEO Five-Factor Inventory (NEO-FFI) and the Irritable Bowel Syndrome Quality Of Life (IBS-QOL) questionnaire. To analyze the data, descriptive statistics and regression analysis were used at the confidence level of 95% through the SPSS software version 24.
Results: The mean score of IBS-QOL was 57.68±20.55. Regression analysis suggested that personality subcomponents such as self-reproach (β=-0.376, P<0.001) and positive affect (β=0.160, P=0.020) were the most important predictors of the score of IBS-QOL. The scores of self-reproach and positive affect explained 22.6% of the variance score of IBS-QOL.
Conclusion: The results of current study suggested that the scores of some personality subcomponents including self-reproach and positive affect significantly predict the score of IBS-QOL. Hence, it seems that in addition to common pharmaceutical treatments for IBS patients, considering personality subcomponents (particularly self-reproach and positive affect) is effective in improving these patients’ quality of life.
Monir Nobahar, Raheb Ghorbani, Fateme Aleboye,
Volume 28, Issue 4 (1-2023)
Abstract
Background & Aim: Chest pain is one of the main symptoms of acute coronary syndrome, and sleep disorders are among common problems in these patients. The aim of this study was to determine the effect of Curcuma Longa on chest pain and sleep quality in patients with acute coronary syndrome.
Methods & Materials: This triple-blind clinical trial was conducted on 270 patients in the Coronary Care Unit of Kowsar Hospital in Semnan, with random allocation to three groups (intervention, placebo and control) in 2020-2021. The intervention group received 500 mg of Curcuma Longa tablets and the placebo group received 500 mg of starch, Oisel and lactose tablets at 9 a.m. after breakfast once a day for 3 days. The control group received daily interventions. Chest pain was assessed using the pain assessment tool before the intervention and half an hour after the intervention for 3 consecutive days. Sleep quality was evaluated by the standardized sleep quality questionnaire of Saint Mary's Hospital in the morning of the first day before the intervention and in the morning of the second and third days after the intervention.
Results: There was no significant difference in the average reduction of chest pain intensity from the first to the third day between the groups (P>0.05). But there was a significant difference in the chest pain intensity within the intervention, placebo and control groups (P<0.001), and the average chest pain intensity on the second day compared to the first day of hospitalization decreased in three groups (P<0.001). However, the decrease in chest pain intensity on the third day compared to the second day of hospitalization was not significant in the three groups (P>0.05). The average score of sleep quality before the intervention in the intervention group was higher than that of in the placebo group (P=0.021), but on the second and third days of the intervention, it was lower in the intervention group compared to the placebo (P<0.001) and control groups (P<0.001).
Conclusion: The results showed that Curcuma Longa did not have a significant effect on chest pain in the patients with acute coronary syndrome, but it improved the quality of sleep. Therefore, Curcuma Longa can be used to improve the sleep quality of these patients.
Clinical trial registry: IRCT20110427006318N14
Hamed Khosravi, Leila Sayadi, Esmaeil Mohammadnejad,
Volume 28, Issue 4 (1-2023)
Abstract
Background & Aim: The COVID-19 survivors are prone to psychological distress due to their experience of illness and severe conditions. Diseases can also affect patients’ quality of life. The aim of this study was to determine the relationship between mental health and quality of life among the COVID-19 survivors one year after the infection.
Methods & Materials: This is a descriptive, correlational, cross-sectional study that was conducted from February, 2020 to July 2020. A total of 276 patients who survived from COVID-19 were included to the study through the convenience sampling method. Data were collected using a demographic and clinical information form, the 12-item general health questionnaire (GHQ-12) and the 36 item short form survey (SF-36). Data analysis was performed through the SPSS software version 16 using independent t-test, Pearson correlation coefficient, analysis of variance (ANOVA) and linear regression.
Results: The mean score of mental health and total score of quality of life were 6.26±2.75 and 59.2±18.30, respectively. There is a significant relationship between the score of mental health and the score of quality of life (P<0.001), so that with the increase of the mental health score, which indicated the worsening of the mental health status of the participants, their quality of life score decreased.
Conclusion: Paying attention to the mental health and quality of life of the survivors of COVID-19, as well as adopting supportive strategies for them are recommended. Providing psychological and psychiatric services can improve their mental health and quality of life.
Samira Khatar, Leila Mirhadyan, Homa Mosaffa Khomami, Ehsan Kazemnejad Leili,
Volume 29, Issue 1 (4-2023)
Abstract
Background & Aim: Many factors affect the hypertensive patients’ quality of life. Identifying the factors related to the quality of life can help to promote the quality of life in hypertensive patients. This study aimed to determine the predictive role of illness acceptance and social, individual factors in the hypertensive patients’ quality of life.
Methods & Materials: This correlational, cross-section study was conducted in 2020-2021 on 245 hypertensive patients referred to a hypertension clinic in Lahijan selected by the convenience sampling method. Data were collected by a questionnaire, including demographic information, Acceptance of Illness Scale and the WHO's Quality of Life-Brief questionnaire. Data were analyzed by multiple linear regression at a 95% confidence level using the SPSS software version 23.
Results: The mean score for the quality of life was 65.32±12.18 (0-100) and for the acceptance of illness was 31.83±4.98 (8-40). Age, sex, employment status, marital status, monthly income, family arrangement and the acceptance of illness were identified as the predictors of quality of life in hypertensive patients (P<0.001). According to the coefficient of determination (R2=0.401), the variables of the final regression model explained about 40% of the quality-of-life changes among hypertensive patients.
Conclusion: Given that the acceptance of illness and some social, individual factors can affect the hypertensive patients’ quality of life, focus on the strategies to promote the acceptance of illness and paying attention to social, individual factors can help improve the quality of life among hypertensive patients.
Fateme Ebrahimi, Ezzat Jafarjalal, Tahereh Najafi Ghezeljeh, Shima Haghani,
Volume 29, Issue 1 (4-2023)
Abstract
Background & Aim: Attempting to improve the quality is an important issue in the nursing service and care system. The COVID-19 pandemic has created great challenges for healthcare systems, especially for the intensive care units, which can affect the quality of nursing care provided to these patients. The aim of this study was to determine the quality of nursing care in nurses working in the intensive care unit of COVID-19.
Methods & Materials: In this descriptive-cross-sectional conducted in 2021-22, 142 nurses from Valiasr, Amir Kabir, Amir al-Momenin and Khansari hospitals affiliated to Arak University of Medical Sciences were selected by the census method. The Martins’ nursing care quality questionnaire (including 25 items in 7 domains) was completed by the participants. The SPSS software version 16 and independent t-tests, analysis of variance and the Pearson's correlation coefficient were used for the data analysis.
Results: The result showed that the mean score of the nursing care quality was 83.83±7.74, which was considered favorable due to being higher than the median score of the tool (62.5). Among the individual characteristics of nurses, the nursing care quality had a statistically significant relationship with the type of employment (P=0.003), age, work experience and work experience in the intensive care unit (P<0.001).
Conclusion: Considering the significant relationship of the nursing care quality with the type of employment, age and work experience, it is recommended that health managers take an effective step in formulating the necessary policies to improve the quality of nursing care by taking into account the experience of skilled nurses in intensive care units.
Mahmoud Nekoei Moghadam, Mohammad Hossein Mehrolhassani, Rohaneh Rahimisadegh, Azam Parvaz,
Volume 29, Issue 4 (1-2024)
Abstract
Background & Aim: Given the importance of the emergency department in providing prompt and high-quality services, the emphasis on lean management has increased to minimize non-value-added and wasteful activities within a process. The aim of the study was to determine the process of patient flow and identify opportunities for its improvement using the Six Sigma method as one of the most important subsystems of lean management, in the emergency department of the selected teaching hospital in Kerman.
Methods & Materials: The current research is a sequential mixed-method study conducted in 2022 within the cardiovascular and neurological emergency department in Kerman. The Six Sigma method, specifically the DMAIC approach consisting of four steps, was employed in conjunction with spaghetti charts to implement lean management principles. The research population included 180 patients referred to the cardiovascular and neurological emergency department. The data were collected using researcher-developed forms, and Excel software version 2013 was used to analyze the data.
Results: By examining the processes and using the spaghetti chart, the main problems contributing to prolonged patient admission time in the cardiology and neurology emergency department were identified. The implementation of a strategy involving the presence of admission staff during triage for level 1 to 3 patients will eliminate the additional distance and time required for patient admission.
Conclusion: The use of lean thinking principles in the emergency department with the implementation of Lean Six Sigma and Spaghetti Chart by streamlining the service process, will result in improving patient flow, providing timely quality services, reducing service delivery time, and ultimately increasing patient satisfaction.
Amir Musarezaie, Soheila Pezeshkzad, Sayyed Abbas Hosseini, Mohammad Javad Tarrahi, Meysam Rezazadeh,
Volume 29, Issue 4 (1-2024)
Abstract
Background & Aim: The misuse of opioids is one of the most important problems in today's world, directly affecting the quality sleep for individuals. This study sought to explore the effect of a nursing care program, based on Roy's adaptation model, on the sleep quality of patients undergoing methadone maintenance treatment.
Methods & Materials: This randomized, single-blind clinical trial was conducted between December 2022 and March 2023, involving 60 opioid abuse patients undergoing methadone maintenance treatment at the Addiction Reduction Center in Isfahan. Convenience sampling was employed, with participants allocated randomly using random sequence generation software into the intervention group (n=30) and the control group (n=30). Data was collected using the Pittsburgh Sleep Quality Questionnaire. The intervention comprised a three-month nursing care program based on Roy's adaptation model, while the control group received routine treatments. Data analysis was performed using SPSS version 26 software, utilizing descriptive and inferential statistics.
Results: The results showed a significant decrease in the total average score of sleep quality in the intervention group after the intervention, indicating an improvement in sleep quality (P<0.001). Before the intervention, there was no statistically significant difference in the total average score of sleep quality between the intervention and control groups (P>0.05); however, a significant difference was observed after the intervention (P<0.001).
Conclusion: The findings indicate that the nursing care program based on Roy's adaptation model is effective in improving the sleep quality of patients undergoing methadone maintenance treatment. Therefore, this model can provide a promising framework for delivering care to such patients.
Clinical trial registry: IRCT20141127020108N6
Maryam Taheri, Marziyeh Asadizaker, Simin Jahani, Mohammad Hosein Haghighizadeh, Mina Rezaei,
Volume 30, Issue 4 (1-2025)
Abstract
Background & Aim: Patients with heart failure often experience inadequate self-care and diminished quality of life, leading to significant constraints in their daily personal and social activities. This study aims to evaluate the effect of individually designed energy conservation training on enhancing self-care capabilities and improving the quality of life for patients with heart failure.
Methods & Materials: This randomized clinical trial was conducted from June 2022 to May 2023 and involved 60 heart failure patients in the CCU and cardiology ward, as well as cardiovascular clinic at Shahid Madani and Shohadai Ashayer Hospital in Khorramabad, Lorestan. Based on established inclusion criteria, participants were randomly assigned to either the intervention group (n=30) or the control group (n=30). The intervention group received individually designed training in four sessions, each lasting 30 minutes, spaced over three weeks (total duration of nine weeks). In contrast, the control group received standard nursing education upon discharge. Participants completed the European Heart Failure Self-Care Behavior Scale and the Minnesota Living with Heart Failure Questionnaire both prior to the intervention and at the tenth week post-intervention. Data were analyzed using SPSS software version 24, employing the Mann-Whitney U test, Wilcoxon test, independent t-test, and chi-square tests.
Results: After the intervention, the intervention group demonstrated a statistically significant decrease in mean scores for self-care and quality of life compared to the control group (P<0.001). These findings indicate an enhancement in self-care practices and an improvement in the quality of life.
Conclusion: Individually designed energy conservation training effectively improves self-care and quality of life in patients with heart failure. Therefore, using this complication-free, non-pharmacological approach can be beneficial for this patient population.
Clinical trial registry: IRCT20220612055150N1
Tahere Momeni-Ghale Ghasemi, Amir Musarezaie, Shahnaz Alikhah, Amir Hossein Saeidi,
Volume 30, Issue 4 (1-2025)
Abstract
Background & Aim: Postoperative pain, anxiety and sleep disturbances are common among patients undergoing orthopedic surgery, often leading to increased physical complications and substantial healthcare costs. Given the rising interest in non-pharmacological methods such as aromatherapy, this study aims to investigate the effectiveness of lavender inhalation aromatherapy in alleviating pain, anxiety and enhancing sleep quality in patients post-orthopedic surgery.
Methods & Materials: This randomized clinical trial was conducted in 2022 at a trauma center in Isfahan, involving 80 patients undergoing orthopedic surgery. Eligible patients were recruited through consecutive sampling and were randomly assigned to either the intervention group (n=40) or the control group (n=40). The intervention included inhalation of 100% pure lavender essential oil over a period of three days, while the control group received standard postoperative care. The study employed the Standard Spielberger anxiety questionnaires, the St. Marry’s Hospital Sleep Questionnaire (SMHSQ), and the Visual Analog Scale (VAS) for data collection. Data were analyzed using paired t-tests, independent t-tests, chi-square tests, and one-way repeated measures analysis of variance, utilizing SPSS software version 26.
Results: Post-intervention analysis revealed statistically significant differences in the average scores of anxiety and sleep quality between the intervention and control groups (P<0.001). Additionally, the average pain scores exhibited significant differences at all time points across both groups (P<0.001).
Conclusion: The findings show that lavender aromatherapy significantly reduces pain and anxiety while improving sleep quality in patients following orthopedic surgery. Given these positive effects, the integration of this cost-effective and easily accessible intervention is recommended as a complementary treatment, alongside conventional methods.
Clinical trial registry: IRCT20111002007692N3
Parvaneh Vasli, Zohreh Komijani, Meimanat Hosseini, Malihe Nasiri,
Volume 30, Issue 4 (1-2025)
Abstract
Background & Aim: Postoperative care presents diverse needs that affect the quality of life in children with congenital heart disease. The objective of the study was to determine the effect of a family-based care transition program on the health-related quality of life of children with congenital heart disease undergoing corrective surgery.
Methods & Materials: This quasi-experimental study involved 78 mother-child dyads diagnosed with congenital heart disease and undergoing corrective surgery at the Shaheed Rajaie Cardiovascular Hospital in Tehran. The samples were divided to one of two groups: an intervention group (n=40) and a control group (n=38). Convenience sampling was employed to select participants during the 2023-2024 period. Data were collected using the TNO-AZL Preschool Quality of Life Scale across four assessment stages. The intervention group participated in 11 sessions of the family-based care transition program, while the control group followed routine discharge protocols. Data were analyzed using SPSS software version 22, employing independent t-tests, the Bonferroni test, and both one-way and two-way repeated measures analysis of variance.
Results: Within-group comparisons showed a significant increase in quality of life scores for both the intervention and control groups (P<0.001), with the intervention group indicating a more pronounced improvement. However, between-group comparisons showed no significant differences in quality of life scores at baseline, immediately post-intervention, or one month post-discharge. Notably, a significant difference was observed three months post-discharge (P=0.003).
Conclusion: The implementation of a family-based care program may improve the health-related quality of life of children with congenital heart disease undergoing surgery. These findings suggest that pediatric nurses can utilize family-centered interventions to improve the health-related quality of life of these children.
Atye Babaii, Mohammad Abbasinia, Bahman Aghaei, Maryam Karimi, Ali Javadzadeh, Fatemeh Aliasl, Seyed Kazem Mousavi,
Volume 31, Issue 1 (4-2025)
Abstract
Background & Aim: Sleep disorders are common among patients hospitalized in cardiac care units (CCUs), potentially impeding treatment outcomes and recovery processes. Aromatherapy has historically been employed to alleviate sleep disorders. This study aimed to determine the effect of geranium aromatherapy on sleep quality in patients hospitalized in CCUs.
Methods & Materials: This randomized controlled trial was conducted in 2022 at Shahid Beheshti Hospital in Qom. Seventy-two patients were selected via convenience sampling and randomly assigned to either the control group (n=35) or the intervention group (n=35). The intervention involved inhalation of geranium scent for three consecutive nights, whereas the control group received no such intervention. Data collection utilized the Richards-Campbell Sleep Questionnaire (RCSQ), administered pre- and post-intervention. Data analysis was performed using SPSS version 21, employing descriptive and inferential statistical methods.
Results: No significant differences were observed between groups regarding baseline demographic characteristics (P>0.05). Prior to the intervention, the mean sleep quality scores were 48.26±6.89 in the control group and 53.20±14.15 in the intervention group (P=0.110). Post-intervention, scores were 50.18±35.43 and 84.21±28.86, respectively, with the changes within groups being statistically significant (P<0.001). Across all dimensions of sleep quality, the intervention group demonstrated significantly better outcomes than the control group (P<0.05).
Conclusion: The results of this study showed that geranium aromatherapy appears to effectively improve sleep quality among CCU patients. Therefore, it is suggested that this method be used alongside existing treatments to enhance sleep quality in these patients.
Kolsoum Abdolahi, Soghra Rabizadeh, Shima Haghani, Amir Mohammad Chekeni,
Volume 31, Issue 1 (4-2025)
Abstract
Background & Aim: Patients with hyperthyroidism need targeted interventions aimed at improving their quality of life and increasing awareness of potential drug side effects. This study aimed to investigate the effect of an intervention based on the continuous care model on drug side effects and quality of life in patients with hyperthyroidism.
Methods & Materials: This quasi-experimental study was conducted in 2021 on 75 hyperthyroid patients attending the endocrine clinics of Imam Khomeini Hospital and Shariati Hospital in Tehran. Participants were allocated into two groups of 38 patients each, using block randomization. The intervention group received care based on the continuous care model, while the control group received routine care. Data collection employed questionnaires assessing drug side effects and quality of life, administered before and after the intervention. Data were analyzed using SPSS version 25, employing both descriptive and inferential statistical methods.
Results: Analysis of covariance showed significant differences between the groups in both quality of life and drug side effects scores (P<0.001). Post-intervention, the mean quality of life scores across all dimensions were significantly higher in the intervention group compared to the control (P<0.001). Conversely, the mean scores for drug side effects and their respective dimensions were significantly lower in the intervention group following the intervention (P<0.001).
Conclusion: The findings suggest that implementing a continuous care model over a three-month period can positively influence the quality of life and decrease drug side effects among patients with hyperthyroidism.
Fatemeh Nojavan, Fatemeh Tooiserkany, Zohre Khalajinia, Hamid Torabian, Mohammad Aghaali,
Volume 31, Issue 2 (7-2025)
Abstract
Background & Aim: Occupational fatigue reduces the quality-of-life of healthcare workers. Warm foot baths have been suggested as a simple, traditional intervention for prevention and management. The present study aimed to investigate the effect of warm foot baths on occupational fatigue and quality of life among intensive care unit (ICU) nurses.
Methods & Materials: A randomized controlled trial was conducted with 50 ICU nurses at Shahid Beheshti Hospital, Qom, in 2023. Participants were recruited by convenience sampling and randomly assigned to an intervention or a control group. The intervention consisted of immersing the legs below the knees in warm water for 15 minutes each night for two weeks. The control group received no intervention. The Swedish Occupational Fatigue Inventory (SOFI) and a quality-of-life questionnaire were completed at baseline and after the intervention. Data were analyzed using chi-square tests and t-tests in SPSS version 22.
Results: The total fatigue score (P=0.014) and the physical discomfort subscale (P=0.012) showed significantly greater reductions in the intervention group compared to the control group. No significant differences were observed in other fatigue subscales. Changes in quality of life and its subscales did not differ significantly between groups.
Conclusion: The findings indicate that warm foot baths effectively reduce occupational fatigue among ICU nurses. Therefore, the use of warm foot baths is recommended as an affordable, easy, and fast-acting solution to alleviate nurses' fatigue.
Clinical trial registry: IRCT20220109053677N1
Alireza Momeni, Abdolali Shariati, Shahram Molavynejad, Saeed Ghanbari,
Volume 31, Issue 3 (9-2025)
Abstract
Background & Aim: The most common problems in patients undergoing hemodialysis are sleep disturbances and fatigue, which affect their quality of life. Auricular acupressure, as a non-pharmacological method, can be effective in controlling these issues. The aim of this study was to evaluate the impact of auricular acupressure on sleep disturbances and the severity of fatigue in hemodialysis patients in Ahvaz.
Methods & Materials: In this clinical trial, 40 hemodialysis patients visiting the hemodialysis centers of Imam Khomeini and Golestan hospitals, affiliated with Jundishapur University of Medical Sciences in Ahvaz in 2021, were randomly assigned to two groups: the test group and the control group. The test group received auricular acupressure at true acupressure points, while the control group received acupressure at false points over a two-week period. Data collection tools included the Pittsburgh Sleep Quality Index and the Numeric Rating Scale to assess fatigue severity. Data analysis was performed using SPSS version 17 with descriptive and inferential statistical tests at a significance level of 0.05.
Results: In the intervention group, the mean sleep quality score before the intervention were 11.75±1.51, and 6.20±1.43 which decreased to 8.60±1.04 and 5.00±1.21 after the intervention, and this difference was statistically significant (P<0.0001).
Conclusion: The findings showed that auricular acupressure improves sleep quality and reduces sleep disturbances and fatigue severity in hemodialysis patients. Therefore, auricular acupressure can be used as an easy, safe, and inexpensive method alongside routine care for hemodialysis patients to reduce fatigue and sleep disturbances.
Clinical trial registry: IRCT20201021049102N1
Ali Hosseinzadeh, Abolfazl Rahimi, Robabe Khalili, Ali Tayebi, Mohamad Nikpouraghdam,
Volume 31, Issue 4 (1-2026)
Abstract
Background & Aim: End-stage renal failure requires careful and effective planning in the hemodialysis process to improve patients' quality of life and reduce complications. Therefore, this study aimed to investigate the impact of using cold dialysis solution on sleep quality and blood pressure changes during hemodialysis in patients with end-stage renal failure.
Methods & Materials: This blinded randomized clinical trial included 82 patients undergoing hemodialysis in Baqiyatallah and Milad hospitals in Tehran in 2023. Patients were randomly assigned to either the intervention group (41 individuals) or the control group (41 individuals). The intervention group received hemodialysis with cold dialysis solution (35°C), while the control group received standard dialysis solution (37°C) for 4 weeks. Data was collected using a demographic and disease characteristics form, Richard Campbell Sleep Quality Questionnaire (RCSQ), and a mercury sphygmomanometer. Data analysis was conducted using SPSS version 26 software, utilizing Mann-Whitney, independent t-test, chi-square, and paired t-test.
Results: The mean sleep quality score in the cold hemodialysis group (35°) after dialysis was significantly higher than the standard group (37°) (P=0.004). No significant difference was observed between the two groups before dialysis (P=0.759). There was no significant difference between the mean systolic and diastolic blood pressure scores before dialysis in the two groups. However, after dialysis, the reduction in blood pressure (systolic and diastolic) in the cold hemodialysis group was significantly less than in the standard group (P<0.001).
Conclusion: The results of this clinical trial showed that the use of cold dialysis solution during hemodialysis significantly improved the sleep quality of patients with end-stage renal failure and reduced blood pressure changes during treatment. These findings can be used to improve the treatment process and enhance the quality of life of these patients.
Clinical trial registry: IRCT20230521058244N1
