fa بررسی فراوانی مصرف مواد با اختلالات روان پزشکی در بیماران بستری در بخش اعصاب و روان بیمارستان شهید بهشتی زنجان کارآزمایی بالینی Clinical Trials <p><strong><em>Background and Objective:</em></strong> Most patients suffering from kidney failure who undergo dialysis for a long time have complaints of sleep disorders. Sleep disorders in these patients accompany some serious complications that reduce quality of life and increase mortality. Nowadays most treatments for diabetes are pharmaceutical drugs, which have many side effects and are <a>expensive</a><span dir="RTL"><a href="#_msocom_1" id="_anchor_1" name="_msoanchor_1">[d1]</a>&nbsp;</span>. The aim of this study was to survey the effect of cool hemodialysis on improving sleep quality in hemodialysis patients.</p> <p><strong><em>Materials and Methods:</em></strong> This was a pre-post test, quasi experimental study that was performed in Semnan Fatemiyeh hospital. 23 patients were purposefully selected. Data collection was performed using demographic questionnaires, patients&rsquo; medical records and Pittsburgh Sleep Index. Patients underwent standard hemodialysis (37&deg;^c) 3 times weekly, for 4 weeks, and afterwards they underwent cool hemodialysis (35&deg;^c), in the same circumstances and time intervals. Paired t-test and Wilcoxon tests were used for statistical data analysis.</p> <p><strong><em>Results:</em></strong> Results showed that the mean and standard deviation of patient age was 60.2 &plusmn; 14.6 years. 47.8% patients required dialysis due to diabetes, 17.4% due to hypertension, 13% due to congenital disease<strong>s</strong> and glomerulonephritis. Sleep quality (P<0.001) in cool hemodialysis was improved significantly in comparison to standard hemodialysis (P<0.05).</p> <p><strong><em>Conclusion:</em></strong> Cool hemodialysis (instead of standard hemodialysis) could improve sleep quality thus improving quality of life in dialysis patients.</p> <div> <hr align="left" size="1" width="33%" > <div> <div id="_com_1"><a name="_msocom_1"></a> <p dir="RTL"></p></div> </div> </div> Cool Renal Dialysis, Warm Renal Dialysis, Sleep Disorders, Chronic Renal Failure 139 150 http://journal.zums.ac.ir/browse.php?a_code=A-10-4-1030&slc_lang=fa&sid=1 Akram Shiri اکرم شیری 5200319475328460053296 5200319475328460053296 No Facalty of Medicine, Zanjan university of Medical Sciences, Zanjan, Iran دانشگاه علوم پزشکی زنجان، زنجان Mina Shabani مینا شعبانی 5200319475328460053297 5200319475328460053297 Yes Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran دانشگاه علوم پزشکی زنجان، زنجان Nooraldin Mousavi Nasab نورالدین موسوی نسب 5200319475328460053298 5200319475328460053298 No Dept.of Biostatistics, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran دانشگاه علوم پزشکی مازندان، ساری Fatemeh Eskandari فاطمه اسکندری 5200319475328460053299 5200319475328460053299 No Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran دانشگاه علوم پزشکی زنجان، زنجان