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Background and Objective: Patients under hemodialysis are faced with many stressors and psychological problems such as sleep disorder and anxiety. These problems could be a threat to their health and be significant clinically.  Thus, we aimed to determine the relationship between anxiety and sleep quality in hemodialysis patients.

Material and Methods: This descriptive-analytic study was conducted on 74 hemodialysis patients in Hefdahe Shahrivar hospital of Borazjan city, 2014. The data was collected by Pittsburgh Sleep Quality Index (PSQI) and State-Trait Anxiety Inventory (STAI), and analyzed by t-test, ANOVA and correlation Coefficient using SPSS.

Results: Most of the patients (89.2%) had the average anxiety and 63.3% of them had low sleeping quality. The average of patients’ anxiety and sleeping quality were 49±6.5 and 11.7±2/4, respectively. The correlation coefficient between anxiety and sleeping quality was 0.515 (p=0.001), pointing out an acceptable correlation. Along with the increase of anxiety, the dimension of the subjective sleep quality, delay in falling asleep, the sleep disturbances were affected and ended up low sleeping quality. There was no significant correlation between the anxiety and sleeping quality and daily dysfunction.

Conclusion: Given the acceptable correlation between anxiety and sleep quality, there is a direct relation between anxiety and sleep quality of the patients.

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Background: Dialysis adequacy is one of the determining factors for survival in elderly patients. Improving the dialysis adequacy highly affects the remission and prognosis of old dialysis patients. Current study was conducted to evaluate the effects of Jacobson relaxation technique on dialysis adequacy in elderly people, who are under dialysis treatment.
Methods: ods: This is a clinical trial performed on 80 hemodialysis patients in two hemodialysis centers of Gonabad and Yazd, Iran, in 2013. The patients were selected through purposive sampling method, and randomly assigned into the two groups of control (n=40) and intervention (n=40). The participants in intervention group were provided by three sessions of relaxation training, and were asked to perform the relaxation daily for six weeks, while the control group just received the routine cares. Afterwards, the adequacy of dialysis was compared between the two groups. The data was collected using the demographic information, and the dialysis adequacy was calculated by KT/V equation.
 Results: A significant statistical difference was found between groups regarding the mean difference of dialysis adequacy in pre- and post-intervention (P<0.001).Besides, dialysis adequacy increased post-intervention in the case group and decreased slightly in the control group compared to pre-intervention.
Conclusion: Training and performing the relaxation method lead to an  improved dialysis adequacy in elderly patients under hemodialysis.