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Objective: This study aimed to evaluate the effects of foot reflexology on fatigue and sleep quality in school-aged children receiving hemodialysis. Methods: A quasi-experimental pretest–posttest design was utilized. Thirty children of ages 6–12 undergoing in-center hemodialysis were recruited. The Pittsburgh Sleep Quality Index (PSQI) and Inventory of Fatigue Symptom (IFS) scales were administered at baseline. Participants then received 30 min of foot reflexology massage before hemodialysis sessions 3 days per week for 12 weeks. Posttest administration of the sleep and fatigue scales occurred after the intervention period. Results: Reflexology massage led to significant improvements in sleep quality components, including duration (0%–30% normal sleepers), efficiency (0%–50% >85%), latency (50%–0% >60 min), disturbances, and daytime dysfunction. The mean PSQI score decreased from 18.2 to 9.7 (P < 0.05). Fatigue severity substantially decreased, with the mean IFS score improving from 105.7 to 64.1 (P < 0.05). Conclusion: Foot reflexology is an effective nursing intervention for reducing fatigue and improving sleep quality in children on hemodialysis, warranting integration into routine care.

Background: Psychological resilience plays a crucial role in the well-being of community-dwelling older adults. This study aimed to evaluate the effectiveness of a resilience-building nursing intervention on enhancing psychological well-being in this population., Methods: A randomized controlled trial was conducted with 84 community-dwelling older adults in Abha, Saudi Arabia. Participants were randomly assigned to either the intervention group (resilience-building nursing intervention) or the control group (standard care). Psychological resilience and quality of life were assessed using validated scales at baseline, post-intervention, and follow-up., Results: The intervention group showed significant improvements in psychological resilience (mean difference: +3.2, p = 0.001) and quality of life (mean difference: +5.4, p = 0.002) at follow-up compared to the control group. Factors influencing resilience included age, gender, socioeconomic status, health status, intervention exposure, community engagement, and living arrangements., Conclusion: The resilience-building nursing intervention effectively enhanced psychological well-being among community-dwelling older adults. Integrating such interventions into routine nursing care can promote holistic well-being and enable older adults to thrive within their communities., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Declaration of generative AI in scientific writing The authors declare that they have no known competing interests to report. This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors. This manuscript was edited for language clarity using the online tools Grammarly and Quill Bot under the supervision of the human authors. Grammarly and Quill Bot were used solely to improve readability and did not contribute to analysis, interpretation or writing of results. The work reported here solely represents original research conducted by the human authors alone without input from automated writing tools beyond language editing. We affirm that the content of this manuscript has not been influenced by any commercial or financial interests beyond our commitment to rigorous, honest and transparent scientific exchange., (Copyright © 2024 Elsevier Inc. All rights reserved.)