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Objective Restless legs syndrome is a neurological condition associated with an irresistible urge to move the legs and eventually leads to discomfort, sleep disorders, and reduced quality of life. Restless legs syndrome is common in the elderly, whose health improvement is an important healthcare issue. This study aimed to determine the effect of hot water bags on the severity of restless legs syndrome and sleep quality in the elderly. Methods The study has a quasi-experimental design. In this research, 88 elderly people were selected based on purposive sampling. Then they were randomly assigned to the experimental (n=44) and control (n=44) groups. The intervention group received a hot water bag on the leg, and the control group received routine care. Data collection tools were the demographic questionnaire, the restless legs syndrome rating scale, and the Pittsburgh sleeps quality index. The questionnaires were completed as a self-report. Data were analyzed with the independent t test and paired t test using SPSS. Results The Mean±SD scores of restless legs syndrome were 16.7±0.46 in the experimental group and 16.50±1.17 in the control group before the intervention, which was not significantly different (P=0.32). The Mean±SD scores of restless legs syndrome were 10.68±1.52 in the experimental group and 15.55±1.79 in the control group after the intervention, which was significantly different (P=0.0001). In addition, the mean ± SD scores of sleep quality were 8.3±1.5 and 10.42±1.89 in the control group and the experimental group after the intervention, which showed a significant difference (P=0.0001). Conclusion Findings showed that the hot water bag application reduces the severity of restless legs syndrome and improves sleep quality. Therefore, a hot water bag is especially recommended for the elderly, as it is cheap, accessible, and acceptable.

BACKGROUND AND OBJECTIVE: Pain is a common phenomenon and an inevitable part of process of childbirth. Effective control of labor pain like other acute pains is very important for health and society. The aim of this study was to determine the effect of heat therapy on pain severity and duration of labor in primigravida women. METHODS: In this clinical trial study, 64 low risk nulliparous women were randomly divided into two groups (heat therapy and routine care groups). The control group got routine cares in obstetrics ward and heat therapy group in addition to these cares used warm bag for the low back from cervix dilatation of 3-4 cm to the end of first stage of labor and for perinea at the second stage. The intensity of labor pain was determined by Mc Gill pain questionnaire and duration of labor was determined by digital clock. Data was analyzed with t-test and chi square and Mann Whitney test (p=0.05). FINDINGS: Mean of pain intensity in first stage of labor in heat therapy group was 8.1±1 and in control group was 8.9±1 and mean of pain intensity in second stage of labor in heat therapy group was 8.3±1.9 and in control group was 9.9±1.9 (p=0.01). Also, in heat therapy group duration of the first and third stages of labor decreased. Mean of duration of the first stage of labor in heat therapy group was 16.6±74 minutes and in routine care group was 219.8±5.6 minutes meanwhile mean of duration of the third stage of labor in heat therapy group was 7.3±2.4 minutes and in routine care group was 10.8±3.4 minutes (p