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The correct transition in postoperative care, from the post-anesthesia care unit (PACU) to the general ward or even home discharge, is an essential step in the discharge of surgical patients. The present study was conducted with the aim of psychometrics and localization of the Persian version of the patient evaluation and discharge checklist in the post-anesthesia care unit.

This cross-sectional study was conducted in the paramedical faculty of Iran University of Medical Sciences in 2022. In this study, the psychometrics and localization of the Persian version of the patient assessment and discharge checklist in the post-anesthesia care unit (SAMPE checklist) were evaluated. The translation tool was implemented using the forward-backward method, and the clinical validation of the tool was done by determining face validity (qualitative) and content validity (content validity index). Also, to check the tool’s reliability, the inter-rater reliability method was performed using the Kappa coefficient. SPSS version 26 software was used for statistical analysis .

The present study was conducted on 80 patients of the post-anesthesia care unit with an average age of 0.45±6.16 years. Patients were selected non-randomly (available samples) from the post-anesthesia care unit. According to the findings in the qualitative face validity review, all the items of the translated tool were apparently related to the purpose of the study. The content validity index was reported as 0.94, and according to the results, all the tool items had high content validity. The reliability of the checklist was measured as 0.31-1 by the Kappa coefficient, which indicated the high level of agreement between the evaluators.

The research findings show the tool’s face validity, content validity, and appropriate reliability. Based on this, the psychometric and localized patient evaluation and discharge checklist in the post-anesthesia care unit (SAMPE checklist) in this research can be used to determine the readiness of patients for discharge from the PACU.

Many patients with chronic renal failure undergo dialysis to survive their illness. Since this is a chronic and debilitating disease, patients are prone to multiple psychiatric consequences. Depression and anxiety are the most common disorders. Physical, psychological, social problems are brought to light in regards to the patient's ability to perform activities and self-efficacy in achieving a good quality of life.The purpose of this study is to examine relationships among self-care self-efficacy, anxiety and depression in 160 patients receiving hemodialysis. This is an analytical-descriptive study that was done on 160 patients under hemodialysis treatment, and they were selected randomly in educational - therapeutic centers of Rasht city, Iran, in 2011. The data were collected by using four questionnaires of demographic information, Hospital Anxiety Depression Scale (HADS‏), and General Self Efficacy Scale (GSES). The data were analyzed by SPSS 17 soft ware by applying Pearson correlation test, t-test, and analysis variance linear regression. (p<0.05) The mean age of the patients was 50.39 ± 11.86 (22-76 year). The findings showed that score of self-care were 33.14±4.93, anxiety 9.86±3.59, depression 8.59±3.30. Majority of patients (70.6%) had favorite general self efficacy and anxiety and depression of moderate to severe. Also, there is a significant relationship between self-care with age (p<0.05) and anxiety with job (p<0.04). Based on our findings, depression and anxiety are common findings in patients undergoing hemodialysis, which will affect their quality of life, The self efficacy is one of the factors that control and achieve the outcomes expected by patients, thus increasing self-efficacy can increase patients self care.