Background and objective: Hypertension is one of the most important preventable causes of premature morbidity and mortality in the world. Many people with hypertension both in developing and developed countries have no adequate control of their blood pressure. Lifestyle modification and adherence to antihypertensive drugs play an important role in controlling hypertension and in preventing its long-term complications. Aim: This study was conducted to assess the effect of application of Pender's Health Promotion Model on management of hypertension among adults in rural area. Methods: Quasi-experimental design was utilized. The sample of this study was a purposive sample of 150 adults with hypertension. Setting: This study was conducted at El-Shahid Fekry village and Abu-Mashhour village at Menoufia Governorate. Tools used were (1) An interview questionnaire containing three parts of the model: a) Individual characteristics and experience, b) behavior-specific cognitions and affect, and c) behavioral outcomes. (2) Physical measurement included anthropometric measurements. Results: The highest percentages of hypertension were among age group between 50-60 years (44.7%), female (69.3%), and illiterate (34.7%). There was statistical significant improvement among the study group than the control group at the posttest of the systolic and diastolic blood pressure in relation to the components of Pender's health promotion model (p = .0001). Conclusions and recommendations: Application of Pender's Health Promotion Model was effective in management of hypertension. Also, nursing educational intervention was successful in improving knowledge, lifestyle behaviors and blood pressure measurement among adults in the study group than the control group. Recommendations: Health education programs to increase awareness of adults about risk factors of hypertension and the disease process is essential to empower and motivate them to adopt healthy lifestyle and adhere to medication to manage the disease and prevent complication.

Background: The advantages of nursing support for cardiac rehabilitation patients can improve the health outcomes and reduce the risk of a new cardiac event through education, support, supervision, and reinforcement .The aim of this study was to assess the effectiveness of home-based-nursing intervention on knowledge, daily living activities and pain for patients after coronary artery bypass graft. Study Design: A quasi experimental research design was utilized. Study Setting: The study was conducted in the outpatient clinics of Mahalla Cardiac Center, Mahalla city, Al-Gharbia Governorate, Egypt. Study Sample: A purposive sample of 140 post-coronary artery graft surgery patients was included. The total sample was divided randomly into two groups study group (70 patients) and control group (70 patients). Study Tools: 1) A structured interviewing questionnaire including; 1) the socio-demographic data of studied patients. 2) Medical data including patient information about present and past history .3) Knowledge assessment data. 4) Barthel Index Scale of measuring activities of daily living (BIS). Study Results: After implementing the Home Based Nursing Intervention, there was high statistical significance improvement in study groups' total knowledge compared to controls. Pain level had significantly improved, as well as daily living activities among study group than control group. Conclusion: Home based nursing intervention was effective in improving patient's knowledge, level of pain and daily living activities after coronary artery bypass graft. Also, it played an important role in improving those patients through tailoring health education about healthy life styles for complete recovery and preventing complications. Recommendations: Nurses have to povide awareness program for educating patients about Home based nursing intervention to prevent complication and attaining complete recovery after coronary artery bypass graft (CABG) surgery.

Background: School children are the most important segment in the society. Their physical growth presents a general health status of a community as a whole. Aim: Apply evidence-based assessment of physical growth among primary school children. Design: A descriptive cross-sectional research design was used. Setting: The study was conducted at three primary Governmental schools at Baltiem in Kafr -El-sheik governorate, Egypt. Sample: Simple random sample of 300 students enrolled at the selected setting. Tools: Included (1) An interviewing questionnaire including sociodemographic characteristics, (2) Nutritional knowledge and reported practices questionnaire, (3) Lifestyle assessment questionnaire, (4) Physical examination and (5) Bio physiological measurements. Results: The main results revealed that 14.0% of the studied children had short stature and11% had long stature. In addition, 11.7% of the studied children were underweight and 15.3% were overweight, also 8% were obese. Also the results indicated that 59.3% of the studied children had unhealthy lifestyle. Conclusions: The study concluded that two third of children had normal weight, less than one quarter of the studied children were underweight. Moreover , three quarters of studied children had normal stature, and one quarter had short and long stature. Also, it concluded that more than half of the studied children had unhealthy lifestyle. In addition, the study clarified that Evidence Based Practice tool is a good reference for assessing physical growth of school children. Recommendation: Nutritional educational programs should be directed to school children, teachers, and parents to enhance their knowledge and practice regarding healthy growth and development.

Background: Client satisfaction may be considered to be one of the desired outcomes of care, even an element in health status itself. It is futile to argue about the validity of patient satisfaction as a measure of quality.