Background: The assessment of health-related quality of life (HRQoL) and resilience are important aspects of colorectal cancer care, as well as an indicator of patients' health status. This study was conducted to investigate the relationship between resilience and HRQoL among patients with a permanent colostomy. Method: A cross-sectional descriptive correlational design employing the City of Hope Quality of Life Ostomy Questionnaire and the Resilience Scale was adopted. A purposive sample population was recruited. Results: The study enrolled 158 colostomy patients. Half the participants (50.6%) were female and the mean age was 58.20 years [standard deviation (SD)=8.70]. Colostomy patients had a mean HRQoL score of 129.61 (SD)=98 (interquartile range: 109–148), with a spiritual domain that was lower than any other HRQoL domain. The Resilience Scale mean score was 106 (interquartile range: 82–126). Conclusion: This study observed a general low score on the HRQoL Questionnaire and this was reflected in the Resilience Scale score of this group of patients with a colostomy.

Background: Hemodialysis is the most common method used to treat advanced and permanent kidney failure. Identifying stressors, self-efficacy and coping strategies used by patients undergoing hemodialysis may help nurses and health care providers to gain a clearer understanding of the condition of these patients and thus, institute effective care planning. Aim: Assess relation between stressors, coping strategies and self-efficacy among patients undergoing hemodialysis. Subjects and method: Design: A descriptive correlational research design was used. Subjects: This study implemented among 100 hemodialysis patients. Setting: The study was carried out in hemodialysis unit at El-Salam Hospital in Port-Said city, Egypt. Tools: Three tools were utilized to collect data for this study including; Hemodialysis Stressor Scale, Self-Efficacy for Managing Chronic Disease6-itemScale and Coping Strategies Scale. Results: Most prominent increase in percent score among all stressors associated with chronic hemodialysis treatment was related to social life. Patients were adaptive with stressors by the use of affective-oriented coping strategies more than problem-oriented coping strategies, nearly two thirds of the studied patients had low level of self-efficacy. Conclusion &Recommendations: There were statistically significant negative correlations between total scores of coping strategies, self-efficacy and stressors among the studied patients. While, there was a statistically significant positive correlation between total scores of coping strategies and self-efficacy.So, Continuous educational programs should be held by health professionals for patients about proper coping methods, problem solving strategies and stress management techniques to alleviate stressors associated with chronic hemodialysis treatment and maintain compliance to treatment regimen. This will empower their self-efficacy.

Background: Self care practices affect the progress of many diseases including lumbar disc prolapse. This study aimed to assess self care practices of patients with lumbar disc prolapse in the post operative period. Setting: This study conducted at neuro-surgery department and outpatient clinic at Azhar university hospital in New Damietta city. A convenience sample of 124 adult patients diagnosed with lumbar disc prolapse were included in the study. Tool of data collection: data collected using structured interview questionnaire, it included four parts: demographic data, medical and surgical history, pain intensity and follow up and Self-care practices of patients with lumbar disc prolapse. Results:The result of present study showed that 100% of the studied patients felt pain when doing an activity and 72.6 % of them had unsatisfactory self care practices in the post operative period. Conclusion: More than two third of the studied patients need improve self care practices regarding to unsatisfactory self care practices and there wasn't statistically significance relation between demographic data and self care practices.Recommendations: Design patient educational materials include proper self care practices of patients with lumbar disc prolapse in the post operative period . The health education program should be tailored every patient's individual needs .

Background: Breast cancer, is the most common cancer both in developed and developing regions and it present the second most common malignancy amongst women. Aim: The aim of the present study is to evaluate the effect of a health education program about breast cancer and breast self examination on knowledge and practices of female employees in Port Said University. Subject and Methods: The quasi experimental research design was conducted on all female employees (no=160)from four faculties of the Port Said university selected randomly, an educational health program about early detection of breast cancer and breast self examination was developed by researchers, the selected female is tested before and after giving the health program using a self administered questionnaire and observational checklist. Results: The findings revealed that most of the studied sample had unsatisfactory knowledge about breast cancer(80.0%) and all of them unsatisfactory practices (100.0%) regarding early detection of breast cancer and breast self examination in pre program, A statistically significant improvement was detected in the knowledge and practices post program (P <0.001*). Conclusion: The study concluded to the fact that the studied females employees' knowledge and practices regarding early detection of breast cancer and breast self examination are deficient, health educational programs improved their knowledge and practices, so the researchers recommend that great efforts should be done to increase the employees females' awareness of prevention and early detection of breast cancer, this can be effectively done through continues health educational programs.

Background: Arterial blood puncture is one of the most complex parts of nursing practice. Purpose: Evaluate effect of applying program based learning on nurse's performance and self-efficacy regarding arterial blood puncture. Method: Quasi experimental research design has been utilized in this study. This study was conducted at four hospitals affiliated to ministry of health. A convenient sample of 70 nurses was included. Three tools were utilized for collecting data; first tool was a questionnaire to assess nurses' knowledge regarding arterial blood puncture. Second tool was observational checklist of arterial blood puncture procedure. The last one was arterial blood puncture self-efficacy scale. Results: the study results revealed improvement in nurses' knowledge and practice regarding arterial blood puncture after applying the program based learning. A significant difference was founded between levels of nurses' self-efficacy about arterial puncture after program implementation with p-value of 0.000. While, hospitals where nurses working are associated significantly with total self-efficacy of nurses regarding arterial blood puncture. Conclusion: the current study concluded that the program based learning about arterial puncture improves nurses' knowledge, practice and self-efficacy. Additionally, regular training program regarding arterial blood puncture should be applied in hospitals. Conducting the same study in larger sample is recommended.