Chemotherapy Induced Phlebitis (CIP) is an unpleasant side effect of peripheral intravenous therapy, particularly after chemotherapy. The nurses take precautions to avoid the development of (CIP). Using Sesame oil and cold compresses can play an important role in reducing CIP. Purpose: To examine the effect of preventive measures on chemotherapy induced phlebitis among patients with cancer. Setting: The study was conducted in the outpatient clinic and the Oncology department of Menoufia University Hospital. Research design: A quasi-experimental (study/control) research design was utilized. Subjects: A consecutive sample of 100 adult patients with cancer of both sexes who were receiving chemotherapy treatment was selected. Instruments: instrument (I): Structured Interview questionnaire: instrument (II): Vein Quality Assessment Tool (VAT), and instrument (III): Visual Infusion Phlebitis (VIP) scale. Results: There was a highly statistical significant difference between both groups related to Chemotherapy Induced phlebitis post intervention (p<0.001). Conclusion: applying Sesame oil and cold compress have positive significant effect on preventing chemotherapy induced phlebitis. Recommendation: Oncology patients should be educated about identifying and reporting any changes in their vein condition. Collaborating with other institutions to implement Sesame oil and cold compresses as a preventive measures to reduce the incidence of (CIP) among patients who were receiving chemotherapy.

High qualified specialized oncology nurses are considered the backbone in any chemotherapy administration agency. Using standardized protocol for administration of chemotherapy is a pressing demand for prevention of medication errors with promotion of patients' safety and satisfaction. Aim: Evaluate the effect of chemotherapy nursing protocol application on patients' care competency, safety, and satisfaction. Design: Quasi experimental design. Setting: Oncology institution of Menoufia University. Subjects: A convenience sample of 44 oncology nurses and 36 patients receiving chemotherapy. Tools: Socio-demographic questionnaire, Oncology Nurses' knowledge questionnaire, Self-assessment chemotherapy related clinical competency questionnaire, Patient safety culture questionnaire and patients' satisfaction questionnaire. Results: The number of reported errors decreased throughout study phases with high statistically significant difference. The total knowledge score of studied nurses was improved from 7.75 pre protocol application to 21.45 immediately post protocol application with high statistically significant difference. The total nurses' competency score was improved from 48.79 to 88.50 then 87.57 respectively with high statistically significant difference. The total patients' satisfaction score was improved from 10.61 to 25.29 then 25.09 respectively with high statistically significant difference. Conclusion: A considerable improvement was observed in oncology nurses' knowledge, clinical competency and patients' safety and satisfaction after chemotherapy nursing protocol application. In addition, there was positive correlation between nurses' knowledge and competency and both patients' safety and satisfaction. Recommendation: Application of chemotherapy nursing protocol is recommended routinely for managing all chemotherapy patients.

Ulcerative colitis is a relapsing and remitting inflammatory bowel disease that causes a significant patient's morbidity through its effect on overall quality of life. Purpose: To evaluate the effect of health maintenance program related to ulcerative colitis on selected patient's outcomes during remission phase. Setting: Medical outpatient clinics at the National Liver Institute, Menoufia Governorate, Egypt. Sampling: A purposive sample of 150 adult patients had ulcerative colitis were selected and assigned alternatively into two equal groups (study and control): 75 patients for each group. Instruments: Four instruments were used; Structured interview questionnaire, Simple clinical colitis activity index, Fatigue severity scale and The RAND 36-item health survey. Results: There was a statistically significant reduction in simple clinical colitis activity index for study group from (2.27±0.24 to 2.02±0.07) post program compared to control group. The mean score of fatigue severity decreased post program from (43.57±10.29 to 24.24±7.49 in study group compared to control group from (42.78±7.36 to 43.02±7.61). Additionally, total mean score of quality of life was significantly improved post program in the study group compared to control group. Furthermore, after 3 months of implementing program there was a significant improvement in weight, BMI and total calories among the study group compared to control group. Conclusion: Health maintenance program had a significant positive effect on reducing mean score of ulcerative colitis symptoms and fatigue, additionally improving quality of life of patients with ulcerative colitis. Recommendations: A supervised health education and maintenance program that includes medication adherence, nutritional guidelines with recommended diet, and stress reduction techniques should be offered in the outpatient clinics to cope with ulcerative colitis.