Background: Lymphedema brought on by breast cancer has a significant impact on people's physical, social, and psychological wellness. Self-care can only be helpful if it is practiced, and women who deal with BCRL on a daily basis need support in the form of follow-up treatment.Objective: This study aimed to investigate the effect of an educational programme on self-care practice and reported symptoms among women with BCRL by using a quasi-experimental (one group) pre-post design with repeated measurements. Methods: This study was carried out at the outpatient lymphedema clinic of a big metropolitan tertiary hospital in the northern Suez Canal Region using a quasi-experimental design without a control group. A total of 81 patients with BCRL participated in the study and received an education program in the form of face-to-face sessions and an information booklet at the beginning of the study. Patients were evaluated for upper extremity circumference and reported symptom severity and self-care adherence, and they were followed for 6 months. Arm circumference, symptom severity, and level of self-care adherence. Results: Arm circumference measurement was decreased significantly with (P 0.060) along with the symptoms that associated with lymphedema (M (31.04) SD (2.26) with P<0.001). Additionally, a significant improvement in patient self-care adherence was noticed (M (91.90) SD (2.61) with P<0.001 compared to the baseline values) during the pre-assessment face. Significance of results:The findings of the current study proved that the educational programme intervention enhanced selfcare behaviour and decreased lymphedema-related symptoms.

Background: The Roy Adaptation Model (RAM) focuses on the physiological and psychosocial adaptation of patients to the environment by using the four adaptive modes: physiologic, self-concept, role function, and interdependence. Aim: To evaluate the effect of the (RAM) application on patients undergoing hemodialysis. Subjects and method: Design: One group quasi-experimental design (pre and post) was used in this study. Setting: This study was conducted at hemodialysis unit of General hospital in Port Said city. Subjects: The study data was collected from purposive adult patients undergoing hemodialysis (no=105) in 9 months. Tools: two tools were used, tool I: includes structure interview questionnaire, Tool II: designed model based on RAM tools. Results: There was an observed improvement in mean ±SD of total RAM modes 246±39.2 post model implementation compared to 218±40.3 pre-model implementation. There was a statistically significant difference for the mean scores of RAM modes of patients (physiological, self-concept, work role function, and independence and interdependence mode) on pre and post-application of RAM. Conclusion: There was a statistically significant difference for the mean scores of physiological, self-concept, work role function, and independence and interdependence mode of patients on pre and post-application of RAM. There was observed improvement in adaptation level among patients undergoing hemodialysis after application of RAM, especially in Independence and Interdependence mode. Recommendations: Encourage further study on theorybased patient care for chronic and acute illnesses. Encourage effective utilization of research findings on the management of diseases affecting hemodialysis patients.

Background: levels of literacy have a direct impact on the ability to act on health information and take greater control of the health as persons, families, and communities.Hemodialysis patients with low health literacy are at increased risk for altered selfmaintenance and negative health outcomes. Aim: To assess health literacy among patients undergoing hemodialysis. Subject and method: Design: A descriptive design was utilized in this study. Subject: The study data were collected from all available adult patients undergoing hemodialysis (105 patients) in 9 months. Setting: the study was conducted in hemodialysis unit at El-Salam Hospital. Tools: Tool I: structure interview questionnaire. Tool II: Health literacy questionnaire. Results: 54.3% of them suffered from nausea during the hemodialysis session. The mean score ±SD of total health literacy of studied patients was high. There was a statistically significant relationship between the Patients' marital status and their total health literacy. While there was a statistically significant relation between the level of education of the studied patients and their total health literacy. Conclusion: There was a relatively high level of mean health literacy among patients undergoing hemodialysis especially inpatient safety literacy while the mean score of advanced health knowledge was low. There was a statistically significant relationship between the marital status and education level of the patients and their total health literacy. Recommendations: Providing ongoing in-service education for patients undergoing hemodialysis to update their health literacy related to their chronic disease.Provide more research on nursing care for patients undergoing hemodialysis.

Background: Mirror therapy is one of the cognitive-induced interventions based on mirror neurons on neurologic grounds. Aim: to evaluate the effect of mirror therapy on upper extremity functional and motor skills among chronic stroke patients. Design: a quasi-experimental design (pre/post-test). Setting: The study was conducted at Egypt of Health care Authority, Port Said hospitals ICU departments. Subjects: All patients (50) with chronic stroke who were admitted to the previously mentioned settings at the time of data collection, which was chosen using a convenient sampling technique. Tools: Three tools were used for data collection: Tool 1: Structured interview questionnaire; Tool 2: Fugl-Meyer assessment, lower limb function (FMA); Tool 3: Brunnstrom stages, Tool 4: Functional Independence Measure (FIM).  Tool 5: Modified Ashworth Scale. Results: The results of the study illustrated that the mirror therapy group showed significant differences in muscle strength, range of motion of wrist extension, and muscle tone of wrist flexors in the post-test compared to the pre-test as demonstrated by the Dualer IQ Inclinometer and Modified Ashworth Scale. (p<0.05).