Background: Substance misuse disorder is a chronic relapsing disorder that affects the patients and their family caregivers and management. It is associated with severe burdens in caring that decrease quality of life. Aim: This study aimed to minimize burdens and enhance the quality of life among family caregivers of patients with substance misuse disorders. Design: A quasi-experimental (single group pre/posttest) design included 128 caregivers who attend with their patients with substance misuse disorders during follow-up visits to the addiction outpatient clinic, Psychiatry center. It is affiliated to Ain Shams University Hospitals. Tools for data collection: 1) Caregiver's Interviewing Questionnaire, 2) Family Burden Interview Schedule (FBIS), 3) World Health Organization Quality of Life Questionnaire. Results: There was a highly statistically significant relation regarding minimizing burdens among family caregivers of patients with substance misuse disorder, in post phase p<0.001 as compared to the pre-program implementation phase including financial burden, disruption of routine family activities, disruption of family leisure, disruption of family interactions, effect on the physical and mental health of caregivers. Moreover, there were statistically significant positive correlations between types of burdens and quality of life domains mean score pre-and post-program implementation among family caregivers of patients with substance misuse disorder under study. Conclusions: burdens among family caregivers of patients with substance misuse disorder have been minimized post-program implementation as compared to the pre-program. Furthermore, minimizing burdens improved the quality-of-life domains postprogram implementation among family caregivers of patients with substance misuse disorder under study. Recommendations: Designing and Implementing psychiatric nursing intervention programs for family caregivers of patients with substance misuse disorder in private and other governmental hospitals, in rural as well as urban communities to improve their quality of life.

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Background Women with breast cancer are commonly suffers from anxiety and depression due to disturbed body image and low self-esteem that negatively impairs their coping strategies and recovery process. So, implementation of psycho-educational program to improve the patient's coping skills was highly needed. Aim: This study aimed to examine the effect of the psychoeducational program on depressive symptoms, anxiety, generalized anxiety disorder and stress coping strategies among women with breast cancer. Research design: A quasi-experimental research (one group pre/posttest) design was used in this study. Subjects. The study subjects consisted of (113) women with breast cancer. Setting: This study was conducted in the breast clinics, oncology center at Ain shams University Hospital. Sample: A purposive sample was obtained from all available patients with breast cancer during the study period, and approved to participate in the program for six successive months. Tools for data collection; the data was collected using; 1) Women's Interview Questionnaire; to assess what the socio-demographic characteristics and medical history of women understudy. 2) Mini-Mental Adjustment Scale for Cancer Patients (Mini-MAC), and 3) Hospital Anxiety and Depression Scale (HADS). Results: This study showed a highly statistically significant difference regarding minimizing the total anxiety & depression, generalized anxiety disorder in the post program phase (p<0.01) as compared to the pre-program phase. This study also revealed that there was a highly statistically significant improvement in positive stress coping strategies in the post-program implementation phase (p<0.01) compared to the pre-program phase, includes; fighting spirit, self-control & emotional control, and seeking social support representing 88%, 86%, 77% respectively. Moreover, the current study showed that negative coping strategies have been minimized in the post program implementation phase compared to the preprogram phase includes anxiety & anxious preoccupation, in-active stotic acceptance, distancing & escaping, and denial representing 37%34%, 38%, and 53% respectively. Conclusions: Women with breast cancer reported minimized symptoms of depression, anxiety, and generalized anxiety disorder post program implementation compared to the pre-program level. Also, this study revealed that women understudy reported improvement in utilization of positive stress coping strategies and minimized utilization of negative coping strategies post program implementation compared to the pre-program level. Recommendations: This study recommends establishment of a counseling clinic to provide psycho-educational training about stress coping strategies for women with breast cancer and their partners or family caregivers to enhance their recovery, and well-being.

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