Background: Coronary artery disease is the umbrella term for a spectrum of diseases caused by myocardial ischemia decreasing blood supply to the heart muscle. Self-efficacy is a vital modifiable personal resource affecting rehabilitation adherence, and disease outcomes such as health-related quality of life among people with cardiovascular disease. Aim: To evaluate the effect of digital cardiac rehabilitation program on self efficacy of patients with coronary artery diseases. Subjects and method: Design: A quasi-experimental research design was used. Setting: The study was conducted at the cardiology unit and outpatients' clinics at El Nasr Insurance Hospital in Hehwan city. Subjects: A Purposive sample of (100) adult patients diagnosed with coronary artery disease, was selected and equally divided into study & control groups, (50) patients for each one. Tools for data collection: It included 1) a structured interviewing questionnaire, 2) cardiac self-efficacy scale, and 3) cardiac exercise self-efficacy scale. Results: Majority of the patients in the study group had satisfactory knowledge level , had high cardiac self efficacy, and practice exercise self efficacy post rehabilitation program implementation. Conclusion: There was a statistically significant difference between the study and control groups concerning knowledge, cardiac selfefficacy, and cardiac exercise self-efficacy post, and follow-up rehabilitation program implementation. The results of the current study supported the hypothesis that digital cardiac rehabilitation programs affect positively patients' knowledge and cardiac self-efficacy. Recommendations: Future researches are required to develop and refine interventions to improve patient's compliance to treatment and prevent further deterioration of cardiac self-efficacy.

Early detection of high-risk factors for diabetes can be prevented by informative programs designed and implemented to decrease the high prevalence and prevent complications. Aim: To determine the effect of educational intervention based on PRECEDE model on preventive behaviors among high-risk individuals for diabetes type 2. Design: Quasi-experimental research design pre-post-test was utilized. Settings: The study was applied in the medical outpatient clinics at El-Fayoum Medical University Hospital. Sample: A purposive sample of 160 individuals diagnosed as highrisk for diabetes type 2. Tools: Four tools were used: (1) Structured interviewing questionnaire, (2) Predisposing, Enabling, and Reinforcing Questionnaire (PRECEDE model questionnaire), (3) Highrisk individual's reported practices questionnaire of diabetes preventive behavior, and (4) High-risk individual attitude questionnaire regarding diabetes prevention. Results: Mean score of knowledge, enabling factors and reinforcing factors have been increased with statistical significance immediately and after intervention. High-risk individuals had good practices toward diabetes type 2 preventive measures after three months post-intervention in comparison to the pre-intervention. High-risk individuals had a positive attitude toward diabetes type 2 preventive measures after three months post-intervention in comparison to the pre-intervention implementation. There was a statistically significant relationship between knowledge, enabling, reinforcing factors score and practices scores of diabetes type 2 preventive measures throughout the intervention phases. Conclusion:It was concluded that the PRECEDE model was effective in promoting preventive behaviors among high-risk individuals for diabetes type 2. Recommendation: The educational intervention based on PRECEDE model about preventive behaviors should be integrated into care among high-risk individuals for diabetes type 2.

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Background: Academic nursing students considered from the most groups who are at risk for COVID-19 infection. To protect them should keep them away from infection and improve their knowledge and practice about preventive measures towards COVID-19 by healthcare authorities. The study aimed to compare the preventive measures among academic nursing students' awareness regarding COVID-19. Subjects and Methods: Design: A comparative research design was used for the study. Setting: The study was conducted at the Faculty of Nursing, Beni-Suef and El-Fayoum Universities. Sample: A convenient sample of 660 including all the third academic nursing students' year in the previous setting. Tools: A self-administered questionnaire which consisted of three parts; (1) demographic characteristics of academic nursing students, (2) knowledge and (3) preventive measures regarding the COVID-19. Results: The major source of information among academic nursing students for COVID-19 was social media (70%) in Fayoum group and (74 %) in Beni-Suef group. Most of academic nursing students (95%, 93%) in Beni-Suef group and Fayoum group had satisfactory level of knowledge about COVID-19. A statistical significant differences were observed in academic nursing students about the preventive measures regarding COVID -19 in almost tested areas (P<0.001). Conclusion: It was found that academic nursing students in both groups had satisfactory knowledge level and good practice of preventive measures regarding COVID-19. Recommendations: Establishing educational program through various media and faculties to help academic nursing students become more knowledgeable during the COVID-19 epidemic and its preventive measures.

Understand the women with cancer about knowledge and practices regarding their nutrition are very important to maintain healthy body weight and eat nutritious foods. Hence, the study was aimed to evaluate the effect of instructional guidelines on women's awareness regarding nutrition after breast cancer surgery. Subjects and method: Design: A quasi-experimental research design was used with a pre-and post-test. Setting: the research was conducted at the inpatient and outpatient clinic of Fayoum Oncology Center. Subjects: A purposive sample of 130 women was included. Three tools were used: Tool (I) women' structured interviewing questionnaire, it included two parts: (a) demographic characteristics; (b) women' medical data, Tool (II) women' knowledge regarding nutrition sheet, and Tool (III) women' practice regarding nutrition sheet (pre/post). Results: More than half of women were having a family history of cancer. The majority of women reported that the main source of information regarding nutritional knowledge after breast cancer surgery was doctors. There was a positive correlation (P=0.005) between women's knowledge scores and their practice post-one-month nutritional instructional guidelines implementation. There were marked improvements in women's knowledge and practices regarding nutrition after breast cancer surgery post instructional guidelines implementation (P=0.005). Conclusion: The instructional guidelines implementation regarding nutrition had a positive effect on improving women's knowledge and practices after breast cancer surgery. Recommendations: The instructional guidelines should be conducted regularly for women after breast cancer surgery to discuss and teach them different aspects about nutrition and replication of the current study with a larger sample.