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Stress and temporomandibular joint (TMJ) are often linked to each other. The symptoms of stress manifest in physical ways, often leading to a TMJ disorders and can cause jaw tension or pain. Physiotherapy treatment is very effective in relieving and managing temporomandibular joint disorders (TMJDs), even when the symptoms are long-standing and severe. Aim: To evaluate the effect of nursing psychological support and teaching physiotherapy guideline on improving pain level for patients with TMJDs. Research design: Pre/post-test research design was utilized on 50 adult patients with TMJDs. Setting: The study was conducted in the maxillofacial surgery outpatient clinic at Assiut University Hospital. Tools: Three tools were used, I) Structured questionnaire, II) psychological state assessment and III) universal pain assessment. Results: About half of the study group their age range between 18-29 years old, with mean of (29.12±9.82) and about three quarter were females. There were statistically significant differences for the study group as regard psychological state and universal pain assessment. Conclusion: It was concluded that nursing psychological support and teaching physiotherapy are an important factors in the treatment of temporomandibular joint disorders. Recommendations: A written teaching guideline should be available for patients in simplified term and containing simple pictures.

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Mandibular fracture is the most common facial fractures and it is an important surgical condition in the world. Aims of the study; assess patients' knowledge about nutrition, oral care and jaw exercises, design, implement and evaluate the effect of suggested nursing teaching protocol on patients' outcomes with mandibular fracture. Research design; A quasiexperimental research design was utilized on a convenient sample of 60 adult patients divided into two equal groups (study and control) 30 patients for each. Tools; I) Patient with mandibular fracture an interview schedule. II) Patient assessment schedule. Results; There was statistically significant difference between study and control groups post implementing nursing teaching protocol as regard knowledge level of patients about nutrition, oral care, and jaw exercises. There was statistically significant difference between study and control group as regards late complications. Conclusion; Patients' knowledge regarding nutrition, oral hygiene and jaw exercises were inadequate. So a specialized nursing teaching protocol was designed, implemented and evaluated. Study group showed improvement in wound healing, maintain normal body weight and decreased incidence of complications while control group showed increase incidence of these complications. Recommendations; Simple illustration booklets should be available for patients to provide them with simple explanation about safely living.

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