Background: Recent evidence indicates that diabetic women are at higher risk for developing sexual dysfunction compared to those without diabetes. Sexual dysfunction is a problem which affects overall quality of diabetic women lives. Aim of the study: to evaluate the effect of sexual counseling model on sexual dysfunction of women with diabetes & their sexual quality of life. Research design quasi experimental research design was used .Setting: the study was conducted at outpatient clinic & internal medicine department at Minia university hospital. Subjects a purposive sample of one hundred diabetic women who suffered from sexual dysfunctions. Tools of data collection: three tools were used as following: 1-A structured interviewing questionnaire, 2-The Female Sexual Function Index scale to measures sexual function, 3-The Female Sexual Quality of Life scale to measure the quality of sexual life of diabetic women. Results: the frequency of sexual dysfunction was more prevalent in diabetic women in which the mean age of studied women was (39.68 ± 6.2) years. There were statistically significant differences regarding to the Female Sexual Function Index total mean scores & regarding to Female Sexual Quality of Life total scores between pre and post six months of education. Conclusion & Recommendations: implementation of counseling sessions based on Permission, Limited information, Specific suggestions & Intensive therapy model had a significant effect in improving the sexual function and sexual quality of life among diabetic women in pre and after six months of sexual counseling so applying ongoing educational programs based on the previous model for diabetic women in all available diabetic clinics with preparation of secure environment to discuss sexual problems with women freely was recommended.

Background: Female infertility and its related problems negatively affect the quality of life. Self-care is very important action in managing infertility and improving patient's quality of life. Aim of this study: To evaluate the effect of using self-care guidelines on the quality of life among infertile women. Subjects and Methods: Quasiexperimental design was conducted at Obstetrics Minia University Hospital (out patient's infertility clinic). A convenient sample of one hundred infertile women was included in this study. Data were collected through two types of tools (a structured interviewing questionnaire sheet and Fertility Quality of Life scale Questionnaire (FertiQoL). In addition to, supportive materials (self-care guidelines) were distributed to the studied group. Results: This study revealed that women had lower total mean score of quality of life 103.2±20.7 in pre-intervention which increased to 121.7 ± 15.5 after the intervention with highly statistically significance in all subscales except relation domain (p<0.000). Conclusion: Female infertility has a varied impact on multiple dimensions of health and QoL as evidenced by this study. Recommendations: Utilization of the developed self-care guidelines for infertile women at out and in patient infertility department. Educational programs should be carried out for nurses to provide them with essential information regarding coping strategies to the infertile women. Further researches needed to be carried out to investigate different factors and their association with prevalence of infertility.

Background: Diabetes mellitus (DM) is an important cause of sexual dysfunction both in men and women. In Egypt, Ibrahim et al. reported that the prevalence of FSD in 2013 was 52.8%. Aim of the study:To evaluate the effect of sexual counseling model on sexual dysfunction among women with diabetes. Research design: Quasi experimental research design was used. Setting: The study was conducted at outpatient clinic & internal medicine department at Minia university hospital. Subjects a purposive sample of one hundred diabetic women who suffered from sexual dysfunctions. Tools of data collection: Two tools were used as following: 1-A structured interviewing questionnaire, 2-The Female Sexual Function Index scale to measures sexual function of diabetic women. Results:The frequency of sexual dysfunction was more prevalent in diabetic women in which the mean age of studied women was (39.68 ± 6.2) years. There were statistically significant differences regarding to the Female Sexual Function Index total mean scores between pre and post six months of counseling sessions. Conclusion: Implementation of counseling sessions based on PLISSIT model had a significant effect in improving the sexual function among diabetic women in pre and after six months of sexual counseling. Recommendations: Applying ongoing educational programs based on PLISSIT model for diabetic women in all available diabetic clinics with preparation of secure environment to discuss sexual problems with women freely. In service educational programs for care givers on how to deal and manage various sexual dysfunctions for diabetic women by using PLISSIT counseling model.

Background Childbirth is one of the most important events in the life of a woman however, the care provided and practices for childbirth are not standardized. The aim of this study was to evaluate the Effect of applying standards for labor and delivery nursing care on performance of nurses. A quasi-experimental design was adopted. The study was carried out at labor and delivery units in Minia hospitals (Obstetric University Hospital, General hospital and Health Insurance at Labor unit) .Convenience sample for all (50 nurses) who were working in different labor and delivery units during the study in the previous settings. Tools, An interviewing questionnaire for nurses was developed by the researcher and the second was performance standards for maternal and neonatal health Normal Labor and Delivery (NLD) .Results The significant difference were found concerning, immediately and after 3 months and total scores of nurses' performance were highly statistical significant difference was illustrated (p <0.001) , while the mean scores of nurses' performance (163.5±8.2) immediate post test was the higher than 3 months later after application of standards (138.9±11.5), and pretest (107.1±3.1), Conclusion: there was improvement in achievements of performance standards for maternal and neonatal health: Normal Labor and Delivery (NLD) after application of this study immediately better than three months later follow up . Recommendation: Develop evidence-based maternity & neonatal care manual in all hospital based on established evidence-based practice with national standards. Nursing performance appraisal to ensure that nursing care level in maternal &neonatal units follow standardized care manuals.

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