Background: Insufficient pain treatment in the early stages after laparoscopic cholecystectomy may cause patients to breathe shallowly and quickly because they are afraid of experiencing pain. Pharmacologic and nonpharmacologic complementary therapies such as foot massage can be used to manage pain and anxiety after laparoscopic cholecystectomy. Aim: To determine effect of foot massage on pain and anxiety levels among patients who underwent laparoscopic cholecystectomy.

Background:The main cause of mortality in the developed world is coronary artery disease. Low self-efficacy and self-esteem are associated with it. Self-efficacy is a critical, adjustable personal resource that influences rehabilitation adherence and disease outcomes including health-related quality of life in persons with cardiovascular disease. Aim: This study was aimed to determine the effect of social-platform educational instructions on self-efficacy and self-esteem of patients with coronary artery diseases. Subjects and method: Design: A quasi-experimental research design was utilized. Setting: The study was applied in the cardiology unit and outpatients' clinics at Port-Said University Hospital. Subjects: A Purposive sample of (80) adult patients diagnosed with coronary artery disease. Participants were equally and randomly allocated to an intervention and a control group, (40) patients for each one. Tools for data collection: Tool (1) a structured interviewing questionnaire, Tool (2) cardiac self-efficacy scale, Tool (3) cardiac exercise self-efficacy scale, Tool (4) Coopersmith Self-Esteem Inventory, and Tool (5) adult patients' satisfaction with socialplatform educational instructions. Results: The study result portrays that (82.5%) of the study group and (72.5%) of the control group were of the same age from 30-≤ 60 groups with a mean age (45.21 ± 7.02) (46.61 ± 10.43) respectively. The majority of the patients in the study group had satisfactory knowledge levels, and had high cardiac self-efficacy, self-esteem, and practice exercise self-efficacy post-social-platform educational instructions implementation. The mean score of selfefficacy in the intervention group significantly increased across the two measurement time points as well as self-esteem, while it remained significantly unchanged in the control group. Conclusion: Regarding knowledge, cardiac self-efficacy, cardiac exercise self-efficacy post, and after two months of social-platform educational instructions, there was a statistically significant difference between the study and control groups. Social-platform educational instructions were effective and significantly improved adult patients' knowledge, self-efficacy, and self-esteem. Recommendations: We recommend interventions to improve patient's compliance with treatment should be encouraged. Therefore, nurses can use this strategy to improve these patients' selfefficacy and self-esteem.