Quality of life as an individuals, perception of his/ her position in life in the context of the culture and value systems in which he/she lives and in relations to their goals expectations standards and concerns. This study was the first geographical location which helps such group of patients to describe changes in quality of life of patients with chronic heart failure undergoing permanent artificial pacemaker. Descriptive research design was adapted to conduit the study on 80 patients with pacemaker implantation in coronary catheterization lab., at Assiut University Hospital. A structural interview sheet was developed for data collection to assess the quality of life among patients with permanent pacemaker. The Tool content modified was done and translated into Arabic by researchers. Descriptive statistics calculated were frequency, percentage, chi-square and p-value. In the present study the patients characteristics, regarding age the majority of patients were in the age between 40-65 years although the majority of them were female and unskilled. 93.75% of total study patients were living in the rural areas 53.75% of them reported it as less than 6 months but 46.25% of them as more than 6 months. No significant relation was observed between patients education and self-concepts, although between patients psychological assessment and duration of pacemaker implantation but there was a significant difference between patients occupation and physical activity.

Quality of life as an individuals, perception of his/ her position in life in the context of the culture and value systems in which he/she lives and in relations to their goals expectations standards and concerns. This study was the first geographical location which helps such group of patients to describe changes in quality of life of patients with chronic heart failure undergoing permanent artificial pacemaker. Descriptive research design was adapted to conduit the study on 80 patients with pacemaker implantation in coronary catheterization lab., at Assiut University Hospital. A structural interview sheet was developed for data collection to assess the quality of life among patients with permanent pacemaker. The Tool content modified was done and translated into Arabic by researchers. Descriptive statistics calculated were frequency, percentage, chi-square and p-value. In the present study the patients characteristics, regarding age the majority of patients were in the age between 40-65 years although the majority of them were female and unskilled. 93.75% of total study patients were living in the rural areas 53.75% of them reported it as less than 6 months but 46.25% of them as more than 6 months. No significant relation was observed between patients education and self-concepts, although between patients psychological assessment and duration of pacemaker implantation but there was a significant difference between patients occupation and physical activity.

Several studies have indicated that nurses' knowledge and practices about bed sores prevention and management are inadequate. The present study aimed to provide nurses with a training program that included the needed knowledge and skills about how to identify, prevent and manage bedsores for immobilized patients and to investigate the impact of that training on nurses' knowledge and practices as well as on patients' condition. Quasi-experimental research design was adopted to conduct the study on (31) nurses working in the trawna and Neurology, Intensive Care Units of Assiut University Hospital, in addition to 100 patients admitted to these units. Four tools were used for data collection: pre/post· test questionnaire sheet, observation checklist, Braden scale and patient assessment sheet. A training program was designed to enrich nurses' knowledge and practices about. identification, prevention and management of bed sores. A pretest was carried out for nurses pre program, in addition to post· program testing immediately, one and two months after wards. Moreover, a group of 50 immobilized Patients were assessed for development of bedsores before program implementation and another 50 immobilized patients were assessed after program implementation nurses knowledge and practices mean scores about identification, prevention and management of bedsores were improved singifcationly (P=O.OOI for all items) after Program implementation. The impact of attending the program on Braden scale scores for knowledge and practices was also statistically significant (P=O.OO I' for both). Incidence of bed sores' were' significantly more among immobilized patient's program ; implementation than after ward (P=0.0327) Moreover, the incidence of multiple bed sores were more than before program implementation .(24%)'than after' ward (6%). Continued nursing education for the enrichment of nurses' knowledge and augmenting their practices about identification, prevention and management of bed sores is effective in minimizing bed sores for immobilized patients.

Diabetic foot ulcers are common complications of diabetes mellitus; they are the major cause of morbidity, mortality and disability. The aim of this study is to evaluate the impact of implementing a designed nursing intervention protocol on the prevention of diabetic foot complication. The study was conducted on 60 male and female diabetic patients in diabetic educational center at Assiut university Hospital. The findings of the study revealed changes and improvement in patients knowledge and practice about foot care which were indicated by significant difference (170.05) between before and after implanting of nursing intervention protocol.

Deep vein thrombosis (DVT) the. risk for thromobermolism is particularly great after reconstructive hip surgery. Tbe incidence of deep vein thrombosis is 45% to 70% of those patients had reconstructive hip surgery 20% develop pulmonary emboli with 1 % to 3 % being fatal. Thus the aim of this study was to investigate the effect of implementing a selected nursing interventions as a physical prophylaxis on reducing of thromboembolism. Among patients with hip surgery during hospitalization and one month after discharge. Sixty male and female subjects were selected randomly with the following inclusion criteria, adult with minimum age of 30 years obesity immobility and length surgical procedure (more then 30 minutes) preoperatively, Doppler / Duplex ulterasound were made for each subject to assess lower limb venous condition and exclude presence of DVT. In addition to utilization of Autal D VT. Risk Assessment Scale to distinguish between low medium and high risk patients pre-test questionnair.e sheet observation checklist and the assessment sheet were utilized to assess knowledge and practices as well as the ~ower limb condition. Simple instructions and explanations about DVT in addition to demonstrations and retlilll demonstrations concerning leg exercises, positioning moving in bed steps of early ambulating and deep breathing exercises were made on short sessions of about 20 to 30 minutes. Moreover, illustrated pamphlet and posters were utilized as handouts post-operatively each subject was visited twice daily tell discharge fmdings of the study documented thaI n on of the sixty subject (zero percent) developed DVT as evidenced by DopplerlDuplex Ultrasonography though they Were risk group.

Pain in burn patients has many causes, both functional and organic. Peak pain comes during wound dressing andlor physiotherapy. This is a comparative study of four groups of patients (15 per group). Three groups received a particular modality of pain control, and the results were compared with those of a fourth group, the control group, that did not receive any pain relief. We used the pain-rating scale described by Chambers and Price to assess the patients' physiological and behavioural pain response.

Worldwide breast cancer is a leading cause of mortality among women. It is well documented that early detection of breast cancer is accompanied with a better prognosis as regards treatment and survival time. Unfortunately. the early diagnostic procedures . are limited. in developing countries due to many barriers such as poverty, educational and cultural obstacles. This study was conducted to assess knowledge attitude and practices of 126 young female employees « 45 years) about breast self-examination (BSE) in Assiut. An educational training program concerned with BSE was applied after testing their knowledge about BSE and breast cancel Reevaluation of their knowledge and attitude was done Immediately after the program (posttest I) and for another time after one month (posttest II). The results showed that knowledge, attitude and practice of BSE improved markedly after the program (p 0.00 1). There is a very highly significant marked improvement in BSE knowledge and attitude from pretest to post test 1 and II Forgetting may lower the percentages of the responses in the posttest II but still the differences between pre and posttest II is very highly significant (p 0.00 1). A health BSE education program to increase awareness of women and to increase the nurse competence in BSE will be helpful for early detection of breast cancer

Worldwide breast cancer is a leading cause of mortality among women. It is well documented that early detection of breast cancer is accompanied with a better prognosis as regards treatment and survival time. Unfortunately. the early diagnostic procedures . are limited. in developing countries due to many barriers such as poverty, educational and cultural obstacles. This study was conducted to assess knowledge attitude and practices of 126 young female employees « 45 years) about breast self-examination (BSE) in Assiut. An educational training program concerned with BSE was applied after testing their knowledge about BSE and breast cancel Reevaluation of their knowledge and attitude was done Immediately after the program (posttest I) and for another time after one month (posttest II). The results showed that knowledge, attitude and practice of BSE improved markedly after the program (p 0.00 1). There is a very highly significant marked improvement in BSE knowledge and attitude from pretest to post test 1 and II Forgetting may lower the percentages of the responses in the posttest II but still the differences between pre and posttest II is very highly significant (p 0.00 1). A health BSE education program to increase awareness of women and to increase the nurse competence in BSE will be helpful for early detection of breast cancer

Worldwide breast cancer is a leading cause of mortality among women. It is well documented that early detection of breast cancer is accompanied with a better prognosis as regards treatment and survival time. Unfortunately. the early diagnostic procedures . are limited. in developing countries due to many barriers such as poverty, educational and cultural obstacles. This study was conducted to assess knowledge attitude and practices of 126 young female employees « 45 years) about breast self-examination (BSE) in Assiut. An educational training program concerned with BSE was applied after testing their knowledge about BSE and breast cancel Reevaluation of their knowledge and attitude was done Immediately after the program (posttest I) and for another time after one month (posttest II). The results showed that knowledge, attitude and practice of BSE improved markedly after the program (p 0.00 1). There is a very highly significant marked improvement in BSE knowledge and attitude from pretest to post test 1 and II Forgetting may lower the percentages of the responses in the posttest II but still the differences between pre and posttest II is very highly significant (p 0.00 1). A health BSE education program to increase awareness of women and to increase the nurse competence in BSE will be helpful for early detection of breast cancer

Urinary diversion operations (urostomy) patients reqUlre a great deal of emotional and physical adjustment. They usually face many problems such as loss of body function and relationship with others, and change in lifestyle. They need to adapt to the external appliance, stoma alteration in toileting habits, skin irritation problems, infection, and odor problems. Self-care for these patients is considered the most important factor that can minimize the complaints and complications. The aim of this study was to evaluate the impact of nursing intervention among urostomy patients regarding practicing self-care. The sample comprised 100 urostomy patients, divided into two groups: 50 study, and 50 control. For both groups, patients' knowledge about urostomy and related self-care performance were assessed before intervention, immediately after, and after six-months follow-up at outpatient clinic. Data were analyzed using Epi-info 6.04 computer software package. Findings revealed statistically significant improvements in knowledge and performance among patients in the study group, compared to the control group. The study group became more knowledgeable about the definition, function, anatomy, and physiology of urostomy, and in self-care performance. The rates of complaints and complications were found to be lower in the study group than in the control one. The study suggests that urostomy patients should receive their self-care training regarding urostomy during hospitalization. Follow-up at outpatient clinic is highly recommended as well.