Back ground and purpose: Hemodialysis patient are susceptible to muscle cramps, both during dialysis sessions as well as in the interdialytic interval, these cramps are often very painful disruptive to dialysis management & adversely affect quality of life there no well defined mean of preventing or treating these cramps. Exercises have been used with apparent success in some patient. Exercises is very important element in the overall health of people at any age stretching exercises may be the best measure to reduce or prevent cramps from occurring. So the present study was designed to determine the effect of stretching exercises protocols on reduction of leg cramp during hemodialysis among patient with renal failure. Quasi- experiment ( research design was applied. This study was conducted in kidney dialysis department of Assiut university hospitals. The subjects of this study consists of 60 patient with muscle cramps during hemodialysis. three tools included in the study, tools of soci - demographic data ,tools of patient information about muscle cramps & management & tool of evaluated patient knowledge & skills after performance exercises. Results: there was lack of knowledge & skills related to muscle cramps before nursing instruction protocol but there was statistical significant difference after performance of exercises. It was found also that high significance difference between before & after performance of exercises. Conclusions: the importance of performance exercises for patient undergoing dialysis to prevent cramps. there is clearly a need for effective education regarding recognition ,individual patient need & appropriate intervention strategies in muscle cramps in dialysis patient & nurses, in partnership with patient, relatives & careers & other health professional can help to empower the individual to mange their cramps.

Urinary diversion operations (urostomy) patients require 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 life style. They need to adapt to the external appliance, stoma alteration in toileting habits, skin irritation problems, infection and odor problems. Self care of these patients 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 out patient 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. 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 self care training regarding urostomy during hospitalization. Follow up at out patient clinic is highly recommended as well.

Body position is known to influence respiratory function in normal subjects & those with respiratory pathology. Its effect on respiratory function after stroke has received little attention. It's generally thought that stroke morbidity is increased by appropriate decision early recovery phase. So the present study was designed to identify changes in arterial oxygen saturation (Sa02) associated with different four positions of the patient in order to detect proper position which maintain the optimal level of Sa02. Quasiexperiment research design was applied in this study. This study was conducted in stroke intensive care unit of neurological department of Assiut University Hospitals. The subjects of this study consist of 60 patients with acute ischemic stroke within 48 hours following mild to moderate and severe stroke. Three tools were included in the study, tool of sociodemographic data, tool of the positions, & tool of the Scandinavian stroke scale. The result of the present study revealed that there was statistical significant difference between Sa02 & blood pressure of the patient before & after the positions. It was found also that total mean of Sa02 during right side, supine & semi sitting positions was nearly equal and that there was statistical significant difference between left position and 3 other positions. So the study recommended the importance of changing patient's positions which improve ventilation & blood pressure. The importance of the use of positions tested CRt. Side, supine & semi sitting positions) in the clinical practice to maintain Sa02 in patients with ischemic stroke.

Ulcerative colitis (UC) refers to a disease in which the lining of the colon becomes inflamed. In patients with Ulcerative colitis, the immune system inappropriately targets the lining of the colon. Most cases are treated at home, which points to the importance of self care in its management. The study aim was to determine the effect of an educational program on ulcerative patients knowledge and self care practices. To conduct this study a sample of sixty in patients with Ulcerative colitis was selected from the tropical medicine department in Assiut University hospital. They were divided into two equal study and the control groups. The study group received an educational program. Data were collected using a patient assessment interview sheet. Pre- post comparisons of patients' knowledge and practice showed statistically significant improvements in the study group but not in the control group, p

Epilepsy is a manifestation of brain neural hyper excitability. It is a symptom complex eNS disorder of a variety underlying etiologic causes. Seizures occun'ing across the spectrum of age, gender, race, and economic background. The aim of the study was conducted to investigate the impact of counseling program for adolescent and adult epileptic patients and their family also implement and evaluate the out come of a counseling program for the families and epileptic adolescent and adult. The study was carried out in epileptic out patient clinic of Assiut University Hospital. The design is descriptive design (pre, post, and follow up after six months). The total of epileptic adolescent and adult 100 and 50 families of epileptic patients. Two tools were used to collect data 1- Questionnaire sheet to assess family and epileptic adolescent and adult knowledge and care for epileptic. 2- Structured observations check list to assess family performance during se izures. 46% of male and female epileptic adolescent and 43% ranged from 18-40 years of male and female epileptic adult. Overall 20% ranged from 40-50 years. The occupation and education were associated significantly with epileptic adolescent and adult knowledge. This difference was statistical significant. On the other hand, there was significant decrease in the trend of total prevalence of epilepsy due to environmental, hereditary and trauma. The study recommended: Establish a counseling health team to guide the family of the epileptic adolescent and adult health education to effect significant on patients knowledge, performance related to care of epilepsy and recommended to conduct an applied training program on care of epileptic adolescent and adult to the nurses to educate them for every epileptic patients.

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.

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.

Ulcerative colitis (UC) refers to a disease in which the lining of the colon becomes inflamed. In patients . with ulcerative colitis, the immune system inappropriately targets the lining of the colon. Most cases (Ire treated at home, which points to the importance of self-care in its management. This study aim was to determine the effect of an educational program on ulcerative colitis patients' knowledge and self-care practices. To conduct tit is study a sample of sixty in patients with ulcerative colitis was selected from the tropical medicine department in Assiut university hospital. They were divided into two equal study and the control groups. The study group received an educational program. Data were collected using a patient assessment interview sheet. Pre-post comparisons of patients' knowledge and practice showed statistically significant improvements in the study group but not in the control groups, p

The homeless are socially isolated, cut off from the connections with family, friends and community. They frequently report involvement in antisocial and criminal activities such as street prostitution, drug- dealing, theft and assault in order to survive. The aim of this study was to determine the effect of social skills training program on the communication and social skills of homeless children. The subjects included all homeless children at the homeless shelter for children and men at Assiut City. The subjects included 41 children, 17 of them boys and 24 girls. The age of them was ranged from 9-16 years old. Tools of study: Socio-demographic data questionnaire, communication skills assessment scale and social skills assessment scale. Results of the study revealed that communication and social skills improved immediately post program and at follow up. Conclusion: Social training program has positive effect on communication & social skills of homeless children. Recommendations: Special program regarding social skills training could be established for health care providers who provide care for homeless children especially for nurses.

The experience of being homeless affects a person physically, psychologically, socially and economically. Homeless children & teenagers have significant psychological disturbances and drug abuse. The aim of this study was to determine the psychological profile of homeless children. A descriptive design was utilized in this study. The subjects included all homeless children at the homeless shelter for children and men at Assiut City. The subjects included 41 children, 17 of them boys and 24 girls. The age of them was ranged from 9-16 years old. Tools of study: Sociodemographic and clinical data questionnaire, child abuse scale, measurement of aggressive behavior for children and the multidimensional child and adolescent depression scale. Results of the study revealed that more than half of homeless children were exposed to average degree of verbal and physical punishment, parental abusive behavior, claimed having average degree of "firm aggressive rules within their families, and having average possibility to be abusers in the future. Verbal aggression was higher than physical aggression among them and more than half of them were have moderate degree of depression. Conclusion, homeless children exposed to verbal and physical punishment, parental abusive behavior, claimed having firm aggressive rules within their families, having average possibility to be abusers in the future and moderate degree of depression. Recommendations: There is a need for broad- based psychosocial intervention programs in dealing with runaway children and adolescents, and active treatment programs along with long- term support and rehabilitation programs.