Coronary heart diseases are leading causes of death worldwide. Improvements in physical activity behavior and cardiac self-efficacy are useful to adopt a healthy lifestyle and to promote person-centered care in practice. Purpose: to examine the effect of motivation based nursing intervention on physical activity and cardiac self-efficacy among patients with coronary heart diseases. Design: A quasi-experimental design (study-control group) was used. Setting: The study conducted at the cardiology outpatient clinics in Abo Bakr Elsedik clinics for health insurance at Shebin El-Kom, Menoufia governorate, Egypt. Sampling: A purposive sample of 370 (75.1% adults and 24.9% elderly) patients were chosen and equally divided to study-control groups. Instruments: Structured interviewing questionnaire included sociodemographic characteristics, medical data and anthropometric measurements, International physical activity questionnaire and Cardiac self-efficacy questionnaire. Results: Motivation based nursing intervention assisted in increasing the physical activity levels and cardiac self-efficacy score; the level of high physical activity among study group increased from 13.0% on pre intervention to 38.9% on post intervention. Also, mean score of cardiac self-efficacy on post intervention was 28.86 ± 8.6 of the study group compared to 20.9 ± 6.6 of the control group. Furthermore, a statistically significant difference was present between adults and the elderly study patients regarding the overall mean score of physical activity post intervention. Conclusion: Motivation based nursing intervention had a considerable significant positive effect on the levels of physical activity and cardiac self-efficacy score among adults and elderly patients. Recommendation: Motivation based nursing intervention should be incorporated into routine care that is designed for both adults and elderly patients with coronary heart diseases.

Background: Osteoarthritis is one of the most frequent chronic diseases that can lead to loss of quality of life. Tai chi is a popular form of exercise among older adults, it encompasses balance, aerobics, flexibility, and weight-bearing exercise with meditation and deep breathing. This study aimed to evaluate the effect of Tai Chi exercises program on the quality of life for osteoarthritis patients. Design: A quasi-experimental research design with one group pre-post was used to conduct the study.

Background: The population aged 60 years and older is growing both in number and proportion. One treatment option for elderly patients with sleep issues and poor communication skills is logotherapy. this training assesses the effects of altering the meaning of life and attitudes of older persons through training in areas like self-esteem, communication skills, and the elements of mental helplessness when facing specific events. The study aimed to evaluate the effectiveness of logotherapy training in self-esteem, communication skills, and the impact of events among older adults. The setting of the study: The study was conducted in El-Sadat nursing home, Berket El-Saba nursing home, and Elderly Club, Shebeen El-Kom, Menoufia, Governate, Egypt. Subjects: A Convenience sample of 50 senior males and females. Research Design: A quasi-experimental design was used to achieve the aim of the study. Data collection: Four tools were used; Tool (1): Socio-demographic and clinical characteristics structured interview questionnaire. Tool (2): The Cooper smith Self-Esteem Inventory Tool (3) Human communication skills scale Tool (4) Weiss and Marmar's Impact of Event Scale-Revised. Results: The findings of the study revealedthat the mean age of the studied older adults was 67.98±6.02 and, more than half of them (52%) were females.There was a decrease in the mean score of the total impact of the event scale in the posttest (41.92) than the pretest (62.74). There was an increase in the mean score of self-esteem in the post-test (22.24) than pre-test (16.48). In addition, the mean score of the total communication scale was increased in the post-test (195. 6) than in the pretest (160.98) with a statistically significant difference. Conclusion: Applying logotherapy training among older adults proved to be effective in improving self-esteem, and communication skills, and decreasing the impact of events among older adults.

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