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.

Background: Despite the growing demand for blood and its products, some people, particularly the youth, are reluctant to donate blood. Aim: To evaluate the effect of the orientation program on undergraduate nursing students' performance regarding blood donation. Subjects and method: Design: A quasi-experimental research design was used to achieve the aim of this study. Setting:The study was conducted at the Faculty of Nursing, Minia University, Egypt on the undergraduate nursing students. Subjects: The sample consisted of convenient 900 undergraduate nursing students selected from the previous setting. Tool: A self-administered related questionnaire was designed using an electronic survey (Google form) which included four parts: Part I: undergraduate nursing students' demographic characteristics, Part 2: undergraduate nursing students' knowledge regarding blood donation, Part 3: undergraduate nursing students' attitudes regarding blood donation, Part 4: undergraduate nursing students' practices regarding blood donation. The link to the survey was sent to the respondents via WhatsApp groups. Results: The study result revealed that more than onethird of studied undergraduate nursing students had a poor level of knowledge, and more than half of them had an inadequate level of practice about blood donation before the implementation of the program. The majority of students had a good level of knowledge and most of them had a satisfactory level of practice after implementing the program. There was a highly statistically significant difference and improvement in undergraduate nursing students' knowledge, attitude, and practice after program implementation than pre-implementation. Conclusion: The findings of the study concluded that orientation program had positive effects on improving undergraduate nursing students' performance regarding blood donation. Recommendations: The study recommended organized blood donation orientation program are required to increase undergraduate nursing students' knowledge, attitudes, and practices toward blood donations.

Background: Foot-drop in stroke patients usually occurs because the muscles that lift the foot are weakened by the neural system impairment. Foot drop splints and physical exercise are important to manage foot drop patients after stroke for safe and efficient walking. Aim: This study was aimed to evaluate the effect of foot splint and exercises session on foot drop and muscle strengthening among patients with stroke. Design: Quasi-experimental research design was used in this study. Setting: The current study was conducted in the neurological department at Port said University Hospital. Subjects: A purposive sample of 100 ischemic stroke patients was recruited for the study, and was assigned into two groups, with 50 ischemic stroke patients in each group (the study and control groups). Tools for data collection; Tool (1): Patient's interview questionnaire; Tool (2): Foot and ankle disability index (FADI) (pre/post), and Tool (3): muscle strength assessment scale (pre/post). Results:The results revealed that (84%) of the study group and (88%) of the control group were of the same age from 40-≤ 60 groups with a mean age (55.23 ± 7.02) (56.61 ± 4.45) respectively, (68%) were males. There was a statistically significant difference in the FADI scale total score among ischemic stroke patients within the study and control group post one month and three months post-implementation. There was a statistically significant difference in muscle strength scores among the study and control groups post one month and three months of implementation with an improvement in the level of muscle strength among the study group and then control group after implementation of foot splint and exercises. Conclusion: The application of a foot splint and exercises session has a positive effect on decreasing foot drop disability and improving muscle strengthening among patients with stroke. Recommendation: We recommend foot splints and exercises should be engaged in a rehabilitation program for patients with stroke to decrease disability associated with foot drop and improve muscle strengthening.

Hemodialysis patients are prone to high stress and anxiety levels related to the acute coronavirus epidemic. Aim: To evaluate the effect of web-based education on quality of life and anxiety level among patients undergoing hemodialysis during Covid-19 lockdown. Methods: Subjects and method: Design: Quasi-experimental research design pre-post-test was utilized to achieve the aim of this study. Settings: The study was conducted at Port Said City in Egypt. Sample: Purposive samples of 300 patients undergoing hemodialysis were enrolled in this study during the period of the beginning of june 2020 to end of October 2020. Four tools were used in data collection: (I): A self-administered questionnaire (pre and post-test format) was used to assess the patient's demographic characteristics, medical history, and patient's knowledge about hemodialysis (pre and post-test format); (II): Corona Disease Anxiety Scale (CDAS); (III): Quality of Life (QoL) scale, and (IV) Patient's satisfaction regarding web-based education. Results: The present study revealed that there were highly statistically significant differences between patients' knowledge and their anxiety during COVID-19 pandemic outbreaks pre and post-implementation of the web-based education. Also, Significant improvements in the QoL (p<0.001) were revealed after the implementation of web-based education. Conclusion: the study concluded that web-based education achieved significant improvements in the patient's knowledge and has a positive effect on improving their quality of life and minimizing anxiety levels during the covid-19 lockdown. Recommendations: The Web Based education could be applied and carefully planned for all patients undergoing hemodialysis as a new teaching method for proving health issues. Provision of continuing follow-up education programs are recommended for patients undergoing hemodialysis