Introduction: Work is a social double edged weapon activity that may have positive and negative effects on individual's quality of life and health.Objectives: To estimate workaholism prevalence and to determine its effects on quality of life, mental health, and burnout among healthcare workers (HCWs).Methods: Using a cross-sectional study, 1,080 Egyptian participants distributed as HCWs and non-HCWs were recruited. The study included 4 questionnaires to assess workaholism, quality of life (QoL), Psychological capital questionnaire (PCQ), and General health questionnaire (GHQ). Maslach Burnout Inventory (MBI) was applied to critical specialty HCWs in addition to pro-inflammatory markers including Il6, TNFα, and CoQ10.Results: This study revealed that 24.4 and 24.8% of HCWs were workaholic and hardworking, respectively, in comparison to 5.9 and 28.1% among non-HCWs (P < 0.001). Somatic symptoms and anxiety/ insomnia domains of GHQ were higher among HCWs than non-HCWs (P < 0.001 and 0.002, respectively). QoL was significantly lower among HCWs than non-HCWs (P < 0.001). Workaholism was reported among 43.2% of HCWs with critical specialty (P < 0.001). Components of PCQ components were significantly higher among HCWs with critical specialty than non-critical HCWs while QoL showed the reverse (P < 0.05). Working excessively was a predictor to burnout [Emotional exhaustion (β = –0.23) and depersonalization (β = −0.25)] and TNFα (β = 0.41). Emotional exhaustion was a predictor to Il6 (β = 0.66), TNFα (β = 0.73), and CoQ10 (β = −0.78).Conclusion: There is a significant association between workaholism and psychologically poor-health and poor quality of life among HCWs. Critical specialty healthcare workers showed association between workaholism, burnout and pro-inflammatory markers. Addressing of personal characteristics, supporting factors in the work environment and periodic examination of the healthcare workers and responding accordingly is required.

Background: Colorectal cancer is common, the presenting symptoms are non-specific, and the stage of disease at diagnosis is closely related to survival. Regular screening reduces morbidity and mortality from this disease. The Health Belief Model posits that individuals are more likely to engage in preventive health behavior. Aim: to evaluate the effectiveness of nurse-led intervention on adults' health beliefs and screening behaviors toward colorectal cancer. Design: A quasi experimental design. Setting: This study was conducted in outpatients' clinics at Menoufia University hospital, Egypt. Sample: A purposive sample of 140 participants who were attended at pre-mentioned settings. Instruments: as following: I. Structured interviewing questionnaire, II: colorectal cancer awareness questionnaire. III: colorectal cancer Self-reported screening behavior questionnaire, IV: colorectal cancer Knowledge questionnaire. V: Health beliefs model questionnaire. Results: the mean age of the studied sample was 54.27± 7.271 and 52.129±6.324 for study and control groups respectively. Regarding to risk factors assessment 55.7% of study group and 65.7% of the control group has Low-fiber, protein-rich, and high fats in their diet. 80.0% of the study group and 84.3% of control group had negative family history for CRC. There was statistical improvement of total awareness score among study group (9.39±4.31) than those in control group (5.02±2.93) at post-intervention. The mean total behavior scores were 7.93±2.11 and 5.28±3.28 for study and control group respectively at post-intervention. There were statistical significance differences in total mean score of health belief model variables among study group at post intervention in which p value = .000. Conclusion: Nurse led intervention had positive impact on adult health beliefs, screening behaviors also improving their knowledge and awareness regarding colorectal cancer. Recommendations: Designing effective nursing strategies to address barriers of CRC screening and improve CRC knowledge and awareness, which is critical to achieving greater screening compliance.

Background: Psycho educational nursing intervention to families of patients with first-episode psychosis is highly recommended to assist families to overcome feelings of stress, guilt, stigma, loss of control and to promote recovery of patients. The aim of the study was to evaluate the effect of psych educational nursing intervention on illness perception, level of knowledge and level of expressed emotion of caregivers of patients with first episode psychosis.Methods: Research design: a quasi-experimental research design (one group pre-posttest) was used to achieve the aim of the study. The study was conducted at three psychiatric and mental health governmental outpatient clinics. A convenience sample of 50 caregivers was used. Data was collected using socio demographic data questionnaire, family questionnaire, knowledge questionnaire, and illness perception questionnaire.Results: There were clinically significant improvement among the caregivers' level of knowledge and illness perception at post test of psycho educational nursing intervention than before intervention, while level of expressed emotion was improved post the psycho educational nursing intervention but without obvious significant difference.Conclusions & Recommendation: Psycho educational nursing intervention was effective in improving caregivers' level of knowledge, illness perception and expressed emotion. The study recommended to urgently utilize psycho educational nursing intervention to all caregivers of patient with first episode psychosis in all psychiatric hospitals.

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.

Epilepsy is one of the most common pediatric neurological disorders, which have negative psychological, emotional, and physical consequences of providing care. Nursing intervention is a key element of managing these patients and their families in order to reduce feelings of burden and enhancing coping among caregivers. Aim: To evaluate the effectiveness of nursing intervention on a feeling of burden and coping among caregivers of children with epilepsy. Design: A quasi-experimental design (one group pretest-posttest design) was used to achieve the aim of the study. Setting: The study was conducted at the outpatient clinic at the health insurance institute in Shebin El-Kom district, Menoufia Governorate. Subject: A convenience sample of 80 caregivers was used. Tool: I-A constructed interviewing questionnaire was developed by researchers to assess socio demographic data, medical history and family caregiver's knowledge, practices and opinions regarding child with epilepsy. II-Modified version of the Zarit burden interviewing questionnaire to assess feeling of burden. III-Coping Health Inventory for Parents to assess coping patterns of care giver's. The Results: the main finding of this study illustrated that, there were statistical significance differences regarding caregivers' knowledge and practices. Reduction of the feeling of burden and improvement of coping patterns after nursing intervention than before. There was a negative correlation between caregiver's knowledge, practice and feeling of burden and there was a positive correlation between (KPO) and coping among caregivers. The majority of the studied caregivers were mothers (76%) with mean age score37.21±5.22, more than half were secondary education, and the majority (75%) was not working. Conclusion: Nursing intervention was effective in improving caregiver's knowledge, practices and opinions, feeling of burden and raising coping abilities for caregivers of children with epilepsy. Recommendation: additional nursing strategies are needed around the time of the diagnosis with longitudinal assessment and follow up for both caregivers and their children.

No abstract

Drug abuse is a worldwide serious health problem. Peer education is an effective method in preventing risky behaviors and educating teens about drug abuse. Aim of the current study was to evaluate the effectiveness of peer education intervention to promote drug abuse prevention among secondary schools students. Methods: a quasi-experimental research design was used. A multi-stage random sample selection of six secondary schools affiliated to the Ministry of Education and Technical Education was utilized. A convenience sample of 1200 students was selected from the 1st, 2nd and 3rd grades of the selected schools at Shebin El kom, Menoufia Governorate, Egypt. Instruments: (1) Sociodemographic data questionnaire; (2) Basic knowledge of students about drug abuse questionnaire; (3) Attitudes of the students toward drug abuse prevention assessment questionnaire and; (4) Self-efficacy of students about drug abuse prevention questionnaire. Results: the mean age of the studied students in both study and control groups were (16.14 ± 1.08 &15.96 ± 1.01) respectively. There were statistically significant differences between study and control group in the total mean score of knowledge about drug abuse post intervention (12.39 ±1.72 & 6.88 ± 1.35; P value .000) compared to pre-intervention (6.95 ± 2.14 & 6.72 ± 2.19; P 0 .535). There was a statistically significant difference between study and control group regarding students' attitudes toward drug abuse post intervention (160.98 ± 11.72 & 75.55 ± 13.35; P 0.000) compared to pre-intervention (77.53 ± 12.14 & 75.89 ± 11.19; P 0.735). Finally, there was a statistically significant difference between study and control group regarding students' self efficacy about drug abuse prevention post intervention (11.84 ± 1.92 & 8.18 ± 1.55; P 0.000) compared to pre-intervention (8.89 ± 3.14 & 7.99 ± 1.92; P 0.598). Conclusions: the findings of the current study suggest that peer education intervention has a positive effect and significantly enhances knowledge, self-efficacy and attitudes of secondary school students toward drug abuse. Recommendation: Peer education intervention as a school-based prevention programs is an appropriate model to be implemented for drug abuse prevention among school students.

Osteoporosis is one of major problems and is a common debilitating metabolic disease among women. Young women need to be aware of the risk factors and the proper preventive behaviors of osteoporosis to prevent its complications and subsequent effects. Purpose: To investigate the effect of an educational intervention based on Pender health promotion model on osteoporosis preventive behaviors among employed women. Design: Quasi-experimental design was used. Setting: five of ten non medical faculties affiliated to Menoufia University were chosen by multistage random selection. Sample: A convenience sample of 100 premenopausal an employed woman was selected from. Instruments: Self-administered questionnaire was utilized which included two main parts: the first part was socio-demographic characteristics; the second part was studied women's knowledge and Pender health promotion model variables regarding osteoporosis prevention. Results: a statistically significant difference between pre-post intervention regarding to the total knowledge score about defining osteoporosis and its related risk factors 17 ± 5.2 in posttest compared to 6± 6.6 in pre-test. A statistical significant improvement showed in the concepts of Pender health promotion in posttest comparable with pretest. Conclusion: educational intervention based on Pender health promotion model had significant effect on premenopausal employed women's knowledge and preventive behaviors of osteoporosis including; perceived benefits, barriers, self-efficacy, activity related-affect, interpersonal and situational influences. Recommendations: Health education based on Pender health promotion model for promoting osteoporosis preventive behaviors should be provided.