Context: Discharge planning for patients undergoing lumbar disc herniation surgery is considered a strategy for promoting their home and community outcomes. Aim: This study aimed to evaluate the discharge plan's effect on patients' outcomes with lumbar disc herniation surgery. Methods: A quasi-experimental design was utilized to conduct this study. The study was conducted in the neurosurgical ward at El-Demerdash hospital and outpatient clinic at Ain Shams University Hospital, affiliated to Ain Shams University. A purposive sample of 60 patients with lumbar disc herniation surgery was selected according to specific inclusion criteria. The sample size was determined statistically by power analysis considering the total number of patients with lumbar disc herniation surgery in El Demerdash hospital (2016). Tools of the study included patients’ interviewing questionnaire regarding patients’ demographic characteristics, assessment of patients' knowledge, and patients' outcomes assessment tools that include Oswestry disability index, the lower extremity functional scale, and the social dysfunction scale and SF36 to assess psychological outcome. Results: The present study revealed that the mean age of the patients under study was 39.58±8.69, 60% of them were females, and there was a highly statistically significant difference among patients under study throughout discharge planning phases regarding their knowledge, their level of disability, their lower extremity functional scale, total social dysfunction, and total psychological outcomes pre and at follow-up. There were statistically significant relations between patients' level of knowledge and their outcome pre and three months after implementing the discharge plan. Conclusion: Application of discharge planning regarding lumbar disc herniation surgery improved patients' outcomes. The discharge plan should be available in the neurosurgical department and clinic for all patients who will be undergoing lumbar disc herniation surgery should be updated periodically.

Background: Patients with cerebrovascular stroke experience long-lasting physical and social limitations and can lose their jobs, independence, social status and self respect. There are several factors affecting patient's quality of life Aim: Identify factors affecting quality of life for patients with Cerebrovascular stroke including Physical, Social, and Psychological and Spiritual dimension. Methods: This study was conducted at the Neurology and Physiotherapy Outpatient clinics at Ain Shams University Hospital. Design: A descriptive exploratory design used in carrying out the study. Sample: A purposive sample of 100 adult patients, with old Cerebrovascular stroke, After 3 months post Stroke and further more. As well the patients able to communicate with others. Tools: 1) Patient's interview questionnaire to assess factors affecting quality of life. 2) The quality of life scale (stroke impact scale) to assess patient's quality of life. Results: the present study revealed that more than three fifth of the sample (70%) had poor quality of life in physical domains and (50%) poor quality of life in social domains. Furthermore, there were significant relation between patient's quality of life and age, sex, educational level, residence and income, co-existing disease, type of stroke and duration of disease, patients' level of knowledge, While, there were highly significant relation between patient's quality of life and dependency in activity of daily living. Conclusion The results of this study concluded that the factors that significantly affect quality of life for patients with cerebrovascular stroke were (age, sex, educational level, level of patient's dependency, residence, patient's income) and presence of co-existing diseases, type of stroke, duration of stroke and level of knowledge. As well, there were statistically significant differences between the studied patients sample quality of life and the socio demographic variables especially level of patient's dependency as regard Cerebrovascular stroke. Recommendations: Designing Patient's educational program to improve their knowledge for cerebrovascular stroke.

Background: Discharge planning for patients undergoing lumbar disc herniation surgery is considered as a strategy for promoting their satisfaction at home and in the community. Aim:This study aimed to evaluate the effect of discharge plan on satisfaction of patients with lumbar disc herniation surgery through the following: 1) Assessment of needs of patients with lumbar disc herniation surgery.2) Developing and implementing discharge plan for patients with lumbar disc herniation surgery based on needs assessments 3) Assess the effect of discharge plan on satisfaction of patients with lumbar disc herniation surgery Study design: a quasi-experimental design was utilized to conduct this study. Setting: The study was conducted in neurosurgical ward at El-Demerdash hospital and outpatient clinic at