Attention deficit hyperactivity disorder defined as a condition in which a child has troubles in paying attention and difficult focusing on tasks; act without thinking and trouble in sitting still. ADHD begins in early childhood; without treatment. It can cause problems at home with relationships and at school. Aim of the study was to evaluate nursing intervention of parents' adjustment for caring of their ADH children. Research design was quasi experimental for this study. Sitting: The study was conducted at psychiatric outpatient clinic of Shebin Elkom, Menoufia University Hospital. Sample: The sample was convenience, consisted of 60 mothers providing care for their children suffering from ADHD. Tools of data collection were an interviewing questionnaire that includes four parts. Part 1: A Structured interviewing questionnaire; Socio demographic characteristics of studied parents and their children. Part 11: Family impact of childhood disability (FICD) scale. Part 111: This part was concerned with assessment of child completion and efficacy in the activity of daily life (ADL). Part IV: Care giver assessment about the health care needs of the child with ADHD. Results: The study revealed that about two thirds of the sample was boys and one third was girls. Also, most of the care givers live in rural areas, representing two thirds of the sample size. Concerning parent adjustment with children having ADHD; there was statistically significant disruption of normal family routines with p value equal 0.000. Also regarding needs of child with ADHD, there was statistically significant improvement in most of children's' behaviors after implementation of the program. Conclusion: This study concluded that there were improvements after program implementation and follow up in modifying the children behaviors and their needs. Recommendation: Continuous education programs are important to improve parents' adjustment toward care of their ADHD children. Focusing on improving executive functioning as an important aim of improving ADHD behaviors.
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