Objective: Burn injuries and their complications are considered the major health problems throughout the world as it has a negative effect on function of the burned part that result in psychological disturbance as depression, anxiety, irritability, body image dissatisfaction and post-traumatic stress disorder are common in burn patients that associated with adverse out comes including poor quality of life (QOL), low self-esteem, stigmatization and increase mortality. This study aimed to investigate the effect of self-care nursing intervention model on self-esteem and quality of life among burn patients. Methods: A quasi-experimental research design was utilized. The study was conducted at burn unit of emergency hospital, Menoufia University at Menoufia governorate, Egypt. A convenience sample of 34 adult patients (one group pre/post test) with 2 nd degree burn and exposed to self care nursing intervention model that include (self-care requisites, stress management techniques and strategies for improving self esteem) in addition to routine hospital care. Three tools were used to fulfill: Tool I: Burn assessment tool, Tool II: Rosenberg Self-Esteem Scale and Tool III: World Health Organization Quality of Life (WHOQOL) scale. Results: The main findings of the study there was statistically significant improvement of self-care knowledge related to burn management after implementing self-care model. There was statistically significant improvement of self-esteem and QOL among burn patients post-intervention than pre-intervention. Conclusions: The overall findings in the present study revealed that implementing self-care nursing intervention model at burn unit was effective when providing care as it encouraged patient to be an active participant in care and had a significant improvement of self-care management, self-esteem and QOL among burn patients. Recommendations: The self-care theory has shown to be the basis when providing nursing care as it helps in promoting therapeutic communication and trust relationship between the patient and the nurse so that encourage nurses to work and providing care with nursing theories.

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Objective: Thyroidectomy is a surgery in which head and neck became extended during operation to facilitate surgical performance. Patients experience neck pain and limitation to the range of motion following surgery. The study’s aim was to assess the effect of neck range of motion exercises on neck disability and pain among patients undergoing thyroidectomy.Methods: A quasi-experimental research design was utilized, the research was carried out at the surgical department in Shebin Emergency Hospital, at Shebin El-Kom District, Menoufia Governorate, Egypt. Sample; 90 adult subjects undergoing thyroidectomy and are welcoming to participate in the current research. Four Instruments for data collection: Instrument (1): Interview questionnaire sheet consists of two parts to assess subjects’ socio-demographic and medical data. Instrument (2): Visual analog pain scale to rate the patients’ level of pain intensity. Instrument (3): Neck disability index to assess neck pain and its effect on patients’ ability to perform daily activities. Instrument (4): Compliance assessment sheet to follow the patient’s adherence with neck range of motion exercise.Results: There was no statistically significant difference found between study and control group socio-demographic characteristics and medical history while there was a statistically significant difference between study and control group concerning neck disability and pain after one week and four weeks post-operative thyroidectomy.Conclusions: Patient compliance with a range of motion exercises significantly improves neck movement in order to be able to carry out daily life activities and reducing pain for the study group in comparison with the control group.Recommendation: Nurses who work in the general surgery department should include a neck range of motion exercises in providing the care and follow up protocol for the patients undergoing thyroidectomy.

The years proximate to menopause are accompanied by an increase in blood pressure and the prevalence of hypertension that may lead to complaints that attributed to menopause. High blood pressure is a potentially life-threatening condition that affects some menopausal women and is linked to heart attacks and strokes.This study aimed to assess the impact of nursing intervention on blood pressure and stress among perimenopausal women. Quasi-experimental research design was conducted to meet the aim of the study. The research was carried out at outpatient clinic of the University Hospital and Shebin El-kom Teaching Hospital in the Shebin El-kom District. Menoufia Governorate, Egypt. A purposive sample for a group of 100 perimenopausal women with stage I hypertension was chosen at random. Study group received a structured instruction and planned clinical supervision about relaxation techniques which include progressive muscle relaxation & guided imagery and walking exercise program as well nursing and medical routine care provided in the outpatient clinic, while the control group follow nursing and medical routine care provided in the outpatient clinic. The data gathering instruments were Instrument I: structured interview questionnaire. Instrument II: physiological measurements. Instrument III: Perceived stress scale. The main findings of the study were there is no statistically significant difference between a study and a control group for systolic and diastolic blood pressure mean at pretest while at posttest there is statistically significant decrease in a mean value of systolic and diastolic blood pressure for a study group than a control group. There is a highly statistically significant reduction for both stress level and the mean value for a study group than a control group at posttest and follow up following the nursing intervention. The study concluded that nursing intervention which includes progressive muscle relaxation & guided imagery and walking exercise program can improve their knowledge, decrease stress and blood pressure among premenopausal women.

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