Strategies of Daily Living Rehabilitative Activities for Post Stroke Patients at Minia University Hospital

Back ground: Stroke is a leading cause of disability. Rehabilitation aims to hasten and maximize recovery from stroke by treating the disabilities caused by the stroke. Therefore, the aim of this study determine the post stroke patients' knowledge and practices in relation to disease and activities of daily living before the implementation of stroke rehabilitation and examine the effect of stroke rehabilitation on stroke patients' knowledge and practices in relation to disease and activities of daily living strategies. To fulfill the aim of these study three research hypotheses were formulated; Quasi-experimental research design was utilized to fulfill the aim of this study. The study sample included 60 male and female adult patients with stroke they were allocated randomly into two groups, study and control (30 patients each) the sitting Rheumatology and Rehabilitation Department at Minia University Hospital. Four tools were utilized for data collection; socio-demographic and medical data sheet, pre/post knowledge questionnaire interview schedule, Barthel index scale, Ashworth scale and Construction patient teaching booklet about stroke and activities of daily living performance. Before, immediate post test, after two month. Results of the study documented a significant improvement in knowledge and practices post strategies in study group in addition to reaching of an optimum level of independence for daily activities living and improvement degree of spasticity in study group more than control group, . In conclusion, education of stroke patient is necessary to achieve an optimum level of functioning. Replication of this study on larger probability sample is highly recommended. Key words: Activities of Daily Living Strategies - Stroke- Patient's out come

Effect of Comprehensive Nursing Interventions on Quality of life among Women with Stress Urinary Incontinence

Stress Urinary Incontinence (SUI) is called a silent epidemic which is not a life threatening condition, but a worldwide problem at the same time which contributes to poor quality of life. Aim: Design, implement comprehensive nursing interventions for adult women with stress urinary incontinence and evaluate the effect of these interventions on improving their quality of life. Quazi experimental research design was utilized to conduct this study. This study was carried out in the Urology and Nephrology Assuit University Hospital and its affiliate Clinic. A sample of 50 adult women, the mean age of studied patients was (42.22±11.84). Two tools were used by the researcher namely: Tool I: A structured interview questionnaire sheet it included two parts, part i: demographic data of patient and part ii: medical& urological data assessment. Tool II: Kings Health Questionnaire (KHQ), it is a standardized questionnaire used to assess the impact of stress urinary incontinence on quality of life. The results showed that the quality of life among adult women with stress urinary incontinence were improved after the implementation of comprehensive nursing interventions with a statistically significance difference (p>0.05) in all quality of life domains. . We conclude that provided comprehensive nursing interventions are effective in improving QOL in adult women with SUI. Given the study results, it is recommended that expand of public education efforts through various methods about importance of health educational interventions for appropriate management of stress urinary incontinence among women