Abstract Background: Ulcerative colitis requires effective self-care to maintain remission and prevent relapse. Teach-back education improve patients’ understanding, confidence, and treatment adherence. Aim: Evaluate effect of self-care teach back nursing education on knowledge, self-efficacy and treatment adherence among ulcerative colitis patients. Research design: Quasi-experimental research design. Sample: Purposive sample of 60 patients with ulcerative colitis assigned to study and control groups (30 each). Setting: Gastroenterology Department and Inflammatory Bowel Disease Outpatient Clinic, Al-Rajhi University Liver Hospital, Assiut University Hospitals. Tools: Structured interview questionnaire, knowledge assessment questionnaire, Inflammatory Bowel Disease Self-Efficacy Scale, and Morisky Medication Adherence Scale. Results: At baseline, unsatisfactory knowledge reported by 96.7% and 83.3% of the study and control groups, respectively (p = 0.085). At one-month, satisfactory knowledge increased to 83.3% versus 40.0% (p = 0.001), remaining higher at three months (80.0% vs. 50.0%, p = 0.015). Self-efficacy: At baseline, 90.0% of both groups were fairly confident (p = 0.100). At one-month, high confidence was reported in 63.3% versus 30.0% (p = 0.05), increasing at three months to 60.0% versus 36.7% (p = 0.04). Medication adherence: At baseline, low adherence was reported in 96.7% of both groups (p = 0.368). High adherence increased to 30.0% versus 13.3% at one month (p = 0.003) and 36.7% versus 16.7% at three months (p = 0.045), respectively. Conclusion: Teach-back self-care nursing education improved knowledge, self-efficacy, and medication adherence among patients with ulcerative colitis. Recommendations: Integrating teach-back self-care education into standard care for patients with ulcerative colitis across inpatient and outpatient settings. 

Background: Meniere's disease is a chronic illness that produces a triad of symptoms; vertigo, hearing loss and tinnitus, each of which is known to have the potential to impact on quality of life and patients' self-care. Aim: Evaluate the effect of life style and dietary intervention on quality of life and self-care among patients with Meniere's disease. Patients and Method: A quasi experimental (pre-posttest nonequivalent control group design) was used for a purposive sample of sixty adult patients, diagnosed with Meniere's disease in the Ear, Nose and Throat (ENT) department and outpatient clinics at Assiut University Hospital. Patients were randomly divided into two equal groups (study and control) 30 patients for each. Tools: Tool (I): Demographic and medical background information form, Tool (II): Dizziness Handicap Inventory and Tool (III): Therapeutic self-care measure. Results: The mean age of the study and control groups was (44±9.8, 42.03±10.3) years respectively. There was a statistically significant difference between study and control groups regarding the total QoL scores (60.13±14.55, 57.33±13.58), (35.33±7.62, 47.87±17.62) respectively, pre and post lifestyle and dietary intervention with p. value <0.001**. Also, there was a significant improvement in total mean scores of self –care measure among study group as it increased from 20.1±5.52 on pre-intervention to 42.13±8.52 post. Conclusion: Life style and dietary intervention had a positive effect on improving quality of life and self-care activities among study group patients at 3- month follow up compared to the control group. Recommendations: Healthy lifestyle and dietary modifications should be considered as an initial step for both the prevention and management of Meniere's disease.

Keywords

• Critically ill Patients
• Patients outcomes
• Urinary catheters and Urine specimen collection