As a result of the growing number of people with obesity, the popularity of bariatric surgery has been systematically increasing. It has not yet been explored whether individual education of the patient can contribute to long-term success in weight reduction after bariatric treatment.

The study aimed to implement and compare the effects of different education methods, versus receiving one-time written information in the form of a guidebook, on patient involvement in abiding by lifestyle recommendations after LSG bariatric treatment.

The study included 160 patients with morbid obesity. The education session study participants were 100 patients after sleeve gastrectomy, with whom three education sessions were planned, and who were enrolled in the study. The control group consisted of 60 patients who underwent sleeve gastrectomy, and before discharge from the department, they received one-time written recommendations in the form of a guidebook.

We confirmed that the three education sessions we conducted with the study group after LSG had a significant impact on weight loss. The control group, which received only written information, achieved weight loss and abided by the written recommendations, however to a lesser extent than the study group. The differences were evident particularly in motivation to adhere to recommendations and check-ups, which was significantly lower (p<0.001) after a year of observation in the control group.

Sleeve gastrectomy is an effective surgical method in morbid obesity treatment, the educational sessions increased patient adherence to lifestyle recommendations. This study results should encourage the establishment of education as a permanent element of the LSG procedure.

Evidence based practice demands practitioners to identify the best evidence on all areas applicable to clinical decision-making. Ministry   of health in several   countries decided that the health care system should be based on evidence based practice. By overcoming the identified barriers evidence based practice can be more successfully implemented and patient’s prognosis rate can be improved. It was cross sectional study design   and data was collected between 20march to 20 April 2019 By using “Developing evidence based practice questionnaire” (DEBP). Data includes in DEBP, source of information which supports evidence based practice (EBP) self-reported skills for managing evidence based practice and   potential barrier which are involved in   EBP   among nursing staff of Pakistan kidney liver institute and research center. Among nurses’ profession, almost 90% of nurses used their experienced-based knowledge   collected from their own observations, and one of the major barriers to EBP was   short of time to practice EBP. However, factors like highest level of education are highly associated with evidence based practice to interpret   research finding for their own practice (p-value<0.001) and understandings of statistics in EBP (p-value<0.001) was also associated with level of education highest level of education is also associated to overcoming of barriers (p-value 0.02). EBP is highly influenced by changing educational strategies with respect to the type of clinical area where worked(p-value<0.001). Age of nurses, level of education, numbers of years of   receiving last health professional degree, are positively associated with the use of resource to implement the EBP on the clinical area and also with self-reporting for associated barriers of EBP. Research skills and finding of different sources for evidence based practice were in positive association with EBP and reciprocally associated with   the barriers associated with evidence based practice.

Nurses had strong belief in evidence based nursing they believed due to EBP   patients prognosis   will improve up to high extent. But unable to keep up to date with the current   literature and   understanding   with the result of statically analysis. more important due to high workload and   short time, unable to focus on EBP.

Objective: To develop and validate the Chinese version of the Joint Protection Self-Efficacy Scale (CJP-SES) in patients with rheumatoid arthritis (RA) in China.

Method:(1) Translation of the original German/English version JP-SES and cultural adaptation into the Chinese language; (2)Validation of the CJP-SES with the Chinese versions of the Arthritis Self-Efficacy Scale-8 (ASES-8), the Laffrey Health Conception Scale (LHCS), 10-item Perceived Efficacy in Patient-Physician Interactions Scale (PEPPI-10), Disease Activity Score-28 (DAS-28) and Health Assessment Questionnaire (HAQ). Instrument measurement included reliability testing, item generation, construct validity, test-retest reliability and correlation with other measurements. Confirmatory factor analysis was applied to determine construct validity and internal consistency. 115 patients with RA were investigated.

Result: Finally 105 RA patients were included in the analysis. Confirmatory factor analysis demonstrated fit for a unidimensional model of the JP-SES. Additionally, the scale showed internal consistency (Cronbach’s α coefficient,0.922), Kappa coefficient (0.653) and test–retest reliability (ICC=0.94). Weak correlations with other scores for the other instruments, such as the Chinese version of ASES-8 (0.263) and PEPPI-10 (0.326).

Correlation with duration (0.274), moderate correlation with BMI (-0.438) and DAS-28 (-0.493), strong correlation with HAQ (-0.644) were found in this research.

Conclusion: This is the first study to adapt and validate the JP-SES into Chinese for use in patients with RA. Our research showing that the CJP-SES has a good construct validity, internal consistency, and test-retest reliability. This scale can help doctors and nurses to assess the self-efficacy of patients with RA.

Every life period brings success, happiness, and enjoyment in life, butunfortunately aging brings failures and distress. The descriptive cross-sectional study was conducted in Pokhara Metropolitan City, which was selected purposively. The overall objective of the study was to asses the life satisfaction among senior citizens.Cluster sampling method was used to obtain the 325 sample size from 17 cluster of Pokhara Metropolitan City. Data collected through life satisfaction index-A (LSITA) from the of period was 25th may to 21th July, 2019.

The findings were analyzed by using descriptive (frequency, percentage, mean standard deviation and inferential (chi-square and logistic regression) in statistical package for social science (SPSS) version 16. Findings revealed that 53.5% respondents were not satisfied with their life. Regarding its subscale majority 61.2% respondents were not satisfied with self concept. Life satisfaction was statistically significant with age, sex, education, present income source, family income (OR=4.391, CI=2.019,9.551), money for expenditure (OR=2.370,CI=1.362,4.123), being married, state of health and role in family decision making(OR=2.001,CI=1.055,3.793).

Based on the study findings, it is concluded that more than half of the respondents were not satisfied with their life. Financial state, state of health and role in family decision making are the main predictor of life satisfaction. Therefore, it is responsibility of the policy maker to develop the policy regarding improving socio-economic status of thesenior citizens to achieve good health, confidence, and increase self-acceptance.