Journal of Health, Medicine and Nursing www.iiste.org ISSN 2422-8419 An International Peer-reviewed Journal DOI: 10.7176/JHMN Vol.60, 2019 106 Effect of Life Style Modification's Nursing Program on Post-operative Outcomes of Patients with Selected Benign Perianal Diseases *Hassnaa Eid Shaban Mosa 1 Hanady Shaaban Ibrahim Shehata 2 . 1.Medical Surgical Nursing Department, Faculty of Nursing, Menoufia University, Egypt 2.Family and Community Health Nursing, Faculty of Nursing, Menoufia University, Egypt Abstract Benign perianal diseases are common pathologic lesions affecting millions worldwide which lead to significant morbidity and representing major medical and socioeconomic problems . This study aiming to evaluate the effect of life style modification's nursing program on post-operative outcomes of patients with selected benign perianal diseases. Subjects: A purposive sample of 100 adult patients undergoing a surgical procedure for hemorrhoid or/and anal fissure. Setting: The study was conducted at the general surgery department and general surgery out patient's clinics of Menoufia University hospital and Shebien El- kom Teaching hospital. Tools of the study: Four tools were utilized. Tool I: An interviewing questionnaire includes three parts: Personal data, medical data and patient's knowledge about diet and behavioral modification. Tool II: Post-operative complications assessment sheet. Tool III: Kegel exercise's performance checklist Tool IV: Self reported compliance assessment sheet. Results: There was statistically significant difference between study and control group regarding total means of knowledge, behavioral and exercises performance after intervention. There was statistically significant difference between study group and control group regarding post- operative complication. There were statistically significant differences regarding compliance about diet, behavioral modification and exercises in the study group than control group. Also, there was statistically significant reduction of recurrent manifestation of study group and control group after and six months. Conclusion: The implementation of lifestyle modifications program had led to improve healthy habits regarding diet, behavior and exercise practice that leading to reduce postoperative complication and also, is more effective on prevent the recurrence of manifestation after six months of follow up. Recommendations: Generalizing dietary and behavioral life style modifications among patients to prevent diseases initiation / symptoms aggravation reduce the incidence of surgery and disease recurrence after surgery. Keywords: Life Style Modification's nursing program, Post-operative outcomes &Selected benign perianal diseases. DOI: 10.7176/JHMN/60-10 Publication date:March 31 st 2019 1. Introduction Operational definitions Life style modification's nursing program: Simple and effective dietary, exercise and behavioral nursing measures to be followed by the patient from the day after surgery. Post-operative outcomes: Include postoperative complications, manifestation's recurrence, Dietary, behavioral and exercise modification and participant compliance with learned program outline. Selected benign perianal diseases: Hemorrhoids and anal fissures. Hemorrhoids and anal fissures are the most common types of benign perianal lesions affecting a large sector of people all over the world. Embarrassment of people when facing these problems enforce them to seek medical attention only when the case is badly advanced so the prevalence of these diseases in the general population is extremely higher than that presented in clinical practice (Sun and Migaly, 2016). There are many risk factors that leading to perianal diseases including genetics, aging, irregular bowel habits as chronic constipation, passing large hard stools, ongoing diarrhea, lack of exercise, low-fiber diets, increased intra-abdominal pressure as with chronic cough, multiple pregnancy and obesity as well as prolonged sitting or standing, pelvic floor dysfunction, squatting with straining while defecating, sitting on the toilet for long time to defecate and persistent straining (Hollingshead and Phillips ,2016 ). Benign perianal diseases require medical and surgical treatment. Also, lifestyle modifications which include diet, exercise and behavioral changes are an integral part of the treatment and prevention of the benign perianal lesions complications and recurrences. Treatment modalities aim to prevent or minimize postoperative complications, shortening hospital stay, and improving quality of life (Sud and Khan ,2014). Benign perianal lesions management including initial conservative measures as lifestyle modification considered as one of the primary steps in prevention and management of the benign perianal diseases. These modifications also improve the outcomes of surgical treatment and increase the long-term cure rate with the prevention of postoperative complications especially recurrences episodes. Lifestyle modifications include