children will separate from other friends. They have speech articulation problems, suffer from shyness, social isolation and loneliness(5). When becoming teenagers they have low self esteem and self image(6). Complete rehabilitation by holistic and interdisciplinary care is very important to patients and family. During pre and post operative care nurses who work continuously and closely with the patients require knowledge, experience and ability to take excellent care of their patients and families to prevent illness, duplicate rehabilitation and promote quality of life and respond well to patients needs(7). It can prevent complications and help their decision process, decrease parental stress and encourage better co-operation. Nurses need to have ability to support patients needs by using nursing process. Nursing outcome will help nurses to measure the quality of nursing care.