No abstract

As the entry point to contemporary nursing care, tele-nursing is regarded as one of the most significant technological developments of the late (twentieth) century. By removing geographic obstacles, tele-nursing aims to increase patient safety, care quality, and is regarded as a quick access to nursing care. Aim: The study aims to determine the effect of tele-nursing about life style modification on health outcomes of patients with rheumatic heart disease during COVID-19 pandemic. Design: This study employed a quasi-experimental research design. (Two groups study and control). Setting: The study was conducted at Sohag University Hospital in Egypt. Subjects: Based on the population, 60 patients were chosen as the sample size was divided in to two groups, control (30 patients) and study (30 patients). Tools:1) A Self-administered Questionnaire (pre/posttests), (2 Mini Nutritional Assessment short-form (MNA®-SF) (pre/post-test), (3 The Exercise Adherence Rating Scale (EARS) and (4 Deep venous thrombosis risk assessment tool. Results: There were a statistically highly significant differences between both groups regarding knowledge level, proper nutrition, exercise adherence with (P≤ 0.001).There was a positive correlation between body mass index and prevention of deep venous thrombosis among study group patients postimplementing of tele-nursing during COVID-19 with (r= .580 at P≤ 0.01). Conclusion: it is an effective strategy; telenursing has been proven to give positive result for improving health outcomes of patients with rheumatic heart disease. Recommendations: Replication of the study using large probability sampling. Enhance telenursing use in nursing practice and Use telenursing via follow-up phone services to improve patient adherence to a healthy regimen.

Background: Severe traumatic brain injury is a global problem that leads to morbidity and mortality particularly among young people. So this study aimed to determine the effect of implementing standardized designed nursing guidelines on outcomes of severe traumatic brain injury patients. Quasi-experimental research design was utilized. Setting: this study was carried at Trauma intensive care unit at Sohag University Hospital. A purposive sample of 70 adult severe traumatic brain injury patients were matched & randomly assigned into 2 equal groups. Three tools were used; Tool I: Traumatic brain injury assessment sheet, Tool II: Neurological assessment sheet, Tool III: Clinical outcome evaluation sheet. Results of current study revealed a statistically significant difference between study and control group regarding clinical outcomes includes prolonged Mechanical Ventilation, Re-intubation and number of death in addition to occurrence of complications as fever, bed sores and infection. Conclusions: application of standardized designed nursing guidelines improves outcomes and help to reduce occurrence of complications for patients with Severe Traumatic Brain Injury. Recommendation: Future researches are needed to examine the effect of the standardized designed nursing guidelines in the different age groups such as older adults and child to improve the outcomes.

Background: Chronic obstructive pulmonary disease (COPD) industriously influences the quality of life(QoL) with impairment of the physiological, psychosocial functions. Aim of the study: This study aimed to evaluate the effect of supportive nursing care on symptoms severity and QoL for patients with COPD. Subjects and Methods: Research design: a quasi-experimental design was used. Setting: The study was conducted at Chest Department and Chest Outpatient Clinic at Zagazig University Hospitals . Subjects: a purposive sample of forty five patients with COPD were included in this study. Tools of data collection: Patients' assessment questionnaire, Patients' observational checklists, COPD symptoms severity assessment scale, and the St George's quality of life respiratory questionnaire. Results: There were a lack in patients' knowledge, practice and QoL regarding COPD pre intervention, which increased in post and follow-up phases of intervention, with a statistically significant difference. Moreover, there was increase in COPD patients' symptoms severity before intervention, which decreased in post and follow-up phases, with a statistically significance difference. Conclusion: Patients with COPD who received supportive nursing care reported a reduction in symptoms severity and an improvement in QOL. Recommendations: Supportive nursing care should be implemented on a regular basis to improve COPD patients' knowledge, practice, and symptoms severity. Supportive nursing care training programs for nurses caring for COPD patients should be maintained.