Background: Diabetes mellitus is one of the global health problems. Tele-nursing is the use of technological resources and communication systems in nursing to provide patient care. Aim of the study: to evaluate the effect of tele-nursing (phone-based follow up) and educational package on life style and clinical status for diabetic patients. Research design: Quasi-experimental design. Setting: The study was conducted at endocrine & diabetic unit in Medical Department at Assiut University Hospitals. Sample: A purposive sample of 100 male and female adult patients diagnosed with diabetes mellitus, their age ranged from18 to 65 years. Tools: tool (I) Patients assessment sheet, it was consisted of three parts: Part I: Demographic data, Part II: Medical data, Part III: Clinical and laboratory data including Body Mass Index (BMI), weight, height, blood pressure, fasting, postprandial blood glucose (PPG), Glycated Hemoglobin (HbA1c). Tool (II): Health promoting life style profile.Results: There was significant difference of life style and clinical data for patients before and after telenursing education. Conclusion: Tele-nursing was effective nursing strategy for improving life style and clinical status for diabetic patients. Recommendations: Telenursing should be programmed as a part of health plan for patients with diabetes mellitus in different health setting.

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Background: Treatment for patients with deep venous thrombosis relies on persuading the patient to adhere entirely to the therapeutic plan. Patient education is an important aspect in increasing compliance. Aim: To evaluate the effect of teaching booklet on compliance to oral anticoagulant drugs among patients with deep venous thrombosis. Research design: Quasi-experimental research design. Setting: The study was conducted at vascular surgery department and trauma unit at Assiut University Hospital. Sample: A purposive sample of 60 male and female adult patients. This sample was divided into study and control group (30 patient for each) diagnosed with DVT, their age ranged from18 to 65 years. Tools: Tool I: Patient assessment sheet, Tool II: Compliance of patients with medications by using Morisky Medication Adherence Scale. Results: There was a statistically significant difference between study and control group regarding compliance to oral anticoagulant drugs post application of teaching booklet. Conclusion: Teaching booklet was effective in improving patient's compliance to oral anticoagulant drugs, lower incidence of bleeding and recurrence of thrombus among patients with deep venous thrombosis. Recommendations: Teaching booklet for DVT patients to improve adherence to oral anticoagulant should be available in vascular surgery department.

High tibial osteotomy an osteotomy is an operation where a bone is cut and re-positioned . The aim of this study explores and developing postoperative nursing care standards for patients undergoing high tibial osteotomy surgery. Subject and methods: Descriptive exploratory research design was utilized. The study was carried out in the department of orthopedic surgery at Assiut University Hospital. The study sample of all available nurses working in orthopedic department and who are willing to participate in this study (30).Tools utilized for data collections were Nurse's questionnaire sheet, Observation nursing practice checklist sheet and post-operative basic competencies Opinionnaire sheet. Results showed the knowledge about standards of post operative interventions for high tibial osteotomy patients, more than half of nurses (53.3%) had good knowledge regarding standards of post operative interventions for high tibial osteotomy patients. Nurses showed inadequacy in their practice about standards of post operative interventions for high tibial osteotomy patients .majority of nurses agree with basic post-operative nursing care standards. Conclusion: Formulation of standards is the first step toward evaluating nursing care delivery. Recommendation: an In-service training program for nurses is important in orthopedic surgery department. Application of the nursing care standards for post-operative high tibial osteotomy patients.