Sleep disturbance among hospitalized patients has many factors especially at critical care units. Daily breathing exercises as pursed lip breathing (PLB) and diaphragmatic breathing improves sleep quality and reduces the occurrence of delirium. Aim of the study Evaluate the effectiveness of using breathing exercise on sleep quality among hospitalized patients. Design quasi experimental design. Sample A purposive sample including 152 patients were divided into four equal groups two from the Medical ward (study and control) 38 patients each group and two form the Medical Intensive Care Unit (MICU) (study and control) 38 each group at Minia university hospital. Results majority of the groups were male; all patients were in the middle age. (39% and 44.7%) of the medical ward groups (study and control) and (52.6% and 44.7%) respectively of the MICU groups had sever sleep problem. But after applying breathing exercise for 3 continuous days, the study groups (44.7%) of the medical ward and (50%) of the MICU had great sleep quality. Majority of study group's patients at the medical ward and MICU had no Confusion," with percentage (60.5% and 52.6%) respectively which mean no presence of delirium. Conclusion breathing exercise had significance effect on improving sleeping quality and reduce the occurrence of delirium among the study groups than the control groups.

health emergency causing fatal acute respiratory distress syndrome in elderly patients. Knowledge of nurses working with elderly infected had an impact on the attitude and care provided. Aim: assess nurses' knowledge and attitude about Covid-19 among elderly patients at intensive care units. Design: descriptive research. Sample: purposive sample of 78 nurses (male, female) selected conveniently included nurses working at isolation ICUs at Cardiothoracic, Health Insurance, and Malawi Isolation Hospital in Minia city, Egypt. Results: (62.8%) of the sample were female, (48.1%) of them had bachelor degree, and (47.4%) institute. (29.5 %) had a satisfactory knowledge (25.6%) had `positive attitude. Mean ± S.D of knowledge (9.50±0.68) for satisfactory group and (6.48±0.68) for unsatisfactory. (21.5±1.10) had positive attitude and (10.7±3.53) were negative. A high statistical significant difference between both domains presented by P value (0.000**). Conclusion: nurses had lower knowledge level about caring of elderly patients with COVID-19which reflected on their attitude.