Background: Tele-nursing is considered one of the most important technological events of the late (twentieth) century as the gateway to modern nursing care. The aim of tele-nursing is to improve patient safety, quality of care, and is considered a quick access to nursing care by overcoming the geographical barriers. Aim: This study aims to determine effect of tele-nursing about life style modification on health outcomes of rheumatic heart disease patients during COVID-19 pandemic. Design: A quasi-experimental research design has been utilized in this study (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/post-tests), (2 Mini Nutritional Assessment short-form (MNA®-SF) (pre/posttest), (3 The Exercise Adherence Rating Scale (EARS) and (4 Deep venous thrombosis risk assessment tool . Results: There were a highly statistically significant differences between both groups regarding knowledge level, pepper nutrition, exercise adherence (P≤ 0.001).There was a positive correlation between body mass index and prevention of deep venous thrombosis among study group patients post-implementing of tele-nursing during COVID-19 (r= .580 at P≤ 0.01). Conclusion: it is an effective strategy, telenursing has been proven to give appositive result for improving health outcomes of rheumatic heart disease patients. Recommendations: Replication of the study using large probability sampling. Enhance telenursing use in nursing practice, and apply telenursing via follow up phone services to improve patient's adherence to a healthy regimen.

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.

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Background: Total knee arthroplasty (TKA) is one of the most clinically successful and costeffective medical procedures developed during the last ½ century, and usually used to treat chronic refractory knee pain and loss of movement because of various underlying knee problems, Aim of the study: Assess nurses' knowledge regarding pre and postoperative care of patient with total knee arthroplasty, Research Design: A descriptive research design was used in the study. Setting: The present study was carried out at orthopedic departments affiliated to the Suez Canal University Hospitals, Sample: All available staff nurses (80 nurses) were included in the study, Tools of data collection: The data was collected by a tool named; self-administered questionnaire to obtain nurses profile data and assess nurses' knowledge regarding pre and postoperative care of patient with total knee arthroplasty, Results: Results revealed that 91.2% of nurses had an unsatisfactory level of total knowledge regarding care of patients with TKA, Conclusion: Based on the results of the current study, the majority of the studied nurses had unsatisfactory level of knowledge regarding pre and postoperative care of patient with TKA, Recommendations: Educational guidelines about standardized protocol of pre and postoperative nursing care of patients with total knee arthroplasty should be conducted. Repeat the study on other orthopaedic procedures to obtain more data and findings that will enhance the quality of nursing care in orthopaedic units. Further researches should be done using a larger sample drawn from other Egyptian regions in order to generalize the results.

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