Background: Chronic kidney disease (CKD) is the most important cause of morbidity and mortality among elderly. Hemodialysis is the most commonly applied method for treatment, and is accompanied by a high incidence of psychological problems such as anxiety, depression, and sleep disturbance, which are having a negative impact on one's life. Benson's relaxation technique (BRT) is an effective technique used to reduce stress, anxiety, depression, and enhance sleep quality in elderly patients undergoing hemodialysis. Aim: determine the effect of Benson's relaxation technique on anxiety, depression, and sleep quality among elderly patients undergoing hemodialysis. Design: Quasi-experimental, pre and post intervention design was used. Setting: The study was carried out in the hemodialysis unit affiliated to

Background:The COVID-19 pandemic is affecting the worldwide population drastically. Elderly people face significant risks of having severe illness if they are diseased because of their physiological changes associated with aging and the possible outcome of underlying health statuses. Public awareness about dealing with highly infectious respiratory diseases is extremely important and plays an imperative role in limiting and preventing the widespread of infection, especially in countries with low and middle-income. Aim: Assess the effect of Covid_19 Educational Bag on Knowledge, Attitude and precautionary Practices of institutionalized Elderly persons . Methods: A quasi-experimental study design was used. This study was carried out at El Amal elderly home, affiliated to Mansoura City and Dar El-Walaa affiliated to Meet khamr city-Dakahlia governorate-Egypt. The study involved a convenience sample of 72 elderly persons who are residence at El Amal and El Walaa elderly homes. Data collected over a period of 6 months from first of April 2020 till the end of September 2020.Tools: Four tools were used for data collection; Demographic and Clinical Data structured Interview Sheet, and Elder's Covid-19 Knowledge Questionnaire, Elder's Attitude towards Covid-19 Questionnaire, and Covid-19 Precautionary Practices Checklists .Results: Two thirds of the studied elders were selected from dar El Walaa, nearly one half of the subjects were middle old with a mean of 66.57±4.08 yrs. More than one half of the sample were females. A statistically significant improvement of COVID-19 knowledge, attitude, and precautionary practices of the studied elders immediately after implementation of COVID-19 educational bag than before it, and the improvement still apparent across all the studied sample regardless of their demographic characteristics and clinical data. The studied elders COVID-19 knowledge levels were positively associated with their attitude and precautionary practice. While no proven relation was found between studied elders COVID-19 attitude and precautionary practices Conclusion: A significant improvement of the studied elders means of score of COVID-19 levels of knowledge, attitudes and precautionary practices immediately, and two months after implementation of COVID-19 educational bag regardless of their demographic characteristics and clinical data. Recommendation: Development of an educational programs targeting vulnerable elderly population institutionalized in elderly homes in various Egypt governorates, designing a long-term plan by healthcare authorities to improve access to education and health services.

No abstract

Background: Alzheimer's disease (AD) is considered one of the major public health problem throughout the world especialy among older adults. Fear of developing AD has become a topic of interest. So it's important to raise awareness about AD through assessment of elders' knowledge regarding AD aiming to improve diagnosis and treatment modalities, inorder to reduce stigma and improve community support in different clinical care settings.Aim: To measure the effectiveness of structured teaching program on knowledge and fear of Alzheimer's disease in cognitively intact older adults. Methods: A quasi-experimental, pre and post intervention research design was implemented.The study was conducted at the Geriatric Outpatient Clinic of the Specialized Medical Hospital, Mansoura University, Egypt. A purposive sample of 54 elderly of both sexes attending the above-mentioned setting according to inclusion and exclusion criteria. Tools: Five tools were used for data collection; Elderly People's Demographic and Clinical Data, Mini-Mental State Examination (MMSE), Self-rated Health status Scale,The Alzheimer's Disease Knowledge Scale (ADKS), and The Fear of Alzheimer's Disease Scale (FADS). Results: Both ADKS and FADS overall scores showed significant increase after the program implementation (17.62±4.07 and 41.61±24.70 vs.19.18±3.59 and 48.05±26.66; respectively). This improvement favours young elderly female, single, and illiterate elderly who have poor health status, haven't information about the disease or didn't provide any care for Alzheimer's patients, and worried from affection of the disease. A statistically significant positive correlation was found between ADKS total mean score of studied elders and their fear from AD (FADS) before and after the implementation of the structured teaching program. Conclusion: The intervention program improved knowledge but increased fear of AD in elderly. Recommendations: Planning training program to older adults about the other measures to reduce dementia worry such as cognitive behavioral therapy (CBT) or counseling services, development of awareness campaigns about AD and dementia directly to the general public, and health care provider to combat the negative stigma associated with the disease.

Background: Gastrointestinal Endoscopy is a widely used procedure in medicine today. It is the diagnosis and treatment of choice among elderly patients with upper gastrointestinal disorders. Thus anxiety, stress, and depression of adverse out-come or side effect and discomfort regarding endoscopy reduce the patient’s acceptance ability. Effective procedure ex-planation and safety measures have positively impact on decrease level of anxiety, stress, and depression and improve elderly patient’s general health condition Aim: Evaluate effectiveness of nursing interventions on level of anxiety, stress and depression of elderly patients undergoing upper gastrointestinal endoscopy. Design: A quasi experimental study design with pre and post procedure was used.Setting: The study was conducted at Gastrointestinal Surgery Center (GISC) (Endoscopy Unit) Mansoura University Subjects: A convenient sample of 76 elderly patients undergoing GIT endoscopy. Data collected over a period of 9 months from first of May 2019 at the end of January 2020.Tools: Three tools were used: Socio Demographic Characteristics and Clinical Data Structured Interview Schedule, Depression, Anxiety and Stress scales (DASS-21), and Endoscopic Nursing interventions.Results: The study results revealed that statistically significant improvement in all aspects of elderly patient's anxiety score at pre and post nursing intervention (p<0.001). There were significant improvements of level of stress from pre and post implementation of nursing intervention to endoscopy (p<0.05). Also, there was a statistically significant difference in the pre, and posttest mean score of depression (p<0.05). Statistically significant differences regarding all sociodemographic characteristics within the studied subjects and their total mean score of anxiety, stress, and depression.Conclusion A clear and noticeable improvement in the mean score of anxiety, stress and depression of all studied subject after the implementation of the endoscopic nursing interventions than before.Recommendation: Replication of this study is highly recommended on a large representative probability sample to achieve generalizable results.