Long-term oxygen therapy is the cornerstone of treatment for patients with end-stage chronic obstructive pulmonary disease and chronic respiratory failure. Patients must adhere to it to improve respiratory function as well as health status. Aim: To determine the influence of a health educational booklet and telephone follow-up sessions about long-term oxygen therapy on health-related outcomes in COPD patients. Research design: One group pre-and post-test. Setting: Chest Diseases Department and Outpatient Chest Clinic within the Main Assuit University Hospital. Subject: Thirty patients with COPD received LTOT. Tool one: A structured interviews sheet with COPD patients. Tool two: Health Status assessment questionnaire involved two parts: the first section, the Saint George’s Respiratory Questionnaire for COPD Patients (SGRQ-C), and the second section, the Modified Medical Research Council Dyspnoea Scale (MMRC). Results: After receiving a health educational booklet and subsequent telephone follow-up sessions at 3 and 6 months, there was a noteworthy enhancement in arterial blood gas values and all components of the Saint George's Respiratory and Dyspnea scores, displaying statistical significance (p-value = 0.001**). Conclusion: The health educational booklet and telephone follow-up sessions regarding LTOT usage led to enhancements in COPD patients' health-related outcomes, a reduced frequency of hospital admissions, alleviated dyspnea, improved arterial blood gas and spirometry values, and enhanced overall health status in COPD patients. Recommendations: A health educational booklet and subsequent telephone follow-up sessions are recommended to be an integral part of and relevant to patients education to uncover patients’ attitudes toward clinical practice procedures.

Background: Knee arthroscopy is a surgical procedure utilized for the diagnosis and treatment of knee joint in the elderly to enhancing longevity, activity levels, and overall health. Aim: To evaluate the effect of psycho educational program on the negative mood, hope level and quality of life of elderly patients’ undergoing knee arthroscopy.  Design: A quasi-experimental research design was used in this study. Sitting: The research was conducted in the orthopedic department and the arthroscopic unit at Main Assiut University Hospital. Sample: Seventy-four male and female elderly patients who were scheduled to underwent knee arthroscopy were included in this study after they were randomly divided into the study and control groups, (37) patients each. Tools: (I): Structured elderly Interview Questionnaire Sheet, (II): Negative mood scale: (III): Herth Hope Index (HHI) & (IV): Medical Outcomes Study 12-Item Short-Form (MOS SF-12). Results: The study group exhibited significantly higher scores in hope level and quality of life compared to the control group (P<0.001).  The study group exhibited a lower negative mood score compared to the control group (P<0.001) following the implementation of the psychoeducational program. Conclusions: The implementation of the psychoeducational program has statistically significant improvements in negative mood, hope levels, and quality of life among elderly patients undergoing knee arthroscopy, which positively influence patient outcomes.  Recommendation:  Preparation for elderly patients prior to knee arthroscopy is a crucial step in enhancing hope, reducing negative mood, and improving overall quality …

Background

Poor appetite is a common problem among older people; it is known to contribute to weight loss, nutritional deficiencies, and increased mortality, which can affect their community participation and psychological status. In this study, we aimed to identify the relationship between community participation, nutritional appetite, and psychological distress among comorbid older people. This cross-sectional study included 300 elderly people, of whom 100 participated in geriatric clubs and 200 did not. Older people assessment sheet, the Australian Community Participation Questionnaire, the Council on Nutrition Appetite Questionnaire, and Kessler Psychological Distress Scale were used.

Results

Majority of geriatric club members had high community participation, while half of the older people who were not members of the club had moderate community participation levels. Approximately 41.0% of the participants at geriatric clubs had no risk at this time for a nutritional decline, while less than three-quarters of those who are not geriatric club members need frequent appetite reassessment. A correlation was observed between community participation with appetite and psychological distress in those who attended geriatric clubs. Those who are not geriatric club members had correlation between appetite with community participation and psychological distress (P ≤ 0.001).

Conclusions

Good appetite and psychological status are positively impacted by engaging in social activities among older people. Findings suggest that community programs, such as Meal on Wheels programs, and shared group activities can improve appetite and social interaction among older people.

Background: Proximal humeral fractures are among the most common fractures. Functional recovery of shoulder is often slow and many people have ongoing disability during activities of daily life. Aim: To evaluate effect of rehabilitation exercises on shoulder function after proximal humeral fracture Surgery. Research design: Quasi-experimental research design. Setting: Trauma unit and orthopedic outpatient clinic at Assiut University Hospital. Sample: A convenient sample of one hundred patients with aged from (18-75) years old and from both sexes with proximal humeral fracture, divided into two equal groups (50 patients for each). Tools: I " Patient's health needs assessment sheet ", II " Shoulder function index ", Tool III " Numerical Rating Pain Scale" Results: There was a statistically significant difference between the study and the control group regarding total mean score of the shoulder function index & pain level during follow up periods after application of rehabilitation exercises post proximal humeral fracture Surgery (p-value 0.0179* &0.003 respectively). Conclusion: Application of exercises has positive effect on improving shoulder function and reducing pain after proximal humeral fracture surgery. Recommendations: rehabilitation exercises are recommended to be an integral part of the pre-operative nursing teaching for patients undergoing proximal humeral fracture surgery and a booklet should be available at Trauma Unit and Orthopedic outpatient clinic as a reference.