Background: The most significant clinical consequence of liver cirrhosis is ascites, which is the buildup of fluid in the abdominal cavity. Aim: This study was conducted to evaluate the effect of development of nursing education program for patients with Child Pugh score A liver cirrhosis to minimize ascites. Design: A quasi-experimental research design. Sample: A purposive sample of sixty adult patients with child Pugh score A liver cirrhosis, which placed into two equal-numbered groups at random: the study group and the control group. Setting: The tropical medicine department, the gastroenterology department, and the outpatient clinic at El-Rajhi Liver Hospital, Assiut University. Tools: Tool I: A Structured Interview, Tool II: Compliance of patients with medication and Tool III: Assessment occurrence and degree of ascites sheet. Results: The result revealed that regarding study groups, after 6 months (16.7%) developed ascites while after 12 months (33.3%) developed ascites in comparison to control groups which after 6 months were (46.7%) while after 12 months (73.3%) developed ascites. Conclusion: Nursing education has a good effect on improving patients’ knowledge, increasing level of drug compliance and minimizing occurrence of ascites Recommendations: It is recommended to repeat of this research using a bigger likelihood sample picked from other regions so that the results can be used more widely.

Mandibular fracture is the most common facial fractures and it is an important surgical condition in the world. Aims of the study; assess patients' knowledge about nutrition, oral care and jaw exercises, design, implement and evaluate the effect of suggested nursing teaching protocol on patients' outcomes with mandibular fracture. Research design; A quasi-experimental research design was utilized on a convenient sample of 60 adult patients divided into two equal groups (study and control) 30 patients for each. Tools; I) Patient with mandibular fracture an interview schedule. II) Patient assessment schedule. Results; There was statistically significant difference between study and control groups post implementing nursing teaching protocol as regard knowledge level of patients about nutrition, oral care, and jaw exercises. There was statistically significant difference between study and control group as regards late complications. Conclusion; Patients' knowledge regarding nutrition, oral hygiene and jaw exercises were inadequate. So a specialized nursing teaching protocol was designed, implemented and evaluated. Study group showed improvement in wound healing, maintain normal body weight and decreased incidence of complications while control group showed increase incidence of these complications. Recommendations; Simple illustration booklets should be available for patients to provide them with simple explanation about safely living.

Background: Primary Percutaneous coronary intervention is a non-surgical, invasive procedure used to treat blockage or narrowing of the coronary artery and improve blood supply to the ischemic tissue. Aim: to investigate the effect of nursing discharge instructions on outcomes for patients undergoing primary percutaneous coronary intervention. Subjects and Methods: Research design: A quasi-experimental design. Sample: 200 adult patients who were admitted for percutaneous coronary intervention. Patients divided equally into two groups study and control (100 for each). Setting: the cardiac catheterization unit and Cardiovascular Medicine Department at Assiut University Heart Hospital. Tools: Patients assessment sheet, readmission risk assessment, complications assessment sheet, and re-admission rate assessment sheet. Results: a statistically significant difference between study and control group post application of nursing discharge instructions regarding knowledge, and complications was (<0.001**). LACE index was moderate for both study and control group. The main cause of re-admission for both study and control group was myocardial infarction (50%, and 46.2( respectively. Conclusion: Nursing discharge instructions significantly improve patients' knowledge and reduce complications and readmission rate among patients undergoing percutaneous coronary intervention. Recommendation: Nursing discharge instructions (brochure) should be used in hospitals for patients with primary percutaneous coronary intervention.