Background: Pathological fracture diagnosis is on rise. The morbidity involved doesn't only load the patients and their families but it has a great cost on the health care system as well. Aims of the Study were to estimate the prevalence and assess risk factors for pathological fracture among patents with end stage renal disease. Patients and Methods: Overall, 500 patients on maintenance hemodialysis (HD) were included in a descriptive crosssectional study. The study was conducted at Assiut University Hospitals (Assiut – Egypt). Data pertinent to the study was collected by utilizing the following tool: Patients' structured interview assessment sheet: it included two parts: Part one: sociodemographic data. Part two: clinical assessment data. Results: 6.8% of the studied sample had exposed to pathological fracture where the hip, radius/ ulna, and vertebra were the most common sites affected. In univariate logistic regression; it was found that six factors had significant predicted relations with pathological fracture (duration of hemodialysis, overweight, coronary artery diseases, radiation exposure, parathyroidectomy, and pancreatic diseases) while in multivariate logistic regression; it was found that three factors (duration of hemodialysis, radiation exposure, and parathyroidectomy) were significant as in univariate logistic regression plus four factors (age, sex, diabetes, and hypertension) which were significant too. Conclusion: In our study the prevalence of pathological fracture among end stage renal disease patients occurred by 6.8% and there was significant relation between pathological fracture & ten risk factors. Recommendations: Early identification of the patients who are at risk for pathological fracture is a valuable tool to cut cost and improve patients’ quality of life.

Background: Pathological fracture diagnosis is on rise. The morbidity involved doesn't only load the patients and their families but it has a great cost on the health care system as well. Aims of the Study were to estimate the prevalence and assess risk factors for pathological fracture among patents with end stage renal disease. Patients and Methods: Overall, 500 patients on maintenance hemodialysis (HD) were included in a descriptive crosssectional study. The study was conducted at Assiut University Hospitals (Assiut – Egypt). Data pertinent to the study was collected by utilizing the following tool: Patients' structured interview assessment sheet: it included two parts: Part one: sociodemographic data. Part two: clinical assessment data. Results: 6.8% of the studied sample had exposed to pathological fracture where the hip, radius/ ulna, and vertebra were the most common sites affected. In univariate logistic regression; it was found that six factors had significant predicted relations with pathological fracture (duration of hemodialysis, overweight, coronary artery diseases, radiation exposure, parathyroidectomy, and pancreatic diseases) while in multivariate logistic regression; it was found that three factors (duration of hemodialysis, radiation exposure, and parathyroidectomy) were significant as in univariate logistic regression plus four factors (age, sex, diabetes, and hypertension) which were significant too. Conclusion: In our study the prevalence of pathological fracture among end stage renal disease patients occurred by 6.8% and there was significant relation between pathological fracture & ten risk factors. Recommendations: Early identification of the patients who are at risk for pathological fracture is a valuable tool to cut cost and improve patients’ quality of life.

Background: Pathological fracture diagnosis is on rise. The morbidity involved doesn't only load the patients and their families but it has a great cost on the health care system as well. Aims of the Study were to estimate the prevalence and assess risk factors for pathological fracture among patents with end stage renal disease. Patients and Methods: Overall, 500 patients on maintenance hemodialysis (HD) were included in a descriptive crosssectional study. The study was conducted at Assiut University Hospitals (Assiut – Egypt). Data pertinent to the study was collected by utilizing the following tool: Patients' structured interview assessment sheet: it included two parts: Part one: sociodemographic data. Part two: clinical assessment data. Results: 6.8% of the studied sample had exposed to pathological fracture where the hip, radius/ ulna, and vertebra were the most common sites affected. In univariate logistic regression; it was found that six factors had significant predicted relations with pathological fracture (duration of hemodialysis, overweight, coronary artery diseases, radiation exposure, parathyroidectomy, and pancreatic diseases) while in multivariate logistic regression; it was found that three factors (duration of hemodialysis, radiation exposure, and parathyroidectomy) were significant as in univariate logistic regression plus four factors (age, sex, diabetes, and hypertension) which were significant too. Conclusion: In our study the prevalence of pathological fracture among end stage renal disease patients occurred by 6.8% and there was significant relation between pathological fracture & ten risk factors. Recommendations: Early identification of the patients who are at risk for pathological fracture is a valuable tool to cut cost and improve patients’ quality of life.

Background: Pathological fracture diagnosis is on rise. The morbidity involved doesn't only load the patients and their families but it has a great cost on the health care system as well. Aims of the Study were to estimate the prevalence and assess risk factors for pathological fracture among patents with end stage renal disease. Patients and Methods: Overall, 500 patients on maintenance hemodialysis (HD) were included in a descriptive crosssectional study. The study was conducted at Assiut University Hospitals (Assiut – Egypt). Data pertinent to the study was collected by utilizing the following tool: Patients' structured interview assessment sheet: it included two parts: Part one: sociodemographic data. Part two: clinical assessment data. Results: 6.8% of the studied sample had exposed to pathological fracture where the hip, radius/ ulna, and vertebra were the most common sites affected. In univariate logistic regression; it was found that six factors had significant predicted relations with pathological fracture (duration of hemodialysis, overweight, coronary artery diseases, radiation exposure, parathyroidectomy, and pancreatic diseases) while in multivariate logistic regression; it was found that three factors (duration of hemodialysis, radiation exposure, and parathyroidectomy) were significant as in univariate logistic regression plus four factors (age, sex, diabetes, and hypertension) which were significant too. Conclusion: In our study the prevalence of pathological fracture among end stage renal disease patients occurred by 6.8% and there was significant relation between pathological fracture & ten risk factors. Recommendations: Early identification of the patients who are at risk for pathological fracture is a valuable tool to cut cost and improve patients’ quality of life.

Background: Quality of life (QoL) is the most critical issue for chronic illnesses patients with ulcerative colitis (UC). The aim of this study was to evaluate the effect of a nursing educational booklet on the severity of disease and quality of life for patients with ulcerative colitis in El Rajhi liver Hospital at Assiut University. Methods: Research design; a quiz experimental research design was utilized to carry out this study. Setting: The study was conducted in Tropical Medicine and Gastroenterology department and outpatient clinic at El Rajhi liver Hospital at Assiut University. Patients: Random sample of adult patients (60), male and female, their age ranging from 18 – 65 years old. The sample was categorized into two equal groups, 30 patients for study group who have received a nursing educational booklet in addition to the routine care and 30 patients for a control group who were received a routine hospital care. Tools: Tool I: An Interview Questionnaire Sheet which included three parts (patient assessment, Short Quality of Life Questionnaire scale for Inflammatory Bowel Disease, and partial Mayo scoring index assessment scale for ulcerative colitis activity) and tool II: A nursing educational booklet. Results: There was a great increase in the mean score of the Quality of Life Questionnaire in the study group (47.6±2.43) than those patients in the control group (27.87±5.78) with a statistically significant difference (0.001**). One quarter of patients in the study group were complaining from severe disease stage compared to half of the patients in the control group, and there was a negative correlation between Quality of Life Questionnaire scores and the severity of disease between study and control groups of patients which means as the severity of the disease decreased the quality of patients’ life score increased. Conclusion: This study proved that; Patient education is a valuable means for decreasing ulcerative colitis severity which affect positively on the patients’ quality of life. Recommendations: Education for chronic diseases should be a part hospital policy, Distribution of the educational booklet for all ulcerative colitis patients, and ffurther studies on larger sample from different geographical areas in Egypt to generalize the results.

Background: Quality of life (QoL) is the most critical issue for chronic illnesses patients with ulcerative colitis (UC). The aim of this study was to evaluate the effect of a nursing educational booklet on the severity of disease and quality of life for patients with ulcerative colitis in El Rajhi liver Hospital at Assiut University. Methods: Research design; a quiz experimental research design was utilized to carry out this study. Setting: The study was conducted in Tropical Medicine and Gastroenterology department and outpatient clinic at El Rajhi liver Hospital at Assiut University. Patients: Random sample of adult patients (60), male and female, their age ranging from 18 – 65 years old. The sample was categorized into two equal groups, 30 patients for study group who have received a nursing educational booklet in addition to the routine care and 30 patients for a control group who were received a routine hospital care. Tools: Tool I: An Interview Questionnaire Sheet which included three parts (patient assessment, Short Quality of Life Questionnaire scale for Inflammatory Bowel Disease, and partial Mayo scoring index assessment scale for ulcerative colitis activity) and tool II: A nursing educational booklet. Results: There was a great increase in the mean score of the Quality of Life Questionnaire in the study group (47.6±2.43) than those patients in the control group (27.87±5.78) with a statistically significant difference (0.001**). One quarter of patients in the study group were complaining from severe disease stage compared to half of the patients in the control group, and there was a negative correlation between Quality of Life Questionnaire scores and the severity of disease between study and control groups of patients which means as the severity of the disease decreased the quality of patients’ life score increased. Conclusion: This study proved that; Patient education is a valuable means for decreasing ulcerative colitis severity which affect positively on the patients’ quality of life. Recommendations: Education for chronic diseases should be a part hospital policy, Distribution of the educational booklet for all ulcerative colitis patients, and ffurther studies on larger sample from different geographical areas in Egypt to generalize the results.

Background: Performance indicators used today to determine to what extent nurses render care using quality of care standards. Pin site infection remains a problematic issue face health care providers, so this study aims to explore relation between quality of preventive nursing care provided and incidence of pin site infection. Research hypothesis: incidence of pin site infection among patients who received preventive nursing care would be lesser than those who had exposed to routine hospital care. Research design: A Quazi experimental design was utilized to conduct study. Setting: Study was conducted at Assiut University Hospital. Sample: Sixty patients admitted in trauma department at Assiut University Hospital. Tools: (I): Patient assessment sheet, (II) Infection Staging Tool based on criteria (Checketts et al., 1993): Results: Only two cases Grade I (6.7%) appeared in study group while ten cases (33.3%) grade I, II, III (6.7%, 20.0%, and 6.7 %) respectively appeared in control group. Conclusion: We found that few incidence of pin site infection is associated with quality of the preventive nursing care provided. Recommendation: pin site infection should be used as an indicator for quality of nursing care and as a comparison or benchmarking over time between hospitals. Conducting collaborative workshops between nursing and medical management for health care providers to stress the importance of preventive nursing care as general and for preventing pin site infections as special, and its impact on patients and organization as a whole.

Background: Performance indicators used today to determine to what extent nurses render care using quality of care standards. Pin site infection remains a problematic issue face health care providers, so this study aims to explore relation between quality of preventive nursing care provided and incidence of pin site infection. Research hypothesis: incidence of pin site infection among patients who received preventive nursing care would be lesser than those who had exposed to routine hospital care. Research design: A Quazi experimental design was utilized to conduct study. Setting: Study was conducted at Assiut University Hospital. Sample: Sixty patients admitted in trauma department at Assiut University Hospital. Tools: (I): Patient assessment sheet, (II) Infection Staging Tool based on criteria (Checketts et al., 1993): Results: Only two cases Grade I (6.7%) appeared in study group while ten cases (33.3%) grade I, II, III (6.7%, 20.0%, and 6.7 %) respectively appeared in control group. Conclusion: We found that few incidence of pin site infection is associated with quality of the preventive nursing care provided. Recommendation: pin site infection should be used as an indicator for quality of nursing care and as a comparison or benchmarking over time between hospitals. Conducting collaborative workshops between nursing and medical management for health care providers to stress the importance of preventive nursing care as general and for preventing pin site infections as special, and its impact on patients and organization as a whole.

Abstract Background: Pain considers a typical sign for every patient before & after surgery, nurses have an essential part in pain assessment and its management; therefore, they ought to have a solid foundation toward it. Aims: were to identify nurses’ awareness regarding pain assessment and management and design nursing guidelines regarding pain assessment and management. Research design: descriptive research design was utilized to conduct this study. Setting: The study was conducted in the surgical departments of Assiut University Hospital & Elazhar University Hospital. Sample: Eighty nurses were working in the surgical departments of the above mentioned hospitals. Tools: Interview pain awareness questionnaire. Results: (93.8%) of surgical nurses had poor awareness regarding pain assessment and management. Conclusion: Most of the surgical nurses had poor awareness regarding pain assessment and its management for surgical patients. Recommendation: Nurses need for in-service training programs and refreshing courses to improve their knowledge which will reflect on their practice while working with those patients

Abstract Background: Pain considers a typical sign for every patient before & after surgery, nurses have an essential part in pain assessment and its management; therefore, they ought to have a solid foundation toward it. Aims: were to identify nurses’ awareness regarding pain assessment and management and design nursing guidelines regarding pain assessment and management. Research design: descriptive research design was utilized to conduct this study. Setting: The study was conducted in the surgical departments of Assiut University Hospital & Elazhar University Hospital. Sample: Eighty nurses were working in the surgical departments of the above mentioned hospitals. Tools: Interview pain awareness questionnaire. Results: (93.8%) of surgical nurses had poor awareness regarding pain assessment and management. Conclusion: Most of the surgical nurses had poor awareness regarding pain assessment and its management for surgical patients. Recommendation: Nurses need for in-service training programs and refreshing courses to improve their knowledge which will reflect on their practice while working with those patients