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Abstract Background: Flexible bronchoscopy is frequently required procedure in elderly. Patients under bronchoscopy have complaint fears, discomfort and anxiety. Ann of study: To evaluate the effect of nursing guidelines on knowledge and anxiety level of elderly patients' undergoing bronchoscopy. Patients and Method: A quasi-experimental research design was conducted at Bronchoscopy Unit of Chest Department at Assuit University Hospital. Sample A random sample of 150 elderly patients undergoing bronchoscopy aged 60 years and above. The patients were divided into two equal groups; 75 patients received nursing guidelines (study group); 75 patients did not receive nursing guidelines (control group). Tools: a) An interview sheet, b) Hospital anxiety scale, c) Designed nursing guidelines. Results: 66, 7% & 65, 3% of the control, study group were illiterate and 88% &85.3% were living in rural areas. As regards knowledge scores statistically significant difference about bronchoscope (p-value = p 0.001**) and the anxiety level of both groups (p 0.001**). Conclusion: a good improvement in the knowledge scores of elderly patients were found after the implementation of nursing guidelines and the anxiety level were less in study group than in control group. Recommendation: A structured educational program using video containing complete instruction for patient about bronchoscopy.

Abstract Background: Flexible bronchoscopy is frequently required procedure in elderly. Patients under bronchoscopy have complaint fears, discomfort and anxiety. Ann of study: To evaluate the effect of nursing guidelines on knowledge and anxiety level of elderly patients' undergoing bronchoscopy. Patients and Method: A quasi-experimental research design was conducted at Bronchoscopy Unit of Chest Department at Assuit University Hospital. Sample A random sample of 150 elderly patients undergoing bronchoscopy aged 60 years and above. The patients were divided into two equal groups; 75 patients received nursing guidelines (study group); 75 patients did not receive nursing guidelines (control group). Tools: a) An interview sheet, b) Hospital anxiety scale, c) Designed nursing guidelines. Results: 66, 7% & 65, 3% of the control, study group were illiterate and 88% &85.3% were living in rural areas. As regards knowledge scores statistically significant difference about bronchoscope (p-value = p 0.001**) and the anxiety level of both groups (p 0.001**). Conclusion: a good improvement in the knowledge scores of elderly patients were found after the implementation of nursing guidelines and the anxiety level were less in study group than in control group. Recommendation: A structured educational program using video containing complete instruction for patient about bronchoscopy.

Abstract Background: Flexible bronchoscopy is frequently required procedure in elderly. Patients under bronchoscopy have complaint fears, discomfort and anxiety. Ann of study: To evaluate the effect of nursing guidelines on knowledge and anxiety level of elderly patients' undergoing bronchoscopy. Patients and Method: A quasi-experimental research design was conducted at Bronchoscopy Unit of Chest Department at Assuit University Hospital. Sample A random sample of 150 elderly patients undergoing bronchoscopy aged 60 years and above. The patients were divided into two equal groups; 75 patients received nursing guidelines (study group); 75 patients did not receive nursing guidelines (control group). Tools: a) An interview sheet, b) Hospital anxiety scale, c) Designed nursing guidelines. Results: 66, 7% & 65, 3% of the control, study group were illiterate and 88% &85.3% were living in rural areas. As regards knowledge scores statistically significant difference about bronchoscope (p-value = p 0.001**) and the anxiety level of both groups (p 0.001**). Conclusion: a good improvement in the knowledge scores of elderly patients were found after the implementation of nursing guidelines and the anxiety level were less in study group than in control group. Recommendation: A structured educational program using video containing complete instruction for patient about bronchoscopy.

Abstract Background: Flexible bronchoscopy is frequently required procedure in elderly. Patients under bronchoscopy have complaint fears, discomfort and anxiety. Ann of study: To evaluate the effect of nursing guidelines on knowledge and anxiety level of elderly patients' undergoing bronchoscopy. Patients and Method: A quasi-experimental research design was conducted at Bronchoscopy Unit of Chest Department at Assuit University Hospital. Sample A random sample of 150 elderly patients undergoing bronchoscopy aged 60 years and above. The patients were divided into two equal groups; 75 patients received nursing guidelines (study group); 75 patients did not receive nursing guidelines (control group). Tools: a) An interview sheet, b) Hospital anxiety scale, c) Designed nursing guidelines. Results: 66, 7% & 65, 3% of the control, study group were illiterate and 88% &85.3% were living in rural areas. As regards knowledge scores statistically significant difference about bronchoscope (p-value = p 0.001**) and the anxiety level of both groups (p 0.001**). Conclusion: a good improvement in the knowledge scores of elderly patients were found after the implementation of nursing guidelines and the anxiety level were less in study group than in control group. Recommendation: A structured educational program using video containing complete instruction for patient about bronchoscopy.

Aim: To highlight the grave complications among teenage mothers in Assiut Woman's Health Hospital compared with the adult mothers. Methods: This study was a prospective case control study, conducted at the Labor Ward of Assiut Woman's Health Hospital from 1st of January 2016 to 30th of June 2016. We included teenage pregnant women (13-19 completed years at delivery) as case and adult mothers (20-29 years) formed the control group. The primary outcome of the study is the rate of pregnancy complications among teenage mothers. Results: Obstetric complications were higher among the teenage mothers (p=0.0001). The teenage mothers had a higher proportion of normal vaginal delivery (p=0.005). The adult mothers reported a higher rate of elective cesarean section (CS) and operative vaginal delivery (p=0.0001, p=0.002; respectively). The infants of teenage mothers tended to have a lower birth weight and Apgar score than the adult ones. Conclusion: This study clearly states that the teenage mothers and their infants were more liable to complications during pregnancy and labor compared to adult mothers.

Background: Pregnancy during adolescent age is associated with poor neonatal care outcomes, which may burden the adolescent mothers and their families. Aim to delineate relationship of mother's age and family structure and knowledge about their newborn care. Methods: A descriptive comparative design of 396 mothers, 55 of them were adolescents, recruited from Post-partum Unit at Women's Health Hospital and neonatal intensive care unit at Children Hospital at Assiut University, Egypt, from January to June 2015. Results: comparison between adult and adolescent mothers revealed an unsatisfactory level of knowledge about newborn care, particularly regarding breast feeding, personal hygiene, and immunization. However, regarding family structure, it was found a significant difference between mothers live with nuclear against extended family regarding their knowledge about newborn immunization. Conclusion: Adolescent mothers have less knowledge about neonatal care, while mothers within a nuclear family have a satisfactory knowledge about neonatal care more than mothers within the extended family.

Oral contraceptive has side effects on well-being including physical and emotional well-being, premenstrual syndrome, sexual interest, enjoyment, the frequency of sexual activity and un planned pregnancy and the continuation of women in using OCS was continued OCs and discontinued. Therefore, the aims were to evaluate the impact of oral woman's wellbeing through counseling. Methods: Descriptive, quasi-experimental design was used to conduct this research .This study was carried out at outpatient clinics of family planning at Sohag University Hospital. The sample consisted of Tools used in this study, tool I: Patient assessment sheet. Tool II: Premenstrual syndrome questionnaire. Tool III: Sexual Function questionnaire. Tool IV: - Counseling. Tool IIV:-follow up sheet. Results: revealed that there is a statistically significant difference between pretest and post-test in studied women regarding premenstrual syndrome at pvalue=0,000 regarding counseling done by the investigator. Also, a statistically significant difference at p-value=0.000. Conclusion: According to our study, the adverse effects on mood and sexuality are important factors causes the discontinuation of OCs and yet two potentially important factors emotional and sexual well-being have been virtually ignore in our locality. Therefore, counseling before any method of contraception is initial to improve compliance and continuation of women related OCs.