Background: When knee osteoarthritis worsens and conservative measures are ineffective in reducing pain and improving function, total knee arthroplasty becomes the preferred course of action, necessitating a postoperative rehabilitation program. Aim: To investigate effect of physical exercises rehabilitation program on knee function for patients with end-stage osteoarthritis undergoing knee arthroplasty. Design: This study employed a quasi-experimental research design. Settings: The trauma unit, outpatient orthopedic clinic, and orthopedic surgery department of Assiut University Hospital served as the study's locations. Sample: A sixty a (60) patients who were scheduled to underwent knee arthroplasty were included in this study after they were randomly divided into the study and control groups, (30) patients each. Tools: I: Structured Patient Interview Sheet, Tool II: Knowledge assessment sheet, Tool III, Knee Osteoarthritis Western Ontario, and McMaster Arthritis Index (WOMAC). Results: While there was improvement in patient function and knee ability to specific activity for patients undergoing knee arthroplasty during the program phases, the current study found a statistically significant difference in knowledge between the study and control groups following program implementation. Conclusion: Following knee arthroplasty, the patient's knowledge, function, and knee ability to perform particular tasks were significantly enhanced by the application of an exercise program. Recommendations: Applying physical exercise program as mandatory clinical pathway for patient undergoing arthroplasty. 
 

Background: Mastitis is an inflammation of the breast, with or without infection. It can be viewed as a continuum of disease, from non‐infective inflammation of the breast to infection that may lead to abscess formation. Nursing management is conducted to deepen patients’ understanding of their own diseases, enhancing their self-care ability, and establishing healthy living habits. Aim: Evaluate effect of a nursing teaching protocol on mastitis prognosis. Research design: A quasi-experimental research design was utilized. The study was conducted in the breast unit in general surgery department at Main Assiut University Hospital. A convenient sample of sixty adult female patients diagnosed with mastitis, their ages ranged between 20 to 65years old. Patients were divided equally into two groups thirty for each; both groups were assessed at base line using the following tools: An interview questionnaire sheet, mastitis self-care practices, numeric pain intensity scale, and mastitis prognosis sheet. The control group exposed to routine care and study group received mastitis teaching protocol. After three weeks; both groups were reassessed by the same tools. Results: A highly statistically significant improvement was found in the study group regarding their knowledge, practice, pain level and incidence of complications post-protocol implementation than control group who exposed to routine care with P-value <0.001**. Conclusion/Recommendations: Applying nursing teaching protocol to patients with mastitis significantly improved their prognosis/ distribution of the mastitis teaching protocol for female patients with mastitis based on their needs assessment to improve their outcomes.

Background Hip joint replacement is a major orthopedic procedure that improves function of hip and quality of life. Postoperative recovery depends on the patient's adherence to safety guidelines and physical rehabilitation. Aim: This study evaluated how nursing instructions and exercises training affect functional outcomes among patients undergoing hip joint replacement. Research design: Quasi experimental research design was adopted. Setting: The study was conducted at trauma department at Assiut University Hospitals, Egypt. Subjects: The study sample comprised sixty male and female patients whose ages were between20-65 years; all had hip fractures, attended the trauma department, and agreed to take part voluntarily. Random allocation will place these patients equally into the study group and control group, with (30) assigned to each. Tools: Included (I) Patient assessment sheet and (II) Harris Hip Score (HHS). Results: At 3 and 6 months post- operatively, total knowledge score and functional outcomes showed a statistically significant difference for the study group versus the control group, with p. value =0.001. Conclusion: Overall study findings demonstrated that nursing instructions and exercises training significantly improved patients' knowledge and functional outcome regarding hip joint replacement for the participating patients. Recommendations: It is highly recommended to integrate structured educational booklets and supervised exercise protocols into standard orthopedic discharge planning across hospitals.

Background: Knee Osteoarthritis is a prevalent chronic disease that causes pain, functional restrictions, increased healthcare consumption, and significant financial expenses to society. Aim: To evaluate the effect of nursing led educational interventions on outcomes of patients with knee osteoarthritis undergoing genicular nerves radiofrequency ablation. Design: The study used a quasi-experimental design. Setting: Pain Management Unit at Assiut University Hospital. Subjects: A purposive sample of 40 adult patients diagnosed with knee osteoarthritis undergoing genicular nerves radio-frequency ablation from both sexes was split equally into two groups (study and control group), each consisting of 20 patients. Tools: Tool I: Patient assessment sheet. Tool II: Numeric Pain Rating Scale (NPRS). Tool III: Knee Injury and Osteoarthritis Outcome Score (KOOS). Results: At baseline, both groups reported high pain levels with no significant difference (p = 0.075), following intervention both groups experienced a reduction in pain scores over the 3-month period. However, study group exhibited significantly lower pain scores than control group at 1 month (median 5 vs. 6, p < 0.001), 2 months (median 2 vs. 5, p < 0.001), and 3 months (median 1 vs. 4, p < 0.001). Following interventions, the study group demonstrated highly significant improvements across all KOOS domains compared with the control group (p < 0.001). Conclusion: Nurse-led educational interventions effectively reduced pain and disability in patients with knee osteoarthritis undergoing genicular nerve radiofrequency ablation. Recommendation: Nurse-led educational interventions should be incorporated as a standard component of care for patients with knee osteoarthritis undergoing genicular nerve radiofrequency ablation. Keywords: Knee Osteoarthritis, Nurse Led Educational Interventions, Outcomes & Genicular Nerves Radio-frequency Ablation.