الفهرس 
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Abstract
Summary
Nurses play an important role for patients undergoing tympanoplasty because those patients are needed for special nursing care and education to improve the patients` state, reducing or preventing postoperative complications, and improve patients` general condition.
Aims of the study: To evaluate the effect of the designing nursing guidelines on outcomes of patients undergoing tympanoplasty.
Research design: Quasi-experimental research design.
Sample: 60 adult patients with tympanic membrane perforation, from both sexes, and their age ranged from (18-65) year. The patients were admitted in Otolaryngology department for tympanoplasty surgery. Those 60 patients were equally divided on random basis into study and control groups 30 patients for each. Study group received the designed nursing guidelines, while the control group received the routine hospital care.
Setting: This study was conducted in the Otolaryngology department and Outpatient Clinics at Assiut University Hospital.
Tools:
Tool I: ”Patient questionnaire sheet: Covered the following parts:
Part 1: Demographic data about the patients such as name, age, gender, marital status, level of education, occupation.
Part 2: Patients’ knowledge about tympanic membrane perforation and tympanoplasty: definition, Causes, signs and symptoms, complications, management, pre-operative guideline, post-operative guideline and home instructions.
Tool II: Patients evaluation sheet;
Tool III: Hearing Handicap Inventory for Adults (HHIA) Scale:
Tool IV: Designing nursing guidelines for patients undergoing tympanoplasty.
Main findings of the present study:
-The mean age of both study and control group was (29 ±9.6). The highest percentage of them was female (56.7%) and single (56.7 and 66.7%) respectively). 40% of the study group was secondary school but the control group was read and write, regarding their occupation 43.3% of the study group was house wife and 40% of the control group was not work. No statistical significance difference was found between both groups regarding the demographic data.
-No statistically significant differences was found between the study and control group in pre-test. However, significant statistically differences were found between the study and the control group regarding their knowledge about tympanic membrane perforation, tympanic surgery and home instructions in post-test and follow up period (P<0.01).
-No statistically significant differences were found between the study and the control groups regarding handicap inventory (social HHIA, emotional HHIA, and total HHIA) scores in pre-test. While, during the follow up period after application the designed nursing guidelines, statistically significant improvement were found among the study and the control groups (p. < 0.01). However, the improvement was more obvious among the study group than among the control group ones.
-The control group patients had more post tympanoplasty hearing change, dizziness, tinnitus, infection of surgical site, taste changes, and otorrhea during the follow up period (after 2 months) than study group patients, but no statistical significant difference was found between both groups regarding post tympanoplasty complications