الفهرس 
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Abstract
The discharge program for cardiac surgery patients is a key element in the care of patients. Aim: this study aimed to evaluate the impact of comprehensive discharge program on patients’ outcomes after open heart surgery, Design: Quasi-experimental research design. Setting: this study was conducted in cardiovascular surgery unit and outpatient clinic at Benha University Hospital & Nasser Institute. subjects: 150 patients were scheduled for open heart surgery. tools: it was involved three tools: Tool one Patients’ Assessment Questionnaire to assess patients’ socio-demographic characteristics ,medical history, patient knowledge regarding the open heart surgery and nursing discharge instructions .Tool two Patient’ outcomes assessment to assess patients’ outcomes . Tool three The Perceived Stress Scale to evaluate how different situations affect patients’ feelings and the thoughts. Results: concerning total patients’ knowledge regarding open heart surgery, 13.3% of studied patients had satisfactory total knowledge regarding open heart surgery pre-program implementation whenever, 88 % of them had satisfactory knowledge post program implementation and 85.3% of them had satisfactory knowledge Follow-up program implementation, concerning total stress level for patients,52.0 % of studied patients had a high total stress level pre-program implementation whenever, 55.3 % of them had a moderate total stress level post program implementation and also 52.0 % had a low total stress level follow-up program implementation, concerning total out-comes for the patients, 14 % of studied patients had satisfactory total out-comes pre-program implementation whenever, 84.0 % of them had a satisfactory total out-comes post program implementation and 83.3 % of them had a satisfactory total out-comes follow up program implementation. Conclusion: the study concluded that implementation of the educational program has highly significant positive effect on total knowledge, total stress scale and clinical outcomes for the patients undergoing open heart surgery, which support the study hypothesis. Recommendations: The effective education and information are required to enhance understanding of pre & post-operative care and equip the open heart care unit and at outpatient clinic with simple illustrated guidelines protocol or program covering the comprehensive discharge instructions for open heart surgery patient’s.