الفهرس 
ABSTRACT
AIM OF THE STUDYOnly 14 pages are availabe for public view
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Abstract
The aim of the present study was in 3-folds: The first was to assess patient’s
knowledge and practice about inguinal hernia repair, the second is to design nursing
guidelines for patients undergoing inguinal hernia repair, the third is to evaluate effects of the
designed nursing guidelines on patient’s outcomes for patients undergoing inguinal hernia
repair.
To fulfill the aim of the study the following research hypotheses were
formulated:
1. The knowledge score of patients after receiving nursing guidelines about inguinal
hernia repair was higher than before giving them the nursing guidelines.
2. The practice score of patients after receiving nursing guidelines about inguinal hernia
repair was higher than before giving them the nursing guidelines.
3. Incidence of postoperative complications for patients who will receive the nursing
guidelines was lower than those who didn’t receive the designed nursing guidelines.
The study was conducted in General Surgical departments in Assiut University
hospital. The sample of the study consisted of sixty consecutive adult male patients. Those
sixty patients were divided on random basis equally in to study and control groups (30 each).
The following tools were utilized for data collection:
1. Interview questionnaire sheet:
Part I: It includes the socio-demographic characteristics (e.g., age, occupation, marital status,
level of education, residence, smoking and passive smokers).
Part II: It is used to assess patient’s knowledge about inguinal hernia disease and inguinal
hernia repair.
Part III: It is used to assess patient’s knowledge about pre, postoperative education and
home guidelines.
Tool 2:- ”Designed nursing guidelines”
This tool was designed by the researcher after reviewing current national and
international literature to maintain health of patients and reduce postoperative complications.
Nursing guidelines included: preoperative care, postoperative care and home instructions.
Summary
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Tool 3:- ”Patients’ evaluation sheet”
This tool was designed by the researcher to assess outcomes of patients undergoing
inguinal hernia repair. including postoperative complications that might develop related to the
surgery.
Main findings of the present study were the follows:
The majority of the studied patients in study group and control group (63.3%, 83.3%
respectively) were aged above 30 years, (83.3%, 66.7% respectively) were manual workers,
(76.7%, 80.0% respectively) were married, (30.0%, 60.0% respectively) were illiterate and
the majority of the study and control group ( 70.0%, 83.3% respectively) there residence is
rural. More than half of both study and control patients (66.7%, 56.7% respectively) were
smokers, (90.0%, 66.7% respectively) were passive smokers.
As regard patient’s knowledge about inguinal hernia and inguinal hernia surgery, both
study and control group were symmetrical in pre-test with no statistical significant difference
while post-test show that there was statistical significant difference between study and control
group with improvement in study group (pre-test and post-test).
Regarding level of knowledge about inguinal hernia disease and surgery patient’s level
of knowledge pre-implementing the designed nursing guidelines was satisfactory (0.00%) and
after implementing the guidelines level of knowledge become satisfactory (76.7 %).
As regard patient’s level of knowledge about pre, postoperative education and home
guidelines among study and control groups, in study group high significant statistical
difference found between preoperative and before discharge in study group in three items
preparations that should be done before surgery (0.77 ± 0.43, 2.40 ± 0.50 respectively), needs
to be done immediately after surgery (0.03 ± 0.18, 2.67 ± 0.88 respectively) and guidelines
must be followed after surgery (0.20 ± 0.41, 3.03 ± 0.85 respectively) while there was no
statistical significant difference regarding pre-test in both study and control group.
Regarding level of knowledge about pre, postoperative education and home guidelines
the patients’ level in preoperative was satisfactory (0.00%) and after implementing the
guidelines in before discharge (56.7%) of patients has a satisfactory level.
Regarding correlation between patients’ knowledge score and their socio-demographic
characteristics, there was statistical significant difference between study and control group in
some items.
Conclusion & Recommendations.