Effect of Implementing a Nursing Management Protocol on Postoperative Health Outcomes for Patients undergoing Tympanoplasty

Background: Tympanoplasty is a common surgical procedure to repair a defect in the tympanic
membrane with the placement of a graft, which aims to restores hearing ability, improves patient
outcomes, and increases patient satisfaction. Aim of the study: was to evaluate the effect of
implementing a nursing management protocol on post-operative health outcomes for patients
undergoing tympanoplasty. Research design: The study used a quasi-experimental research design
with a pretest-posttest control group.Settings: The study was conducted at the Otolaryngology
department at the Alexandria Main University Hospital and follow up was done in the
Otolaryngology outpatient clinic. Subjects: A convenience sample of 60 adults undergoing
tympanoplasty at the above-mentioned facility. The sample's participants were distributed into two
equal groups: the study group, which consisted of 30 patients who were given the nurse
management protocol, and the control group, which consisted of 30 patients who were just given
routine care. Tools of data collection: Four tools were used to collect the needed data,
namely:Tympanoplasty patient’s knowledge structured interview schedule, Hearing Handicap
Inventory for Adults (HHIA) Scale, Self-Care practices questionnaire structured interview and
Tympanoplasty patients’ satisfaction with nursing management protocol. Results: the study finding
shown that a highly statistically significant difference among control and study group regarding
their knowledge, social and emotional responses of hearing handicap and level self-care practices
immediate post and after one and a half month of application of the nursing management protocol.
Conclusion: Applying the nursing management protocol had statistically significant enhancement
of knowledge, social & emotional responses of hearing handicap, self -care practice and satisfaction
for studied subjects undergoing tympanoplasty postoperatively than their control
groups.Recommendations: the developed booklet with its straightforward instructions and
illustrations should be utilized in hospitals as a teaching aid for patients undergoing tympanoplasty