الفهرس 
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Abstract
Mandibular fracture is the second most common facial fractures and there has been a significant increase in number of cases in the last years. Misidentification and inadequate treatment can take to permanent aesthetic or functional deformity.(68) The aims of the study were 4 folds: the first was to assess patients’ knowledge about nutrition, oral care and jaw exercises, the second was to design suggested nursing teaching protocol for patients with mandibular fracture, the third was to implement suggested nursing teaching protocol for patients with mandibular fracture, and the fourth was to evaluate the effect of suggested nursing teaching protocol on patients’ outcomes with mandibular fracture. To fulfill the aims of this study, the following research hypothesis were formulated:
1. The knowledge of the studied group patients after application of suggested nursing teaching protocol will be higher than the control group. 2. Post-operative complications associated with mandibular fracture will be less among the studied group than the control group. Quasi – experimental research design was utilized to conduct this study. To accomplish the aims; data were collected in the trauma department and maxillofacial surgery outpatient clinic at Assiut University Hospital. A convenience sample of 60 adult patients of both sexes in the trauma department and maxillofacial surgery outpatient clinic at Assiut University Hospital. Age ranges from 18 to 65 years. The patients are dividing into two equal groups (study and control) 30 patients for each. The study group receive the suggested nursing teaching protocol while the control group receive the routine hospital care. The following tools were utilized for data collection; Tool (I): ” an interview questionnaire sheet”, tool (II): ”suggested nursing teaching protocol” and tool (III): ”patient assessment sheet”. The main findings of the present study were:-
1. About half of the sample of the study and control group their age range between 18-29 years old, with mean of (31.47+12.62 and 32.6+13.55) respectively and about three quarter of the study and control groups were males (80.0% and76.7%) respectively. As regard 54 health habits more than two third of the study group and control group used of tea / coffee (86.7% and 73.3%) respectively. 2. About 13.3% of the study group have hypertension and diabetes. While in the control group about 16.7% have hypertension and 23.3 % have diabetes. 3. About half of the study and control group occurred as results of road traffic accident (50.0% and 60.0 %) respectively. There was no significant difference related to causes of mandibular fracture between both groups. 4. 100% of the patients in study and control groups had pain, limited jaw movement and tenderness. There were no statistically significant difference between both groups as regard signs and symptoms of mandibular fractures. 5. There were statistically significant difference between study and control groups post implementing nursing teaching protocol as regard knowledge level of patients about nutrition, oral care and jaw exercises. 6. There were statistically significant difference between study and control groups as regard appetite and level of dependency post implementing nursing teaching protocol. 7. There were statistically significant difference between study and control group as regard late complications. 8. There were statistically significant difference between study and control group as regard nutritional status assessment (Body Mass Index) on follow up after 4 weeks from discharge. 9. There are statistically significant difference between study and control group as regard complete blood count (CBC) during hospitalization, after 2 weeks from discharge and after 4 weeks.