Background: Post thoracic surgery patients are often related to the high incidence of lifethreatening pulmonary complications that can be avoided by a variety of pulmonary care
techniques. Aim: Was to evaluate the effect of evidence-based nursing program on post thoracic
surgery patients' health outcomes regarding pulmonary care. Study design: A quasi-experimental,
pre-test and post-test intervention study design was implemented to achieve the aim of the current
study. Setting: The study was conducted in chest department and cardiothoracic surgery intensive
care unit at Benha University Hospital affiliated to Qalyubia Governorate, Egypt. Subjects: A
purposive sample of sixty patients with chest diseases planned for thoracic surgeries selected from
the previously mentioned settings over a period of nine months of data collection. Tools: Data were
collected using three tools, (I) Patient's interview schedule questionnaire, (II) Pulmonary care
technique observational checklist pre/post pulmonary care intervention, (III) Patients' health
outcomes assessment. Results: Total knowledge level and total practice level mean scores post
evidence-based nursing program implementation were higher statistically significant than
preprogram. There was highly significant difference between pre and post program implementation
concerning patients' health outcomes including all pulmonary function test variables, respiratory
rate, heart rate, systolic blood pressure, as well as PH, PaO2 and SO2. Conclusion: Patients'
knowledge and practice had been significantly improved post program implementation which
reflects that early post-operative pulmonary care following thoracic surgeries was effective in
reducing the risk of post-operative pulmonary complications and had a positive impact on patients'
health outcomes with high statistically significance differences as (p=<0.05). Recommendations:
Upgrading cardiothoracic nurses' knowledge and practice regarding to chest physiotherapy through
continuous attending in-service training programs and workshops to improve the standard of
nursing care given to post thoracic surgery patients.