الفهرس 
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Abstract
Background:Today, liver transplantation (LT) is considered the golden standard for management of end stage liver diseases patients and early liver tumor. Pre-operative instructions are playing important role to maintain patient safety and success of a transplant. Aim of the study: Evaluate the effect of preoperative instructions related to immunosuppressive therapy on post liver transplantation patients’ outcome in terms of patient compliance to immunosuppressive therapy, knowledge about liver, liver transplantation, immunosuppressive therapy, nutrition and post liver transplantation patients’ complications. Design: Quasi experimental design was used in the study. Study sample: was a conducted on (36) patient undergoing liver transplantation operation. Tools: Patients’ knowledge assessment questionnaire sheet in addition to Sociodemographic and medical data, Patients’ compliance to immunosuppressive therapy, therapeutic diet questionnaire sheet, and post liver transplantation patients’ Complications assessment sheet. Results: there was a positive association between total patients’ knowledge, patient compliance to immunosuppressive therapy and a decrease post liver transplantation patient ’Complications after exposure to preoperative instructions were highly statistical significant p value equal (˂0.001) for all of them. Conclusion: There were improvements of patients’ knowledge, patients’ compliance to immunosuppressive therapy and therapeutic diet and decrease post liver transplantation patients’ Complications after exposure to preoperative instructions. Recommendations: All patients scheduled for liver transplantation and their families need adequate knowledge and skills about liver transplantation to adapt with their life after transplantation and Distributing the health education booklet to all liver transplant patients.