جستجوی مقالات مرتبط با کلیدواژه "پرستاری از راه دور" در نشریات گروه "پزشکی"

Gastrointestinal diseases are one of the common disorders and endoscopy is the most important diagnostic method for these disorders. One of the common psychological disorders during the endoscopic procedure is anxiety. There are different ways to solve psychological problems. Nursing counseling is one of the approaches used in anxiety control, which can be done face-to-face or remotely. The purpose of this study is to determine the impact of remote nursing program design and implementation on anxiety and satisfaction with the care of selected endoscopy patients.

This study was conducted as an action research, which includes two parts of remote nursing website design and its implementation as a semi-experimental study. 60 selected endoscopy patients were included in the study. They were assigned to two groups of 30 people, control and intervention, by gradual allocation in the form of simple randomization and using a table of random numbers. In the intervention group, nursing consultation was designed remotely on the web by providing a link to selected endoscopy patients, including training and care before and after endoscopy. In the control group, nursing care of the patient and his education was done by the nurse and placing pamphlets at the patient's disposal. In this pamphlet, all care before and after endoscopy was explained to the patient. The data were collected using the demographic information questionnaire, the Spielberger anxiety questionnaire, and the patient satisfaction questionnaire on the quality of nursing care developed by the researcher. The results of the research were analyzed using descriptive and inferential statistical methods and using chi-square, independent t-test, and paired t-tests in spss software version 20.

The findings of the study showed that the two groups were similar in terms of individual characteristics. After the intervention, the average total score of anxiety in the remote nursing education group was significantly lower than the control group (P<0.001), and the average score of patient satisfaction with the quality of nursing care after the intervention was different between the intervention and control groups. It was statistically significant (P<0.001).
Discussion &

The results showed that remote nursing consultation is effective in reducing anxiety and increasing the satisfaction of selected endoscopy patients. According to it, it is suggested to nursing managers to use this method for diagnostic tests that have a high number of referrals.

Convulsions caused by fever in children and parents not knowing about the nature of this disease cause severe anxiety and inappropriate performance in parents. Due to the cost-effectiveness of the telenursing method, nurses can use it to provide a large amount of information in a short period with distance education. Therefore, the present study was conducted with the aim of determining the effect of telenursing training on the anxiety of mothers with children suffering from febrile convulsions.  

This quasi-experimental intervention study was conducted in 2020-2021 among 60 mothers with children suffering from febrile seizures in the hospitals of Birjand, Iran. The sampling method was accessible and then people were randomly divided into two intervention and control groups. After being discharged from the hospital, the intervention group received telenursing (for 2 weeks and 3 sessions each week for 15 minutes via mobile phone and by calling the mothers and sending an educational video). The control group received routine training at discharge. The data collection questionnaire included the demographic and background information and the Spielberger anxiety questionnaire. The Spielberger questionnaire was completed at the beginning and after the end of the intervention. SPSS software version 16 and paired t, independent t and chi-square statistical tests were used for data analysis.

Stait and trait anxiety before the intervention was not significant between the control and intervention groups (P=0.865 and P=0.153, respectively). There was a statistically significant difference between the two intervention and control groups in Stait and trait anxiety after the intervention, and it was reduced in the intervention group (P<0.001).

Telenursing training was an effective method in reducing the anxiety of mothers with children suffering from febrile convulsions. Therefore, it is suggested to use the telenursing method in order to reduce anxiety among mothers with children suffering from febrile convulsions.

Caregiver burden reduces the stability of family caregivers of stroke survivors in life. Resilience helps them to strengthen stability and adapt to life's adversities. Due to the spread of Internet, It seems that providing educational interventions with virtual approach and aim of effectiveness on resilience and caregiver burden of caregivers, be useful.

In this clinical trial, 86 family caregivers of stroke survivors in Hamadan Besat Hospital were selected by convenience method and randomly assigned to intervention and control groups. Before the intervention, data were collected by Modified Rankin disability scale, demographic form, Connor-Davidson resilience and Novak & Guest caregiver burden questionnaires. Then, the intervention group received virtual training and telephone follow-up for a month. At the end of the intervention, two weeks and one month later, resilience and caregiver burden were re-examined. Data analysis was done by descriptive statistics, Independent t-test, Chi-Square, Fisher's Exact Test and Repeated Measure ANOVA in SPSS 25.

Before the intervention, there was no significant difference in resilience and caregiver burden between two groups. After the intervention a significant difference in direction of increasing resilience in the intervention group and decreasing it in the control group and also decreasing caregiver burden in the intervention group and increasing it in the control group, was observed (P < 0.001).

Considering the positive effect of virtual training and telephone follow-up on caregivers' resilience and caregiver burden, it is suggested that health care providers especially nurses, use this method in their training.

tele nursing has become increasingly important in supporting caregivers of Covid-19 patients. Technology can help nursing in such situations. This study reviews the effect of tele nursing on caregivers in the Covid.

The present study was a systematic review on the impact of remote nursing programs in supporting and meeting the needs of caregivers of patients' families during the Covid era. The search for observational and interventional articles published in English in PubMed، Cinahl، Embase Scopus و Web of Science was conducted in the period of 2019 to 2022 with the keywords tele nursing, tele health, family, caregivers, covid. After completing the search and evaluation of articles using the JBI checklist and articles that have entry criteria, the study was entered.

2126 related articles published between 1991 and 2022 were identified in the initial search. After removing irrelevant articles, finally 6 articles were examined. Tele-nursing has had a significant impact on improving satisfaction and knowledge, self-efficacy and efficiency and reducing the burden of care, the perceived stress of caregivers in the era of Covid-19.

In other words, tele nursing can help caregivers learn more about COVID-19 and how to care for their loved ones at home. It can also help them feel less alone and more supported. However, it is important to make sure that all caregivers have access to the technology and resources they need to use tele nursing effectively.

Heart failure is one of the most common chronic, progressive and debilitating heart disorders that has a destructive effect on self-care and quality of life of these patients. This study was conducted with the aim of Comparing the effects of self-care education by two in-person and virtual methods on Self‐care and quality of life among patients with heart failure.

This three-group clinical trial study was conducted with the participation of 120 patients with heart failure in Farshchian Hospital at Hamadan.Demographic, self-care and quality of life questionnaires of heart failure patients were completed by self-report before the intervention. The control group received only the routine training of the clinic, the in-person education group received self-care training in 4 one-hour group sessions, one day apart., and the virtual group received the same amount of education in the form of educational clip, and two months after intervention, the questionnaires were completed.

The results showed that before the intervention, there was no statistically significant difference between the demographic variables, self-care and quality of life of the patients in the three groups (p > 0.05). After the intervention, no statistically significant difference was observed between the virtual and in-person education groups in terms of self-care and quality of life (p>0.05).

Both virtual and in-person education methods had the same effect on self-care and quality of life. If the conditions for in-person education are not available, virtual training can be substituted for it.

Health-related behaviors of patients with myocardial infarction (MI) are highly affected by their illness perceptions, and education is one of the ways to enhance illness perception. Accordingly, the aim of this study was to compare the effect of multimedia and telephone education on illness perception in patients with MI after discharge.

Methods & Materials: 

A randomized clinical trial was conducted on 32 patients with MI who were discharged in 2019-2020 in Gonabad and Mashhad. The samples were selected by the convenience sampling method and randomly assigned to the multimedia or telephone groups. The educational content was similar for both groups, and was provided as a conversation for the telephone group, and as video, audio, and image for the multimedia group. The Brief Illness Perception Questionnaire (Brief. IPQ) was completed by the patients on the first day and the sixth week after discharge. Data were analyzed through the SPSS software version 20 using Kolmogorov-Smirnov test, chi-square test, Fisher's exact test, independent t-test, Paired t-test and Levene's test, at a significance level of P<0.05.

The results showed that the average score for the components of illness perception after the intervention compared to before the intervention in the both groups had a significant increase (P<0.05), but no significant difference was observed in the comparison between the two groups (P>0.05).

Both multimedia and telephone training methods improve illness perception in the patients. Therefore, the trainer is suggested to choose the type of training according to individual differences and facilities of the recipient, and health managers should apply appropriate policies for patients with MI to benefit from telenursing care after discharge.

Nurses constitute the majority of the workforce in the healthcare system. The use of digital technologies, including mHealth applications, is essential and effective in improving the quality level of healthcare services provided by nursing staff. Therefore, the primary purpose of this study is to investigate the use of mHealth applications for professional purposes by nurses during the COVID-19 pandemic.

 This is an applied study conducted using the descriptive, cross-sectional method in 2021. The study population was nurses in four public hospitals in Isfahan. The sampling method was a one-stage cluster sampling. The data collection tool was a questionnaire whose validity and reliability was assessed. Data analysis was performed using descriptive and inferential statistics on the SPSS software version 26.

The data of 93 questionnaires were analyzed. About 63 percent of nurses answered (with a reason) that they did not use these applications. This study showed that the use of mHealth applications is not common among the nurses. They need the training to use the applications. There were concerns regarding the mHealth applications' quality. The nurses believed that using a mHealth application would help them perform their nursing duties during the COVID-19 pandemic.

Based on the study results, planning for the development of mHealth applications tailored to the nurses' needs and training nurses to use the applications in clinical settings are recommended. There is also a need to provide and develop specialized evaluation tools and working groups to review and report on the quality of mHealth applications.

Uncertainty and sudden occurrence of disasters require special attention and nurses, as the largest human resource, have a critical role in maintaining and promoting the health. The use of telenursing care during disaster is an applicable way to provide care. The aim of this was to prioritizing telenursing care in disasters from the view of nurses.

This descriptive-analytical study was part of a larger mixed methods on prioritizing telenursing care in disasters from the view of nurses. Samples were selected using census. The data were analyzed using SPSS software.

The prioritizing extracted care included:(1) Management of trauma, (2) Technical skills, (3) Care and decision-making in stressful situations (triage), (4) Management of patients with special needs, (5) Life-saving intervention, and (6) Psychological and emotional supports.

According to the shortage of specialized nurses in disastrous areas, a telenursing program will provide a new window and provide help to victims of disasters.

Type 2 diabetes is a chronic and progressive, chronic metabolic disease in the world and hyperglycemia, is the main characteristic of this disease. Overweight and obesity are effective factors in the development of type 2 diabetes, which are closely related to hypertension and other cardiovascular risk factors. In these patients, due to hyperglycemia and inflammation, causing pathological injuries in cardiovascular system such as vascular macro and micro vascular disease, arterial stiffness, hypertension, Diabetic cardiovascular autonomic neuropathy and changes in cardiac function such as tachycardia at rest, and decreased functional capacity such as cardio respiratory endurance. Poor management of diabetes increases the risk of cardiovascular factors disease and increases morbidity and mortality in patients with type 2 diabetes. The need to use effective methods to glycemic control and cardiovascular risk factors as one of the effective factors in Shows the disabilities associated with type 2 diabetes. Therefore, the use of effective methods in glycemic control and cardiovascular risk factors as one of the effective factors in disabilities associated with type 2 diabetes is essential. Nursing is one of the ways of intervention in the field of communication technologies such as the telephone and messaging software, which as a telenursing, can lead to better communication between type 2 diabetes patients and medical team to get the knowledge and health services. Scientific research has also shown that a sedentary lifestyle is associated with type 2 diabetes and obesity, and exercise training has been introduced as one of the main parts of treatment for type 2 diabetes. Due to the fact that no specific research has been done to compare the effect of regular aerobic training and telenursing intervention on anthropometric and cardiometabolic indices in patients with type 2 diabetes, the present study aimed to compare the effect of telenursing and aerobic training on glycemic control. Blood pressure, body composition, resting heart rate and cardiorespiratory endurance (vo2max) were assessed in patients with type 2 diabetes.

In a semi-experimental study, 60 patients with type 2 diabetes were selected through targeted sampling and randomly divided into 3 groups (n = 20): 1) aerobic training group, 2) telenursing group and 3) control group. After baseline measurements (pretest), intervention study was conducted for eight weeks and 48 hours after the end of treatment variables were measured again (posttest). The exercise program consisted of eight weeks of aerobic training, three sessions per week consist of 30 to 50 minutes running exercises by intensity of 50-70% of the subjects' heart rate reserve in each session. In the telenursing group, Educational Intervention Based on treatment of diabetes, including diet, exercise training, how to use the drug and how to use a glucometer and barometer and glycemic and blood pressure monitoring, were provided to patients through a software. During the study, the control group received no intervention other than their routine management. Body weight, body fat percentage, fasting blood glucose, Hemoglobin A1C (HbA1C), systolic and diastolic blood pressure, resting heart rate and maximum oxygen consumption (VO2max) were measured before and after intervention. For statistical analysis, dependent t-test was used to examine within-group changes and one-way analysis of variance and Tukey's post hoc test were used to examine between-group changes. The data were analyzed using SPSS software version and P < 0.050 was considered as statistically significant level.

After eight weeks aerobic training intervention, a significant decrease was observed in levels of body weight (P = 0.023), body fat percentage (P < 0.001), fasting blood sugar (P = 0.003), HbA1C (P = 0.009), systolic blood pressure (P < 0.001), diastolic blood pressure (P = 0.039) and resting heart rate (= 0.004) P) and a significant increase in VO2max (P <0.001). Also in the telenursing intervention group, was observed a significant decrease in levels of body weight (P = 0.048), fasting blood sugar (P < 0.001), HbA1C (P = 0.012), systolic blood pressure (P = 0.007), and diastolic blood pressure (P = 0.045). But in the control group, no significant difference was observed in any of the variables (p <0.05). In the study of between group changes, the results showed that in the both of aerobic training and telenursing groups, there was a significant decrease in fasting blood sugar (P < 0.001) and HbA1C (P <0.001; P = 0.005, respectively) compared to the control group was observed. There was a significant decrease in body fat percentage and resting heart rate and a significant increase in VO2max in the aerobic training group compared to the telenursing and control groups (P <0.001). Significant decrease was observed in systolic blood pressure levels in the aerobic taining group (P <0.001) and telenursing group (P = 0.018) compared to the control group, Also reduction of systolic blood pressure in the aerobic training was significantly greater compared to the telenursing group (P <0.001).But no significant difference was observed in changes in weight (P = 0.083) and diastolic blood pressure (P = 0.617) between groups.

According to the findings of the present study, it can be said that both intervention methods of aerobic training and telenursing are effective intervention methods on glycemic control and cardiovascular risk factors in patients with type 2 diabetes. In the study of two intervention methods on glycemic control (fasting blood sugar and HbA1C), there was no significant difference was observed between the two intervention methods of aerobic training and telenursing, and both interventions were effective for glycemic control. Comparing the two methods of intervention on body composition, only aerobic training could reduce body fat percentage and improve body composition in type 2 diabetes patients. In the study of changes in blood pressure, two intervention methods reduced systolic blood pressure without significant change in diastolic blood pressure and the reduction of systolic blood pressure in the aerobic training group was significantly greater than the telenursing group. Comparing the effect of interventions on resting heart rate and VO2max as two variables related to cardiorespiratory function, the results were similar to changes in body fat percentage in the aerobic training group and a significant increase in VO2max and a significant decrease in resting heart rate were observed in type 2 diabetes patients. In general, although both methods of intervention have an effective role in the management of type 2 diabetes, especially glycemic control in these people, However, due to the results and greater effectiveness of aerobic training on body composition and cardiovascular function (systolic blood pressure, resting heart rate and VO2max), More care to exercise training as an important port of the treatment of type 2 diabetes is essential.

Due to the growing trend of aging and chronic diseases in the country in order to reduce the effects of aging and disease, telephoning is the use of telecommunication technology to provide care and counseling to patients. Therefore, this study examines the role of trapping ness in the management of chronic diseases in the elderly.

The present study was conducted in a systematic review by searching for articles using the keywords Tele Nursing elderly, Chronic Diseases, and combining them in SID, Magiran and English, ScienceDirectPubmed and Scopus Persian databases. The title and abstract of the articles and the removal of duplicate items, the quality of the articles found using the JBI tool by the researchers, were reviewed and finally 43 articles were included in this study.

The effective role of tele-nursing in improving disease management in patients with type 2 diabetes, hypertension, non-alcoholic fatty liver, heart failure was seen in the reviewed articles and a study that violated the results was not found in the reviewed articles.

Tele Nursing plays an effective role in the management of chronic diseases, so the use of this technology in the country and providing a platform for the proper use of the elderly is important because it can have consequences. It has desirable costs such as reducing the costs on the health care system and long-term hospitalizations, which requires strengthening the infrastructure and allocating sufficient funds.

This study aimed to investigate the effect of telenursing on adherence to treatment in adolescents undergoing cardiac surgery.

Congenital Heart Disease (CHD) has a significant global prevalence and a large number of patients undergo cardiac surgery every year. Adherence to treatment is essential to achieve the expected outcomes of surgery.

This study was a quasi-experimental before-after study with control groups that was conducted in the year 2020. A total of 70 adolescents referred to a university cardiovascular medical and research center in Tehran, Iran, were recruited based on the inclusion criteria and then, randomly assigned to experimental (n=35) and control (n=35) group. The experimental group received a telenursing services via WhatsApp messenger for one month. Modanloochr('39')s questionnaire of adherence to treatment was used to collect the data. Data were analyzed in SPSS V-20 using descriptive and inferential statistics.

There was no statistically significant difference between the experimental and control groups in terms of demographic variables. Before intervention, the mean score of adherence to treatment in the experimental and control groups was 71.67±6.97 and 71.77±7.89, respectively, which were not statistically different. After intervention, the mean score of adherence to treatment in the experimental and control group changed by 15.17 and -2.49, respectively, and the difference between the groups was found to be highly significant (P≤0.0001).

 According to the findings, telenursing improved adherence to the treatment. Therefore, it is recommended to provide the ground to take the benefits of this approach through increasing public information and awareness and empowering the nursing staff.

In the beginning of the 21st century with the shifting of patterns to the chronic diseases, self-efficacy of chronic patients becomes a major problem in most health systems of worldwide. In this regard, telenursing was introduced as one of the health strategies to increase the self-efficacy in chronic patients. The aim of this study was to determine the nature of the evolving tele nursing in chronic diseases in Iran. In this systematic review,the search of clinical trials was conducted in databases of country including Magiran, Medline, Irandoc ,SID and Latin databases, Google scholar, Scopus Pubmed using the keywords telenursing and telephone follow-up during 2012 -2016.After reviewing the literature, the results were qualitatively presente Total of 17 clinical trials conducted in Iran, 9 and 8 cases were published in Persian and English Journals, respectively. These trails were conducted on 12, 1, 3 and 1 cases in diabetic patients, epileptic patients, in patients with cardiovascular disorders in hemodialysis patients, respectively. Results showed that telenursing in diabetics due to control blood sugar, reduced glycosylated hemoglobin and adherence to treatment and in other patients caused the improved quality of life, reducing readmission, increasing self-efficacy, decreasing stress, depression and anxiety. According to the findings, telenursing is a convenient wayfor training and follow-up care of chronic patients, which can improve the adherence to patients' treatment in developing countries such as Iran. Therefore, it is recommended that telenursing be placed in the care plan of chronic patients.

Atrial fibrillation is one of the most common cardiac arrhythmias that occurs 1: 100. Long duration of treatment needs continuous education and follow up that can be achieved by modern nursing techniques such as telenursing. The aim of this study was to determine the effect of telenursing on quality of life of patients with atrial fibrillation. This quasi-experimental study was conducted in 100 Patients with atrial fibrillation referred to the teaching hospitals affiliated to Qazvin University of Medical Sciences in 2014. The patients were selected by convenience sampling method and were randomly divided into two groups (intervention and control). In the intervention group, phone calls were made to follow up and to educate patients for 12 weeks. Quality of life was measured before and after the intervention using the SF-36 questionnaire. Data were analyzed using paired T-test, Chi-square test, and T-test. In the intervention group, the mean quality of life score was significantly increased from 64.88±10.8 before the intervention to 76.14±9.2 after the intervention. In the control group, the mean quality of life score was significantly decreased from 62.6±9.7 before the intervention to 60.05±6.95 after the intervention. With regards to the results, it seems that telenursing can increase the patients’ quality of life and can provide better nursing care.

Chronic diseases as defined have long standing periods and slowly progress. These conditions are very costly for patients and countries health care systems. The Patients need long-term care and ongoing training and guidance about the treatment from the team. Tele nursing has the capacity to facilitate the access of the patients to these services at the lowest cost. The purpose of this study was to evaluate some common types of chronic disease in which tele nursing has been used and the outcomes of this type of care is reported.
In this systematic review, the full texts of all articles in Persian and English related to reports of tele nursing in chronic diseases searched by these keywords: Tele nursing, follow-up with phone calls, chronic illness, nurses and cost effectiveness. Persian medical and allied health care databases included Magiran, Iran, Medex, SID, Nindex, Ministry of Health website and English-language articles on following international databases: ProQuest, PubMed, ELSEVIER, Ovid,Scopus retrieval of articles spanned From August 2004 until August 2014.
Of the 31 articles reviewed 8 articles were in Iranian journals and 23 articles were published in international journals. Focus of the 26 articles (84%) were on the use of remote nursing care and outcomes in chronic heart failure, type 2 diabetes and chronic obstructive pulmonary diseases.
Providing tele nursing cares in chronic patients have led to increased efficiency in adherence to the treatment regimen, reduced mortality rates and costs, reduced depression and anxiety, decreased hospitalizations and improvement of quality of life in patients.

Nowadays technology development has remarkable and undeniable effects on caring. The aim of this study was to evaluate the effect of telenursing (cellphone software) on metabolic control of patients with Type 2 Diabetes Mellitus. It was a clinical trial with IRCT201009114728N1 Registration Code. In the spring of 2011 from patients of Valiasr hospital department of endocrinology 60 patients were chosen and randomly allocated in two groups. The Demographic questionnaire was completed by them. Blood sample for A1c hemoglobin was taken from patients. In the intervention group cellphone software was installed on the personal mobile of participants. The data was analyzed by t-test and SPSS 21. The pre and post A1c hemoglobin was -0. 58±0. 77 and -0. 19±0. 51 respectively and this difference was significant (P< 0. 05). The result indicated that telenursing by using cellphone software can have positive effect on metabolic control of patients with Type 2 Diabetes Mellitus. This technology can persuade patients and health team members to follow up caring of these patients more effectively. Keywords: Type 2 Diabetes Mellitus، Telenursing، Hemoglobin A1c، Cellular Phone

Tele-nursing is a branch of telemedicine. In Tele-nursing nurses can deliver nursing care using telecommunication technology over the distance and communicate with other nurses in remote areas. This study describes education by Tele-nursing; benefits and applications of Tele-nursing as a cost-effective method. This is a review article that investigates valid resources from Pubmed, Scopus, and SID. This article describe the role of Tele-nursing in home care especially in rural areas. Self care education to cancer patients, the elderly and chronic patients by Tele nursing was expressed. In addition, this study investigates applications of Tele-nursing on nursing education improvement and successful experiences in developed and developing countries. Tele-nursing provides nursing education to patients without the constraints of time and place. Tele-nursing reduce costs and improve the quality of nursing care, especially in rural areas. In addition, Tele-nursing supports standardization of clinical education of nursing. The study recommends implementing this technology in health care centers of Iran.