جستجوی مقالات مرتبط با کلیدواژه "tele-nursing" در نشریات گروه "پزشکی"

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.

Exploring different intervention methods is crucial to improve the selfefficacy of patients undergoing hemodialysis.

This study aimed to assess the effects of face-to-face and distance education on the self-efficacy of patients undergoing hemodialysis.

In the current quasi-experimental study, 180 hemodialysis patients from Imam Reza Kermanshah Hospital in 2021 were chosen through convenience sampling and then randomly divided into three groups: Face-to-face training, telephone follow-up, and control. The face-to-face training group participated in 8 sessions, each lasting 45 minutes. The telephone follow-up group received the same educational content twice a week for four weeks, delivered through face-to-face training with phone calls lasting 10 to 15 minutes. After the training concluded, demographic information (age, gender, marital status, number of children, education, occupation, financial support), disease specifics (duration of illness, number of dialysis sessions), and self-efficacy questionnaires were filled out by all three groups. Data analysis was performed using SPSS 23 software, utilizing paired t-test, analysis of covariance, and one-way analysis of variance, with a significance level of 0.05.

The paired t-test showed a significant difference in mean self-efficacy score before the intervention across all three groups (P<0.001). After the intervention, covariance analysis, accounting for pre-intervention self-efficacy score, found that patients in the face-to-face training group had an average of 38.09 units higher than those in the control group, whereas patients in the non-attendance group had an average of 43.05 units higher than the control group. These disparities in self-efficacy scores were statistically significant (P<0.001)

Tele-nursing, when combined with face-to-face training, is effective in enhancing the self-efficacy of patients.

One of the most stressful and anxiety-provoking cases for the patient and his family was hospitalization with a possible or definite diagnosis of Covid-19. This research was conducted with the aim of determining the effect of telenursing on the level of depression, anxiety and stress of patients’s family hospitalized due to covid-19 in Allameh Bahloul Gonabadi Hospital in 2020.

This study is a semi-experimental research with before and after design. The research population was hospitalized patients with a definite diagnosis of covid-19 and their families. The sampling method was purposeful and accessible. The research sample included 42 patients' family members, including 22 in the intervention group and 20 in the control group. The depression anxiety and stress scale 21 (DASS-21) questionnaire was completed by a member of the patient's family with COVID-19‎. In the intervention group before and at the end of the three days of the intervention. Three telephone training sessions were conducted by the nurse over the phone with the family member about the patient's condition and ensuring the necessary interventions for their patient. In the control group, routine ward and hospital interventions were performed. Data was analyzed using SPSS version 20 software and descriptive and inferential statistical methods including chi-square, independent t and paired t tests. P value less than 0.05 was considered significant.‎

The mean age of the research units was 39.21±11.44 years. Most of them were married (92.85%) and had university education (43.18%). In the intervention group, three days after the implementation of the telenursing program, the scores of anxiety, stress and depression in the patients' families decreased significantly compared to before the intervention (P=0.013), but in the control group, the difference No significance was observed in terms of anxiety, stress and depression scores before and after the intervention (P>0.05).

Considering the quarantine conditions and the impossibility of face-to-face visits for patients with covid-19, as well as the positive effects of telenursing, nurses can use this method in the field of caring for patients and providing necessary training to their families and reducing stress and anxiety of other family members through telenursing.

Providing educational programs can help in improving the health status of cancer patients. Accordingly, this study was conducted with the aim of the tele nursing effect on reducing the anxiety of prostate cancer patients after chemotherapy.

The study was a semi-experimental type and was conducted using the available sampling method in 1401 on 60 people (30 people in each group) from prostate cancer patients referred to Shahid Mostafa Khomeini Hospital (RA) in Ilam city. After random assignment, the control group received routine treatments and the intervention group received telephone follow-up in addition to routine treatments for 12 weeks (twice in the first six weeks and once in the second six weeks). Data collection tools were Beck's demographic information and anxiety questionnaire, and the data were analyzed using descriptive and inferential statistics (paired and independent t-test and chi-square) in SPSS20 software.

The mean anxiety scores between the intervention and control groups before the intervention were not statistically significant (P≥0.05). But after the implementation of the intervention, this difference became significant so that the amount of anxiety decreased in the -intervention group (P≤0.05).

Telephone training and follow-up was effective in reducing the anxiety of prostate cancer patients. It is recommended that this method be performed by nurses in cancer patients

 With the spread of the contagious disease of COVID-19, the necessity of quarantine came to prevent the transmission of the disease. For this reason, patients suffered from social isolation. On the other hand, in order to control and treat the disease, it was necessary to provide self-care training. The present study was designed with the aim of comparison of the effect of self-care training program in two methods of multi-media education and tele-nursing on social isolation in patients with COVID-19 in Bandar Abbas city.

 This study was performed as a quasi-experimental study on 88 patients with COVID-19 referred to comprehensive health service centers in Bandar Abbas in 2021. The research samples were selected through convenience method and were divided into two groups of multimedia training and tele-nursing using block random allocation. First, social isolation in patients with COVID-19 was assessed using the questionnaire in two groups and then self-care training was provided using multimedia and tele-nursing methods. At the end of day twenty-one, social isolation was measured again and the data was entered into SPSS software version 26 and analyzed.

  There was no significant difference in pre-intervention assessment in term of social isolation score between the two groups (P>0.05). The results of the multiple covariance analysis test showed that by controlling the effect of the pre-test of each dimension of social isolation, the mean score of the loneliness, social disability, social anxiety and social tolerance dimensions after the intervention in the telenursing group was significantly lower than that of the multimedia group (P<0.001).

 Educational methods such as multimedia education and tele-nursing for awareness and self-care education, along with other medical care, can reduce social isolation. Therefore, it is necessary to consider a self-care education program and provide information about the necessary care during COVID-19 disease for patients in comprehensive health service centers and to use tele-nursing for more effective self-care education.

Practical Implications:

 Research findings can be applied in self-care training programs in infectious diseases such as COVID-19.

Multiple sclerosis (MS) is a chronic and progressive disease of the central nervous system that can have a devastating effect on the patient's quality of life. Self-care behaviors is one of the effective factors in preventing MS symptoms and recurrence. The purpose of this study was to determine the impact of patient education and telephone follow-up (telenursing) on self-care and quality of life of patients with MS. 

This clinical trial study was conducted on 70 patients with MS in the MS Association of Arak city in 2021. The subjects were selected by convenience sampling method and assigned randomly into intervention and control groups (N=35 per group). Data were collected through Miller's self-care questionnaire and quality of life questionnaire for patients with MS by both groups before and after the intervention. For patients in the intervention group, educational sessions were held one day a week for two weeks, then telephone follow-up was conducted for 12 weeks. Data were analyzed by using SPSS-20 software and chi-square and independent and paired t-test.

The study findings showed before the intervention, there was no statistically significant difference between the average score of self-care and quality of life of the two groups (p<0.05), but there was a significant difference between the mean self-care scores of the patients in the control and experimental groups after the intervention (p=0.031). Also, there was a significant difference between the mean scores of the patients' quality of life in the control and experimental groups after the intervention (p=0.028).

The findings of the present study showed that education and telephone follow-up on self-care and quality of life of patients MS is effective.

Patients with stroke are at risk for pressure ulcers. Continuous presence and direct care of the nurse in preventing this complication is not possible in all cases. Therefore, the present study aimed to investigate the effect of pressure ulcer prevention care training by tele-nursing on the amount and severity of pressure ulcers in patients with stroke. 

This quasi-experimental study was performed on 100 caregivers of patients with stroke and under home care in Torbat-e Heydarieh, Razavi Khorasan province in 2020. Sampling was done in an accessible manner and the samples were randomly assigned to two groups of routine training and telehoning. The tele-nursing group received a 15-minute telephone training program two days a week for one month. Data were collected using a patient and caregiver (caregivers) profile, a pressure ulcer risk assessment form, and a pressure ulcer monitoring checklist. Then, in SPSS20 software, using Chi-square, Fisher's exact, Mann-Whitney and independent T-tests were analyzed at the significance level of p <0.05.

Prior to the training, the two groups of routine training and tele-nursing did not suffer from pressure ulcers. But after training, the frequency and degree of pressure ulcers in the tele-nursing group were significantly lower than the routine training group (p <0.001). 

Based on the results obtained in this study, the rate of pressure ulcer in the telemedicine group was significantly lower than the group receiving routine training. Therefore, it is recommended to use tele-nursing to control pressure ulcers.

The coronavirus disease 2019 (COVID-19) has become one of the crises in the health system. It is necessary to take actions for follow-up, remote care and development of home care for these patients. This study aims to investigate the challenges of tele-nursing in the follow-up of patients with COVID-19.

In this qualitative study, 15 patients and 20 nurses participated. For collecting data, 15 individual interviews with patients, 4 individual interviews and 2 focus group interviews with nurses were conducted. The semi-structured interviews lasted 30-40 minutes. The Graneheim & Lundman approach was used for content analysis.

Data analysis led to the extraction of two categories and ten subcategories. The category of “Tele-nursing challenges from the patients’ perspectives” included the subcategories of technical limitations, variability of nurses, non-compliance with patients’ conditions, inefficiency in complicated situations, and imposing a care burden on families.  The category of “tele-nursing challenges from nurses’ perspectives” included the subcategories of unsuitable in high-risk cases, poor acceptance by patients, uncertainty of care implementation, limitations in direct assessment, and nurses’ lack of preparedness.

The nurse’s lack of preparedness and the limitations of tele-nursing in patient assessment and care, control of high-risk and complicated cases, and continuous care should be considered in the management of health promotion and nursing education.

The effects of COVID-19 not only disrupt patients' lives, but also affect caregivers. The aim of this study was to determine the effect of tele-nursing on the care burden of family caregivers of COVID-19 patients discharged from 22 Bahman Khaf Hospital.

This quasi-experimental study was performed on 120 family caregivers of COVID-19 patients from the beginning of May 2020 to the end of October 2020. Samples were selected by Convenience Sampling and were randomly divided into two equal groups (intervention and control). In the intervention group, training was performed through care load-based tele-nursing for a period of one month while no intervention was performed for the control group. Both groups completed the Zarit Care Questionnaire before and one month after the intervention.

In the experimental group, the mean score of total care pressure and its components after the intervention was significantly lower than before (p <0.001), but in the control group, the mean score of total care pressure and its components (except objective pressure before and after the intervention) was not significantly different (P> 0.05).

Tele-nursing training reduces the burden of care in family caregivers of COVID-19 patients. Therefore, it is suggested that health managers, by creating appropriate policies, put the implementation of the tele-nursing process in the family caregivers of COVID-19 patients on their agenda.

Various factors can affect the quality of life and the self-efficacy of patients with myocardial infarction. The effect of multimedia education with family-centered approach based on telephone follow-up (tele-nursing) on quality of life and self-efficacy of patients with myocardial infarction was investigated.

In this clinical trial, 60 patients with myocardial infarction were selected by convenience sampling and the intervention group was randomly divided into two groups of intervention and control, and a 10-group intervention workshop was organized through multimedia software for patients and active family members. Also, the intervention was conducted by the researcher for 1 month (once a week). The control group did not receive any intervention. Patientschr('39') quality of life and self-efficacy was measured before and one month after the intervention using the Minnesota (MLHFQ) quality of life and the Sherer General Self-efficacy Questionnaire. Data were analyzed by SPSS 21 software at the significant level of 0.05.

Mean scores of quality of life and self-efficacy between the two groups of control and pre-intervention (2.94 ± 0.31), (2.91 ± 0.43), (2.92 ±0.24) and (2.93 2 0.41) respectively was which were not statistically significant (p = 1). However, after the intervention, this difference became significant so that in the intervention group, quality of life and self-efficacy increased (P≤0 / 001).

Training and telephone follow-up were effective in improving the quality of life and self-efficacy of patients with myocardial infarction.It is recommended that educational interventions with a family-centered approach by nurses in patients with myocardial infarction To be.

Fatigue is one of the most common complications in hemodialysis patients, which affects their physical, psychological, emotional and cognitive status. The aim of this study was to investigate the effect of tele-nursing on fatigue in the elderly undergoing hemodialysis. This quasi-experimental study was performed on 60 elderly patients undergoing hemodialysis. Samples were firstly selected by available sampling method according to sample characteristics and were then randomly divided into two groups of test and control. The data were collected by Fatigue Questionnaire in two stages before and after the intervention. Data were analyzed by SPSS software version 24 using descriptive and analytical statistical tests. The mean age of participants was 73.43 ± 7.87 years. According to the findings, 76.7% of the control group and 70% of the test group had severe fatigue before intervention. This amount reached 43.3% in the control group and zero in the test group after the intervention. The mean of the fatigue score before the intervention in the test and control group was 7.39 ± 0.96 and 7.64 ± 1.79, respectively. After the intervention was carried this score changed to 3.15 ± 1.26 and 6.25 ±1.25. Based on t-test, there was a significant difference between the mean of fatigue scores in the elderly patients undergoing hemodialysis before and after the intervention in the test and control groups (p<0/05). Tele- nursing has been effective in reducing the amount and severity of fatigue in the elderly undergoing hemodialysis. Therefore, it is recommended that nurses use this method as a non-drug intervention to reduce fatigue in the elderly undergoing hemodialysis.

Among the strategies to improve self-efficacy in the adolescents with Thalassemia major are empowering patients via self-care education to deal with the effects and complications of the disease, having more control over the disease, and maintaining the right way of life and daily functioning. This study aimed to determine the effect of self-care education via Tele Nursing method on the self-efficacy of the adolescents with Thalassemia major. This interventional study was performed in 60 adolescents with Thalassemia major, who were randomly divided into two groups of intervention and control. Data were collected using self-efficacy questionnaire for children and adolescents. The educational intervention was performed with nutritional content, physical activity, and walking, stress management, and practice of stress relief through five Telegram communications in one month for the intervention group. In the intervention group, the mean score of social self-efficacy before and after education was 24.9 and 26.29, respectively (p=0.02). Meanwhile, the mean score of academic self-efficacy was 25.03 and 27.2 before and after the education, respectively (p=0.02), whereas the mean score of emotional self-efficacy was 21.46 and 22.1 before and after the education, respectively (p=0.004). Moreover, the mean total score of self-efficacy in the intervention group before and after education was 71.4 and 76.23, respectively (p=0.001). According to the results of the study, self-efficacy training via the Tele Nursing method improved the self-efficacy of the adolescents diagnosed with Thalassemia major. Considering the interest of adolescents in the cyberspace and social media, it is suggested that this type of training be considered for adolescents with other chronic diseases as well

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.