جستجوی مقالات مرتبط با کلیدواژه « Telenursing » در نشریات گروه « پزشکی »

Heart failure is a potentially life-threatening condition that disrupts the normal flow of blood throughout the body. Patients with heart failure lack sufficient knowledge regarding drug treatment adherence. An effective discharge plan and its continuity can improve treatment adherence.

This study was performed with aim to compare two methods of discharge care program follow-up on drug treatment adherence of patients with heart failure.

This quasi-experimental was conducted in 2022-2023 on 126 patients with heart failure in Iran. Participants were divided into the two intervention groups via telephone call (group A), and via video message (group B) and a control group (group C). The required data were collected through Morisky Medication Adherence Scale (MMAS-8) before and 12 weeks after the start of the intervention. In the intervention groups, the care plan was presented to the patients every two weeks.

The mean drug treatment adherence scores increased to 2.47±1.68 in group A, 1.51±2.11 in group B, and 0.83±1.60 in group C,  which was significantly different in each group and among the three groups (p<0.001). The Mean changes in the patient’s drug treatment adherence in group A were statistically significant only compared to group C (p<0.001). After adjusting confounding variables (age, gender and cause of heart failure), there was a significant difference among the three groups in the patient’s drug treatment adherence and quality of life (p=0.002).

Implications for Practice: 

According to the obtained results, the nurses are recommended to continue the care program after discharge and use technologies to improve treatment adherence.

Hypertension is a risk factor for heart and blood vessel diseases, so it is crucial to teach patients how to control their hypertension and follow up on the training implementation. Accordingly, the present study aims to examine the effect of training according to the American Heart Association (AHA) and the American College of Cardiology (ACC) clinical practice guideline, with and without follow-up through telenursing on stage 1 hypertension among older adult patients with stable angina pectoris.

This is quasi-experimental research conducted in 2021 with a pre-test and post-test design and a control group. The study subjects were 59 patients with stage I hypertension suffering from stable angina pectoris who were referred to Ahmadieh Heart Clinic affiliated with Torbat Heydarieh University of Medical Sciences, Torbat Heydarieh City, Iran. The participants were recruited by targeted sampling and were assigned into intervention (n=30) and control (n=29) groups using the balanced block randomization. Both groups underwent lifestyle modification training based on ACC/AHA clinical practice guideline. In the experimental group, follow-up was done through telenursing once a week for three months, and the control group followed the clinic’s standard services. The data were gathered using a demographic set of questions and an aneroid sphygmomanometer. The obtained data were analyzed using the t-test, chi-square test, Mann-Whitney test, Wilcoxon test, and Fisher exact test in SPSS software, version 20. The significance level was set at P<0.05.

Compared to before the intervention, systolic blood pressure (P=0.009) and diastolic blood pressure (P=0.019) of the experimental group decreased significantly after the intervention. However, no significant difference was seen in the average pulse pressure (P=0.125) of the intervention group after the intervention. After the intervention, the systolic (P=0.001) and diastolic (P=0.002) blood pressure, as well as pulse pressure (P=0.006) of the intervention group, decreased significantly compared to the control group.

Telenursing is suggested as an efficient method of controlling and managing hypertension in older adults with stable angina pectoris.

The Corona epidemic has aggravated the stressful factors on health care systems; in this case, health care workers suffer from job burnout. It is better to use remote psychotherapy methods and appropriate treatment protocols. n this study, the researchers aimed to investigate the impact of telenursing training on job burnout in nurses who had previously contracted COVID-19.

This research employed a quasi-experimental design with a pre and post-test group comparison. It involved two groups, each consisting of 20 nurses who had experienced COVID-19 and exhibited high levels of job burnout. The data collection tool was the Maslach Burnout questionnaire along with demographic information. Both groups completed these questionnaires before the intervention. The experiment group underwent a telenursing training intervention conducted through WhatsApp, consisting of five sessions at five-day intervals. The training encompassed various teaching methods, such as explanatory text, PowerPoint presentations, and audio files. The control group did not receive any intervention. After 20 days from the completion of the training sessions, both groups retook the job burnout questionnaire.

The independent t-tests showed no significant difference in burnout level and severity between experiment and control groups before the intervention (p>0.05). However, after telenursing training in the experiment group, the average scores for burnout level and severity were significantly different between experiment and control groups (p<0.001), which indicates a positive effect of telenursing training on all dimensions of job burnout, including emotional exhaustion, dysfunction, depersonalization, and job conflict.

Telenursing-based training appears to be an effective method for reducing the intensity and levels of burnout among nurses with a history of COVID-19 infection. This suggests that telenursing training can be a valuable tool to mitigate job burnout in this specific group of healthcare professionals.

Loneliness is one of the problems experienced by the aging population, and the lack of social communication plays a major role in the emergence of loneliness. This study was conducted to determine the effects of telenursing on the loneliness of the elderly.

This field trial was conducted on 100 elderly people over 60 years of age who were selected by convenience sampling from the clients of Gonabad (Iran) community health centers during 2017. The elderly participants were randomly assigned to 2 groups of 50 people, intervention and control. Then, the demographic information questionnaire, the Informant Questionnaire for Cognitive Decline in the Elderly, and Dehshiri et al.'s Loneliness Scale were completed. The intervention group received face-to-face training by the researcher for 2 hours. There was no intervention for the control group, and the elderly received routine care from the family health unit. After the face-to-face meeting, phone calls were made by the researcher to the intervention group for 12 weeks. One month after the end of the intervention, the questionnaires were completed again by the two groups and evaluated and compared.

The mean (standard deviation) score of loneliness was 60.82±21.07 and 57.48±18.76 before the intervention in the intervention and control groups, respectively, and this value after the intervention was 35.06±14.20 and 61.40±18.72, respectively, in the intervention and control groups. After the intervention, a statistically significant difference was found in terms of a reduction in the loneliness score of the elderly in the intervention group compared to the control group (P<0.05).

This study showed that telenursing was effective in reducing the loneliness of the elderly.

For patients, COVID-19 disease is a reminder of non-existence and death. For this reason, these patients experience existential anxiety. One of the effective factors in the control and treatment of this disease is to educate patients on self-care to reduce the burden of these psychological problems on them. The present study was designed and conducted with the aim of evaluating the effect of self-care educational program using telemedicine and multimedia methods on the level of existential anxiety in COVID-19 patients.

This study was a quasi-experimental research conducted on 88 COVID-19 patients referred to the comprehensive health service centers of Bandar Abbas, Iran from 2020 to 2021. Th0ey were selected using a convenience sampling method. The samples were randomly assigned to the multimedia (44 patients) and telenursing (44 patients) groups. Patients in both groups received education on self-care during COVID-19 disease for 21 days. The Existence Anxiety Scale was completed before and immediately after the intervention. Data were analyzed with SPSS software version 26. Descriptive statistics, normality test, independent t-test, homogeneity of variance and covariance, univariate and multivariate analysis of covariance were used.

The mean score of existential anxiety at the beginning of the study was 90.50± 12.57 and 85.25 ±16.12, respectively, in the telenursing and multimedia groups, and after the intervention, it was 46.88 ± 6.38 and 65.40 ± 9.59, respectively, in the telenursing and multimedia groups. After the intervention, the existential anxiety score was significantly reduced in the telenursing group compared to the multimedia group (p <0.001).

Based on the findings of this study, self-care education programs and knowledge about necessary care during COVID-19 illness should be considered for patients in comprehensive health centers, and telenursing should be used for more effective self-care education.

In light of the global spread of COVID-19 and its profound impact on public health and casualties, nurses have been thrust onto the front lines in the battle against this disease, resulting in heightened psychological distress and anxiety. Addressing these issues promptly and effectively is crucial during these challenging times. Therefore, this study aims to investigate the impact of telenursing training in reducing death anxiety among nurses with a history of COVID-19.

This quasi-experimental study involved two groups of 20 nurses with a history of COVID-19 and higher levels of death anxiety. Data were collected using Templer's death anxiety questionnaire and a demographic information questionnaire. In the test group, the intervention was conducted through WhatsApp groups over five sessions. Training methods to reduce death anxiety were presented through explanatory text, PowerPoint presentations, and audio files, with five-day intervals between sessions. The control group did not receive any intervention. Twenty days after the sessions, both groups completed the death anxiety questionnaire again. Data were analyzed using t-tests and chi-square tests.

The findings indicated a significant difference in the average score of death anxiety between the test and control group after telenursing training (p<0.05).

Telenursing training effectively reduces death anxiety among nurses with a history of COVID-19. Telenursing proves to be a cost-effective and organized intervention for managing symptoms, early diagnosis of complications, ensuring post-care quality, exchanging information, and providing health education.

The high prevalence of hypertension worldwide and its severe effects on various body organs are major health concerns in every community. The present study aims to evaluate the effects of telenursing on the management of self-care behaviors in patients with chronic hypertension.

This randomized clinical trial was conducted on two groups with a pretest-posttest. The sample population included 82 patients with hypertension referred to comprehensive urban and rural health service centers in Garme City, Iran who were initially selected via two-stage cluster sampling and allocated into two groups of intervention and control by permuted block randomization (six patients in each block). Data were collected using a demographic questionnaire, the hypertension self-care profile, and phone follow-up, which were completed at the beginning of the study. The patients received a two-hour training session. The intervention group was followed up (telenursing) for three months, and the control group received routine care. After the intervention, the self-care questionnaire in patients with chronic hypertension was completed by both groups. Data were analyzed with SPSS software, version 25 using the Mann-Whitney U test, paired t-test, and the analysis of covariance (ANCOVA).

Telenursing increased the mean score of a healthy diet by 1.3 units (P=0.04) and the score of disease management by 1.19 units (P=0.004). However, the intervention had no significant effects on weight (P=0.09), supervision of the awareness of food labeling (P=0.38), and medication regimen (P=0.62). 

According to the results, it is recommended to use this method to manage the disease and dietary habits of patients with chronic hypertension.

Brain stroke is the main cause of death and disability worldwide. This disease can cause major complications in patients and place a great burden of care on caregivers. Therefore, this study was conducted to determine the effect of telenursing on the burden of care in caregivers and the rate of complications in patients with acute brain stroke discharged from neurological wards.

This two-arm parallel-group single-blind randomized clinical trial study was carried out on 72 patients with acute brain stroke discharged from neurological wards in Qom, Iran, in 2019. The patients and their caregivers were divided to control and intervention groups using random block allocation. In addition to the usual training of the ward, the intervention group received training and counseling based on their needs through phone calls for 4 weeks. However, the control group received only the usual ward training. Immediately after discharge from the hospital and 1 month later, the average care load in caregivers and urinary problems, bedsores, and the number of falls in patients were measured. A demographic questionnaire, Caregiver Burden Inventory, Braden Scale, Morse Scale, and a urinary problem checklist were used for data collection. The data were analyzed using the chi-square test, Mann-Whitney U test, independent t-test, and paired t-test by SPSS software (version 24).

After the intervention, the mean scores of the caregiver’s burden of care in the control and counseling groups were 35.22 ± 17.215 and 8.00 ± 7.556, respectively (P < 0.001). In addition, the counseling group experienced remarkably fewer urinary problems (P < 0.001) and falling (P = 0.011).

This study showed that telenursing reduced the burden of care in caregivers and decreased urinary tract infections and the number of falls in patients with acute stroke. Therefore, nurses and healthcare providers can use this program to improve the lifestyle of patients with acute brain stroke and their caregivers.

Promoting self-efficacy behaviors in self-care and people's true understanding of these behaviors are effective in controlling the disease, reducing the rate of transmission, and empowering patients. The aim of this study was to determine the effect of telephone counseling on self-efficacy in self-care behaviors of patients with coronavirus disease 2019 (COVID-19).

This experimental study was conducted on patients with COVID-19 who had been referred to Shahid Beheshti hospital in Kashan, Iran, from May 2020 to August 2020. Eligible patients were recruited through convenience sampling and then allocated into an experimental (n=30) and a control (n=30) group using block randomization. In the experimental group, patients were trained through telephone counseling one, five, and 10 days after discharge. The control group received the usual training in the hospital. Data were gathered using a self-care questionnaire at different time intervals. The collected data were analyzed with SPSS software (version 11.5) using the Chi-square, one-way analysis of variance (ANOVA), and t-test. The significance level was set at 0.05.

The mean score of self-care at time of discharge and two and four weeks later were 47.86±6.84, 62.23±5.24 and 78.46±3.38, respectively. There was a significant difference in self-efficacy scores between the study groups at time of discharge (P=0.29). In addition, there was a significant difference in self-efficacy scores two weeks (P=0.01) and four weeks (P=0.001) after discharge from the hospital. The self-efficacy score in the experimental group increased significantly over time. Furthermore, group and time had significant effects on the self-efficacy score (P<0.05) two weeks (P=0.01) and four weeks (P=0.001) after discharge from the hospital between two groups.

Telenursing could improve COVID-19 patients' self-efficacy in self-care. Therefore, it is recommended to use telenursing in the treatment protocol of COVID-19 patients for improving self-care.

Considering the complications of covid-19, in order to improve the quality of the care services and ensure of the continuity of these care services out of the hospital, telenursing should be taken.

This study aimed to evaluate the effect of telenursing on the self-efficacy of the covid-19 patients after discharge from hospital.

 This clinical trial was conducted on 66 covid-19 patients in sabzevar vasei hospital, Iran, during 2021. This participants have been divided to intervention and control groups with permutation blocks of random allocation method. Data collection tools included the demographic questionnaire and the covid-19 Prevention, Recognition, home-management self-efficacy scale were completed online by the participants before and one month after the intervention. A workshop through multimedia app and telenursing was performed to educate patient in the intervention group for one month. The control group only received the usual care at discharge. Finally, the data were analyzed using SPSS software (version 24) through the independent t-test, paired t-test, Chi-square test, and Fisher's exact test.

In the control group, the average scores of self-efficacy before and after routine training were 165.66 ±15 and 159.69± 21 21.73, respectively, and in the experimental group before and after telenursing were 144.24± 20.58 and 172.15±13.28, which was significant difference between results (p <0.001).Implications for practice: It seems that telenursing was effective on self-efficacy of patients. Accordingly, nursing team are recommended to use telenursing to improve the self-efficacy of the covid-19 patients.

Prehypertension is an important global health challenge. This study determines the effect of telenursing on Blood Pressure (BP) and Body Mass Index (BMI) in patients with prehypertension.

This randomized controlled clinical trial study included 81 patients with prehypertension discharged from an emergency room at Isfahan University of Medical Sciences (Iran) in 2016. Participants joined a session about hypertension, risk factors, and lifestyle modification to reduce its risk. Using a random number table, 41 subjects were assigned to the experimental group and 40 subjects to the control group. Only the experimental group received four SMS messages each week and a 10–15 min phone call once a month to help them change their lifestyle and reinforce their health behaviors. Eventually, patients’ information was collected, and the data were analyzed using independent t, paired t, and Chi‑square tests.

The experimental group after the intervention had a significantly lower mean (Standard Deviation [SD]) of Systolic Blood Pressure (SBP) (from 126.67 [5.15] to 119.21 [5.72] [t40 = 8.40, p < 0.001]) and Diastolic Blood Pressure (DBP) [from 85.28 (2.29) to 78.79 (4.16) (t40 = 10.02, p < 0.001)]. However, the same means were not significantly different in the control group [SBP (p = 0.116) and DBP (p = 0.096)]. The mean (SD) of changes between BMI before and after the intervention was ‑0.75 (0.66) in the experimental and 0.042 (0.41) in the control group, which was significantly different between the two groups (t79= –6.44, p < 0.001).

Telenursing can have potential benefits to maintain BP within the normal range and reduce BMI in patients with prehypertension.

Telenursing during the COVID - 19 pandemic with an emphasis on self - care is an effective approach to help patients, hospitals, as well as community. Despite the many challenges and benefits, tele - nu rsing can be used to help COVID 19 patients with new technologies. This study aimed to explore the challenges and opportunities of using tele - nursing in the COVID 19 Pandemic for helping patients with COVID 19 to gain better care.

An integrative review was conducted from December, 2019 to January, 2021. Databases of PubMed, MEDLINE, Web of Science, Scopus, CINHAL, and google scholar were searched on the concept of tele - nursing by using the following keywords, of COVID - 19, Coronavirus, Telenursing, nurse roles, technology, Pandemics and Internet. DaA ta were analyzed according to Broome method.

The main results of tele - nursing in COVID 19 includes: implementation problems, insurance coverage, prevention of nurses, the problem of continuing care, and changing the roles of nurses’ infections, development of nursing knowledge, the emergence of technological care providing, emphasis on patient independence and transmission cycle control.

Tele - nursing, this, despite the ch allenges, has many benefits that are effective in the current situation and effective, and reliable measure, through effective planning and implementation, help control COVID - 19.