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Showing 2 results for Telenursing
Farhad Kamrani, Somayeh Nikkhah, Fariba Borhani, Mohammad Jalali, Sudeh Shahsavari, Kianoosh Nirumand-Zandi,
Volume 4, Issue 3 (12-2015)
Abstract
Aim. The aim of this study was to determine the effect of patient education and nurse-led telephone follow-up (telenursing) on adherence to treatment in patients with acute coronary syndrome admitted to cardiac care units hospitals affiliated to Alborz University of Medical Sciences.
Background. Increasing adherence to treatment is essential in patients with acute coronary syndrome to reduce readmissions and improve the recovery, but only patient education does not guarantee the adherence to treatment and it is necessary to follow-up patients after discharge.
Method. This randomized clinical trial study was conducted on patients with acute coronary syndrome admitted to the selected hospitals of Karaj, Iran, in 2014. In this study, 90 patients were selected purposively and randomly allocated in three groups of education (n=30), education/ telephone follow-up (n=30), and control (n=30). Data collection instrument was questionnaire. Data were gathered at baseline and 12 weeks after the intervention. Patients in educational groups (education, and education/ telephone follow-up groups) were trained before discharge using educational pamphlets. Telephone follow-up were implemented for education/ telephone follow-up group for 3 months; twice a week in the first six weeks and weekly in the second six weeks. The data was analyzed by descriptive and inferential statistics in SPSS version16.
Results. After intervention, there was a statistically significant difference between the groups in terms of adherence to treatment (P=0.001). Participants in the education/ telephone follow-up group and education group experienced more improvement in adherence to treatment than the control group.
Conclusion. Both patient education and education/ telephone follow-up have effect on improvement of adherence to treatment, but education/ telephone follow-up results in more improvement in adherence in comparison to education. It is recommended to implement education/ telephone follow-up for patients with acute coronary syndrome.
Bahareh Seraj, Fatemeh Alaee Alaee-Karahroudi, Tahereh Ashktorab, Maryam Moradian,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This study aimed to investigate the effect of telenursing on adherence to treatment in adolescents undergoing cardiac surgery.
Background. 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.
Method. 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. Modanloo's questionnaire of adherence to treatment was used to collect the data. Data were analyzed in SPSS V-20 using descriptive and inferential statistics.
Findings. 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).
Conclusion. 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.
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