Work

The Impact of Telenursing on Patients With Myocardial Infarction Based on a Self‐Care Program: A Randomized Clinical Trial

Year: 2026

Type: article

Study designs: Randomized Controlled Trial, Clinical Trial

Abstract: ABSTRACT Background and Aims Self‐care and medication adherence are key factors in the management of patients with myocardial infarction (MI), but many patients face challenges in these areas and require novel care approaches. This study, based on a self‐care program, aimed to determine the effect of telenursing on self‐efficacy and adherence to medication in patients with MI. Methods This study was a randomized clinical trial with two intervention and control groups. Sixty‐two patients with MI were randomly assigned. The intervention group received an in‐person session (30–60 min), telephone follow‐up (8 calls in a month), and educational text messages, and the control group received routine care only. The research tools included the Abbreviated Mental Test (AMT) for cognitive screening and specific questionnaires administered before and 4 weeks after the intervention. Data were analyzed using a paired t‐test, chi‐square, and ANCOVA by SPSS version 26. Results At the posttest measurement, results of the ANCOVA showed significantly higher self‐efficacy scores for the intervention group compared to the control group after adjusting for the pretest scores (F (1,52) = 67.31, p < 0.001, η 2 P = 0.564). A similar result was obtained for medication adherence (F(1, 52) = 77.39, p < 0.001, η 2 P = 0.598). The effect sizes, calculated using partial eta squared, were 0.564 and 0.598, which are considered to be large. Conclusion Telenursing based on a self‐care program significantly increases self‐efficacy and medication adherence in MI patients, and it is recommended that telenursing programs be expanded in healthcare systems to promote self‐care and medication adherence. Clinical Trial Registration https://irct.behdasht.gov.ir/user/trial/76806/view . IrCTR registry, IRCT20240416061511N1/Registration Date: 2024‐05‐23.

Source: Health Science Reports

DOI: 10.1002/hsr2.73110

Authors: Arian Mobasheri, Parand Pourghane, Fereshteh Besharati, Saman Maroufizadeh

Institution: Guilan University of Medical Sciences

Language: English

Topic: Telemedicine and Telehealth Implementation

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,280