Preventive Care in Nursing and Midwifery Journal
Volume 16, Issue 2 (4-2026)
Prev Care Nurs Midwifery J 2026, 16(2): 118-134 |
Back to browse issues page
Ethics code: N/A
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Kalantari S, mohammadi M, Alipour R, Aligholipour M, Khezerlou Z, Esmaeilbeigi D, et al . Effect of Telenursing Based Interventions on Health Outcomes After Cardiac Surgery: A Systematic Review. Prev Care Nurs Midwifery J 2026; 16 (2) :118-134
URL: http://nmcjournal.zums.ac.ir/article-1-1056-en.html
URL: http://nmcjournal.zums.ac.ir/article-1-1056-en.html
Saba Kalantari 
, Maryam Mohammadi , Razie Alipour , Mahtab Aligholipour , Zahra Khezerlou * , Darya Esmaeilbeigi , Kazem Hajimohammadi , Nima Sohrabi
, Maryam Mohammadi , Razie Alipour , Mahtab Aligholipour , Zahra Khezerlou * , Darya Esmaeilbeigi , Kazem Hajimohammadi , Nima Sohrabi
Medical Surgical Nursing Department, Nursing and Midwifery School, Zanjan University of Medical Sciences, Zanjan, Iran , zahrakhezerloo8@gmail.com
Abstract: (94 Views)
Background: Patients undergoing cardiac surgery are at risk of adverse outcomes, including hospital readmission, postoperative complications, psychological distress, and reduced quality of life. Telenursing-based interventions, including patient education, remote monitoring, and post-discharge follow-up, may improve recovery; however, their effectiveness has not been comprehensively synthesized.
Objectives: This systematic review aimed to evaluate the effectiveness of telenursing‑based interventions on health outcomes following cardiac surgery in adult patients.
Methods: A comprehensive literature search was conducted in PubMed, Scopus, Web of Science, SID, MagIran, and Google Scholar from inception to June 28, 2026. We included interventional studies that investigated telenursing‑based interventions in patients after cardiac surgery and assessed at least one health‑related outcome. Risk of bias was evaluated using the Cochrane RoB 2 tool. A narrative synthesis was undertaken due to substantial heterogeneity.
Results: Of 535 records identified, 11 studies involving 3,262 participants met the inclusion criteria. Outcomes included quality of life, psychological outcomes, self‑care behaviors, physical functioning, pain, hospital readmission, and healthcare utilization. Most studies reported beneficial effects of telenursing interventions, particularly on quality of life, psychological outcomes, self‑care, physical functioning, and reduced readmissions. Two studies had a high risk of bias; nine raised some methodological concerns.
Conclusion: Telenursing-based interventions may complement post-cardiac surgery care by improving patient-centered outcomes and reducing healthcare utilization. However, methodological limitations and heterogeneity warrant further high‑quality studies to confirm these findings and identify optimal implementation strategies.
Objectives: This systematic review aimed to evaluate the effectiveness of telenursing‑based interventions on health outcomes following cardiac surgery in adult patients.
Methods: A comprehensive literature search was conducted in PubMed, Scopus, Web of Science, SID, MagIran, and Google Scholar from inception to June 28, 2026. We included interventional studies that investigated telenursing‑based interventions in patients after cardiac surgery and assessed at least one health‑related outcome. Risk of bias was evaluated using the Cochrane RoB 2 tool. A narrative synthesis was undertaken due to substantial heterogeneity.
Results: Of 535 records identified, 11 studies involving 3,262 participants met the inclusion criteria. Outcomes included quality of life, psychological outcomes, self‑care behaviors, physical functioning, pain, hospital readmission, and healthcare utilization. Most studies reported beneficial effects of telenursing interventions, particularly on quality of life, psychological outcomes, self‑care, physical functioning, and reduced readmissions. Two studies had a high risk of bias; nine raised some methodological concerns.
Conclusion: Telenursing-based interventions may complement post-cardiac surgery care by improving patient-centered outcomes and reducing healthcare utilization. However, methodological limitations and heterogeneity warrant further high‑quality studies to confirm these findings and identify optimal implementation strategies.
Type of Study: Review Articels |
Subject:
Nursing
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |