en Nursing Review Articels <div style="text-align: justify;"><span style="line-height:2;"><span style="font-family:Times New Roman;"><span style="font-size:14px;"><span style="unicode-bidi:embed"><b><span style="color:#2980b9;">Background:</span><span style="color:#2f5496"> </span></b><span style="color:black">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.</span></span><br> <span style="unicode-bidi:embed"><span style="color:#2980b9;"><b>Objectives:</b></span><span style="color:black"> This systematic review aimed to evaluate the effectiveness of telenursing‑based interventions on health outcomes following cardiac surgery in adult patients.</span></span><br> <span style="unicode-bidi:embed"><span style="color:#2980b9;"><b>Methods:</b></span><span style="color:black"> 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.</span></span><br> <span style="unicode-bidi:embed"><span style="color:#2980b9;"><b>Results:</b></span><span style="color:black"> 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.</span></span><br> <span style="unicode-bidi:embed"><span style="color:#2980b9;"><b>Conclusion:</b></span><span style="color:black"> 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.</span></span></span></span></span><br> &nbsp;</div> Telenursing, Cardiac Surgery, Postoperative Care, Remote Monitoring, Patient Outcome. 118 134 http://nmcjournal.zums.ac.ir/browse.php?a_code=A-10-1053-3&slc_lang=en&sid=1 Saba Kalantari Saba.kalantari99@gmail.com 100319475328460016855 100319475328460016855 No Medical Surgical Nursing Department, Nursing and Midwifery School, Zanjan University of Medical Sciences, Zanjan, Iran Maryam mohammadi Mmohammadi@zums.ac.ir 100319475328460016856 100319475328460016856 Yes Pediatric Nursing Department, Nursing and Midwifery School, Zanjan University of Medical Sciences, Zanjan, Iran Razie Alipour razie.alipour72@gmail.com 100319475328460016857 100319475328460016857 No Pediatric Nursing Department, Nursing and Midwifery School, Zanjan University of Medical Sciences, Zanjan, Iran Mahtab Aligholipour aligholipourmahtab@gmail.com 100319475328460016858 100319475328460016858 No Emergency and Critical Care Nursing Department, Nursing and Midwifery School, Zanjan University of Medical Sciences, Zanjan, Iran Zahra Khezerlou zahrakhezerloo8@gmail.com 100319475328460016859 100319475328460016859 No Medical Surgical Nursing Department, Nursing and Midwifery School, Zanjan University of Medical Sciences, Zanjan, Iran Darya Esmaeilbeigi daryyaesmailebigy@gmail.com 100319475328460016860 100319475328460016860 No Medical Surgical Nursing Department, Nursing and Midwifery School, Zanjan University of Medical Sciences, Zanjan, Iran Kazem Hajimohammadi kazemhajimohamadi@gmail.com 100319475328460016861 100319475328460016861 No Sygeplejerske, Birkevang Plejecenter, Herlufmagle, Danmark Nima Sohrabi 100319475328460016862 0009-0006-8286-2326 No Department of Operation, Mid Yorkshire Teaching NHS Trust, Dewsbury, West Yorkshire, United Kingdom