Other Titles
Effectiveness of Telenursing on Self Management in Geriatric Patients with Heart Failure: A Systematic Review [Title Slide]
Abstract
Heart failure (HF), a syndrome caused by heart abnormalities, affects up to 20% of those over 75, leading to symptoms like dyspnea, fatigue, and edema. Effective self-management in HF involves adherence to medications, nutrition, exercise, symptom monitoring, and timely healthcare-seeking behavior. Telenursing offers remote support through virtual platforms, which research suggests may reduce hospital readmissions and improve the quality of life in HF patients. This study aims to explore the impact of telenursing on self-management in elderly HF patients, addressing gaps in knowledge about symptom control, self-care capacity, and quality of life. A systematic review was conducted using studies from PubMed, Cochrane Library, Scopus, Web of Science, Medline (OVID), and CINAHL databases from April 3 to April 5, 2024. Keywords related to Heart Failure, Telenursing, Telemedicine, Aged, Geriatrics, Nursing Care, Self-Management, and Self Efficacy were used. The protocol was registered on PROSPERO. Eight studies met the inclusion criteria, consisting of one pilot study, one subgroup analysis, and six randomized controlled trials, with a total sample of 2,836 participants. Studies were conducted in the U.S., Sweden, Australia, Japan, Germany, Korea, and the Netherlands, using interventions such as computer-based training, telephone support, telemonitoring, web-based education, and mobile apps. Analysis showed that web-based cognitive training and tailored self-care education significantly improved self-care in HF patients. Participants in web or app-based programs showed better self-care outcomes than those in standard care, and remote monitoring programs led to improvements in self-care behaviors. Advances in information technology have provided new means to connect with patients, assess health, deliver information, and provide support. Teleservices, particularly in rural and elderly populations with limited access to healthcare, are cost-effective and support long-term management of chronic diseases, such as HF, which often require frequent visits for monitoring. This study highlights the effectiveness of telenursing practices in nursing practices and its contribution to patient care by revealing the positive effects of telenursing practices on self-care management, symptom control and quality of life in elderly heart failure patients.
Notes
References:
1. Aïdoud, A., Gana, W., Poitau, F., Debacq, C., Leroy, V., Nkodo, J. A., Poupin, P., Angoulvant, D., & Fougère, B. (2023). High Prevalence of Geriatric Conditions Among Older Adults With Cardiovascular Disease. J Am Heart Assoc, 12(2), e026850. https://doi.org/10.1161/jaha.122.026850
2. Allida, S., Du, H., Xu, X., Prichard, R., Chang, S., Hickman, L. D., Davidson, P. M., & Inglis, S. C. (2020). mHealth education interventions in heart failure. Cochrane Database Syst Rev, 7(7), Cd011845. https://doi.org/10.1002/14651858.CD011845.pub2
3. Arslanian-Engoren, C., Giordani, B., Nelson, K., & Moser, D. K. (2021). A Pilot Study to Evaluate a Computer-Based Intervention to Improve Self-care in Patients With Heart Failure. J Cardiovasc Nurs, 36(2), 157-164. https://doi.org/10.1097/jcn.0000000000000782
4. Chang, M.-Y., Kuo, F.-L., Lin, T.-R., Li, C.-C., & Lee, T.-Y. (2021). The Intention and Influence Factors of Nurses’ Participation in Telenursing. Informatics, 8(2), 35. https://www.mdpi.com/2227-9709/8/2/35
5. Ding, H., Jayasena, R., Chen, S. H., Maiorana, A., Dowling, A., Layland, J., Good, N., Karunanithi, M., & Edwards, I. (2020). The Effects of Telemonitoring on Patient Compliance With Self-Management Recommendations and Outcomes of the Innovative Telemonitoring Enhanced Care Program for Chronic Heart Failure: Randomized Controlled Trial. J Med Internet Res, 22(7), e17559. https://doi.org/10.2196/17559
6. Higgins, J. P., Altman, D. G., Gøtzsche, P. C., Jüni, P., Moher, D., Oxman, A. D., Savovic, J., Schulz, K. F., Weeks, L., & Sterne, J. A. (2011). The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. Bmj, 343, d5928. https://doi.org/10.1136/bmj.d5928
7. McDonagh, T. A., Metra, M., Adamo, M., Gardner, R. S., Baumbach, A., Böhm, M., Burri, H., Butler, J., Čelutkiene, J., Chioncel, O., Cleland, J. G. F., Coats, A. J. S., Crespo-Leiro, M. G., Farmakis, D., Gilard, M., Heymans, S., Hoes, A. W., Jaarsma, T., Jankowska, E. A.,…Kathrine Skibelund, A. (2021). 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J, 42(36), 3599-3726. https://doi.org/10.1093/eurheartj/ehab368
8. Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S.,…Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. Int J Surg, 88, 105906. https://doi.org/10.1016/j.ijsu.2021.105906
9. Prochota, B., Szwamel, K., & Uchmanowicz, I. (2019). Socio-clinical variables affecting the level of self-care in elderly patients with heart failure. Eur J Cardiovasc Nurs, 18(7), 628-636. https://doi.org/10.1177/1474515119855600
Sigma Membership
Non-member
Type
Presentation
Format Type
Text-based Document
Study Design/Type
Systematic Review
Research Approach
Other
Keywords:
Mentoring and Coaching, Long-term Care, Teaching and Learning Strategies, Telenursing, Telemedicine, Self-Management, Geriatric Patients, Aged, Heart Failure
Recommended Citation
Yel, Pinar; Cetin Uceriz, Aysenur; and Ozer Güclüel, Yasemin, "Effectiveness of Telenursing on Self-Management in Geriatric Patients With Heart Failure" (2025). International Nursing Research Congress (INRC). 181.
https://www.sigmarepository.org/inrc/2025/presentations_2025/181
Conference Name
36th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Seattle, Washington, USA
Conference Year
2025
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Effectiveness of Telenursing on Self-Management in Geriatric Patients With Heart Failure
Seattle, Washington, USA
Heart failure (HF), a syndrome caused by heart abnormalities, affects up to 20% of those over 75, leading to symptoms like dyspnea, fatigue, and edema. Effective self-management in HF involves adherence to medications, nutrition, exercise, symptom monitoring, and timely healthcare-seeking behavior. Telenursing offers remote support through virtual platforms, which research suggests may reduce hospital readmissions and improve the quality of life in HF patients. This study aims to explore the impact of telenursing on self-management in elderly HF patients, addressing gaps in knowledge about symptom control, self-care capacity, and quality of life. A systematic review was conducted using studies from PubMed, Cochrane Library, Scopus, Web of Science, Medline (OVID), and CINAHL databases from April 3 to April 5, 2024. Keywords related to Heart Failure, Telenursing, Telemedicine, Aged, Geriatrics, Nursing Care, Self-Management, and Self Efficacy were used. The protocol was registered on PROSPERO. Eight studies met the inclusion criteria, consisting of one pilot study, one subgroup analysis, and six randomized controlled trials, with a total sample of 2,836 participants. Studies were conducted in the U.S., Sweden, Australia, Japan, Germany, Korea, and the Netherlands, using interventions such as computer-based training, telephone support, telemonitoring, web-based education, and mobile apps. Analysis showed that web-based cognitive training and tailored self-care education significantly improved self-care in HF patients. Participants in web or app-based programs showed better self-care outcomes than those in standard care, and remote monitoring programs led to improvements in self-care behaviors. Advances in information technology have provided new means to connect with patients, assess health, deliver information, and provide support. Teleservices, particularly in rural and elderly populations with limited access to healthcare, are cost-effective and support long-term management of chronic diseases, such as HF, which often require frequent visits for monitoring. This study highlights the effectiveness of telenursing practices in nursing practices and its contribution to patient care by revealing the positive effects of telenursing practices on self-care management, symptom control and quality of life in elderly heart failure patients.
Description
This systematic review explores the effectiveness of telenursing on self-management in geriatric heart failure patients, focusing on its impact on adherence, symptom management, and quality of life.