{
  "abstract": "Background/Objectives: Heart failure (HF) remains a major public health challenge, requiring continuous management and high patient adherence to prevent exacerbations. Telenursing offers a scalable, tailored solution for remote monitoring and education; however, evidence regarding optimal individualized intervention models remains heterogeneous, necessitating a systematic synthesis within the framework of precision care. This study aims to identify the effects of telenursing on self-care capacity and health outcomes in patients with heart failure. Methods: A systematic review was conducted following JBI methodology and PRISMA guidelines. Six databases (MEDLINE, Cochrane, CINAHL, Scopus, Web of Science, Google Scholar) were searched for studies (2020-2025). Quality was assessed using JBI Critical Appraisal Tools (threshold > 60%). Results: Fifteen studies were included from the 748 identified. Three core personalized modalities were categorized: tailored self-care digital programs, mobile applications, and integrated telemonitoring systems. Interventions featuring individualized, risk-stratified, and frequent contact demonstrated a significant positive impact on self-care behaviors, NYHA classification, and hospitalization rates. Key components included personalized vital sign alerts, structured virtual interviews, and digital coaching. Nurse-led oversight directly supported clinical responsiveness and medication adherence, though therapeutic efficacy varied according to baseline patient digital literacy and cognitive function. Conclusions: Technology-enabled personalized nursing interventions are highly effective in enhancing self-care skills, health literacy, and clinical stability. Future research should prioritize large-scale trials with prolonged follow-up and cost-effectiveness analyses to support multidisciplinary integration.",
  "abstract_shown": true,
  "affiliations": [
    "Local Health Unit of São José, 1150-199 Lisbon, Portugal.",
    "Nursing Research Innovation and Development Centre of Lisbon (CIDNUR), School of Nursing, Universidade de Lisboa, 1600-190 Lisbon, Portugal.",
    "Comprehensive Health Research Centre (CHRC), 7004-516 Évora, Portugal.",
    "Escola Superior de Enfermagem São João de Deus, University of Évora, 7004-516 Évora, Portugal."
  ],
  "article_type": "review article",
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Rita Costa"
    },
    {
      "affs": [
        1
      ],
      "name": "Sara Pires",
      "orcid": "0000-0001-6461-195X"
    },
    {
      "affs": [
        1
      ],
      "name": "Idalina Gomes"
    },
    {
      "affs": [
        2,
        3
      ],
      "name": "José Moreira",
      "orcid": "0000-0003-0059-768X"
    },
    {
      "affs": [
        2,
        3
      ],
      "name": "Elisabete Alves",
      "orcid": "0000-0002-7738-0887"
    },
    {
      "affs": [
        2,
        3
      ],
      "name": "César Fonseca",
      "orcid": "0000-0001-6975-612X"
    },
    {
      "affs": [
        1,
        2
      ],
      "name": "Ana Ramos",
      "orcid": "0000-0002-4661-0731"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/6p0ys27bvh5ca.bib",
  "cited_by": 0,
  "doi": "10.3390/clinpract16100183",
  "fulltext_url": "https://europepmc.org/articles/PMC13703699",
  "id": "6p0ys27bvh5ca",
  "issns": [
    "2039-7275",
    "2039-7283"
  ],
  "landing_url": "https://europepmc.org/article/MED/42930369",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2739|Telemedicine and Telehealth Implementation"
    ]
  ],
  "openalex": "W7214961991",
  "pdf_url": "https://europepmc.org/articles/PMC13703699?pdf=render",
  "pmcid": "PMC13703699",
  "pmid": "42930369",
  "published": "2026-09-30",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/6p0ys27bvh5ca.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:22:01Z",
      "native_id": "MED:42930369",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42930369"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2739|Telemedicine and Telehealth Implementation",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Effects of Telenursing on Self-Care and Healthcare Outcomes in Patients with Heart Failure: A Systematic Review.",
  "title_text": "Effects of Telenursing on Self-Care and Healthcare Outcomes in Patients with Heart Failure: A Systematic Review.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:22:01Z",
  "url": "https://research.draconitic.com/paper/6p0ys27bvh5ca",
  "venue": "Clinics and practice",
  "versions": []
}