Effects of Telenursing on Self-Care and Healthcare Outcomes in Patients with Heart Failure: A Systematic Review.
4 affiliations
- 1Local Health Unit of São José, 1150-199 Lisbon, Portugal.
- 2Nursing Research Innovation and Development Centre of Lisbon (CIDNUR), School of Nursing, Universidade de Lisboa, 1600-190 Lisbon, Portugal.
- 3Comprehensive Health Research Centre (CHRC), 7004-516 Évora, Portugal.
- 4Escola Superior de Enfermagem São João de Deus, University of Évora, 7004-516 Évora, Portugal.
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.
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BibTeX
@article{costa2026effects,
title = {{Effects of Telenursing on Self-Care and Healthcare Outcomes in Patients with Heart Failure: A Systematic Review.}},
author = {Rita Costa and Sara Pires and Idalina Gomes and José Moreira and Elisabete Alves and César Fonseca and Ana Ramos},
journal = {Clinics and practice},
year = {2026},
month = sep,
doi = {10.3390/clinpract16100183},
url = {https://europepmc.org/article/MED/42930369},
note = {CC BY},
}
RIS
TY - JOUR
TI - Effects of Telenursing on Self-Care and Healthcare Outcomes in Patients with Heart Failure: A Systematic Review.
AU - Rita Costa
AU - Sara Pires
AU - Idalina Gomes
AU - José Moreira
AU - Elisabete Alves
AU - César Fonseca
AU - Ana Ramos
PY - 2026
DA - 2026/09/30
JO - Clinics and practice
DO - 10.3390/clinpract16100183
UR - https://europepmc.org/article/MED/42930369
AB - 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.
SN - 2039-7275
SN - 2039-7283
ER -