Transforming Heart Failure Care: A Systematic Review of Telenursing and Remote Monitoring Innovations
Code: G-1740
Authors: Pardis Doosti * ℗, Zahra Shafiei Kisomi, Hadi Hasani, Mahdi Shahbazi
Schedule: Not Scheduled!
Tag: Clinical Decision Support System
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Abstract:
Abstract
Background: Heart failure is a widespread and chronic condition that poses significant challenges to healthcare systems worldwide. Despite advancements in treatment, high rates of hospitalizations and readmissions remain concerning. In response, innovative management approaches such as telenursing and remote monitoring are being explored for their potential to improve patient outcomes. This systematic review aims to evaluate the effectiveness of telenursing and remote monitoring strategies in heart failure patients. Material & Methods: We conducted a thorough search for studies published between 2019 and 2024 across several databases, including PubMed, Scopus, CINAHL, EMBASE, Web of Science, and the Cochrane Library. We used keywords such as “heart failure,” “telenursing,” and “telemedicine.” We selected studies based on predefined inclusion and exclusion criteria, focusing on adult heart failure patients who utilized remote monitoring strategies and telenursing technologies. We excluded duplicate entries, irrelevant studies, non-English publications, and articles that were not available in full text. Two independent researchers reviewed the remaining articles, assessing their abstracts and excluding those of low quality or relevance. A risk of bias assessment was conducted using the Joanna Briggs Institute (JBI) tool, which evaluates the methodological quality of studies. The final selected studies were critically appraised, and relevant data were extracted according to PRISMA guidelines. Results: Out of 502 articles reviewed, 19 met our criteria. Telenursing enables nurses to maintain ongoing communication with heart failure patients through calls and video chats, offering essential support, education, and symptom monitoring. This approach helps identify early signs of worsening conditions, like weight changes and ECG shifts, allowing for timely interventions that can prevent hospital readmissions. Nurse-led tele-monitoring empowers patients in self-care, greatly improving health outcomes. By using multi-parameter monitoring systems, nurses regularly assess metrics such as heart rate, blood pressure, and weight, sending alerts if issues arise. Furthermore, advancements in mobile health apps enhance medication adherence and enable quick symptom reporting and online consultations. Overall, telenursing and tele-monitoring significantly improve quality of life, reduce readmission rates, and lower costs in managing heart failure. Conclusions: In conclusion, telenursing and remote monitoring strategies mark substantial progress in the management of heart failure
Keywords
Heart Failure, Telenursing, Telemedicine
