Why the study?
Nurse-led tele-interventions show potential to enhance care, but findings regarding their efficacy in patients with coronary heart disease remain inconsistent.
Do nurse-led tele-interventions improve lipoprotein, blood pressure, self-efficacy, anxiety, and depression in patients with coronary heart disease?
Do nurse-led tele-interventions improve lipoprotein, blood pressure, self-efficacy, anxiety, and depression in patients with coronary heart disease?
Nurse-led tele-interventions can improve lipid profiles, blood pressure, and self-efficacy in patients with coronary heart disease, supporting their integration into CHD management.
Nurse-led tele-interventions improve LDL, BP, and self-efficacy in CHD patients; supports short-term integration into care while longer trials are needed.
Nurse-led tele-interventions have great potential to enhance patient care, yet findings of efficacy in patients with coronary heart disease (CHD) remain inconsistent. This study aimed to examine the effects of nurse-led tele-interventions on lipoprotein, blood pressure, self-efficacy, anxiety, and depression among patients with CHD, while exploring potential mechanisms underpinning their impact. We searched six electronic databases for relevant randomized controlled trials (RCTs) from inception through November 2023. Two independent authors conducted the literature search, data extraction, and quality evaluation, and finally, 13 RCTs were included. Meta-analysis revealed that nurse-led tele-interventions statistically improved low-density lipoprotein, systolic blood pressure, diastolic blood pressure, and self-efficacy levels. However, our study found no statistically significant impact on high-density lipoprotein, anxiety, and depression. The benefits observed in this trial may result from continued communication and support from nurses, which may be key to translating tele-interventions into clinical outcomes. These results highlighted the possible value of incorporating nurse-led tele-interventions in patient care to aid in CHD management. However, more rigorously designed RCTs are needed to further validate these findings. Trial Registration: CRD42024500288.
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He et al. (2025) studied this question.
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