Key result
Telenursing improves quality of life, self-care, and readmissions after cardiac surgery.
Why the study?
The effectiveness of telenursing-based interventions on health outcomes following cardiac surgery has not been comprehensively synthesized.
Does telenursing-based interventions improve postoperative health outcomes in adult patients undergoing cardiac surgery?
Systematic Review (n=3,262)
Does telenursing-based interventions improve postoperative health outcomes in adult patients undergoing cardiac surgery?
Telenursing-based interventions may complement post-cardiac surgery care by improving patient-centered outcomes and reducing healthcare utilization, though high-quality studies are needed to confirm these findings.
Supports telenursing integration after cardiac surgery; extends telehealth evidence for cardiac recovery.
Background: Patients undergoing cardiac surgery are at risk of adverse outcomes, including hospital readmission, postoperative complications, psychological distress, and reduced quality of life.Telenursingbased interventions, including patient education, remote monitoring, and post-discharge follow-up, may improve recovery; however, their effectiveness has not been comprehensively synthesized.Objectives: This systematic review aimed to evaluate the effectiveness of telenursing-based interventions on health outcomes following cardiac surgery in adult patients.Methods: A comprehensive literature search was conducted in PubMed, Scopus, Web of Science, SID, MagIran, and Google Scholar from inception to June 28, 2026.We included interventional studies that investigated telenursing-based interventions in patients after cardiac surgery and assessed at least one health-related outcome.Risk of bias was evaluated using the Cochrane RoB 2 tool.A narrative synthesis was undertaken due to substantial heterogeneity.Results: Of 535 records identified, 11 studies involving 3,262 participants met the inclusion criteria.Outcomes included quality of life, psychological outcomes, self-care behaviors, physical functioning, pain, hospital readmission, and healthcare utilization.Most studies reported beneficial effects of telenursing interventions, particularly on quality of life, psychological outcomes, self-care, physical functioning, and reduced readmissions.Two studies had a high risk of bias; nine raised some methodological concerns.Conclusion: Telenursing-based interventions may complement post-cardiac surgery care by improving patient-centered outcomes and reducing healthcare utilization.However, methodological limitations and heterogeneity warrant further high-quality studies to confirm these findings and identify optimal implementation strategies.Implications for Nursing and Midwifery Preventive Care Telenursing can support secondary preventive care through post-discharge monitoring, early complication detection, and self-care promotion. Structured remote follow-up can strengthen care continuity and reduce hospital readmissions after cardiac surgery.
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Mohammadi et al. (2026) conducted a systematic review in Cardiac surgery (n=3,262). Telenursing-based interventions vs. Usual care or standard post-discharge follow-up was evaluated on Health outcomes (quality of life, psychological outcomes, self-care behaviors, physical functioning, pain, hospital readmission). Telenursing-based interventions improved quality of life, psychological outcomes, self-care, physical functioning, and reduced readmissions after cardiac surgery.
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